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HomeMy Public PortalAbout10241 LOWER AZUSA RD_Building__ 0 1 76A638A CE*803 B-63APPLICATION FOR BUILDING PERM .T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS6,0_� BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST } WILLIAM A. JENSEN, SUP'T OF BUILDING CROSS ST. + DISTR�T NO. GROUP TYPE CONST. BY FOR APPLICANT TO FILL IN 5 — coNsr. BUILDING. STATISTICAL CLASSIFICATION S WER MAP ADDRESS/0 �. /. BK CLASS. NO. DWELL. UNITS LJ LOT NO. N. LI'0 BLOCK• WATER J�( Q MAP CERTIFICATE: NOT REQUIRED RECEIVE ❑ TRACT -7 [� NO ({CIG CVLE) STAT ECON LOCAL NO.OF BLDGS. SIZE OF LOT L XI -3 NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS - EXISTING BLDG. �p _ _/ TEL. �.q v OWNER E2 NO. oZ , BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS �(4 -rL/4/�ID Q/I/ FRONT -- ARCHITECT ARCHITECT OR TEL _ P. L. ENGINEER r=tz5 t E� EtaN 0. P. L. ADDRESS Z:�'71 IWPIAddc ..f/t,5� - a TEL. CONTRACTO to NO. ` ../ r (O,) .L ADDRESSfLI3 n im Pf eJtrh ''t X DESCRIPTION OF WORK -^A �'- -'-""-__� o IJV V v �.1 a NEW ADD ALTER REPAIR DEMOLISH -'^ N . FT. .. NO. OF NO. OF O^�..3 p � 0�% n. z SIZE STORIES Z FAMILIES` USE OFr C CeG.pty rr. STRUCTURE I IA N`]^ _ on SIGNATURE OF 1 �- ���• ~ APPLICANT = . yyy Oil ' VALUATION $ / �o� ! APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMTG/,`j FOUNDATION: LOCATION _•� FEE FEE $ j FORMS. MATERIALS �- FRAME: FIRE STOPS, _ n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS �� A AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. (� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGING TO WORKMEN'S COMPENSATION INSURANCE. V LATH. EXT. SIGNATURE OFHOUSE NUMBER COR- PERMITTEE 1__1_1�1,1101,r A RECT AND POSTED ADDRESS , --f F z - FINAL JOHN F. LEWIS. FfRINCIPAL SO-- RALENGINEER PLAN CHECK VALIDATION cK. Mo. CASH PERMIT VALIDATIONM.O. CASH LAAO 1 6 5 8% JUL 2 2 2 3 0 32.004 L1,0'2 3 8 4 AUG 7 1 o 64.00— N 76A630A CE I,602-63:APPLICATION 'FOR` BU1LD.1NG PERMIT - : - COUNTY OF LOS ANGELES EUILDING' DEPARTMENT. OF COUNTY ENGINEER AooREss Oa BUILDING AND SAFETY DIVISION LOCALITY JOHN A; LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.-JENSEN. SUPT OF BUILDING CROSS ST. DkSIRICTNO.!\1 GROUP TYPE PROCESSED Y FOR APPLICANT TO FILL_IN G_kr CONS . �-- r BUILDING _ STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS. N -� � BK OQS _DWELL. UNITS . LOT NO: - / BLOCK WATER ti CERTIFICATE: N04TREQUIRED ® RECEIVED ❑ . TRACT - MAP, HIGHWAY• STATE MAJOR EC N LOCAL NO:OF BLDGS. NO. -�o, �.