HomeMy Public PortalAbout10011-10011-10011 1/2-10011 3/4 LOWER AZUSA RD_Building__ 76AG38A CE N808 4/70APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES ASSESSOR
aDEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE_ PARCEL
BUILDING AND SAFETY DIVISION BUILDINGt
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS *�
COLEMAN W. JENKINS, SUP T Or BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS
ST
BUILDING DIST CT N GROUP TYPE S D B
ADDRESS CONST
Q wr- r
LOT NO
STATISTICAL CIA SIFICATION S R MAP
BLOCKC `
CLASS NO DWELL UNIT BK P/ G�
TRACT USE ZONE MAP
NO OF BLOGS NO t.26 / 0
SIZE OF LOT NOW ON LOTSPECIAL
USE OF CONDITIONS
EXISTING BLDG
OWNER,32L Olt_ TEL
15 , NO BLDG SETBACK FROM
ADDRESS Q FRONT PROP LINE OF (STREET)
Ole TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY TH FROM C L
ARCHITECT OR TE }
ENGINEER NO
BLDG SETBACK FR
ADDRESS SIDE PROP LINE OF (STREET)
(Q'�j
TYPE OF EXISTING SETBACK = TOTAL
CONTRACTOR %S HIGHWAY WIDTH FROM C L HIGH } YARD
ADDRESS.357 // NO rcy66,LIC I f = C9
CITY CLASS ^ CORNER CUTOFF YES ❑ NO)D G
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS H
Z_
SQ FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE ALTEReddie❑ _ Ir
SIGNjffURE OF REPAIR❑
AP ICANT DEMOL
VALUATION$ +` �
APPROVALS DATE INSPECTOR'S 81GNA TU RE
P C PMT FOUNDATION LOCATION
FEE S FEE$ FORMS MATERIALS
FRAME FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND 8TAT E 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 Or THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S 18 ION N E ` LATH, EXT
SIGNATURE F HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS ' FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION f M O CASH
I nr+- 0 12 4 8v- My 17 1 D 9.00- -'.
4,b 7'
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78A6 O9 fOs� APPLICATION FOR BUILCSfAveP RMIT 1
j BUILDING AND SAFETY DSION ADD EI
MSS
Depaz out of County Engineer t
County of Los Angeles LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST '
CASSATT D. GRIFFIN, SUPT of BUILDING CROSS ST
FOR APPLICANT TO F= IN DISTRICT NO. GROUP TYPE CONST. SEWSK MAP
PG
BULLDING I
ADDRESS STATISTICAL CLASSIFICATION
LOT NO. BLOCK
CLASS. NO. DWELL. UNIT
MAP STATE YES O
NUMBER HWY
TRACT USE ZONE SPECIAL
NO.OF BLDGS,_..__.... CONDITIONS i
SIZE OF LOT I NOW ON LOT
USE OF _
EXISTING 13LDG. BUILDINGEXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P. L.
ADORES (X� � SIDE
P. L.
CITY NO. _ _
ARCHITECT T ' -INSPECTION RECORD ... �.✓'
ENGINEER v -
ADDRESS r. /
TEL. �" �/ L - ✓.
CONTRALTO
ADDRESS i T i�'•" , i7'I Tf/ Gt•1a U '' .+' r ��f /''
DESCRIPTION OF WORK
/ kVO A eA-
NE ADD ALTER REPAIR DEMOLISH `
SQ. FT. NO. OF NO. OF
SIZE R. STORIES FAMILIES
USE OF S UCTURE
i
APPROVALS 0 ve!'I
SIGNATURE O
APPLICAN DATE INSPECTOR'S SIGNATURE
ADDRESS e rl f j e FOUNDATION: LOCATION
FORMS, MATERIALS ,G%t�►
SID P. C. S 1 FRAME: FIRE STOPS. - �'• 14 f
J / BRACING. BOLTS i4 .,--• t. -.�r''
I J FEE S Q FURNACE: LOCATION. ,y
VALUATION GAS VENT. DUCTS >
FEE i
i
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. t -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMP WITH AL CO NTY ORDINANCES AND LATH. EXT.
STATE LAWS ULATIN U DI NSTRUCTION.
SIGNATURE O HOUSE NUMBER COR-
PERMITT RECT AND POSTED
ADDRESS - FINAL
JOHN A. LAMBIE,COUNTY ENGINEER, CLYDE N. DMLAM. RINCIPAL STRUCTURAL ENGIN ER
PLAN CHECK VALIDATION c . M.O. CASH PEBMIT VALIDATION C M.O. CASH
, 898t;; OCT 21 6 19.25 ,
LsO38997; OCT30 1 3850 2