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HomeMy Public PortalAbout6368 SULTANA AVE_Building__ 11.59 ADBB.9 APPLICATION FOR BUILDING PERMIT" If•S9 DIVISION OF BUILDING AND SAFETY ADDRESS 63 0 Cf - Deporifnent of County Engineer County of Los Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEERNEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. 4 DISTRICT NO. GROUP SEWER MAP FOR APPLICANT TO FILL IN ]TYPE B BUILD CON I �ADDRESS DDESS �4of A. 3111Alli NUMBER Q� ST. STATE HWy YES O LOT NO. 74BLOCK- CONDITIONS u TRACTNO OF 5L,0}7' r/�/✓L'� 1) oa o SIZE OF LOT �J A Z22— I NOW ON LOTS BUILDING EXIST. YARD HWY STREET NAME USE OF /� /���/,1/� ,`,_/) SETBACK WIDTH EXISTING�BjLDG.�///6. A-4 /b JJAXL-/1_L J �j FRONT I c O f OWNER// ©�J�/� G./1�C�7L-/.�' SIDE MAIL / /_ P. L. ADDRESS 6�/O /y ,f/IL,i9/r�A O TRACT DWELL. i UNIT TEL. 5 INDUSTRIAL CITY 5,/g/ NO, 1 DWELL. / I UNIT 8 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN..ALT.. ETC. ENGINEER NO. 3 APT. `UNITS ' 8 MISCEL. ADDRESS a 4 COMMERCIAL CONTRACTORCU '/S%CO INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD- ALTER REPAIR DEMOLISH J .I �t--- /;)-y if SQ.FT. NO. OF NO OF / ! G'/ / / SIZE ���p STORIES FAMILIES )�f� USE OF STRUCTURE L' SIGNATURE OF APPLICANT J• �/^ APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE LaMMEFOUNDATION:LOCATION moi•! fsf FORMS,MATERIALS FRAME: FIRE STOPS, yVALUATION / �- BRACING, BOLTS ucsCb FURNACE: LOCATION, �✓ y f' �J,,f 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT �JJ _! AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. ���f'�j (',01'.1'VW'�' AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. _ LATH. EXT. SIGNATURE OF , HOUSE NUMBER COR_ PERMITTEE_ j �{•�. RECT AND POSTED ADDRES `� � fes,.( f a l Q'h • � FINAL7-7 ( % OHN A.LAMBIE.COUNTY ENGINEER VALIDATI CLYDE N.DIRLAM. CHIEF BLDG. INSPECTOR CK MOSj ' ;,Rao487E,^ FEB 6 16 13.00 �� �� LA 4 9 5 4 Lm .FEB -91 2 6.0 0 In AD99.S It-55 APPLICATION FOR BUILDING PERMIT 1 n-ss DIVISION OF BUILDING AND SAFETY BUILDING f2 r 0 Department of County Engineer ADDRESS t7�p a ` County of LDS Angeles LOCALITY JOHN A.LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRICT�n GROUPTYPE EWER MAP G ? BUILDING // C./`MAP '! CONS 1/��/� (p� ADDRESS '�,,365' 4a 57x& T/�yJQ NUMBER CP-0C 3 STATE YES NO LOT NO. BLOCK USE ZONE SPECIAL r'!� CONDITIONS TRACT all'I/✓� S��P/���I L+Y/1/C_� If� / S L �L7 I NO.OF BLDGS. SIZE OF LOT iS NOW ON LOT l BUILDING YARD HWY STREET NAME EXIST. USE OF /- _ SETBACK WIDTH EXISTING BLDG.. _57 4/G /-//�/J QJ��L L FPOL T U f 6 a OWNER �9�1l/�S � IjJ SIDE MAIL � / P. L. ADDRESS F%w�p SC��//J�v 1� O TRACT DWELL. I UNIT TEL. 5 INDUSTRIAL CITY Z26-6/ aL/ NO. 7 DWELL. I UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS ] pDDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL. t ADDRESS 4 COMMERCIAL p �e w TEL CONTRACTOR / "J (/ /�/S/% NO.G/90AA5i7 INSPECTION RECORD ADDRESS G, Z /6 l/." Z,�Z DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO.OF SIZE 200 STORIES FAMILIES USE OF STRUCTURE c.,M .PvR Ti" K SIGNATURE OF APPLICANT APPROVALS ADDRESS DATE INSPECTOR'S SIGNATURE $ G G FOUNDATION:LOCATION P.C. $ FORMS.MATERIALS FEE FRAME: FIRE STOPS. 