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HomeMy Public PortalAbout6284 SULTANA AVE_Building__ APPLICATION FOR BUILDING-PERMIT FOR^APh ICANT TO FILL IN (Print or type only) BUIL ING COUNTY OF LOSANGELES ADDRESS '' DEPARTMENT OF COUNTY_ ENGINEER cl rY ,`�- � • ZIP BUILDING AND SAFETY DIVISION - • NO.OF BLDGS, BUILDING SIZE OF LOTr4„%�';i t� NOW ON LOT ADDRESS TRACT - BLOCK I LOT NO. LOCALITY fin - _,rtes TEL. NEAREST OWNER ` ti NO. CROSS ST. ASSESSOR ADDRESSi'1711 S, MAP;BOOK L/ PAGE PARCEL 11_� DISTRICT GROUP TYPE FIRE ]�_7_ SED BY CITY - ZIP ''77 �% CONST-, ZONE / , ? ' ARCH IT C OR TEL. ��C/G1� ��' ,yf 1 -01A ENGINEER 4 01 l.., NO STATISTICAL CC SSIFICATION SEWER MAP ADDRESS CLASS NO, LDWELL,UNITS Bl��PvG CONTRACTOR TEL USE ZONE MAP �y u LI r I NO. -►/ ADDRESS NO i ,� SPECIAL LIC. CONDITIONS CITY 'a' CLASS 9 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ y CONSTRUCTION LEN[JER c NAME AND BRANCH BLDG.SETBACK FROM C FRONT PROP.LINE OF (STREET) ADDRESS' CITY t. HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ, FT. - NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH N SIZE STORIES FAMILIES ONE + = e DESCRIPTION OF WORK NEW ❑ I- O ADD ❑ BLD�G,SETBACK FROM p 6 SIDE PROP.LINE OF (STREET) e LTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING I- REPAIR[:] I SIDE PROP. LINEHIGHWAY WIDTH USE OF M114ANC` �� DEMOL ❑ � + — EXISTING BLDG. APPLICA T TE CORNER CUTOFF YES ❑ NO ❑ (PRINT) ' �•�' �, N ) BY (SIGNATURE) f f' t IN OPEN SPACE YES ❑ NO ❑ 1 IN COASTAL ZONE YES C] NO ❑ VALUATION$ ? CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION .ENViIIRONMENTAL AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY ''MPACT EXEMPTION DECLARATION-SIGWO (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- Y STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT pR0 5 E (DATE) tZ HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE _ LABOR '.CODE OF THE STATE OF CALIFORNIA IN RELATING TO I• WORKMEN'S COMPENSATION INSUf/o7-A1ANCE._ t ' SIGNATURE OF {1'/J PERMITTEE 24 ADDRESS 7094 NAL ..0 I.T.�Y "' /t M1 !, DIA T E B Y .1 t°`�•/Y MAKE CHECKS KS PAYABLE TO: FEE � {•�Ga FEE HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O.t CAs ' I r PERMIT VALIDATION CK. M.O. CASH } 76-AG38A CE#803 12/72 76AG38A CE*808 8-88 ,�•. �. ,q� APPLICATION FOR BUILDING...PERMIT '�=bEOUNTY OF LOS ANGELES BUILDING /� DEPARTMENT OF COUNTY ENGINEER ADDRESS i,QL�-r . ' i. I ='ti• BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY'ENGINEER �• COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. ( •! .v ul �:'7 ti ) FOR APPLICANT TO FILL IN DISTRICT No. GR,o�uuP� QNST. tOc SSED BY Print BUILDINGt:e STATISTICAL CLASSIFICATION 'SEWER MAP -ADDRESS ,. S /2-1 !e JVi NO.--',/ CLASS NO. DWELL.UNITS BK. ._ P,G LOT NO. BLOCK USE ZONE MAP ) NO. ✓l ' TRACT . - ��• SPECIAL /� NO.OF BLDGS. y CONDITIONS. SIZE OF LOT t3 NOW ON LOT 1 j USE OF EXISTING BLDG. 7z,-Vr_E ell BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF 1—: '�l+^ � = ` L' (STREET).. OWNER ,,/_ TYPE OF EXISTING SETBACK HIGHWAY. YARD TOTAL ,r F ' HIGHWAY WIDTH FROM G.L. d ADDRESS �: 4JJ ?