HomeMy Public PortalAbout6243 SULTANA AVE_Building__ '~ TEMPLE CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 3 S�vUTI+N�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY —F7(,4 PLE . l
JOHN A. LAMI IE, COUNTY ENGINEER NEAREST LDNG N
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN
FIDISTRI . �jGRSOUP TYPEPROCESSED BY
.1- 1 J CONBUILDING ./ CLASSIFICATION SEWER MAP
ADDRESS /y,ry�/.� l e BK PG
l0 DWELL.UNITS LOT NO. G BLOCK NOT REQUIRED ❑ RECEIVED
• C CERTIFICATE:
TRACT MAPHIGHWAY STATE MAJOR SECOND, OCA
SIZE OF LOT �Z NO.OF SL S.
NO. 2 ,J (CIRCLE)
NOW ON LOT USE ZONE SPECIAL Q `
USE OF CONDITIONS r
EXISTING BLDG. ` /� p
OWNER a 11'411_)(
/J�/7 ��lJ /NOif G}� BUILDING YARD HWY STREET NAME EXIST.
SETBACK
ADDRESS / �i�/ e���ja!- /r 57 'l //� WIDTH
ARCHITECT OR TEL. FP.L.T Zy1 SVLTIP�1//1 .5-01
ENGINEER NO. SIDE
P.L.
ADDRESS TEL. INSPECTION RECORD �
CONTRACTOR SIS- NO. U
ADDRESS O
DESCRIPTION OF WORIK
U]
a
NEW ADD ALTER REPAIR DEMOLISH h
SIZE .� � - ' NO.OF NO.OF ?
STORIES FAMILIES
USE OF
STRUCTURE
zey sip
SIGNATURE
APPLICANT -
VALUATION-S I
APPROVALSUNDATION: j`IfAI.7 vDATE INSSPPfE�CCTTjORR'SiS1GNATURE
LOCATI
FEE $ FEE $ � � FOFORMS.MATEROW
FRAME:FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS. '
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK - -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
'TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S qpfqENSATION INSURANCE.
LATH,EXT. ,1 /)SIGNATUR '
PERMITTEE N05*��� gw
UMBER
AND POS EDRF
ADDRESS FINAL
CLYDE N. DIRLAM, 1 IPAL Sv
RAL ENGINEER
PLAN CHECK VALIDATION'' cr. M.D. CASH PERMIT V TIONm.o. cr►sR
L1',voLl
0 J �+`��' JU" 1 1 D 4.lam 0~ ?' .