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Home My Public Portal About6229 SULTANA AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY errLscA ULM mss rZXML L COUNTY OF LOS ANGELES g V ® 1 N G WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY ,� DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDADDREISBNG_ UJ �I�I y�T 15r V D LOCALITY / fes ,�?� f� / `�>1� RECEIVE BY DATE OFAPPL. DATE ISSUED ARB 8f ��'� UILDINO OWNER • /y/p.� 9A-9 / �r !��/a� A ADDREBB JV ?Q-r#9--A49 MAIL ^ LOCALITY I- r•` ADDREBB ♦ / / �,.j /� / CITY NES 'Ro 8T. �+:[J �J !V /�� FIRE NO.OF TYPE-,-eG. GRQUP ARCHITECT OR EL. / ZONE -- PLANS ENGINEER NO. ` BLDG. ORD.NO. ADDRESS ( ! 1/ SETBACKLINE -.Lir) I AIX P [ / APPROVED CONTRACTOR �>/•Z+ /�C-/� NO�" BY DATE USE �f� APPROVED ADDRESS ZONE V) BY DATE DE CRIPTLION�,t LOT NO. BLOCK j f] `y CORRECTIONS TRACTNo.or X A. ON SIZE OF LOT NOW LOTS 937t USE t� I q/} FAM C EXISTING BLDG. ee Z ROOMS`fir �fi�s / GC7 fC DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH O 94.FT. ) NO.OF D 91,E ( [��/ / ROOMS / STORIES I. WALL )I.�IlY I ROOF J#/b(yLF5 COVERING, COVERING,. USE OF NEW BUILDING �A✓�f Gt'Fr Xr+"S f 11/[r`/�l/lNr vin 4 ��ai 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ' APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION.:LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING'CONBTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF / / BRACINS.SOLTB PERMITTEE LATH, INT. AUTHORIZED AST LATH, EXT. 7GA63MA-3 7-49 $ P.C,N PLASTER,INT. 300 i FEE PLASTER.EXT. q- B VALUATION FEE ( � FINAL � '� �� i;VORKERS,COMPENSATION DECLARATION Insure, affifm that{ h5ve a certificate of consent to self �Q CAT N� F� J LIv � I L I PERMIT ^?J'i uie,�r't�89rtificate of Workers'Compensation Insurance, P dr a cVrEampan'—F C. 3800, Lab. C.) COUNTY OF LOS ANGELES MOLDING AND SAFETY Pa#k a 1�. BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 40 in QA_ Certified copy is filed with the jounty building inspec- BUILDING tion department. ADDRESS 0(� LOCALITY , /9�i` NEAREST Date App' CITY ZIP ( /Q CROSS ST. CERTIFICATE OF EXEMPTION FRO R RS' OF BLDGS. ASSESSOR COMPENSATION INSUR CE SIZE OF LOT W ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP „ /) hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO. TEL. / , SPECIAL } I certify that in the performance of the work for which this OWNER NO. CONDITIONS IL permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PR SSED BY O ADDRESS a CONST. ZONE V so as to become subject to the Workers'Compensation Laws. f ` �� /� / NE Date Applicant CITY ZIP U STATISTICAL CLASSIFICATION I/ APT. C DO. � NOTICE TO APPLICANT: If, after makingthis Certificate of ARCHITECT R TEL. ENGINEER NO. CLASS NO. 7 DWELL. UNITS W Exemption, you should become subject to the Workers' S D, Compensation provisions of the Labor Code, you must forth- '`•ADDRESS SEWER MAP 0 with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR T p r BK. VALIDATION LICENSED CONTRACTORS DECLARATION IC. - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE&4 VALUATION (commencing with Section 7000)of Division 3 of the Business and LICfJ Professions Code,and my license is in full force /and effe /` CITY CLILSS $ HER License Numbe /C�� Lic.ClasKil a �/ SIZE STORIES FAMILILIES CONE _,a 3S Contracto Date ?22 DESCRIPTION OF WORK NEW ❑ $ ADD I am exempt under Sec. c ❑ ALTER ❑ FINAL B.BP.C. for this r REPAIR son ❑ DATE USE OF FINA �2 9 a l A t EXISTING BLDG. DEMOL Sign e APPLICANT TEL. By # 0 0 0 0 0 ER-BUI RATION PRINT NO. I hereby a irm that I am mpt fl- from the Contract s License ( ° ° 6 0 5 0 Law for the following r son (Section 7031.5, B iness and ADDRESS Professions Code): PRESENT ° - 60505 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS 0 9,23-85 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section [ADD ALITY 7044, Business and Professions Code). ING TEL. I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- RESS tion 7044, Business and Professions Code). QUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for ONT the performance of the work for which this permit is issued L. Sec. 3097, Civ. C.). DE a L. a.., `o Lender's Name - `•' '`' "'' a Fee$ permit FeeLender's Address J/01 0 I certify that I have read this application and state that the Issuance Feeabove information is correct. I agree to comply with all County stigation Fee ordinanc and State laws relating to building construction, /; and he y authorize rep r sentatives of this County to enter Total Fee Ve� u a -mention p per or inspecti n purposes. LiJ c - SEE REVERSE FOR EXPLANATORY LANGUAGE Signot 0 ' nt or Agent Date es i WORKERS"COMPENSATION DECLARATION >,hereW a a certificate that I haver certificate of consent to self APPLICATION F®R BUILDING PERMIT � .'insure, of a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. .) Policy NoSyS�jb?o�ompany aTL/1�t1s� COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING Certified copy is hereby furnished. FOR APPL)CA T TO FILL IN ADDRESS Certified copy is filed With the c unty buildi inspec- rSIZE NG tion department. SS : S/ Date �Applica _ ZIP LOCALITY CERTIFICATE OF EXEMPTION FR RKERS' O.OF BLDGS. NEAREST COMPENSATION INSURAN F LOT NOW ON LOT CROSS ST.(This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. wq 7rg y USE ZONE MAP I certify that in the performance of the work for which this R CJit'ar d411 ' NO. J] , NO. permit is issued, I shall not employ any person in any manner / f/ SPECIAL so as to become subject to the Workers Compensation Laws. `ADDRESS ! CONDITIONS c0 Date Applicant CITY ZIP NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT R TEL. — .� DISTRICT GROUP TYPE FIRE. PRO SSED BY ENGINEER �� NO. 30 r- 3C�ni' CONST. ZONE Exemption, you should become subject to the Workers' *� "`1 pm 13 Compensation provisions of the Labor Code, you must forth- ADDRESS /7'( st with comply with such provisions or this permit shall be TEL.. STATISTICAL CLASSIFICA ON APT. NDO. deemed revoked. CONTRACTOR �G l O LICENSED CONTRACTORS DECLARATIONLIC, �/ CLASS NO. 2f I DWELL. UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO.`/ S (commencing with Section 7000)of Division 3 of the Business and LIC. h SEWER MAP Professions Code,and my license is in full force and effect. s CITY CLASS /� BK VALIDATION SQ.FTIV NO.OF NO.OF / CHECK License Number Lic.Class SIZE STORIES FAMILIES / ONE VALUATION Contractor Date DESCRIPTION OF WORK ADD ❑ $ I am exempt under Sec. ❑ (J!J pill ALTER ❑;,, B.BP.C. for this reason REPAIR $ USE OF ❑ �22(14A Date: EXISTING BLDG. DEMOL ❑:'' Signature :APPLICANT TEL. c/ # 000a23 FINAL OWNER-BUILDER DECLARATION [PRINT) �� rJdL NO. 1(9�7F DATE I hereby affirm that I am exempt from the Contractor's LicenseG4 1 - 53550 Law for the following reason (Section 7031.5, Business and ; ADDRESS FI Professions Code): PRESENT 0 0 5 3 6 5 0 63 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ® 0605-85 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. (fiy�► �L� 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 FRO CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT :P3 3 a 6 A the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE # 0 0 0 0 0 g P.L. Lender's Name ` /� U UO A LDMA Ref. # ( ° 6 4 Q 5 0 P.C.Fee$ 5 (�(j Permit Fee o o (j 4 Q 5 0 U - Lender's Address x p I certify that I have read this application and state that the Issuance Fee J LDMA P/C N �. above info ion is correct. I agree to comply with all County Investigation Fee „, j 1, 0(� —8 5 ordinances d State laws relating to building construction, Total Fee (1 LDMA Perm. It and he a outhor'Fresentatives of this County to enter upon above- eprop for inspection purposes. r SEE REVERSE FOR EXPLANATORY LANGUAGE a nature of Applicant or Agent ate 0