HomeMy Public PortalAbout6231 SULTANA AVE_Building__ 76A638A CEt"803 12/620
APPLICATION R BUILDING PERMIT
COUNTY-OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Syz--�A A- - .
JOHN A. LAMBIS, COUNTY'ENGINEER 5<v-
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
BE
FOR APPLICANT TO FILL IN NEARESTCROSS ST.
(Print or type only) DISTRICTGROUP TYPE l_pR!5ESSED BY
BUILDI CONST�.
N
ADDRESS A)
t STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK CLASS NO —' DWELL.UNITS— BKEPG!557
TRACT s~ 0 USE ZONE MAP
No.OF BLDGS. No..200
SIZE OF LOTS�-,LtX 11f3, 5- NOW ON LOT __731 SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
N'OL
BLDG.SETBACK FROM
,V
OWNER / If FRONT PROP.LINE OF —
ADDRESS ;L,4 j /y �fj,1- 7&
ljpill�� TYPE OF EXISTINGj SETBACK HIGHWAY + YARD =(STREET)
TOTAL
CITY al r]g ,p/,q , Eo j HIGHWAY WIDTH FROM C.L.
— I
ARCHITECT OR TEL. .5-0 f —
ENGINEER NO. BLDG.SETBACK FROM
I
ADDRESS ly;' SIDE PROP.LINE OF (STREET)- TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
CONTRACTOR c NO. HIGHWAY WIDTH FROMC.L.
LIC. +
ADDRESS NO.
LIC,
CITY CLASS CORNER CUTOFF YES* ❑ NO
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS Alf I,/Ao'h�Av
SQ. Fy� XILI NO. OF NO. El
f NEW
SIZE STORIES A 14M
USE OF ADD
STRUCtUR
CON A
S
C
ADDRESS E
D: S
CITY
CONSTRUCTION
NAME AND
ADDRESS
SQ. FT
1
SI ZE
USE OF
STRUCTUI ALTER [:]
SIGNATURE iGNATURE OF
.-
APPLICANT
,
S _ I, V [3
APPLICANT %,_� DEMOL
747 12,A it- -7-0 C-7 W."'t
V LU TI C
APPROVALS
VALUATION S DATE INSPECTOR'S SIGNA RE
P'C. PMT. FOUNDATION: LOCATION
FEES FEES /Zeno FORMS.MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE. HAT I HAVE READ THIS APPLICATION BRACING, BOLTS 7 -7 o 0,A;X'Lt-4�
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCT] , I-CERTIFY THAT IN DOING THE WORK AUTHORIZED
ON;hILd NOT EMPLOY ANY N IN VIOLATION Or THE
HEREBY I LATH, INT.
LABOR CODE OF THE STATE or WOORNIA IN RE ATING TO
WORKMEN'S COMPqISATION IP 0&AICE. LATH. EXT.
SIGNATURE-'
E6"4_1 HOUSE NUMBER COR-
PERMITT RECT AND POSTED
ADDRESS ry FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONE��- CK. M.O. CASH
0 49 J022 1 D 12.00-
DEPARTMENT OF BUILDING AND SAFETY A!'YLLUA l luiv r utc rr-ALV1a L
COUNTY OF LOS ANGELES nu 1 LD I
® 1 N G
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �.
/J DISTRICT NO. PLANpC�K.NO. PERMIT NO.C'�
FADIBB lk .f � lITY e..=st�J /.,�f ^ (:°?f; ,�+ REGEIVED BY DATE OFAPPL. DATE ISSUED
`J
NEAREST s
CROS99T. ,.14r--co !►v�t^1 �q `af `I/� �I �s —��/y
BUILDING
OWNER � � / i /'�� T.d I.t�L� ADDRESS JN/1MAIL
j
ADDRE99 h .,4/ :p /(� LOCALITY �•
NEAREST
r/ R � TF NO.PY'r JJ 7 �r CROBB ST. r+✓ jl V1'. -PY•`�=�
CITY L �'�/i'—F'iC•{i 7; � rte,
FIRE NO.OF TYPE GROUP f_
ARCHITECT ORe TEL. ZONE PLANS
ENGINEER NO.
BLDG. ORD.
� • NO.