7 p VALUATION $ ' �� BRACING. BOLTS 7I I• FEE p� FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE OF� � HOUSE NUMBER COR- PERMITTEEAnURECT AND POSTED j ADDRES Iral Je FINAL 5-27 S ' 6'.;'i'.ir�P%%� IOHN A.LAMBIE.COUNTY ENGINEER VALIDATIOM CLYDE N.DIRLAM,CHIEF BLDG. INSPECTOR CK MOA8H ' } 4. 9 5 5` FEB -9 1 2.0 0 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRpeSS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS �3 O 50CIA A)1�t / or a certificate of Workers'Compensation Insurance,or a certifiedLp?(A 5Ue.7Ama copy thereof(Sec.3800,Lab.C.) -TP—A4PLE G-f Y I ZIP Cl 9"')15 LOCALITY Policy No. Company SIZE OFr LOT r NO.OF BLDGS.NOW ON LOT o T• C [I Certified copy is hereby furnished. lY V X 2Z O =00 NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection ITRACT A BLOCKO LOT NO.O. LON department. onm USE ZONE MAP NO. Date Applicant rASESSO BO�,j PAGEAl CEL 62 �( Oyu . .D / SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER J TELg0 COMPENSATION INSURANCE p,�E�N�` �-^I M A i1 S1'&7(02 WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred WW� C)EL W M A DISTRICT GROUP TYPE CONST. FIRE ZONEze_a_le� SSED BY dollars($100)or less.) �'1 I certify that in the performance of the work for which this permit Y ftz l eZIA ITT is issued, I shall not employ any person in any manner so as to �/� .(/� �� Lam— become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE 70 APPLICANT.- If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 LSEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG d License Number Lic.Class D945n IIPTIOONN OF WORK ADD ❑ VALUATION dQ C Contractor Date r1 ALTER ❑ $ 300 - C ❑ I am exempt under Sec. REPAIR ❑ $ F BAP.C.for this reason DEMOL ❑ LDMA P/C# u Date: USE OF EXISTING BLDG. URM ❑ j U Ysieir gnature APPLICANT(PRINT) TEL NO. LDMA Perm#I, as owner of the property, or my employees with wages as ACCTADDRESS 0 04thsole compensation, will do the work and the structure is not intended or offered for sale (Section 7044, Business and FINAL DATE o 3307 66.45 Professions Code.) WILL THE APPUCANr OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL f�� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER I 1 ITEMS ❑ 1, as Owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, Business and Professions Code.) ves El No 11 TOTAL I��a 5 �-.s WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING p OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH / CHECK 66.45 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR / ANGE a 130 I hereby affirm that there is a construction lending agency for YES❑ NO❑GUIDELINES. CH(E i�J N the Performance Of the Work for WI11Ch this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING O)C,J3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ITLE 2.CHAPTER 2 20 Lender's Name TMATERIALS REPORTING AND FOR OBONS 2TAIN NGTA PERMIT FROM THEOSCAQMD.G HAZARDOUS 0000-0001 3/31/93 0 Lender's Address � � 1 A119:33 c OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE O, v N 4withal,11ount ordinances and State laws relating to building n, a hereby authorize representatives of this County ISSUANCE FEEon the bove-rgentioned property for inspect'' n purRRRo�sles. J INVESTIGATION FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE