HomeMy Public PortalAbout6439 SULTANA AVE_Building__ DIVISION OF BUILDING AND SAFETY BUILDING -
County
Department of County Englneer i
of Los Angeles j APPLICATION
WM J. FOX, COUNTY ENo1NCER —FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DIBTRI 3 N4 PUN Cc OR RED No P MIT N4
ADDRESS BUILDIN
R[ IV[Dr DATE Or APP" DATE ISSUED
LOCALITY
NGR[Si 1
ROB - ■UILDINC A-3 15u 475"v4ae ADDR[BB
OWNER A
MAIL - - LOCALITY
ADDRESS 3 NEAR[BT -
(�� CROSB ST.
NO. 2 LT4 K, FIR[ N4 Dr-.
ARCHITICTZONE PLANE 17� 1777
EMSIN[[R OR M4 LS�1TEL. � BLD0. 7� ORD N4
DRESS ♦Q ` SETBACK LIN[ _
- UBE A_ APPROVED '
CONTRACTOR Nd VSA '� BY NOUS[ NUMBERING DATE
I
ADDRESS MAP NUMBER 7-e�NO ASSIGNED BY
LEGAL
DESCRIPTION I G G BLOCK CORRECTIONS
TRACT
F;L �0. Vf VV tV
or LOr / 2Y INimvaHwrGg O _�P —'SO
UBE
uee or N4 OF -
Ex1erIND eLD4 rAMlun
DESCRIPTION OF WORK
a
NEW ALTERATION ADDITION Z
1
REPAIR DEMOLITION
SIZE 'L ROOMS STORIES
[ZT WALL �� ROOF
COV[Rl ND COVERING f
US[OF STRIOTURE
INSPECTION FOR - APPROVALS
DOCUPANOYAS INBPECTOR'BBIGMATURE DAT[
FOUNDATION LOCATION
rIIRMS, MATERIALS
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STAT[ THAT THE INFORMATION GIVEN IB FRAMEI rIR[QTOPB,
CORRECT 1, BRACING, BOLTS
1AGREE TC COMPLY WITH ALL COUNTY ORDINANOW FURNACE LOCATION,
AND STAT[ LAWa REGULATING BUILDING CONSTRUCTION ' GAB VENT CATS
SIGNATURE OF LATH, INT /
PERMITT[
ADDRESS ^D L W LATH, 9Xr.
PLASTER, INT.
AUTHORIZED AOT
. PLABT[W EXT.
P.0. �j 5` HOUSE NUMBER COW
E[[ J R[CT AND POSTED
Lf0
VALUATION 6-0 FEE 9'2-7 FINAL
TeA61RA D®, 1•5E
7eAe36A CE T603.la Be APPLICATION FOR BUILDING PERMIT Z`
BUILDING AND SAFETY DIVISION ADDS BUILDING
D p&tnmt a County EngIS� ADDR '
County OI"Angeles LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN DISTRICT N GROUP .Typ BEWBK MAP
PG
CONST
BUILDING I
ADDRE89
STATISTICAL CLASSIFICATION
CLASS NO DWELLUNITS
LOT NO BLOCKSTAT
r
NUMBER Q -::!o. HWY Y
N NO
TRACT1 USE ZONE SPECIAL
o I NO bp BLDGS R A CONDITIONS
SIZE OF LOT d NOW ON LOT • !T
USE OF 4000
EXISTING BLDG BUILDINGEXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER 77777:7Y-' FRONT
MAIL / P L
ADDRESS 439 1 BIDE
TEL I - P.L
'ry " INSPECIION RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS _ 1 UE1'7-/ I�✓fl.r 72l
TEL
CONTRACTOR NO
ADD EB ` An/D yQ 1 / E
DESCRIPTION OF WORK
��
NEW NDD ALTER REPAIR DEMOLISH
SO FT I NO OF NO OF
SIZE STORIES FAMILI EB
USE OF STRUCTURE
APPROVALS
SIGNATURE OF
APPLICANT pp DATE INSPECTOR S SIGNATURE
ADDRESS J FOUNDATION LOCATION
FORMS MATERIALS
S �DV P C ] FRAME FIRE STOPS
FEE BRACING BOLTS 'S
VALUATION ! FURNACE LOCATION
PEE 6AH VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT 5-7
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT 'L- S
STATE LAWS REGULATING BUILDING CO CTION
SIGNATURE OHOUSE NUMBER COR-
PERM ITTE6 RECT AND POSTED
/-�
ADDRESS-l" \ FINAL Z��` NM^•w
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL
PLAN CHECK VALIDATION CK Y O CMH YERNIT VALEDATWA OK M CATH
1
Lwo9 7 7 5� JjN23 1 4.0 0
WORKERS COMPENSATION DECLARATION
hereby affirmthat,I have a certificate st consent to self APPLICATION FO BUILDING PERMIT
insure, or o certificates of Worker'CEmpenst.�rs I r (
a certified�ccop,�y..,,t�hheer�reof�of (Sec 3800 Lab C ) } COUNTY OF LOS ANGELS �. BUILDING AND SAFETY
Pol ��_Compon 1N NNS r
BUILDING
Certified copy a hereby furnished /— FOR APPLICANT TO FILL IN - ADDRE