ADDRESS BET13AVKLINE �� 6` ITS/ f
APPROVED
TEL
CONTRACT. /i /j��� NOLO 6l��. BY DATE
` USE 1 APPROVED
ADDRE it�� 4' l� �'Z�^Cl .'�3: +• 1
ZONEp IF-BY DATE
Cc, _
LEGAL
DESCRIPTION LOT NO. BLOCK P�j� (��+} CORRECTIONS
TRACT
NO.OF BLDG3
SIZE OF LOT
•?� :�' �3• s+ NOW ON LOT
USE 13 1 1 NO.OF ' NO.OF ,� D J '�
EXISTING BLDG.�� ��Z/�LTiG 6 FAMILIES r ROOMS ® e- -o G„S �=� A C �� .�`.. �• 1
DESCRIPTION OF WORK
NEW 114- ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH
9Q.FT. / I� NC.OF / Z
SIZE i //�� ROOMS STORIES
WALLOOF
COVERING e.tJf uMV I COVERING (IZ 7LJ/d
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT IN !_CTOR DATE
FORMS,
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FLOCATION 1 ,,
FORMS,MATERIALS
+I, LI -so
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGN ;ATURE OF � .0 r' BRACING,BOLTS I+tib
PERMITTEE ��!% •" � �° V 1
�.- .- s'�6• -_ f. LATH, INT.
AUTHORIZED AOT- s w _
J.�.+-f_-i�� '' 1�-- LATH. EXT.
7GA63BA-9 7-49 $ p,O,a PLASTER,INT. `�`✓ L 4 U`
FEE - Y
�� PLASTER.EXT.
VALUATION /
FEE 7 �n c! FINAL t' r,. W f s/
®5 760688( - �;''•e V ' .•
CE/E108(REV.6/78)
APPLICATION OR' BUSCDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICA T•TO FILL IN ADDRIESS ��, , �st�✓
BUILDINdq
G
ADDRES / LOCALITY
NEAREST
CITY ZIP. CROSS ST.„NO.OF BLDGS. ASSESSOR VI
SIZE OF LOT ?� 6� x jZ?"s NOW ON LOT. MAPOK PAGE PARCEL
DISTRICT GRQtlr F ITO Y '
TRACT O / BLOCK LOT NO./� 7-17 C C ST. ZO
TEL. 16-as � '
OWNER NO.
STATISTICAL CLASSIFICATION _SEWER MAS
ADDRESS CLASS NO. DWELL.UNITS �_ BWjZ-)PG
CITY ^ ZIP
ARCHITE O . TEL. VALUATION ,P ��0
ENGINES
ADDRE BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CO TR O. D TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + YARD _ FRONT PROP.LINE HIGHWAY WIDTH
AD
LIC. +
CITY CLASS
CONSTRUCTION L DER BLDG.SETBACK FROM
NAME AND RANCH SIDE PROP.LINE OF (STREET)
HIGHWAY + YARD- = TOTAL SETBACK FROM TYPE OF EXISTING 16,
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SQ.FT NO.OF F CHECK + _ u
SIZE r STORIES FA LIES O / 99
DESCRIPTION F WORK NEW Fee$ A.5.3fo Permit Fee
ri ' Cl(DDR ❑ Issuance Fee
REPAIR ❑ Total Fee
USE OF DEMOL
EXISTING BLDG. ❑ / Q)" ZC
APPLICANT TEL
(PRINT) NO. C t 3�70/ ;2 6'1'0,4 A
BY(SIGNATURE) 1 Q # 0 0 0 0 2 1
I HEREBY ACKNOWLEDGE T AVE AD THIS APPLICATION AND STATE bd Q 0 -'4'5 3 6.
THAT THE ABOVE IS CORRE ND GRE COMPLY WITH ALL ORDINANCES w
AND LAWS REGULATING DIN ONS U N.I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED BY I L NOT M Y ANY PERSON IN VIOLATION OF w •0,o o'4'a 3 6 5
THE LABOR CODE E OF CALI A N RELATING TO WORKMEN'S COM- Z
PENSATION INSU 08, 1 3)-7 9
SIGNATU OF /tl” a 6 1•'Q 5 A
PERM
I E
ADDRESS #'0 0.0'0 0 1
TEL. •
O
CITY NO. I�� C 2.0 0 8'g 0 0
USE ZONE NOAP a 0,0 o 8•a 0 0 5
CONDITIONS 8 1 SPEC AL
3'-�7 9 ,
FINAL BY
DATE
pp— I� r IWGRORS'COMPEN6ATION DECLARATION
;;i. dre��a�fitm,thiut F hove a certificate of consent to self APPLICATION F O Q BUILDING PERMIT
*I 0h dr h'bertif!cat;of Workers'Compensation Insurance,
bf a!&c py thereof(Sec. C.)
^C'G7(yljJQ/il COUNTY OF LOS ANGELES BUILDING AND SAFETY
Polic y BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
�Qr Certified copy is filed with the c unty building inspec- BUILDING s
•s ti n department. ADDRESS LOCALITY
n NEAREST
Date r� App• a CITY ZIP CROSS ST.
