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HomeMy Public PortalAbout6237 SULTANA AVE_Building__ � PL Fry CE 803 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ADDRESS y A(A DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY j 4. ?- JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRICT O. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN .o J CONST. Ef BUILDING ! �f ' STATISTICAL CLASSIFICATION SEWER MAP ADDRESS y H L CLASS. NO. DWELL.UNITS BK PG3y j0 LOT IVO. / S2 BLOCK WATER SCERTIFICATE: NOT REQUIRED ® : RECEIVED ❑ TRACT MAP HIGHWAY STATE MAJOR SECOND LOCAL NO OF BLDGS. NO. o d (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNE NO. OYBJ-n BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS Z ' a(�.y.�py.K y Lv Gf►r� FRONT t ARCHITECT OR �^ TEL. P. L. 2- O S LT N A S'Q ENGINEER NO. SIDE } ADDRESS CONTRACTOR TEL. IA Q� NO. _ N Cid ADDRESS .Q DESCRIPTION OF WORK v LL a ADD ALTER REPAIR DEMOLISH rr, SQ.FT. ]> NO.OF NO. OF ? SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICAN VALUATION $ /co a ` APPROVALS /DATE/ INSPECTOR'S SIGNATURE ' P.C. dw PMT. O OO FOUNDATION: LOCATION ,r /� /) �. FEE $' FEE $ jf FORMS, MATERIALS {��(f IJJ j FRAME: FIRE STOPS, /tVL g !7s I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 'BRACING BOLTS /�f `VI (� 7 /�/v�/.'✓'�� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS-VENT, DUCTS j BUILDING CONSTRUCTION. I CERTIFY THAT, IN DOING THE WORK 1 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 MPENSATION INSURANCE. LATH, EXT. SIGNATURE O / HOUSE NUMBER COR- / PERMITTEE yT— RECT AND POSTED ;Z71 ADDRESS FINAL pl_ Q1�i VVo� JOHN F. LEWIS, PRINCIPAL ST URAL ENdINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH LAUD 4 0 7 3 I�1� j d C`i, M CE#809 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ? BUILDING r f ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. O AlJE y DISTRICT O. GROUP TYPE T PROCESSED BY FADDRESS R APPLICANT TO FILL IN E ° � CONST. !/ � CF STATISTICAL CLASSIFICATION JJ��-- SEWER MAP Z� BK PGr CLASS. NO. DWELL.UNITS � �7 17 7 IE 1 BLOCK WATER CERTIFICATE: NOT REQUIRED ® RECEIVED ❑ TRACT O v MAP ' HIGHWAY NO OF BLDGS y NO. ZOO 3 (CIRCLE) STATE MAJOR SE •'L CONDOCAL SIZE OF LOT 7' Z h et.b NOW ON LOT / USE ZONE SPECIAL USE OF ^ CONDITIONS EXISTING BLDG. C) ' TEL. •,•`— OWNE NO. BUILDINGEXIST. SETBACK. YARD HWY STREET NAME WIDTH ADDRESS.L��'� ✓Y 1 J ry✓1 }FRONT c ARCHITECT OR TEL.�� 4 P• L. L C V V OIA'ISO A 5O ENGINEER NO. P pLE Y ADDRESS /17' O TEL, • i - U CONTRACTOR -1•4 NO. ADDRESS DESCRIPTION OF WORN ` NEW ADD. ALTER REPAIR MOtISH -:-i H SQ.FT. NO.OF SIZE J' STORIES FAMILIES I I USE OF t STRUCTURE SIGNATURE OF APPLICANT ' VALUATION $ 2-06 APPROVALS DATE .INSPECTOR'S SIGNATURE FOUNDAT..ION: LOCATION F E $ FEE $ ^ FORMS;MATERIALS ' :FRAME: FIRE_ STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ;BRACING, BOLTS _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .FU'.RNACEI, LOGATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING "..'GAS VENT, DUCTS ' BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK 1 „ n 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 COMPENSATION INSURANCE. /LATH,EXT. ' SIGNATURE OF /J� r HOUSE NUMBER COR- PERMITTEE f� 1 RECT AND POSTED. ADDRESS• Lia ��lw."r,Vr`.L ��,. LJ Gf�'r' FINAL 'f_� �D,� =/ I !,✓I�' JOHN F. LEWIS, P INCIPAL ST R TURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _�.A, PERMIT VALIDATION CK M.O. CASH L�ilfal4 ��'`7 �`3 IIPR71 t'7 1 D 4. `: DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES Wk J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING r DISTRIP.NO. PLAN CK. NO. P� PERM NO. ADDRESS C� a� -� Ltam Jr , LOCALITY L C e RECEIVED BY DATE OF ADPL. DACE ISSUED • NEAREST v a CROSS ST. �! $ju BUILDING ADDRESS do Q OWNER 17 I MAIL LOCALITY ®� r ADDRESS NEAREST 'TEL. CROSS ST. ' pI CITY NO. FIRE No. Oif TYPEGROUP TEL. ZONE P��LjjA��NS /�/ /LI ORD. NO. ENGINEER r O NO. BLDG. %fd fF–� /" Q 0 ADDRESS APPROVED TELBY DATE CONTRACTOR C 'NO.. -�o/ b! USE APPROVED r _ ZONE -BY DATE J ADDRESS ./ HOUSE NUMBERING LEGAL DESCRIPTION. I LOT NO. I BLOCK MAP NUMBER FIELD CHECK BY TRACT NO. ASSIGNED BY DATE I SIZE OF LOT NOW ON LOT NO. OF SLOGS. i CORRECTIONS d k' ZOO USE OF NO. OF EXISTING BLDG, �� I FAMILIES DESCRIPTION OF WORK NEW I I ALTERATION I I ADDITION I ✓�'�o srA°) /�`/f J 'J s L 11i�r•.t.