Certified copy is filed with the county building nspec &AIDING
tion department I ADDRESS AA -' A LOCALITY
�+ NEAREST
Date g O-e-i �OG� ApphcaN CITY /�( •� l / ZIP p Q CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
(This section need not be completed if the permit to for one USE ZONE_ ®Q_3
hundred dollars (§100) or less ) TRACT BLOCK LOT NO NO Y
i TEL SPECIAL 1
I certify that to the performance of the work for which this OWNER NO72 W3 CONDITIONS 0
permit is issued I shall not employ any person in any mannerDISTRICT GROUP TYPE FIRE PROLE BY y
S N ST I ZONE C9
so as to become subject to the Workers CompanwbADDRESSon Laws A CONST
6vi (� 0
I CITY ��/ �� C/ T ZIP /70 v 0
r Date ' Applicant STATISTICAL CLASSIFICATION APT CONDO
NOTICE TO APPLICANT If offer making this'Certificate of ENGINEER TER OR TEL - W
Exemption you should become subject to the Workers CLASS NO 6a DWELL UNITS_ N ,
'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 N r L TEL 2-
T71937 BK PG VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 j ADDRESS Z ON .si NO aro GO Z 7 VALUATION
(commencing with Section 70D0)of Division 3 of the Business and LIC
Professions Code and my license is in full force and effect ( CITY - C C— CIT CLASS U�• S 3 '25b r
7// (� SO FT NO OF t INC) OF CHECK
License Nu r.? b5`Z 7 Lic Class r.�—� ' SIZE -T Q STORIES FAMILIES , ONE
D NEW S
'Controct pate "�'/ DESCRIPTION OF WORK /Y/(. ROO ❑
am exempt from the licensing requirements as I am a 3 T L �� ADD
licensed architect or a registered professional engineer -- LTER ❑ FINAL
acting to my professional capacity (Section 7051 ❑ DATE T r
Business and Professions ons Code) USE OF FINAL
EXISTING BLDG DEMOL ❑ By
Lic or Reg No Date APPLICANT TEL
OWNER BUILDER DECLARATION (PRINT - NO 6�-7
Ihereby affirm that I am exempt from the Contractor s License
Law for the following reason (Section 7031 5 Business and ADDRESS
Professions Cade) PRESENT ,
❑
I BUILDING-as owner of the property or my employees with ADDRESS
wages as their sole compensation will do the work and $0 8 S 0 A
the structure is not intended or offered for sole(Section LOCALITY
7044 Business and Professions Code) MOVING TEL _
I as owner of the property am exclusively contracting CONTRACTOR NO t ,
with licensed contractors to construct the project (SecADDRESS - 2 e 1 4 200
.- non 7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH REQUIRED TOTAL SETBACK FROM EXIST CI 2 O O
I hereby affirm that there n a construction lending agency for FRONT -
the performance of the work for which thispermit is issued PL 11
D 8 2 1 -8
(Sec 3097 Civ C ) _ SIDE -
PL
Lender s Name
Lender s Address PC Fee S Perm,t Fee 19 q�-s
I certify that I have read this application and state that the Issuance Fee , vV ,
_ above information is correct I agree to comply with all County I Imest,ganon Fee '
ordinances and State laws relating to building construction ,
Total Fee
and hereby authorize representatives of this County to enter
upon o+e me toned ropMty for inspection purposes
Sgq
9--Z Ii-S-/ SEE REVERSE FOR EXPLANATORY LANGUAGE
` Signature of AWlicant."Agent pore \ 2s
WORKERS' COMPENSATION DECLARATION n
sure, o off certificate
that hover certificate Co to of consent to ,elf APPLICATION FOR BUILDING PERMIT fl'yll
• 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 No 'Company
BUILDING /_Zlf j`