(CIRCLE) SIZE OF-LOT _ NOW ON LOT USE ZONE SPECIAL - USE OF CONDITIONS EXISTINt BLDG. n {! ' TEL. 5 U. . I { OWNER _ /Z� -NO. J Z� BUILDING ' EXIST. YARD .HWY STREET NAME SETBACK 'WIDTH c'� ADDRESS T.5- Q iR--cFRONT .' ` g ARCHITECT OR TEL- R. L. qj ENGINEER' NO. SIDE c ' ADDRESS - - .'d CONTRALTO ,..n./ `,� .n .,�..- i1J�pL/ ..�- ADDRESS .. > .d•fy 1/��.' O DESCRIPTION OF WORK W a NEW ADD ALTER REPAIR_ DEMOLISH // N SQ. FT. - NO. OF. NO. OF SIZE - STORIES FAMILIES` y' .USE OF. STRUCTURE; . SIGNATU19 OF APPLICANT VALUATION-$ ' APPROVALS DATE INSPECTOR'S SIGNATURE' P.C. - PMT.'. FOUNDATION:"LOCATION MATERIALS F FEE $ FEE $ � �'�Q � - . � - 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 .BUILDING CONSTRUCTION. I CERTIFY THAT IN. DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. - .TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S 6A6 SATION IN ,.1LATH. EXT..' SIGNATURE OF . HOUSE NUMBER COR-'PERMITTEE- ,RECT AND POSTED ADDRESS v FINAL' _ JOHN F. LEWIS, PRINCIPAC STR TU ALENGINEER .PLAN CHECK VALIDATION' jl PERMIT. VALIDATION CK. M.G. CASH jtk' 298S ?zo," AUG-2444 'D ' .00� ' � 3. 53 2 Z SEP 8 1 D 6.00— APPLICATIONS FOR BUILI�IyNG PE T FOR ,APPLICANT TO FILL IN (Print or type only) _ BUILDING C.^OUNTY OF LOS A ELES ADDRESS c24 w _t fa` v o DEPARTMENT OF COUNTY ENGINEER CITY �N-, P4-C- e-1-1 ZIP i BUILDING AND SAFETY DIVISION J NO.OF BLDGS. BUILDING aq SIZE OF LOT 7�_ `X NOW ON LOT ADDRESS �� J TRACT ( a BLOCK LOT NO. LOCALITY TEL. -Z NEAREST OWNER E0,-;;13mAtC.2 1A3L_ NO._S-t3 q-.SZ,jCROSS ST. b ASSESSOR ADDRESS 48 3�j LCRL.ILTLA�b a : MAP BOOK PAGE PARCEL DISTRICT I GROUP ITYPE FIRE I PRO SSE'ID BY CITY Vj- (- -.0 n( ZIP ct cc, "-y C 'Q y��t CONST. ZONE fL ARCHITECT OR \ TEL. °]/"/ � ---M - ENGINEER b CT t,t G c L m-rz No C'. Gl�O STATISTICAL CLASSIFICATION SEWEF3/MAP „� ADDRESS p 8QC.�SpA -I L: +� S'"0{ _6ZCLASS NO. �_DWELL.UN.ITS BKf�, P�( CONTRACTOR FGGj) kh�l LA1 NOL USE ZONE MAP i7 LIC. _ NO. ADDRESS �!z' NO >� SPECIAL CONDITIONS LIC. CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) n- A'DDRE55 CITY TYPE OEXISTING O TOTAL SETBACK FROM F HIGHWA } YARD V SQ.-FTS t NO. OF NO. OF CHECK - FRONT PROP. LINE HIGHWAY WIDTH SIZE 7L STORIES FAMILIES ONE O } = V DESCRIPTION OF WORK NEW ❑ a DD ❑ BLDG.SETBACK F M 'N A�� k V 1316 7-6 _ SIDE PROP. LINE OF (STREET) z n _ ALTER ❑ HIGHWAY } YARD = T AL SETBACK FROM TYPE OF EXISTING • REPAIR❑ SI PROP. LINE HIGHWAY WIDTH USE EXISOT NG BLDG. (�(=� ' U+2(Q i'tif { DEMOL ❑ } AP.PLICAN TEL '111 CORNER CUTOFF YES C:1O N ❑ (PRINT) _ .N0./ �j BY (SIGN TVRE) IN OPEN SPACE YES ❑ NO IN COASTAL ZONE YES E] NO ❑ `f VALUATION$ / V 6 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE �E-'PF CALIFORNIA N RELATING TO ' WORKMEN'S CO MPEN IONURANC SIGNATURE OF PERMITTEE _ ADDRESS FINAL BY p _ f TEL. CITY �.