HomeMy Public PortalAbout6271-6273 SULTANA AVE_Building__ 76A638A CE #803 1/71 MPLF C I v I
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION 'BUILDING _
1
,ADDRESS
72 AV
COLEMAN W. JENKINS, SUPT OF BUILDING ILOCALITY
FOR APPLICANT TO FILL IN (NEAREST
Print ort a onl CROSS ST.
BUILDING DISTRICT^NO' OUP PE PROCESSED BY
ADDRESS �/ I Q (.2 ONST
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)STATISTICAL CLASSIFICATION SEWER A
LOT NO. BLOCK
r CLASS NO!9�- DWELL,UNITS BK 5 PG
TRACT —670%LUSE ZONE MAP
NO.OF BLDGS. I NO. �.
SIZE OF LOT NOW ON LOT SPECIAL
USE OF &0,4
; CONDITIONS
G
EXISTINBLDG.
TELSALL '
OWNER NO. BLDG.SETBACK FROM
ADDRESS Lz 16 enQ a, FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY cll• HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
r
TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL a
CONTRACTOR Np, -�, (HIGHWAY WIDTH FROM C.L. C
(�t V
ADDRESS l Q. J_I NO.. 3 �� +
C
LIC. 11 H
CITY 3 CLASS 6 CORNER CUTOFF YES ❑ NO ❑ I`L
CONSTRUCTION LENDER CL
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT. NO. OF NO. OFSIZE NEW ❑ �/ C?) )lL���
USE OF STORIES FAMILIES ADD ❑ �Ir�u� O �
STRUCTURE ALTER ❑ JJ��7^, �i�•7-C�P� �A16
SIGNATURE OF REPAIR CL �� _
APPLICANT DEMOL [:] r ��si'j
z;b c--!-
VALUATION$ .+ Jj �® APPROVALS DATE INSPECTOR'S SIGNATURE
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P.C. PMT. FOUNDATION: LOCATION
FEES FEE FORMS, MATERIALS / ✓ �d
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 ;FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. C�✓
LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO -/
WORKMEN'S COMPS iSATI INSURANCE , I LATH, EXT.
SIGNATURE OF I HOUSE NUMBER COR-
PERMITTEE p� 1 RECT AND POSTED
Aft
ADDRESS r �V U FIN AL
JOHN F.-LEWIS. PAfNCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ i PERMIT VALIDATION M.O. CASH
VORKE RS COMPE N TIO % 16 8 69ArR 3
)LICY HOLDER: I _
)LICY NUMBER: /7V63/-7 7