�{t /.I}� F ,.r• CITY.' •;" r`s; ='moi' %� � r. i e 1^' BLDG.SETBACK FROMr ! ARCHITECT OR- TEL ` SIDE PROP.LINE OF ' ' -rA Ltf� (STREET) ENGINEER moi• }!' /:`'NO.:•!J,.f.►.}.�^ .'1' TYPE OF EXISTING SETBACK HIGHWAY YARD )TOTAL ADDRESS' 'I + //+• •„ HIGHWAY WIDTH FROM G.L. CONTRACTOR�_f+l1J'J�1,� J:«NOL �c�li./� erg.i%f F f = 1 - V ADDRESS Z a� /` Ff+ "' 1 P•:ii+LIU `��.''� ; r CORNER CUTOFF' YES ❑ :NO+ J CITY..R.. , Lf!fr t`'r-. J=d i,fes CLASS ,'_ _s SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF.WORK CD a eNEW ADD ALTER REPAIR DEMOLISH P W SQ;-FT. �.,., L: NO. OF NO. OF SIZE ny t; f STORIES FAMILIES SE OF TRUCTUREF. fi 71 +` GNATURE OF PLICANT LUATION$ f ,a o APPROVALS DATE' INSPECTOR'S SIGNATURE PMT. FOUNDATION: LOCATION -, $ f . FEE$ `7.� "D FORMS, MATERIALS FRAME: FIRE STOPS, EREBY ACKNOWLEDGE THAT I-HAVE READ THIS APPLICATION BRACING BOLTS •, TATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY." FURNACE- LOCATION, ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK RIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. ' THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• - LATH, INT. ORKMEN'S COMPENSATION INSURANCE: - !'lr'T .'L` LATH, EXT. +' HOUSE NUMBER COR- 4' . RECT AND POSTED. A�`":- .•., ••�. r _ .FINAL 1U i t •E"W N f g ly:JOHN F. LEWIS:PRINCIPAL-STRUCTURAL ENGINEER CH VALIDATION " K:"' M.o ASH PERMIT VALIDATION CK. M.O. CASH 1. 4• D 3 5 Fru'5 � u A. :. •'7bA638 ACE 8803 4/72 .,a''' )1-11"') Lam• �, r a yy�� - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS. ANGELES _ASSESSOR f` DEPARTMENT OF COUNTY ENGINEER MAP BOOK -PAGE PARCEL. BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDREss " HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR'APPLICANT TO FILL IN NEAREST CROSS ST. Print or R e•onl }'•' f DISTRICT Na.'. -GROUP- PE P CE a, CONST, ADDRES rr'I `�' � /r R C. d"=7 STATISTICAL C A.S FICATION SEWER AP r LOT NO. BLOCK " a� CLASS NO. 2 1, DWELL,UNITS BK PG TRACT Mhz, ,f USE-ZONE WP NO.OF BLDGS. NO. L SIZE OF LOT b *- y NOW ON LOT. As. SPECIAL ' USE OF [CONDITIONS EXISTING BLDG: OWNE0 �� NE �R ` BLDG.SETBACK FROM F FRONT PROP:LINE OF (STREET) ADDRESS ' - J _ - TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY �' HIGHWAY,WIDTH FROM C.L. ' �._ c.. ARCHI'rEC , T x' + _ yTrd a ENGINEER/ C - BLDG,SETBACK FROM ' " E ADDRESS r - - 1 •} 4 u'y(3J SIDE PROP.LINE OF ' (STREET) - V, f7 Y TE TYPE OF. EXISTING SETBACK HIGHWAY + YARD - TOTAL, y CONTRA CTO `f/• w 1 +' HIGHWAY WIDTH FROM C.L.Ir I ADDRf 1_0 �� Na + _ s. r LIC. C .CITY,\ + /;I. .. CLASS -� - CORNER CUTOFF, YES ❑ NO ❑ G CONSTRUCTION LENDER- u NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ~ ADDRESS �r 'SQ.;FT. NO. OF NO. OF ❑ I NEW SIZE STORIES -'FAMILIES - USE OF ADD ❑ .� STRUCTURE , - r- -y....r'c.c•,• +• T- �•,d`` ALTER ❑ - , REPAIR❑ lea. SIGPIATISR� OF'tl '• ' APPLICANT / �.`r``f'•'Iy�••..��,,t, DEMOL ❑ �� j VALUATION$t APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE$. 