`- I<-�E7/YC� iN:O: r DATE a Q• ll:11�F_ CHEC(�S P:1T':lE3L'L;'1:0: c FE FEE $ © 0 HARVEY T. BRANDT, COUNTY ENGINEER( ; I fvo PLAN CHECK VALID fION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH ,.•;', W- 2 3881 - Jul 24 76A638A CE9803 12/72 - -- - ...-APPLICATION FOR BUILDING PERMIT FeR A-PF`LIGANT TO FILL IN (Print or type only) BUILDING / � ��5� COUNTY OF LOS ANGELES ADDRESS � d y/ /�vJtS DEPARTMENT OF COUNTY ENGINEER CITY TG i� e� r ZIP I ty BUILDING AND SAFETY DIVISION UILDING SIZE OF LOT < 5 X/ Z-: NOW OON LOTS BA DDR ESS TRACT I f BLOCK A LOT NO. ' LOCAL�V�'f� rr r TEL. NEARS T OWNER r'a't�f�i'`�7 Qa 1C c � j NO. (� CROSS ST. ADDRESS .� (`IZuIT�A►•) A-U MAPA11BOOKPAGE PARCEL �j DISTRICT GROUP TYPE FIRE E�SSED BY CITY A) I rC_t%10 -4 C4 -ZIP vDs pl /-� ® ,� CON ZONE ARCHITECT OR TEL. / ENGINEER -- NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS N DWELL.UNITS PG �Ot�j C0NTRACT0R ,1� 1`x'7 (Cr NTEL.O S61,1i 90 USE ZONEFN AP G OADDRESS'4 � t��t�l�'�A1DN0 �.17 �� PECIAL LIC. ONDITIONS CITY ���� C CLASS T ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER NAME AND BRANCH BLD SETBACK FROM >. FROPT PROP.LINE OF (STREETI °— ADDRESS CITY O HIGH AY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SI9i � STORIES FAMILIES ONE O + = U D ,CRIPTION OF WORK NEW � BLDG.SETBACK FROM N ADD SIDE PROP. LINE OF (STREET) Z ALTER ❑ HIGHWAY + YARD- _ TOTAL SETBACK FROM E OF EXISTING — . REPAIR❑ SIDE PROP. LINE HI WAY WIDTH USE OF + _ EXISTING BLDG, DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE - YES ❑ NO ❑ _ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ i 0 �'�\ CATEGORICAL EXEMPTION - YES E] NO E]B I HEREY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT ANO.AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- - STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED - (DATE) HEREBY I WILL NOT MPLOLeERSON IN VIOLATION OF THE LABOR CODE OF (STAT O CALIFON RELAT�G TO WORKMEN'S COMPS T Mf.ET SIGNATURE OF PERMITTEE ADDRESS FINAL BY TEL /'�- -DATE �f CITY ��/ 1��.- NO. S07 � �/ - A KE CHECKS PA YA 131-E 7 0: P.C. PMT. FEE FEE LHARVEY"T. BRANDT, COUNTY ENGINEER ® ) i CJJ PLAN CHECK VALIDATION CK. M.O. CASH PER VALIDATION cK. -,M.O. CASH Y. 5-5 3 SEP 51 D 9-00I 76A638A CE#803 12/72 • 76A638A CE'#8032-63 APPLICATION FOR�' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING.._� Oy✓2.L DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY .JOHN A. LAMBIE, COUNTY-ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING - CROSS ST. DISTRICT NO. GROUP TYPE - PROCESSED BY FOR APPLICANT TO F!INT. 0, 9, i CONST. BUILDING STATISTICAL CLASSIFICATION- SEWER.MAP , ADDRESS/0.2 K P � CLASS. NO.