HomeMy Public PortalAbout10013-1013 1/2-1015-1015 1/2 LOWER AZUSA RD_Building__ rsAeseAaIt#eoe.,O- APPLICATION FOR SUILDING PERMIT �.
ftM MING AND SM= DIVISION BUILDING
ADDRESS
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County Of Los Aa4 LOCALITY
JOHN A LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN.SUP'T OF BUILDING CROSS 8
DISTRICT NO GROUP TYPE 8EWBEK MAP
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2�MC TO MS
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BUILDING /�
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ADDRESS [/ STATISTICAL CLASSIFICATION
LOT NO BLOCK CLASS-NO DWELL UNITS
MAP STATE YES O
NUMBER HWY
TRACT.�' USE ZONESPECIAL
NO OF SLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG a BUILDING EXIST
SETBACK • YARD HWY STREET NAME WIDTH
OWNER FkON
MAIL r• P L
ADDRESS SIDE
ir TE
P L
CITY NO llqSP=ON FLWORD
ARCHITECT OR IT
ENGINEER N
ADDRESS
CONTRACTO Qom/ TEL
ADDRESS • `4IC
7�
D--BI 'PION OF WORK
NEW ADD ALTER REPAIR EMOLISH
SQ FT NO OF NO
SIZE STORIES FAMILIES _
USE OF STRUCTURE
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION
FORMS, MATERIALS
P C 8 �� FRAME FIRE STOPS.
FEE BRACING OLTS
VALUATION f / BFURNACE LOCATION.
FEE r GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TOCOMP WITH ALL COUNTY ORDINANCES AND LATH.EXT
STATE LAWS UL ATING U CONSTRUCTION
81dNATUR6 HOUSE NUMBER COR-
PERMITTE ` RECT AND POSTED
ADDRES 7 FINAL /O• -s
JOHN A LAMBIE.COUNTY ENGINEER CLYDE N. DIRLAM.-PRINCIPAL ST URAL ENGINEER
PLAN CZ@IZ VALIDATION cK No CASH PERMIT VALIDATION cN o
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78A898A CE w �7APPLICATION FOR BUILDIN PERMI
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COUNTY OF LOS ANGELES AssessoR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING
BUMDI NG AND SAFETY DIVISION ADDRESS
JOHN A. LAMBI E, COUNTY ENGINEER
COLEMAN W. JENKINS, SUP T OP BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST lie
BUILDING DISM'tICT NO GR UP_ CONST P BY
ADDRESS /30 -61V
STATISTICAL CLASSIFICATION S ER MAP
LOT NO 4D Al 9CI BLOCK CLASS NO DWELL UNITS BK PG
TRACT NO OF USE ZONE MAP NO
rf G
SIZE OF LOT NOW ON LOTS /I � SPECIALC
USE OF - 4+ CONDITIONS
EXISTING BLDG
TEL _
OWNER L NO BLDG SETBACK FROM
ADDRESS 0 FRONTPROP LINEOF (STREET)
TYPE OFIEXISTING1 SETBACK HIGHWAY } YARD = TOTAL
CITY v,4jpva HIGHWAY FROM C L
ARCHITECT OR TEL }
ENGINEER NO
BLDG SETBACK FROM
ADDRESS SIDE PROP LINE OF (STREET)
CONTRACTOR SL�ii1C , �L yyy TYPE OF EXISTING SETBACK" HIGHWA + YARD = TOTAL
HIGHWAY WIDTH FROM C L
ADDRESS . r ILIO pt = v
LIC CITY CLASS-0- CdRNER CUTOFF YES El NO E] O
NA ECONSTAND BRA CH LENDER SEE REVERSE SIDE FOR SPECIAL APPROVALS a
N
ADDRESS - Z
SO FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIESUSE OF ❑ _
STRUCTUR �Y 'ALTER ❑
REPAIR❑
SIGNATURE Ite
APPLICANT o� DEMOL
VALUATIONS 3690 APPROVALS DATE INSPKCTOR'S SIGNATURE
P C PMT ,�@@__�� FOUNDATION LOCATION
FEE S FEE S (r7/ FORM$ MATERIALS
FRAME FIRE STOPS,
1 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 ORDINANCE$ AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THELATH, INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMP / TI IN U E LATH, EXT
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL 7
PLAN CINCH VALIDATION CK Mo CASH _ JOHN
p�Fp�LEWIS
�P*R�NCIPAL U URAL ENGINEER
�LL1i�Yi VALY/ATIO CK
mo CASH
19� 0270 NAY 17 1 D 9.00~
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OCT
76A689 C6#aoe tosBAPPLICATION FOR BUILDING IT, 1
B=ERGAND SAFEff DrMON BUILDING / _
De xafteni d Cmmty Englnem ADDRESS
County of Los Angeles _ LOCALITY J '
JOHN A LAMBIE. COUNTY ENGINEER NEAREST C
CASSATT D GRIFFIN,SUP T OF BUILDING CROSS ST
FOR APPLICANT T FILL IN DISTRICT NO GROUP SPE SEWBIC MAP
PC
CONST 114 A7
ADD BUILDEING r SS DI�"
STATISTICAL CLASSIFICATION
CLASS NO DWELL UNIT
LOT NO 602 BLOCK MAP STATE
NUMBER v HWY YES
TRACT USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING B BUILDINGYARD HWY STREET NAME EXIST
SETBACK WIDTH
OWNER FRONT
MAIL P L
ADDRESS SIDE
TE / P L
CITY • No 4� INSPECTION RECORD
ARCHITECT TE �
ENGINEER �y N d.31•S F toOI G YDC°..1
ADDRESS •
CONTRACTO
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ADDRESS � -DESCRZpTION OF WORE
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NEW ADD ALTER REPAIR DEMOLI
SI PT NO OF /
SIZE NO OF
TORI FAMILIES
USE OF!:2yT
�v �SIF
a A PROPALS
SIGNATURE OF
APPLICANT p DATE INSPECTOR S SIGNATURE
ADDRE98 f(./ FOUNDATION LOCATION
FORMS MATERIALS / ah
$ Bo P C S FRAME FIRE STOPS.
D FEE BRACING BOLTS Go
FURNACE LOCATION
VALUATION FEE "d GAS VENT.DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND --- 120" i
AGREE TO COMP WITH ALL OUNTY ORDINANCES AND LATH. EXT 6
STATE LAWSULATING CONSTRUCTION
SIGNATURE OF HOUSE NUMBER GOR-
PERMITT RECT AND POSTED ��
ADDRESS L*� FINAL
JOHN A.LAMBIE.COUNTY ENGINEER / CLYDE N DIRLAM.PRINCIPAL 8TRUC RAL ENGINEER
PLAN CC C! VALIDATION u o CASH PERI=VALIDATION 49V M G CASH
?•ACO2897D; OCT 21 6 - 33.00 ® — � -
, AP-38985; M130 1 66.00
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