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Home My Public Portal About6323 SULTANA AVE_Building__ 76AS38A CE 0803 4/7APPL.ICATION FOR BUILDING PER CCi_'NTY`bF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING J} . JOHN A. LAMBIE, COUNTY ENGINEER' ADDRESSW. COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN' NEAREST Print or tjRe 6nlXlCROSS ST. DISTi�CT NOS GR PE R D B BUILDING !, ONST. U ADDRESS 5 STATISTICAL CLASSIFICATION SESVIEPR MAP LOT NO. BLOCK CLASS NO. DWELL,UNITS BK PG TRACT USE ZONE MAP . /'1 J�� NO.OF BL S. l NO: 0 V SI.ZE'OF LOT NOW ON I T /"� -SPECIAL :USE OF // f CONDITIONS EXISTING BLDG, e- TEL. ` OWNER // e.(� NO. BLDG.SETBACK FROM ADDRESS C a. FRONT PROP.LINE-OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY + �f HIGHWAY WIDTH FROM C.L. ARCHITECT ORJ TEL. �J + aO ENGINEER / NO: BLDG.SETBACK FROM ADDRESS eyho L/rL SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO. IGHWAYI WIDTH FROM C.L. } LIC. + - O ADDRESS i/' NO, - c LIC. - CITY CLASS CORNER CUTOFF YES ❑ NO ❑ C CONSTRUCTION LENDER.4,,o NAME AND BRANCH 'y(e SEE REVERSE SIDE FOR'SPECIAL APPROVALS ��`j' s ADORES �./`� �rl.'�a...�if,.� _ `j•� CYGY�_{,�, z col SQ. FT, NO. OF NO. OF NEW SIZE TORIES FAMILIES ❑ r' (/rf,`f USE-OF ADD +_'.r�rG7 /I l/ /! &I, STRUCTURE e- / S , I ALTER ❑ SIGNATURE OF - REPAIR❑ APPLICANT IDEMOL ❑ T / ; VALUATIONS APPROVALS DATE INSP, TOR'S SIGNATURE P.C. PMT. ®. FOUNDATION: LOCATION y i•/ �!f FE FEE's FORMS, MATERIALS /�. r+ ��.�f`-'_i" �/ C 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 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. LABOR CODE OF THE TATE OF -CALIFORNIA IN,RELATING TO I WORKMEN'S COMPE,NNSA ON NIPRANCE. .. LATH, EXT. /'�' SIGNATURE OF / HOUSE NUMBER COR- PERMITTEE ✓ RECT AND POSTED ADDRESS FINAL - JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. ASH 9 5 -5-. APR 2 1- -D -33-00- c2+�__. 78A638A CE#803 6-62 APPLICATION FOR BUILDING PE . IT 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. DIST T O. GROUP 1,0PE P SED BY FOR APPLICANT TO FILL INS rONST. r BUILDING ff�QIP — SW R MA PSTTFI ADDR SS Ktop CLASS. NO. DWELL.UNITS LO O. 1 PgOCK WATER NOT R CERTIFICATE: EQUIRED RECEIVED _ MA AY TRA T O O BLD NOP 02104a3 ICGRCVLE ) STATE MAJOR SECOND L CA SIZE OF LOT S� NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER AaWe, VVC4' JAG NO. BUILDING EXIST. 77 SETBACK YARD HWY STR T AME WIDTH ADDRESS �o3?i� SV �/R/ FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. > ADDRESS a TEL c CONTRACTOR V/;/ D�efLS NO./7 ADDRESS Vdl DESCRIPTION OF WORK W NEW ADD ALTER REPAIR DEMOLISH a 0 SQ.FT. 9 NO.OF NO.OF Z SIZE �l5 STORIES / FAMILIES USE STRUCTURE J SIGNATURE APPLICANT VALUATION $ X10 O - j, r APPROVALS 'E IN5I%grgWS• SIGNATURE P.C. PMT. FOUNDATION: LOCATIO FEE $ FEE $ �� FORMS, MATERIALS FRAME: FIRE STOPS, F/ 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 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 O THE STATE OF CAL I O�IIA RELAT. ING TO WORKMEN'S COMPE A ION INSURANCE. LATH,EXT. S, cri,,,/'. /` W ..n• /� SIGNATURE OF -:2 HOUSE NUMBER CO - PERMITTEE e RECT AND POSTED V ADDRESS � FINAL '7 &3 ,f4�S-alatiq JOHN F. LEWIS. PRINCIPAL STRU V RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH = PERMIT VALIDATION CK.,' M.O. CASH LAAO 0 5 5 5Z"ol FEB 4. • 1 D 6.00- w WORKERS'COMPENSATION DECLARATION hereby affirm fI have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lob. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 3 ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS &3,7^ 3 SUIz rov,4 Date Applicant CITY r4r,4A p L-f' J'1 ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE NE MAP I certify that in the performance of the work for which this OWNER _ &-�c/d- NO. NO. permit is issued, I shall not employ any,person in any manner ADDRESS s%�/s`I W __II SPECIAL so as to become subject to the Workers'Compensation Laws: CONDITIONS �n-/19-�T �� CITY $fQ�l ZIP U Date Applicant;'�4a� - �� ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE P PROCESSED BY O Exemption, you should become subject to the Workers' lJv � , CONST ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS ' W with comply with such provisions or this permit shall be �- deemed revoked. J/ TEL. STATISTICAL CLASSIFICATION APT. LNDO. N CONTRACTOR � ,/�j �,,-1- NO. r !. S LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /3 d if NO. VS'.0. SEWER P (commencing with Section 7000)of Division 3 of the Business and LIC, Professions Code,and my license is in full force and effect. CITY ,(fir/ Al CLASS ems- BK PG VALIDATION SQ. FT. NO.OF NO.OF CHECK License Number ��G��t9 Lic.Class r% SIZE STORIES FAMILIES ONE L VAA 10 r�G� / �- ��✓�� O��5 DESCRIPTION OF WORK NEW ContractoDate ❑ /�/► E".�f/ C/y/,rA m 0- AD $ D ❑ I am exempt under Sec. ❑ ALTER B.BP.C. for this reason REPAIR $ Date: USE OF DEMOL ❑ EXISTING BLDG. ;@91 4,5 A. Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE # o.0 0 0,0 !J I hereby affirm that I am exempt from the Contractor's License ADDRESS FINAL Law for the following reason (Section 7031.5, Business and j o o49,88 Professions Code): -PRESENTBY .' ❑ BUILDING '' / 0 0 0 4 9.8 8 I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' G 3.1 0,-88 the structure is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting I CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK LINEF WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. #m P.C.Fee$ Permit Fee , Lender's Address /� I certify that I have read this application and state that the Issuance Fee f/ .'�� LDMA P/C N o above information is correct. I agree to comply with all County Investigation Fee 9 ordinances and State laws relating to building construction, Total Fee % a u LDMA Perm. p N and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. w _ p�/�/jam _� SEE REVERSE FOR EXPLANATORY LANGUAGE signature of Applicant or Agent Date A. WORKERS'COMPENSATION DECLARATION / have a certificate oconsent to sef insure,or afcertificatehatlof Workers'Compenstion Insurance,olr APPLICATION FOR BUILDING PERMIT ` �y thereof(Sec. 3800, L . C P I i Company COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN JA G Certified copy is hereby furnished. S ertified copy is filed with the count wilding inspec- BUILDING ' tion department. ADDRESS Y ■ I ZIS ('d ' ,,'�:� T ' Dat aApplicantM CITY �,�✓ ZIPism ST. CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. OR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT OK PAGE PARCEL (This section need not be completed if the permit is for one NE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. } TEL. f SPECIAL �. I certify that in the performance of the work for which this OWNER NO. CONDITIONS O permit is issued, I shall not employ any person in any manner CT GROUP TYPE FIRE. PRO SSED BY U so a to become subject to the Workers'Co p ion "Laws. ADDRESS r CONST. ZONE d' Do �pplicant' CITY ZIP CLASSIFICATIONSTATISTICAL APT. CONDO. U ' NOTICE TO APPLICANT: If, after making this Ce tificate of ARCHITECT OR TEL. w Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. C-F DWELL.UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR NBK. PG, VALIDATION O LICENSED CONTRACTORS DECLARATION O I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE ' VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Cod nd my license is in full force and. ffect. CITY CLASS $ QJ SQ. F . NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE Co tra o V Date _ DESCRIPTION OF WORK NEW ADD I m exempt from the licensing requirements as I am a tensed architect or a registered professional engineer ALTER �'; FINAL acting in my professional capacity (Section 7051, +�Z s DATE Business and Profess ons Code). USE OF REPAIR ❑ EXISTING BLDG DEMOL B NAL �T Lic.or Reg.No.0S1 _Date APPLICANT TEL. y 00&3A OWNER-BUILDER DECLARATION PRINT) NO. 0 0 0 0 21 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.6, Business and ADDRESS 2 0 a-65.52 Professions Code): PRESENT EJ BUILDING o o . 