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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