El Certified copy is hereby furnished FOR APPLICANT TO FILL-IN - ADDRESS CP
❑ ailq
� Certified copy is filed with the county budding mapec- ADDRESS WG /! U -t
tion department ADDRESS `Y / ,/ 1
CITY e ` r ZIP
Date Applicant NEARETy
NO O LOT / NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT '- CROSS ST •
COMPENSATION INSURANCE -
(Thea section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL ASSESSOR
hundred dollars ($100) or less ) TEL USE ZONE MAP
OWNER NO -
NO
I certify that in the performance of the work for which this (/ -.� _
permit is issued, I shall not employ any person in any manner ADDRESS 7 - CONDITIONS
so as to become subject to the Workers Compensation Lowe - U
l fil /I CRY ® ZIP
Date�Appl scan ARCHITECT OR TELci
NOTICE JC, APPLICANT If, after making this Certificate of ENGINEER NO DISIRICT �GROUP CONST FIDE SSED BY rOr
Exemption, you should become;subject to the Workers' CONST
V
Compensation provisions of the Labor Code you must forth ADDRESS , 17UxJ N
with comply with such provisions or this permit shall be NO 1 -d STATISTICAL CLASSIFICATION APT CONDO Z
deemed revoked CONTRACIOR-J C - -
t LICENSED CONTRACTORS DECLARATION UC CLASS NO DWELL UNITS_
I hereby affirm that I am licensed under provisionsof Chapter 9 'D�� LJ f NO 73
SEWER MAP
(commencing with Section 7000)of Division 3 of the Business LIC
and Professions Co/dee and my license is In full force and effect CINAAJJ 6 4 CLASS BK PG VAUDATION
SO FT NO OF NO License Numbery/797 Lic I ss �- _ / SIZE S ORIES FAMI�S ONE
K ,
Q VALUATION
ContractoTr ton A Iey-Ay-_Date DESCRIPTION OF WORK ' (/e O
❑1 am exempt under Sec 'a F'eL V 4Z ADD
/ ►
ALTER
t B 8P C for this reason t 1 n REPAIR ❑ $
Date 115E TI - -
/) �/ EXISTING BLDG DFMOI ❑
Sinnat �l�`f> O APPLICAM TEL
O DECLARATION (PRINT] jV0 FINAL
DATE AA A
I hereby affirm that I am exempt from the Contracto/s License
Low for the following reason (Section 7031 S, Business and ADDRESS FINAL t
Professions Code) PRESENT - - - - BIt
El1,
T
I, owner of the property, or my employees with BUILDING
! _
wages as their sole compensation,will do the work and LOCALITY
( - - S,aO? ��•ilii
the structure is not intended or offered far sale Section rI(► `L yn 0
7044 Business and Professions Code ) MOVING TEL -- - ' f - / ( 1 1TE3tC
❑ I,as owner of the property, am exclusively contracting CONTRACTOR NO /`' TOTAL 82 00
with licensed contractors to construct the project (Sec- - - - -
13
tion 7044, Business and Professions Code) ADDRESS II'
. E(Ys
�„•Ql�
CONSTRUCTION LENDING AGENCY SET D YARD HWY LINEFRCbN WIDTH
EXI f ` •'r
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
Lenders NameuQC��l��t�i
PC Fee f r Permit Fee FG .AD TDMA t f M 6056 1 AM 10:24
Lender s Address _
I certify that I have read this application and state that the Wuonce Fee
8 above mformation is correct I agree to comply with all County Inveetlgmwn Fee
R ordinances and State laws relating to budding construction, Total Fee �'4O LDAM Perm B
and hereby authorize representatives of this County to enter
up the abovo-ment ti�property for inspection purposesf0 REVILM FOR RX/LANATORY LANGUAGE
of Appl¢o -Date
I WORKERS' COMPENSATION DECLARATION ^
,ereiy affirm that have a certificate of consent to ,elf APPLICATION FOR. BUILDING PERMIT �I'UIII
e in' re, or a certificate of Workers Compensation Insurance, " ,
or ertified copy then of (Sec 3800 Lab
/l9 COUNTY OF LOS ANGELES - _.BUILDING AND SAFETY