�DW ELL. UNITS "�� LOT NO. � ATER NOT REQUIRED RECEIVED ❑ ERTIFICATE:TRACT AP HIGHWAY O. (CIRCLE) STATE MAJOR COND OCAL NO.NOWSE ZONE 'SPECIAL USE OF - CONDITIONS EXISTING BLDG.OWNER �"( UILDING EXISYARD HWY STREET NAMEETBACK WLDTH ADDRESS J p FRONTARCHITECT OR' P. L.ENGINEER SIDE � }. P: L. CL ADDRESS - - - L V. CONTRACTOR - - ad ADDRESS ,3 O DESCRIPTION OF. WORK . w CL . NEW ADD . ALTER, REPAIR DEMOLISH - Z SQ. FT. /' 'NO. OF NO.-OF .SIZE - �. r STORIES FAMILIES • USE OF STRUCTURE ^- SIGNATURE OF - APPLICANT - VALUATION $' APPROVALS DATE INSPECTOR'S SIGN TURE } PMT, .o�1 FOUNDATION: LOCATION .� FEE $ l FEE $' �•; FORMS, MATERIALS FRAME: FIRE STOPS, I. 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 COUNTY ORDINANCES AND STATE. LAWSREGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK. - AUTHORIZED HEREBY I WILL NOT EMPLOY ANYPERSON IN VIOLA- LATH, INT.' ' TION OF THE LABOR CODE OF THE STATE OF.CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. - LATH': EXT SIGNATUREHOUSE NUMBER COR= - PERMITTEEf I RECT AND POSTED - ADDRESS INAL - .JOHN F. LEWIS, PRINCIPAL STRU URAL ENGINEER . PLAN CHECK VALIDATION M PERMIT VALIDATION CK. M.O. CASH U1"'o.2`.9 8 8�, AUG 24 4 4 .D .004 Lti�o 3 5 3",1"o SEP 8. 1�:D 6.00- 76A638A CE 96032-63 APPLICATION: FORS BUIL"DING• .P.ERMI'T COUNTY'OF LOS ANGELES BUIL ADDRESS /Q ' DEPARTMENT .OF,COUNTY ENGINEER BUILDING AND SAFETY DIVISIONLOCALITY JOHN A.' LAMBIE, COUNTY ENGINEER' NEAREST WILLIAM A. JENSEN, Sup'T OF BUILDING CROSS ST: ' DISTRICT NO. G OUP TYPE CESSED BY,'FOR APPLICANT TO FILL IN —' CONST. BUILDING ' - -•STATISTICAL CLAS KATION EW ERMAP ADDRESS. BK •CLASS. NO. DWELL. UNITS���" _ LOT N 4:1 ry BLOCK. WATER - • - CERTIFICATE: NOT REQUIRED �. RECEIVED ,...TRACT AP /) HIGHWAY - -- • •NO.-O F.BLDGS.' NO.M - (./ (CIRCLE) -STATE MAJO "SEGON ,LOCAL -SIZE OF LOT . NOW-ON.LOT USE ZONE" SPECIAL ' USE OF - .. - CONDITIONS EXISTING BLDG. OWNS TEL � EXIST- :-NO YARD - .. HWY TREET N ME ' -SETBACK WIDTH ADDRESS _ - FRONT.'- ARCHITECT OR t T L.'. - ., P. L. 't•« - ENGINEER NO. SIDEr' ,/ a P. L: ADDRESS - O TEL. V "CONTRACTOR �' ADDRESS (� - _ `O DESCRIPTION OF WORK w a h NEW ADD ALTER : REPAIR DEMOLISH - - Z ,SQ. FT. -,�. NO. OF NO. OF. _ SIZE STORIES _ -FAMILI.ES USE OF - STRU 5 TURE .3 5 ;L L. SN y�-+., rXS _ SIGNATURE OF - APPLICANT VALUATION $ _ - - APPROVALS -- DATE INSPECTOR'S SIGNATURE MT. FOUNDATION: LOCATION FEE $ FEE $�- _,� FORMS, MATERIALS -- FRAME: FIRE STOPS, I 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED.HEREBY I 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 "., - - HOUSE NUMBER COR- PERMITTEE RECT AND'POSTED' ' '-ADDRESS (/ FINAL JOHN F. LEWIS. PRINCIPAL.STRU T AL ENGINEER PLAN CHECK VALIDATION ' s PERMIT VALIDATION cK. M.O. CASH �u 2939 AIG 24 44:D Qd L 3 5.'3 0 o SEP 8 76A638ACE#8`0'32-63 APPLICATION FOR- BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT-OF-COUNTY ENGINEER ADDRESS Bo BUILDING AND SAFETY DIVISION LOCALITY .JOHN A. LAMBIE, COUNTY ENGINEER NEAREST, ` . WILLIAM A. JENSEN,-SUP'T OF„BUILDING CROSS ST. .DISTRICT NO. GROUP TYPE ESSED.BY FOR APPLICANT TO FILL INCONST. ; 5 -� BUILDING'. STATISTICAL CLAS ICATION S WER MAP •ADDRESS ®� .,y - - BK CLA55. NO:�L ,� DWELL. UNITS LOT NO. / LOCK A WATER - CERTIFICATE:. NOT REQUIRED RECEIVED TRACT MAP;.,�_� / HIGHWAY, STATE MAJO ECON :LOCAL ' NO.OF BLDGS. NQ. (CIRCLE) SIZE OF LOT. - NOW ON LOT - USE ZONE SPECIAL USE OF CONDITIONS , EXISTING BLDG. - TEL. a_z OWNER NO. ° BUILDINGEXIST.HWY STREET NAME- EXIST. - 1 SETBACK WIDTH ADDRESS ( FRONT - I ARCHITECT OR ...TEL.' P. L. ENGINEER - NO.- SIDE P. L. ADDRESS.' d O, CONTRALTO. ADDRESS' S"3 0 rx O DESCRIPTION OF WORK u v a NEW ADD ALTER REPAIR.., DEMOLISH .l N Z NO. OF ' NO. OF � /I O STORIES FAMILIES USE OF - STRUCTU'RE P �.0 N i W Aj • • ' f PI • , V SIGNATURE O APPLICANT ` VALUATION $ ov 'APPROVALS, DATE INSPECTOR'S SIGNATURE' P.C. PMT. 451'0 FOUNDATION: LOCATION ` FEE $ G? FEE.$ ,���, FORMS,,MATERIALS - FRAME: FIRE STOPS, I -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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS.VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE'WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- [Z IOLA- LATH, INT. TION OF THE LABOR CODE-OF THE STATE OF CALIFORNIA RELAT .ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT., SIGNATURE OHOUSE NUMBER COR- PERMITTEE 'C'��'�VV/��/may RECT'AND POSTED ADDRESS FINAL _ - JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION :M 'z PERMIT VALIDATION CK. M.G. CASH Li'I �,2 9 9 a: AUG24 4 4 ' ''w ,. .00A _... L .3 5 2 9 1�0. SEP 8 1• D 8.00- ` 76A638A CE#8032-63 APPLICATION FOR BUILDING .PERMIT �- COUNTY OF LOS NGELES BUILDING DEPARTMENT OF COMM ENGINEER ADDRESS �J,2�j BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. _ DIST IC ANO. I GROUPJ TYPE ESSED.BY FOR APPLICANT TO FILL IN CONST. BUILDING e. 4�' ASI , STATISTICAL CLASSI CATION WER MAP ADDRESS BK p CLASS. NOlo. F-DWELL. UNITS LOT NO.-, BLOCK WATER CERTIFICATE: NOT REQUIRED 19 . RECEIVED TRACT MAP HIGHWAY STATE MAJO 5 EON CAL NO.OF SLOGS. NO.;y -� (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE SPECIAL LO USE ` .CONDITIONS EXISTING BLDG. _ - TEL OWNER NO. ZI BUILDING YARD .HWY REET N E EXIST. r SETBACK WIDTH ADDRESSJ 3© FRONT ARCHITECT OR TEL. P. L. ENGINEER NO: SIDE P. L. ADDRESS a TE O CONTRACTO U ADDRESS O DESCRIPTION OF WORK w a NEW ADD