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.
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•'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� .
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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 + '