CERTIFICATE OF EX 10 FRO CE N. F BLDG§. ASSESSOR
COMPENSATION INSUR CE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ZONE MAP g �
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. !�'v
TEL 7 A - SPECIAL
I certify that in the performance of the work for which this OWNER NO. CONDITIONS a
permit is issued, I shall not employ any person in any manner ADDRESS C DISTRICT GROUP CONTYPIST. ZONE FIREPROC SSED BY
so as to become subject to the Workers'Compensation Laws. L��}(� e�
Date Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. CbNDO.
NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL.
*Exemption, you should become subject to the Workers'
ENGINEER NO. CLASS NO. Z,3 DWELL. UNITS
Compensation'provisions of the Labor Code, you must forth- ADDRESS SEWER MAP
with comply with such provisions or this permit shall be T TEL. �+s� z
deemed revoked. CONTRACTOR 1 r BK.gE PG� VALIDATION
LICENSED CONTRACTORS DECLARATION LI
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS VALUATION
(commencing with Section 7000)of Division 3 of the Business and TT LIC,
Professions Code, and my license is in full force and effect CITY CLASSQ_ $ ,
/ SQ.FT. NO.OF NO.OF CHECIe
License Nu a Lic.Clas SIZE STORIES FAMILIES ONE
Contracto Date DESCRIPTION RIF WORK NEW
13.
ADD
I am exempt under Sec. E FINAL
Ei ALTER DATE z 2 9 8 0 A
B.BP.C. for this reason REPAIR
USE OF # 0 0 0 0 0
D e: EXISTING BLD . DEMOL
FINA
Signa a APPLICANT TEL. By 1' a o 6 Q o650
N -BUILDE CLARA N PRINT NO.
I hereby affirm that I am exe rom the Contractor's LI a se ® 0 0 o b Q 5 0
Law for the following reason (Section 7031.5, Busine and ADDRESS
Professions Code): PRESENT 0 9.23—8 5
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.
E] 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 TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY 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.
tSec. 3097, Civ. C.). SIDE
B P.L.
o Lender's Name
P.C.Fee$ Permit Fee
- Lender's Address ��•)) (��
p I certify that I have read this application and state that the Issuance Fee
above information is correct. I agree to comply with.all County Investigation Fee �j `�`
ordinances and State laws relating to building construction, Total Fee j(.1
and hereby authorize repres ntatives of this County to enter `'•,
upon the ov -mentione pert for inspection purposes.
o SEE REVERSE FOR EXPLANATORY LANGUAGE
�ignar is t or Agent Date ®s
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT c
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 BUILDING
Certified copy is hereby furnished. FOR APPLICAN
PolT FILL IN
ADDRESS I
❑ Certified copy is filed with the county building inspec- BUILDING
tion department. ADDRESS h23 _
Date Applicant CITY ZIP LOCALITY
CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST
• COMPENSATION INSURANCE • SIZE OF LOT NOW ON LOT CROSS ST. �f
(This section need not be completed if the permit is for one ASSESSOR
hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL. USE ZONE MAP
I certify that'in the performance of the work for which this OWNER NO. NO.
permit is issued,I shall not employ any person in any manner �� SPECIAL
so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS 0
CITY ZIP 09
Date Applicant ARCHITECT OR TEL. O
NOTICE TO APPLICANT: If, after making this Certificate of DISTRICT F–Up
GTM'OPNST. FIRE E PRO S BY �
Exemption, -you should become subject to the Workers' ENGINEER NO. �j �1X '/
Compensatioprovisions of the Labor Code, you must forth- ADDRESS v '`�v I. � V IL
with comply with such provisions or this permit shall be TEL, STATISTICAL CLASSIFICATION APT. CO 4a
deemed revoked. CONTRACTOR NO. -�^ _
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. 6116 DWELL. UNITSt—
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 CLASSBK VALIDATION
SQ.FT. NO.OF NO.OF CHECK
Licehse Number Lic.Class SIZE STORIES FAMILIES ONE
VALUATION
Contractor Date DESCRIPTION OF WORK NEW $ (f/)
02 464AMb ��� ,
❑ I am exempt under Sec. ��/t/I.(ll�. � ADD 11❑
I
ALTER
B.BP.C. for this reason REPAIR ❑ $ 3 8 9.9 A
USE OF
Date: EXISTING BLDG t DEMOL ❑
APPLICANT i TEL } o 0 0 0.0
U
Signature T) FINAL
(PRINT)
OWNER-BUILDER DECLARATION DATE - 0 0 0 0 0 0 o z
1 hereby affirm that I am exempt from the Contractor's License ,�yy�
Law for the following reason (Section 7031.5, Business and ADDRESS AIMGi/AGt/u FINAL
Professions Code): PRESENT BY U 1,22-686
❑ I, as owner of the property, or my employees with ADDRIESS
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).