��'f3 0. • REPAIR I I DEMOLITION I I I Com` l) }� BQ. FT. - NO. OF SIZE ROOMS STORIES ) //n Z EXT:WALL ROOFr't. C?,.- /U Wit. e COVERING I COVERING S , USE OF STRUCTURE I of fie' 22 a p hl At.t p APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- : FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS i CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS' LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, 1 SIGNATURE OF GAS VENT, DUCTS. PERMITTEII LATH, INT. ADDRES # LATH, EXT. AUTHORIZED AGT. PLASTER, INT. •t 75ACISSA•VDSV 10-50 . \ P. C. $ ® :[FEE FEE / PLASTER, EXT. VALUATION O� $ ger�� FINAL f ill////l/ (3 'Z 1 `1 WORKERS'COMPENSATION DECLARATION sul evq v'y .a i}rntthat I hove s certefimte of consent to self APPLICATION FOR BUILDING PERMIT � insa�iiy or.a certific�p to of Wo'ikeTs'Compensation Insurance, or a certified"copy r4iereof(Sec.'3800,Lab. C.) /r COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. I Companyy�,+TF Croat P Certified co is hereby furnished. BUILDING ❑ PY y FOR APPLICANT TO FILL IN ADDRESS 6 Z 37 15;t'T,N,A-r�- Certified copy is filed with the county building inspec- BUILDING/ tion department. ADDRESS�- St L N R 4 V Pate I'2 0-97 Applicant CITY M GV in ZIP 9179-0 LOCALITY C — C oe CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT LUQ NOW ON LOT NO.OF BLDGS. I NEARESTT. $ a— O COMPENSATION INSURANCECROSS (This section need-not be completed if the permit is for one 1 ASSESSOR .hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL OWNER iu 1/ ` � NO.� SS�O� USE ONE MAP I certify that in' the performance of the work for which this NO. �'2�0� permit is issued, I shall not employ any person in any mannerADDRSS L T N SPECIAL gb so as to become subject to the Workers E Compensation Laws. CONDITIONS O '-- CITY jz— 1 LC �l ZIP Q A 7 G V Date Applicant •� ARCHITECT O TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTICE TO APPLICANT: If, after making this Certificate of �}R i� d G( /W/��NO. ENGINEER Exemption, you should become subject to the Workers' �+aC/ 1.3 CONST: / ZINE � Compensation provisions of the Labor Code, you must forth- ADDRESS J ��ff V' 9L with comply with such provisions or this permit shall be' 9.TEL. STATISTICAL CLASSIFICATION APT. CO DO. �!"r `r�N S7` NO. �J� 72 deemed revoked. CONTRACTOR � LICENSED CONTRACTORS DECLARATION LIC.7 &6,Z 7 CLASS NO. Z DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Q s c7 4' / NO.7 6 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. p Professions Code, and my license e is in full force and effect. CITY ©5; r-y t=4'D CLASS I T �6 ' VALIDATION SQ.FT. NO.OF NO,OF CHECK BK. G PG. License Number .�7. Lic.Class SIZE �`/S STORIES e FAMILIES ONE I_A LD Cy AJ 5 T Date f Z O•�� DESCRIPTION OF WORK Ab 17 %-/7' &AJ NEW ❑ VALUATION //'''- �� Contractor_ � $. a3 V 6AR o�W JG ADD , ❑I am exempt under Sec. d��I `7 ❑ • ALTER B.$P.C. for this reasonREPAIR ❑ $ Date: EXISTING BLDG. FS!}7 IJC.0 DEMOL ❑ Signature' APPLICANTTEL. FINAL OWNER-BUILDER DECLARATION (PRINT C9 tt A7 12pD�B NO S_ 7 DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS O /(o �l�sC C`/� FIN //Afg Law for the following reason (Section 7031.5, Business and Professions Code): PRESENT BY' ;2 6 3 7.7 A . ❑ 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 ' # e o 0 0 0 1, 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 0 2 4.6 7 5 with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS o o 2 4 6,7 5 6 REQUIRED YARD HWY TOTAL SETBACK FRO T. CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT U 1.21 —87 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE a P.L. Q Lender's Name LDMA Ref. # 5' P.C.Fee$ Permit Fee p� t - Lender's Address ��-��••qq , x I certify that I have'read this application and state that the Issuance Fee Jv LDMA P/C.# , x 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.# J. and hereby authorize representatives of this County to enter 3 upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of` pplicant or Agent Date O