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Home My Public Portal About6411 SULTANA AVE_Building__ 76A69BA CE#8092-83 APPLICATION FOR. BUILDING PERMIT . '. - COUNTY OF LOS ANGELES ADD EIN . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN.SUP'T OF BUILDING CROSS ST'.' DISTR CT N GROIJf TYPE P PY FOR'-APPLICANT TO•FILL IN. CONST. BUILDING / STATISTICAL CLASSIFICATION. SEWER MAP 4t ADDR SS C�3 // 7- y CLASS. N . DWELL.UNITS. K � 49 BLBCC_ _J WATER NOT REQUIRED lea RECEIVED ❑ �O CERTIFICATE: TRACT MAP HIGHWAY STATE'MAJOR SECOND OCAL' NO.OF BLDGS. NO. . (CIRCLE)' SIZE OF LOT o'oI/ NOW ON LOT USF_ZONE SPECIAL USE OF J CONDITIONS EXISTING BLDG. �'.j' ��; y�Z dpw, w A , .. . . . . TEL. J� OWNER'�LO E, °� NO .9''.•�=�'O BUILDING 'YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS d411 ,S//L P�J oV/f S?"i V/ aP, FRONT f / ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. _ IL ADDRESS y' TEL. �'Y.tee. 1-�i4% ^�V O •CONTRACTOR& /?i O.j�Q D ADDRESSA�.6-W. L/4(//u,1L, IIP '..EJ/7, �O 2a!f� t� - DESCRIPTION OF WORK � „ ,, r � a - •tA NEW.i ADD ALTER REPAIR DEMOLISH SQ.FT. / / NO.OF NO. OF SIZE STORIES FAMILIES USE OF �7 _ ��(�... G"6• S.s.,J � STRUCTURE • - T/�`- ice.! :+' ' SIGNATURE OF APPLICANT f VALUATION $ vv 'APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE ' FEE $ �f l • FORMS, MATERIALS ' G� FRAME: FIRE STOPS, �7 I HEREBY ACKNOWLEDGE THAT 1'HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT•THE ABOVE IS'CORRECT AND AGREE TO COMPLY .FURNACE: LOCATION, AWS REGULATING GAS VEN WITH ALL COUNTY ORDINANCES AND STATE LT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE';STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE. LATH.EXT. SIGNATURE OF ��f!/S1u�k.�.c+ HOUSE NUMBER COR-/ PERMITTEE RECT AND POSTED ,/ ADDRESS ,P,/_Akel 4AfZ//9f4, AVe, .41L9-.W FINAL Q JOHN F. LEWIS. PRINCIPAL STRRU\�TU:RAL.ENGINEER PLAN CHECK VALIDATION 'CK. 'M.O. CASH- - _ _PERMIT VALIDATION M.O. CASH ;8 9-6:,2 to, AU915 l 1 112'0- BUILDING BUILDING / ADDRESS APPLICATION LOCALITY G DIVISION OF BUILDING AND SAFETY NEAREST CROSS ST. Department Of County Engineer DISTRICT NO: OErEIPT N13.-*. PERMIT NO. County of Los Angeles WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE IbSUED CASSATT D. GRIFFIN, Sur,T or BUILDING -F-OB,APPLICAN,TTO FILL IN TYPE CONST. RECEIVED BY ' l ISSUED BY v OWNER Lem _ ✓ 7 MAP STATE MAIL =— NUMBER HWY YES NO ADDRESS / USE ZONE SPECIAL CITY �l�rli - NOL. y CONDITIONS ARCHITECT OR TEL ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST: ADDRESS SETBACK WIDTH TL FRONT E P. `• CONTRACTOR NO. SIDE ADDRESS BUILDING- DATE CORRECTIONS INSPECTOR ADDRESS ��//� •/� ClL�• i LOT �{X /I. BLOCK I TRACT A jVi // '-ZAl , /� /� I NO.OF SLOGS. `'SIZE OF LOT '+/`7 'y ,Q NO ON LOT . (ISE OF n /J EX19TING BLDG. DESCRIPTION)QI' WORK a 'a .:NEW DD ALTS REPAIR DEMOLISH Z Sq.FT. NO.OF NO.OF SIZE �-� STOPIES FAMILIES / r USE OF T UCTUR • / / J V.i i 1�.1�•.4L.L'. ' de a NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVE_N 13. APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES: FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTE_ r ,y u�idLv FURNACE: LOCATION, &�- ji GAS VENT,DUCTS - ADDRESS- LATH, INT. AUTHORIZED AOT. /t`om_ LATH, EXT. . IS '" ! J D O O P•C•S HOUSE NUMBER COR- FEE. RECT AND POSTED YALUAT:D ' "^ FEE FINAL' -� �1,. f a 76A638A DES 3 Ob 5-54 76A638A CE#803 2-63 APPLICATION FOR BU I.LDI NG-PERM-I1 ' COUNTY OF LOS ANGELES 8UILD-ING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SPP'T OF BUILDING CROSS ST. DISTRICT O. GROU TYPE PFO D Y FOR APPLICANT'TO FILL IN CONST. /J BUILDING � s.v� %. �ye�� STATISTICAL CLASSIFICATION SEWAR MAP CLASS. NO. lyDWELL.UNITS �L BL WATER NOT REQUIRED RECEIVED CERTIFICATE', TRACT. D— MAP NO. NO.OF BLDGSZ Q o-3 HIGHWAY' STATE MAJOR SECOND, OCAL . ,ry SIZE OF LOT ♦ ( NOW ON LOT USE ZONE SPECIAL USE OF �f AA CONDITIONS EXISTING BL//DG.rL�or .�%�e OWNER Xo. A140 X. ,C4.C�Idf�NO. VA04 BU�I N G EXIST. �L G��I .J' SETBACK YARD HWY STREET NAME WIDTH ADDRESS r�/ .�:�� ,�l�! FRONT Z1 77 ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. } ADDRESS O_ /� T0 CONTRACTORAf4,'N.d__r ,eJIJ/.LhdY! NOEL.. �6T4 ADDRESS O DESCRIPTION OF WORK uv~J NEW ADD ALTER REPAIR EMOLIS N - Z SQ.FT. N' .OF F SIZE RIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ 76 APPROVALS DATE' INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION':. LOCATION F� FEE'S 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 COUNTY ORDINANCES AND STATE LAWS REGULATING' GAS VENT, DUCTS . i BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. w y TION OF THE LABOR CODE OF THE STATE'OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. �I ` SIGNATURE OF HOUSE NUMBER COR- PERINITTEE !�� 'e'.+!eC.�, RECT AND POSTED: !. ADDRESS Yl. GI� �./�! e' I. •/ 7/J FINAL JOHN F. LEWIS.'PRINCIPAL ST5pnURAL ENGINEER PLAN CHECK VALIDATION cK: M.O. CASH _ PERMIT VALIDATION' CK M.O. CASH Q AIG 15'. . 1. .O.0 � ' � ' BUILDING /J' ADDRESS LOCALITY APPLICATION " DIVISION OF BUILDING AND SAFETY CROSST S . Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT N County of Los Angeles .�� ✓o WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DAT S' SUED CABSATT D. GRIFFIN, SUPT DF BUILDING FOR APPL/I�CANT TO FILL IN TYPE CONST. RECEIVED BY fiSSUED.'�B?Y '01 OWNER r—r--7 MAP /, STATE YES O MAIL / Q /rte NUMBER 2- HWY ADDRESS / ,Y/ i% / /i/4�1� UB ZONE SPECIAL TEL./7�//,L 'Y/ / Q CONDITIONS //i CITY �.�i 66 NO. OGJ ' ARCHITECT OR / TEL. ENGINEER p /� NO. BUILDING YARD HWY STREET NAME EXIT. ADDRESS SETBACK WIDTH '00TEL. P.L.RONT •�- �'� O C� CONTRACTOR' / NO. SIDE s ADDRESS P.L. BUILDING JJ �/ ,��•�i DATE CORRECTIONS INSPECTOR ADDRESS �7(f1 / s-Ze,C. LOT NO. / BLOCK TRACT �//7 Za IA ./�wn'j _c- SIZE sr=- NO.OF BLDG9. OF LOT �'J' //D I NOW ON LOT Z USE OF &,,_ ` ,/ /y ��/".•/��L �� IVI.f��+� eo-,k EXISTING BLDG. G�fi/P�tr.�.-[ ✓/ •,V 1.4-t.'L't DESCRIPTION WORK x° e NEW /oD/D/ c E. REPAIR DEMOLISH Z 8 ZE T� %-/ �j TOR ES J FAMILIES / r USE orSTRUCTURE NO.OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'BSIGNATURE DATE CORRECT. /// I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES- FOUNDATION.