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROP CK FROM
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 LDMA Ref. #
Lender's Address P.G. Fee$ Permit Fee '
I certifyAhat I-have read this application and state that the Issuance Fee LDMA 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 the above-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Date O°
WORKERS'COMPENSATION DECLARATION
-4 hey , 'a certificate
that I have r certificate of consent to'ra self APPLICATION FOR BUILDING PERMIT
�•irisure, or'a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800,Lab. C.) r'
(P IIcy N05S7b-7 mpany1e:YA � �)/lV� COUNTY OF LOS ANGELES BUILDING AND SAFETY
/LU ADDRESS / s 6231 ¢
Certified copy is hereby furnished. FOR APPLIC T TO FILL IN
❑ BUILDIN
Certified copy is filed w4thenty build' g inspec- BUILDINGtion department. ADDRESS yi Date 4��Applica AA J
CI7 ZIP LOCALITYCERTIFICATE OF EXEMPTRKERS'' NO.OF BLDGS. NEAREST
COMPENSATION INSURANC SIZE OF LOT ��x NOW ON LOT CROSS ST.
(This section need not be completed if the permit"is for one ` ��� BLOCK LOT NO. ASSESSOR
hundred dollars($100)or less.) TRACT , �j� �j MAP BOOK PAGE PARCEL
OWNER XP/r (6W(hLr NO. :�7L0'f USE ZONE MAP
I certify that in the performance of the work for which this NO. d
permit is issued, I shall not employ any person in any manner / �?/ SPECIAL
so as'to become subject to the Workers'Compensation Laws. ADDRESS / A,, • Dt-�� CONDITIONS 00
CITY ZIP
Date Applicant ARCHITE OR TEL O
NOTICE TO APPLICANT: If, after making this Certificate of G DISTRICT /`U� CONST. ZONE P CESSED BY V
Exemption, you should become subject to the Workers'
ENGINEER ,ro•— NO. 3�4s3 G S 3
Compensation-provisions of the Labor Code, you must forth- ADDRESS `5` d
with comply with such provisions or-this permit shall be rA
TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked. CONTRACTOR NO. !
LICENSED CONTRACTORS DECLARATION LIQ� CLASS NO. DWELL. UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS
(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 VALIDATION
ti SQ.FT-/. NO.OF NO.OF CHECK
License Number Lic.Class '
SIZE //00 STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW Q
❑ VALUATION 2 2 2 7 A
Contractor Dote $ C ll
ADD ElCJ (J (/ oil, #,f
F1 ALTER I am exempt under Sec. 0 0 0 0 2 3
� ❑
B.&P.C. for this reason REPAIR ❑ $ l 0 870,20'
-
USE OF
Date' EXISTING BLDG. DEMO" ❑
Signature �. APPLICANT TEL. FINA ° ° 8 7 0.2 Q c�
OWNER-BUILDER DECLARATION PRINT NO. DATE ✓IV �p b-8 5
I hereby affirm that I am exempt from the Contractors License
Law for the following'reason (Section 7031.5/Business and ADDRESS FI
Professions Code): PRESENTG
ElBUILDIN
I, as owner of the property, or my employees with ADDRESS'
wages 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. -
CONTRACTOR NO.
I,as owner of the property,am exclusively contracting
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code). -
' CONSTRUCTION LENDING-AGENCY REQUIRED YARD HWY TOTAL SETBACK FRO 3 3 8.5 A
� SET BACK PROP.LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT #! 0 0 0 0 0 1
the performance of the work for which this-permit is issued' P.L.
(Sec. 3097,Civ. C.). SIDE s
a P.L. '•1:,1.103425
Lender's Name 2 f ( LDAM Ref. # o �,0 3 4 2 5 czi
P.C. Fee$ ? Permit Fee O 3r L V
Lender's Address
x I certify that I have read this application and state.that the _ Issuance Fee d, poll' 1, 04-85
above information is correct. I agree to comply with all Count LDMA P/C k'
9 P Y Y Investigation Fee
ordinances and State laws elating to building construction, Total Fee 63 s TDMA Perm. a
Zherauthorize re sentatives of this County to enter
ve-menfio d property for inspection purposes.^�' SEE REVERSE FOR EXPLANATORY LANGUAGE
r ppliwnt or Agent Date- '
O