HomeMy Public PortalAbout10221 LOWER AZUSA RD_Building__ 76AG38A CE#80311-57 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPAENT OF COUNTY ENGINEER ADDRESS
RTM
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMSIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUP'T OF BUILDING GROSS ST.
DISTRICT NO. GROUP I TYPE SEWER MAP
FOR APPLICANT TO FILL IN BK P
CONST.
BUILDING STATISTICAL CLASSIFICATION I
ADDRESS U. ROad
LOT NO. Le al Attached BLOCK CLASS.NO. DWELL.UNITS
MAP ,�{{ STATE YES-
0
ES- O
NUMBER
TRACT USE ZONE SPECIAL
NO.OF BLDGS. CONDITION
SIZE OF LOT 1 1 NOW ON LOT None G
USE OF
EXISTING BLDG. BUILDING EXIST.
G g�D ✓Q YARD HWY STREET NAME
SETBACK WIDTH
OWNER wood nst �.� rp, FRONT
mA em B lcl SIDE
ADDRES '
TELCa+Y'27278 P.L.
CITY . Pasadena No. .JJ I INSPECTION RECORD
ARCHITECT OR TE �I
ENGINEER NO.
ADDRESS Cle �f ",: -yFi� ,,nnl e
F<.D'
CONTRACTOR Larkwood ConstTEyo`:SY37278 3 _ a rs .c_.�
ADDRESS d Blvd
DESCRIPTION OF WORK e• LN
NEA ADD ALTER REPAIR DEMOLISH
SQ.FT NO.OF NO.OF Q
SIZE STORIES Z F S
USE OF STRUCTURE Dwelliniz
ar e
SIGNATURE O A PROVALS
APPLICANT
' E INSPE, TOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS 44/1111-6-41-
/'0
'0 B P.C. $ FRAME: FIRE STOPS. Y `1r ��' �/ ✓�=��
Jd FEE BRACING.BOLTS !
VALUATION $ a� FURNACE: LOCATION.
FEEx5e GAS VENT.DUCTS ,rte
1 HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS AP- 0-fl H, INT ��!C /Y•Y 6r 'T ,�O.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AN T. Y
AGREE TO COMPLY W LL OUNTY ORDINANCES D �H �� t
STATE LAWSR UILDING CONSTRU ION. LATH, EXT. L
SIGNATURED F HOUSE NUMBER COR-
PERMITTE RECT AND POSTED 0 l 1
I �
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
i
3 1 6 QAC' 9 2 3 A 1 8.0 0 h
{I'Ar, 7'44Qa MC 11 1 A 39.00 2