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 FURNACE: LOCATION, -WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS - STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY.PERSON IN VIOLATION OF THE LATH, INT. - LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. A LATH, EXT, SIGNATURE OF ?, r... Fz'• HOUSE NUMBER COR PERMITTEE ++� R e f ECT AND POSTED ,r P' ADDRESS/ it_'tir.!1 c-:,jl� ',A^I'ro� r �! ��/flr5" ' FINAL PLAN CHECK VALIDATION �_cxr --�,.0. c'A _ PERMIT VALIDATION CK. M.O. CASH 4 SSA xY"S �,�• � i! ' F,,,,i-�_�- d� . t 76A6381A�CE #803 4/72 �f� !/ • APPLICATION FOR'B'UILDING PERMIT COUNTY OF LOS:ANGELES ASSESSOR- DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING BUILDING AND SAFETY DIVISION ADDRESS �/ J_� ;k 7 MAKE CHECKS PAYABLE TO: _ HARVEY T. BRANDT, COUNTY ENGINEER. LOCALITY FOR APPLICANT TO FILL IN NEAREST - Print ort a onl CROSS ST. ' FADDRES G �J DISTRICT NO. GROU TYPE + �6 S !� TI 1fe . 41 I CONST.„/ f 9 STATISTICAL CL-ASSIFICATION SEWER MAP• - f� r J BLOCK ,,,,�� CLASS NO. DWELL•UNITS BK PG TRACT i t� rj, USE ZONE MAP NO.OF BLDGS. NO:, �){} SIZE OF LOT .h i' �•-� NOW ON LOT �+ SPECIAL _ USE OF / CONDITIONS EXISTING BLDG. �- ,m ;�•g� Ar OWNER f BLOG.SETBACK FROM ADDRESS ,� A Y I f Li 1-9/v f+:r� FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY '`�� _ HIGHWAY WIDTH FROM G.L. ARCHITEC 13." TEI� + ENGINEER / f_ ' ! � NOg �� p 0 K - BLDG.SETBACK FROM V ADDRESS' t �)��} J�ja (;;/.Ir.* /t, • i SIDE PROP.LINE OF (STREET) Lu TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL iJi CONTRACTOR �L�,: •'( /i(-•' F vNO. C/6-'7j FiIGHWA.Y WIDTH FROM C.L. . i{ LIC: } ADDRESS!. igi � f �T ` NO.2.~ 7• + = Q LIC. CITY, .,�'� .. v CLASS r r^ CORNER,CUTOFF YES ❑ NO. ❑`' a CONSTRUCTION LENDER/i. -NAME AND BRANCH 1�f . r SEE REVERSE SIDE FOR SPECIAL APPROVAL;S_` : u .ADDRESS SQ, FT. •NO. OF NO. OF NEW, SIZE STORIES FAMILIES USE OF STRUCTURE t 4 ` ., It a y ADD ❑ ALTER ❑ y• .o- `' REPAIR❑ IGNATURE OF. APPLICANT jf� a { � ,. DEMOL ❑ - VALUATION $ }� 4 - l APPROVALS DATE INSPECTOR SIGNATURE. P.C, PMT. `` FOUNDATION: LOCATION FEE S ,�� FEES r/V 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 FURNACE: LOCATION, WITH ALL ORDINANCES AND LAMS 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. LABOR CODE or THE STATE OF 'CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE � J LATH, EXT. SIGNATURE ��//i f•"J :tiM1-e r/ .,�,�. HOUSE NUMBER COR- PERMITTEE / .'07 _ RECT AND POSTED ADDRESS7rto 5lf -� �'� ;� �� r�?s 4'�f, FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION 'moi-f M.O. CASH f J .; IGA638A CE#Boa 8-68 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ` BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRICT NO G!r TY P B FOR APPLICANT TO FILL IN ® c ST. BUILDING STATISTICAL CL SIFICATION SEWER MAP ADDRESS 6284Sultana Ave. T«C. EBK�•�J�� CLASS. NO. DWELL.UNITS___j LOT NO. 204 BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ TRACT 5904 CERTIFICATE: MAPHIGHWAY