* LOCATION /J(�-LJ�r. S%. GO AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS / �f`fA I (J /) FRAME: FI,BOLTS SIGNATURE OF /// rl/� / BRACING,BOLTS r PERM ITTE �'- }' �'71/J ' FURNACE: LOCATION, GAS VENT,DUCTS ADDRESS . LATH, INT. G� ' o�• 1)elc AUTHORIZED AGT. 3 LATH, EXT. --- S ✓� e/"J P.C.10 HOUSE NUMBER CDR- FEE RECT AND POSTED VALUATION '� FINAL FEE 7GAB38A DBS 3 12-53 r WORKERS'COMPENSATION DECLARATION hereby affirm that I 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, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N.a. Company BUILDING ❑ , Certified copy is hereby furnished. j FOR APPLICANT TO FILL IN ADDRESS 7 Certified copy is filed with the county building inspec- BUILDING & tion department. ADDRESS FY Date Applicant CITY s6 i6 ZIP `7/7/� LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' I NO.OF BLDGS. NEAREST / �„�� COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. .I.-0 (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. ASSESSOR hundred dollars($100)or less.) TEL. �f MAP BOOK PAGE PARCEL OWNER �r• d/�,�� NODI - (� 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 I jp SPECIAL K, so as to become subject to the Workers' ll Compensatio Laws. ADDRESS ../�G_[/ / CONDITIONS d' Date / ;Xo / Applicant CI , t, �, ZIP 7 �+ TEL. NOTIC TO PLICANT: If, after making f Certificate of ARCHITECT OR DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, you should become subject to the Workers' ENGINEER NO. Q CONST. ZONE V Compensation provisions of the Labor Code, you must forth- �(1p with comply with such provisions or this permit shall be ADDRESS n, deemed revoked. t o'CONTRACTOR NO. 'TEL. STATISTICAL CLASSIFICATION APT, CONDO. Z LICENSED CONTRACTORS DECLARATION ( LIC. CLASS NO: DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS VALIDATION SQ!FT. NO.OF NO.OF CHECK BK. PG. License Number Lic.Class SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEIN ! VALUATION Contractor Date 00 ADD $ � Pilo. ❑ I am exempt under Sec. � X167 �`^' ) J ALTER ❑ ;2023. 1 A B.BP.C. for this reason oh Y� �..j' ❑ $ 0 0 0 166- Date: REPAIR 3$ $ U Date: USE OF 1 EXISTING BLDG. DEMOL ❑ 07.20-88 d��J Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. 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 Professions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and 1 the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 11 as owner of the property,am exclusively contracting , ith CONTRACTOR NO. licensed contractors to construct the project (Sec- ADpRE55 t n 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereb affirm that there is a construction lending agency for FRONT the pe ormance of the work for which this permit is issued P,L. (Sec. 3 , Civ. C.). SDE P L. Lender's.Name iI LDMA Ref, q Lender's Address P.0 Fee$ Permit Fee ! V I certify that I have read this application and state that the I Issuance Fee kLD P%C p above information is correct. I agree to comply with all County Investigation Fee t ordinances and State laws relating to building construction, Total Fee 0� LDMA P Irm. ## and hereby authorize representatives of this County to enter S upon the above-mentioned property for inspection purposes. , D o �) SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of pplicant or Agent Date i