The URL can be used to link to this page

Home My Public Portal About6155 SULTANA AVE_Building__ 76A638ACE+t8035-65 APPLICATION FOR BUILDING PERM T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY C JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST., FOR APPLICANT TO FILL IN DISTR�i,jJO. c CONST.TYPEP sseo BY BUILDING STATISTICAL CLASSIFICATION SE ER MAP ADDRESS T-- BK ��PPG CLASS NO. DWELL UNITS L LOT NO. —33 BLOCK USE ZONE MAP qi�, /of NO. C_)f �J TRACT SPECIAL NO. OF BLDG5. . CONDITIONS SIZE OF LOTXj) b NOW ON LOT USE OF EXISTING BLDG. On BLDG. SETBACK FROM G No. FRONT PROP. LINE OF (STREET) OWNER �+ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS a7 d1pp '-ra HIGHWAY WIDTH CITY G r 1 BLDG. SE BACK FROM + ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. _ CONTRACTOR TEL. + NO O LIC ADDRESS NO CORNER CUTOFF YES NO Ej U . Ad 'CITY ci�ss SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK W a. NEW ADD TER REPAIR DEMOLISH H Z SQ,FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATU E OF 7a r APPLICANT VALUATION `_ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. jJ FOUNDATION, LOCATION FEE$ FEE$ f'y'� FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT / AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 7 f A 1%7! 9UILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- _ ING TO WORKMEN'S CnMPENSATION INSURANCE. LATH. EXT. ,J _ L SIGNATURE OF.fOf NUMBER COR- f % PERMITTEE ' RECT AND POSTED + ! ADDRESS FINAL ] J J JOHN F. LEWIS. PRIWCIPAL STRUCTURAL EprAUEq PLAN CHECK VALIDATION CK. M.D. CASH _ PERMIT VALIDATION CK. M.O Q:7 L& 6 6 8 212 OCT 21 1 D 4,00,- 0 r WORKERS'COMPENSATION DECLARATION .I hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING P E RM I T •,insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company 1:1 FOR copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING Sud-Tu tion department. ADDRESS f� Date Applicant CITY ZIP LOCALITY D jV CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT 0 0 M NOW ON OT NEAREST COMPENSATION INSURANCE CROSS ST. (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR 64 hundred dollars($100)or less.) MAP BOOK P TEL. USE ZONE MAP 1 certify that in the performance of the work for which this OWNER (� NO.�! 4th NO. permit is issued, I shall not employ any person in any manner F- ,�' PECIAL so as to�Rmpplicant to the Workers'Compensation laws. ADDRESS 1p(s S �t�—`�rT a r��L�l , CONDITIONS r O�JU 4 U Date CIN " ZIP ( Q 6-- NOTICE NOTICE TO APPLICANT: If, after making'this Certificate of ARCHITECT OR TEL. DISTRICT G OUP TYPE FIRE PROCESSED BY O ENGINEER NO. CONST. / ZONE V Exemption, you should become subject to the Workers' v Compensation provisions of the Labor Code, you must forth- ADDRESS ��VD a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFI TION APT. JUN557] Cl)deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ.FL4MfJJp6. NO.,OF NO.OF I CHECK License Number Lic.Class S ZESTO ES FAMILIES ONE Wumic, k c VALUATION Contractor Date DESCRIPTION OF)WORK "1 NEW ADD ❑ $ ❑I am exempt under Sec. UtLo,"� ORCt�' �o�: �. AD IR oil, BAP.C. for this reason �� IrM Y REPAIR ❑ $ Date: USE OF _ DEMOL ❑ �9 8 a 7 A EXISTING BLDG. i T Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT UL�11 NO. DATE # 0 0 0 0 0 I hereby affirm that I am exempt from the Contractor's License ADDRESS 77124�12'- 1, °,a 8 Law for the following reason (Section 7031.5, Business and 00 Pro easlons Code): o a ] o a o o� BUILDING as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 0 6 0 9—'$$ the structure Is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CK CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP.pLINE WIDTH I hereby affirm that there Is a construction lending agency for FRONT the performance of the work for which this permit is issued PL. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # a Lender's Address P.C.Fee$ Permit Fee I certify that I have read this application and state that the j Issuance Fee LDMA P/C# o above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, I Total Fee LDMA Perm. # $ and hereby authorize representatives of this County to enter upon:SigEnatu e-mentioned propert for inspection purposes. m �1,SEE REVERSE FOR EXPLANATORY LANGUAGE of Applicant or Agent Dole I (OS WORKERS' COMPENSATION DECLARATION I reby affirm that I have a certificate of consent to self ine, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING P E RM I T or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy ra. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 6 l �� "�- — ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS l0 t C CITY f4 ZIP CA-ep r?.rr) LOCALITY Date Applicant I �., NO.OF BLDGS. NEAREST i CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT d (d'O NOW ON LOT CROSS ST. NZ COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. I R MAP BOOK S PAGE PARCEL hundred dollars ($100)or less.) TEL. OWNER rc- AV--1-W 4- NO. 8�1! ?�S D�jG' USE ZONE OP I certify that in the performance of the work for which this j r _ permit is issued, 1 shall not employ any person in any manner ADDRESS ( yt ut / CONDITIONS a- so as to become subject to the Workers'Compensation Laws. I O- �G �!� CITY `G� G zip L0��8� `� v Date ZJ g Applicant O Y r"d- ARCHITECT OR TEL. DGROUP JTYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONS . ZONE Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS 571 � —3 a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSI ICATION APT CONDO. Z deemed revoked. CONTRACTOR NO. _ LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the BusinessLIC. and Professions Code,and my license is in full force and effect. CITY CLASS BK FPG65 VALIDATION SQ. FT. NO.OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE I VALUATIONAh Contractor Date DESCRIPTION OF WORK NEW ❑ $ oW 3 O I ADD ❑ � ► ❑I am exempt under Sec- ALTER ❑ .. BAPCfor this reason Date: � E FI NCS REPAIR ; ACCT s USE F °v EXISTING BLDG. DEMO � -7 Signature APPLICANT TEL. FINA .TO0r OWNER-BUILDER DECLARATION (PRINT) NO. f, DATE 1 ITEI` S I hereby affirm that I am exempt from the Contractor's License �- Jaw for the following reason (Section 7031.5, Business and ADDRESS FINAL' ` TOT AL 59 Professions Code): PRESENT Byl.^ 59.25 i' NE1; BUILDING I, as owner of the property, or my employees with ADDRESS CHANGE .011-1wages as their sole compensation,will do the work and LOCALITY , !/ the structure is not intended or offered for sale(Section 7044, Business and Professions Code.) MOVING TEL. .- rRERED NO. I,as owner of the property,am exclusively contracting 1]I rl]-aQ�71 9/12/89 with licensed contractors to construct the project (Sec- AD 5641t 1 �M 8 01U tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY YARD HWY TOTAPROPALINEFROM WIDTH I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3097, Civ. C.). P,Lender's Name LDMA Ref.Lender's Addresstr_5 9_14 t Id'•ce'• ' Permit Fee / 0 1 certify that I have read this application and state that the Issuance Fee .5 LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee Q� ordinances and State laws relating to building construction, Total Fee (° � LDMA Perm.# and hereby authorize representatives of this County to enter upon the -mentioned;,property for inspection purposes. ' l��•L� ZO O i SEE REVERSE FOR EXPLANATORY LANGUAGE r Date - Signature of Applicant or Agent - WORKERS'COMPENSATION DECLARATION `. I hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, , or a certified copy thereof(Sec. 3800, Lab. C.) " COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company 1:1Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �S � ' ADDRESS - Certified copy is filed with the county building inspeo- BUILDING tion deportment. ADDRESS r (, C"7,( T Date Applicant CITY ZIP LOCALITY U)GS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT &V ON OT CROSS ST. COMPENSATION INSURANCE 10 w (This section need not be completed if the permit is for one ACT BLOCK ASSESSOR TRLOT NO. hundred dollars($100)or less.) MAP BOOK PAGE PARCEL TEL. USE Z E MAP I certify that in the performance of the work for which this OWNER 13 G O. JI/p►t� MN permit is issued, I shall not employ any person in any manner ADDRESS ftp__ /�� SPECIAL so as to become sub ct to the Workers'Compensation Laws. / CONDITIONS 0 /� p U Date Applicant �`� CITY ZIP 7j NOTIC TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL DISTRICT GR UP TYPE FIRE PROCESSED BY 0 Exemption, you should become subject to the Workers' ENGINEER NO. / CONST. ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be 0.. deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. 11ONDO. Cl)CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS 4 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION �p DESCRIPTION OF WORK NEIN ❑ Contractor Date ADD ❑ $ to 00. I am exempt under Sec. t k- ❑ ;289-53A ALTER B.&P.C. for this reason REPAIR ❑ $ # o a o 0 0 1 USE OF Date: EXISTING BLDG. DEMOL ❑ ' -,,- 40.50 Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATEKIMW/'e'A)/ 0 0 0 4 Q 5 0 60 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 0 21 1 -88 professions Code): PRESENT BY BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name J( LDMA Ref. # P.C.Fee$ Permit Fee 0 Lender's Address I certify that I have read this application and state that the Issuance Fee V TDMA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ` LDMA perm.# and hereby authorize representatives of this County to enter upon he above-mentioned property for inspection purposes. 0 0 0 SEE REVERSE FOR EXPLANATORY LANGUAGE SignattVe of Applicant o Date J.,'�r WORKERS'COMPENSATION DECLARATION ti In herebycer that I have certificate of consent to self APPLICATION FOR BUILDING PER i T insure, a or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES i BUILDING AND SAFETY PicyFOR APPLICANT TO FILL IN No. Company BUILDING / Certified copy is hereby furnished. ADDRESS 1:3Certified copy is filed with the county building inspec- BU�DING / 5 S U/_TOA14 :A-f1 H. tion department. AD�RESS Date Applicant CI kf P1 E G/' T L ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZIOF LOT J NO.OF NOW ON LOT 'L CROSS ST. NEAREST COMPENSATION INSURANCE (This section need not be.completed if the permit is for oneASSESSOR hundred dollars($100)or less.) TRACT , Y BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. 5"5'0 7 USE ZONE MAP I certify that in the performance of the work for which this OWNER D2't�a Gf NO. 'S7 //�/ NO. permit is issued, I shall not employ any person in any manner i ( ,2_ SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS ,� L(%4• /J—k CONDITIONS V f 8 �� CITY L/ ZIP c#- r7 3 Date Applicant 0: 7EL NOTICE TO APPLICANT: If, after making�this Certificate of ARCHITECT OR . DISTRICT GROUP TYPE FIRE CES�SED BY O ENGINEER NO. CONST. ZONE �i� i"' Exemption, you I should become subject to the Workers' � Compensation provisions of the Labor Code, you must forth- ADDRESS d� W with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby offirmrthat I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC, SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK.' PG VALIDATION SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE ❑ VALUATION Contractor Date DESCRIPTION OF K NEW ❑ ❑I am exempt under Sec. ADDALTER ❑ B.BP.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL EXISTING BLDG. ❑ Signature APPLICANT TEL. FIN 31f DECLARATION PRINT NO. DA I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS pl Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). c 7 = REQUIRED TOTAL ROP. LISETBACK F bqp CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE � WIDTH o 0 I hereby affirm that there is a construction lending agency for FRONT U the performance of the work for which this permit is issued P.L. O 1.08-88 O 8 d 8 (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name I LDMA Ref. # °o P.C.Fee$ Permit Fee Lender's Address L I certifythat I have read this application and state that the o aboveiformation is correct. I agree to comply with all County Issuance Fee d LDMA P/C q 9 P Y tY Inve igc. Fee / ordinances and State laws relating to building construction, Total Fee (fj LDMA Perm.ff and hereby authorize representatives of this County to enter upon the/above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date