STATE MAJOR SECOND,LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT 86e751x 150 NOW ON LOT 2 USE ZONE SPECIAL USE OF / CONDITIONS EXISTING BLDG. ifamlly res• and garage if OWNER Joyce Lo Burkholder NfTs5-5330 BUILDING YARD HWY STREET NAME EXIST. ADDRESS 6284 Sultana • TeC.. SETBACK WIDTH FRONT y� ARCHITECT OR TEL. P. L. 0 C ENGINEER NO. SIRE ADDRESS p, TEL. AT. G CONTRACTOR Rartell RivildeMS NO. U ADDRESS 500 W, Vallev Blvd® San'Gab. � DESCRIPTION OF WORK , 'J�`' /I�✓1l/f `~lG""yGfi�' ��� ?''r't • G LU NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF 2� 1 - `1 C *s +�t�,•.4 - I:.C.y' u�.R,E.e_� 1)'.Fr SIZE 916' 1 STORIES FAMILIES I v v USE OF STRUCTURE family room and bath SIGNATURE O APPLICANT VALUATION $ APPROVALS DATE INSPEOC?R'S SIGNATPRE P.C. PMT. �' CC FOUNDATION: LOCATION FEE $ FEE $ l � FORMS, MATERIALS FI it n i X1 FRAME: FIRE STOPS, J/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE.: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. er�l TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- . cp INC TO WORKMEN'S COMPENSATION INSURANCE. t_j LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS -520 CIL i �' [FINAL. JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAW r7 6 3.o ��3V 16 1 D 2 2.50- 'A DIVISION OF BUILDING AND SAFETY ' Department of County Engineer U I L �,: G' County Of Us A,ng�eles pLYCATION WM. J. FOX, COUNTY ENGINEER I AP FOS APPLICANT TO FILL IN I FOR OFFICE USE ONLY n G ( DISTRICT NO. PLAN Cic.aR RED.No. P RMIT O. ADDRESSBUILDNG � o2-JI V. , CJ /l am `l1 Z1 IOEIV BY / o LOCALITY C e �v C-71F Cd�11� ^ ,� ; DATE OFAP� / DATE�-BB UED ISEAREST c5v b C7 7i1 I 'BLUCl/LD!/SS 'NID��v OBB 8T. / O� �-- -CORE (p b T OWNER ,b1��J/ t-h'p 11 MAIL // / �+ LOCALITY ADDRESS (C aG /{� c) / a`� �1 NEAREST CITY CR 'U h e•<fJ f, NOL �.�. I F RAS�• I NO OF U I TYPE I DROOP ARCHITECT O TEL I ZONE PLANS ENGINEER NO. I BLDG. ORD. NO. SETBACK LINE ADDRESS UBE APPROVED CONTRACTOR /1 h1�71 C0 a Np S ZDNE L I By . DATE �J / �J 2o (0HOUSE NUMBERING ADDRESS ll (o�j f 0t /9� �C, �Sa} MAP NUMBERr Z NO. ASSIGNED BY LEGAL I CORRECTIONS DEBCRIPTIDN LOT NO. BLOCK TRACT NO. OF SLOGS. SIZE OF LOT NOW ON LOT USE OF NO.OF EXISTING BLDG. FAMILI[S DESCRIPTION OF WORK ) m v NEW ALTERATION ADDITION ti D I r REPAIR DEMOLITION sq.FT. NO.OF SIZE ROOMS BTDRIES EXT.WALL I RDOF COVERIND COVERING USE OF STRJJCTURE / /<-?'e,.l'..-c1 /c�Cir.r ( II V INSPECTION FOR APPROVALS OCCUPANCYAB INSPECTOR'S SIGNATURE DATE FDUNDATION:LDCATIDN –1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-. RO'RMS, MATERIALS I PLICATION AND STATE THAT THE INFORMATION GIVEN Is. FRAME: FIREsTOPs, n f CORRECT. BRACING,BOLTS 1 "t L 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES; ACE: LOCATION, AND STATE LAWS R NG gUILgIND CO STRUCTION. FURNACE: GAS VENT,DUCTS SIGNATURE OF LATH, INT. PERMITTE ADDRESS /) (/ a , LATH, EXT. PLASTER, INT. AUTHORIZED ADT. / PLASTER, EXT. {� .e--- FEES Ia + HOUSE NUMBER COR- !/ I RECT AND POSTED VALUATION FEES —+ FINAL 7GAG38A DBS 3 1-53 + '