6 5 5 2 6 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 0 6 25-81 7044, Business and Professions Code). MOVING TEL. 0 I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS 0.0 (� A tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH # e o 0 0 0 1 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. 2 1 2 l),0 0 (Sec. 3097, Civ. C.). SIDE P.L. o 1 � �� Lender's Name IL P.C. Fee$ � Permit Fee 4 0 .25-81 ° Lender's Address � I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee d hereby authorize representatives of this County to enter upo he abo tinned property for inspect' n purposes. R '[ ` SEE REVERSE FOR EXPLANATORY LANGUAGE ®s Ignature pplicant or Agent Date WORKERS' COMPENSATION DECLARATION sure bo affirm that I have r certificate C mte of•consent to self APPLICATION FOR BUILDING P E RM I T c. insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) a • COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ElBUILDING Certified copy is hereby.furn!shed. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING �13� S�tTpAJII tion department. ADDRESS Si Q Date Applicant CITY T�Vt " f ZIP 7/l,s LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST. COMPENSATION INSURANCE I �y ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK 3O p�i PAGE PARCEL O�0 hundred dollars ($100)or less.) I TEL. p OWNER DW--%o%+T- �,N� k� NO. 1 USE ZONE MAP I certify that in the performance of the work for which this �+ NO. permit is issued, I shall not employ any person in any manner ADDRESS g23 SPECIAL SPECIALCL so as to become subject to the Workers'Compensation Laws. CITY ~PAIPLe, C.II ?D CONDITIONS O i ZIP I Date Applicant ARCHITECT QR . TEL. W NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER j`JC3lJ _5r-%W5D /. sit—NO•ZOP^01•s0 DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you -should become subject to the Workers' CONST. ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS ��` �� IP /�tryt/ `f � '� ,d� -3 V a with comply with such provisions or this permit shall be , TEL. /` N deemed revoked. CONTRACTOR ��{' �%� r NO. �7'7LrJ STATISTICAL CLASSIFICATION APT. CONDO. Z LICENSED CONTRACTORS DECLARATION �y LIC. CLASS N0.�DWELL. UNITS ADDRESS s Trr �a4`��'V� NO. I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business • G LIC. `� and Professions Code,and my license is in full force and effect. CITY ,M Plr~SQ. Fl; NO.OF NO.OF CLASS CHECK BK N PG VALIDATION License Number Lic. Class SIZE 5 STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑I am exempt under Sec. �jDv�-(54EY'1' ADD 1� ► ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ APPLICANT TEL. Signature (PRINT) NO. FINAL �- OWNER-BUILDER DECLARATION DATE 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINAL rofessions Code): PRESENT By _ y BUILDINGI, 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 7044, Business and Professions Code.) MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS y tion 7044, Business and Professions Code.) t r['•_i_; $ . REQUIRED TOTAL SETBACK FROM JE CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. NE , -'Py I hereby affirm.that there is a construction lending agency for FRONT � r - 6-6 10 the performance of the work for which this permit is issued P.L. -- ,,- SIDE tC (Sec. 3097, Civ. C.). — - P.L. T014; Lender's Name _ �- . A Ref. # i=(I_':t.P.C. Fee$ Permit Fee 38 .3/_Lender's Addressiljt,L certify that I have read this application and state that the Issuance Fee. ' A p/C#above information is correct. I agree to comply with all County Investigation Feeord �ad� hereby autthornances and ize representtate laws �tivvesng oof ths�County to enter Total Fee/ t3q Perm. # 1_!:loo i;_ uon Xthbove-mentioned property for inspection purposes.s. a :_,_,'; f `�"�,a SEE REVERSE FOR EXPLANATORY LANGUAGE - All �' St4nature of Applican r Agent Date