Po No 91�Company�
Certified copy is hereby furnishedFOR APPLICANT TO FILL IN BUS
❑ ILDI
Certified copy is fled with the tour b Idmg mspec- BUILDING
` cr �q (L L
tion department v 4
Dat _x1'9 Applicant CITY L/ ZIP J7 /0 LOCALTTV
CERTIFICATE OF EXEMPTION FROM WORKERS' ' SIZE OF LOT, --NOW ON LOT NO NEAREST +CROSS ST • -
COMPENSATION INSURANCE ASSESSOR
(This section need not be completed if the permit is for one TRACT ' - BLOCK LOT NO c MAS BOOK PAGE PARCEL
hundred dollar ($100)or less ) OWNER /A t, !-0 USE ZONE MAP 1
I certify that in the performance of the work for which this NO
SPECIAL
permit s issued, I shall not employ any person in any manner ADDRESS L n� - SPECIAL NS
so as to become subject to the Workers' Compensation Lows. * Q
CITY V/ zip "" U
Date Applicant ARCHITECT OR TEL t DISTRICT GROUP TYPE FIRE - PROCESSED DV Of
NOTICE TO APPLICANT If, after making this Certificate of ENGINEER _ NO CONST ZONE rO
Exemption, you should become subject to the Workers' • „p V
Compensation provisions of the Labor Code, you must forth- ADDRESS GO -� 3 a
with comply with such provisions or this permit shall be -TEL / !� j'� STATISTICAL CLASSIFICATION APT DO N
deemed revoked CONTRACTOR 4 ON NO - - CO- z
LICENSED CONTRACTORS DECLARATION S CI I NO DWELL UNITS_
I hereby affirm that I am licensed under provisions of Cfwpter 9 ADDRESS L S
(commencing with Section 70DO)of Division 3 of the Business s f•r'`X� G A SEWER MAP
and Professions Code nil my licenses in full force and effect CITY 1 F CLASS j G VALIDATION
(,..�a J j SO F7 NO t)F NO OF CHECK 'BK PG
License Number ss� ! �q/Lic Class �• • SIZE Z Y'r STORIES FAMILIES , ONE
{/ VALUATION
Contractor Lkow 70%W, Date 2- DESCRIPTION OF WORK . � NEW ❑ f� q,�� L¢Q
❑1 am exempt under Sec elp 16—r, ADD ❑ C/�/ _ ► - -
/I ALTER ❑
B 8P C for this aso CC,a O R $
L USE OF REPAIR ❑
Date EXISTING&DG / �S �(/�' DEMOL ❑
SignaturAPPjICMT TEA
PRINT) L 7 �y �L FINAL
OWNER-EUILMR DECLARATION DATE
I hereby affirm that I am exempt from the Contractor's License
hW
Law far the following reason (Section 7031 5, Business and ADDRESS4._2s 1 L U FINAL
Professions Code) ' _ PRESENT _ Sy _ 1
❑ I as owner of the property, or my employees with, ADDRESS
alL� A
wages as their sole compensation,will do rhework and - - ,t p•,
the structure is not intended or offered for sale(Section LOCALITY Poo Lit :+„i[I] ,"l,l
7064, Business and Professions Code ) MOVING - _ TEL L 1 iT �
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- ADDS . - TIJT�iI. r7i ❑0
tion 7066, Business and Professions Code )
CONSTRUCTION LENDING AGENCY 5Ei ED . YARD HWY u ROP LINEWIDTH
FROM I CHECK 11.00
I hereby affirm that there is a construction lending agency for FRONT t HANITE
the performance of the work for which this permit is issued PL - -
(Sec 3097 Civ C ) SIDE i
-PL - - -
Lenders Name OOIM-13001 3/ 1191
/
P C Fee Permit Fee ` -� b0 � 'Ref N i 1 AM 31:L
Lender s Address
certify that I have read the application and state that the issuance Fee 8• id LDMA P/C N
above information is correct I agree to comply with all CountyImnngouo_n Fee
ordinances and State laws relating to building construction, Total Fee �� LDMA Perm M t
and hereby tho a representatives of this County to ant _
upon the nt, e� operty for inspection
�I L _ _ SEE RIVEASE FOR EXPMNATORy LANGUAGE
Spnature of Aptilicaht or Agent - - - - -
i ,