ALTER REPAIR DEMOLISH _ H SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE � SIGNATURE O J'y� APPLICANT VALUATION $ a Q'•�f 1J G/ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. /J� PMT. ®Q FOUNDATION: LOCATION FEE s-// -r✓ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS. - I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY-I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S ENSATION I, NSURANCE. \o , LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED. ADDRESS FINAL \ /� JOHN F. LEWIS. RINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION SMS _ PERMIT VALIDATION 'cK. M.O. CASH L�02986% AUG24 44 D .00 Lrit�o 3 5 3 .3:o SEP g 1 D 6.0 0!— 76A636A DBS-3 12.54 - ,�` APPLICATION- FOR:- BUILDING PERMIT 1 ` DIVISION OF BUILDING AND SAFETY BU 1LDiNG p. ADDRESS 10241 Lourr Azu-.n Rn.; Department of County Engineer , County Of LOS Angeles LOCALITY EZ RIOT1tP.- ;3=E9=� COUNTY ENGINEER 'R NEAREST "7� _ CASSATT D:GRIFFIN:SUPT OF BUILDING CROSS'ST..ATI3p tP,TI. rA V DISTRICT O. GROW SEWER MAP P FOR APPLICANT TO" FILL IN I ' (TYPE I Pc BUILDIN 4 g� 1, a CONST. ADORES V+�ul Lower_"AZL'1.SS. Road MAP STATE YES NUMBER HWY LOT NO. - ,,''1 C USE ZONE. 'SPECIAL'NS .. -- TRACT.�.111�s0•. V. / CONDITIO i NO.- F.BLDGS. ` SIZE'OF LOT•'75 X.122 I NOW ON.LOT �� BUILDING" '.YARD HW Y STREET AM - EXIST. USE �TQ•1 SETBACK -WIDTH EXISTOING BLDG: 3 Cal.G-4R' f ', -` ;i FRONT 0 0 "OWNER Elizabeth Qi IIIA t-F,n SIDE .MAIL ' ADDRESS 1.125 Pine Bluff' Dr. .,. -• -• - • _ w TEL.�+- 1` DWELL: I UNIT S CITY . PasadenaNO. INDUSTRIAL ` ,. V 0,11:a r.7i ^�O)1 2.- L�Sc�UNIT 6 PUBLIC.BLDG. ARCHITECT OR - 'TEL. - - - ENGINEER NO. - 3 APT.—* UNIT 7 ADDN.,ALT., ETC ..ADDRESS - ��' _- 4 COMMERCIAL. 8 MISCEL. _ TEL. — _it. _ CONTRACTORL11,6& 'NOmTP. Rl(�rc No_AjE± - INSP€CYTON RECORD - ADDRESS.x+7.20 Arc en Dr•,; L'11.Mont t/1.10'!;-/ '" e / - ii° _ k ie,�— 'DESCRIPTION OF WORK . NEW -.'.ADD LTER .REPAIR DEMOLISH SO.EFT .. NO. OF. NO:OF _ b L// /�. •:flL/1�l - SITORIES"'" FAMILIES 'USE OF STRUCTURE - a-N .;-,4 -. - p4ep W SIGNAT RE APPLIC _ APPROVALS. •ADD 1172n °`.r� .n hr ST 'I'P - DATE INSPECTOR'S SIGNATURE pq FOUNDATION: LOCATION /'a /'. � /�J� �✓. $ :® V P: C. $ J/ Q�-- FORMS',.MATERIALS 6 �:f vis`Y's'....�F'3 ae FEE- / FRAME: FIRE STOPS, • BRACING. BOLTS I/ VALUATION S / Y /L/ FEE2 FURNACE: LOCATION, - GAS`VENT, DUCTS /-I/ 7 HEREBY ACKNOWLEDGE THAT I HAVE READ_THIS APPLICATION AND STATE THAT THE ABOVE 'IS CORRECT AND AGREE T LY'WITH'ALL COUNTY ORDINANCES' LATH: INT. AMD STAT WS EGULATING BUILDING -CONSTRUC- 'TfON. LATH, EXT: SIGNATRE OF HOUSE' NUMBER COR ".PERM .i' RECT AND POSTED. VL ADDRE 2 n. 11 Monte FINAL .. LL I ''' 1/. =TQX- COUNTY F.NG r.ER ' VALIDATION - Johh Aa Lambie: ( ` (, BYt j•{+ �..!� ':-:`MAR22-. .1 5`. . ...1 1..cJ V:l6 m BY - IJ�1�0 0. �., ' DEPUTYDEPUTY .tlsQ tj D 1 i f.,,r;R 2 7 2 2.00 BY BY U DEPTY _ DEPUTY..- . —• . 76A638A.CE#803 8,'64 APPLICATION FOR •' UI:LDING PERMIT' . COUNTY OF,LOS ANGELES. euLLDING'° 41 ' DEPARTMENT OF ,CO ENGINEER A o o R E ss" Q " x N 2 BUILDING AND. SAFETY.DIVISIQN Loc A LI Ty. •- JOHN'A. LAMBIE}'COUNTY:ENGINEER" NE'AREST,::...• - - COLEMAN,W.JENKINS,SuP'T.oF•BUILO,INGr,__ - CROSS ST. / . • '.., ,�,v,.IC _- .. . - .-.. I. OISTRIC'T N G"ROUP�. 9TYPE - ''-.P SSED-BY^' FOR APPLANT -TO'FILL'IU-, coNST • Ld. ... i ACL���... FICABUILDING STIATiSTIC ' ,ByKrMPAP +' � ADDRESS CLAS ' DWELLUNI TS G ,. I LOT N /_ BLOCK US ON MAP.:.� t S 'TRACT ' - SPECIAL. NO:.OF BLDOS. ✓✓'_ CONDITIONS SIZE OF LOT -. N6;✓OWLOT:T USE O F EXISTING BLOG. % BLDG SETBACK FROM - - TEL •_ FRONT PROP LINE OF. �(STREETI) OWNER42 o �G✓ - NO. - TYPE OF E%1 STING SETBACK•-1 HIGHWAY ARD = l TOTAL' !� 33 ./2,w /7. -� Cvd M p• 'F OM C.L - .- ADDRESS ry Q • ti �O, -�..' HIGHWAY V/IDTH ,- ya _ CITY' /V ,..•'. if 0• ETBACK FROM ' _ ARCHITECT OR ' `TEL DE PROP. LINE OF. r' (STREET) . ENGINEER - NO.. _ _ TYPE'OF`_EXISTING` SETBACK,,,•' 'HIGHWAY }. YARD = `TOTAL ' ADDRESS HIGHWAY WIDTH FROM C L. `>� r EL.-7 LIA CONTRACTOR j�p... NO.. - .V ../ ADDRESS �'� & 1 G� -0 NO: l7 6'G ° CORNER CUTOFF F. YES'. NO'� O Li:c 8 SEE REVERSE'.SIDE FOR'SPECIAL APP VALS' . V CITY. t CL ... - .:,. DESCRIPTION,OF WORK a Z` NEW `' _ADD :.. ;-'`ALTER REPAIR '-DEMO LISN SQ_FT:. '' NO. OF NCO 0,F:,:, _. SIZE " STORIES FAMILIES'. ...-. -. - STRUCTURE' -q/ - - -SIGNATURE OF l"F.I '°"`,- .1`^4_kA4,.�y">s&."'1 APPLICANT 'VALUATION$ - "Ob O APPROVALS DATE. "LNSPECTOR S;SIGNATURE • P.C, ' PMT. FOUNDAT,I ON;'LO CATIO N t / .0 �s ��wA.� F-EE$ � FEE'$ ' FORMS,-MATERIALS �z�Ylr /. '�.t�•R/tr"t, •FR,AME, FIRE STOPS; HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICATION BRACING BdCTS'• _ • _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPEY .F.URNACE:'LOCATION - "� WITH, ALL COUNTY ORDINANCES AND STATE-LAW5.'REGULATING GAS VE T. DUCTS TS-. ' t9UILOING CONSTRUCTION. I CERTIFY'THAT.-IN DOING`THE. WORK - •• AUTHORIZED HEREBY. I-'WILL NOT. EMPLOY-ANY PERSON°IN VIOLA ' TH. INT.- LA - - TION OF THE LABOR CODEOF.'THE STATE OF-CALIFORNIA RELAT=, _ MG TO'WORKM EN6CMPEN SATI I URANCE _ LATH. EXTSIGNATURE:OF � HOUSE NUMBER COR-,PERMITTEE ' � O 'RE.CT..A.ND POSTED 4 t ADDRESS_11LLCL_l`'l—t.`as'/D t.I-L ifil'OP �r 'S"i4 ..F.I,:N A L I - JOHN F LEWIS."PRINCIPAL• S RAL ENGINEER ;PLAN ,CHECK VALIDATION. CK. M.O. : CASH PERMIT VALIDATION .c'ic. Mo. cnsrl I 1J r . - �JUL 2,8 1 ,.D L _ WbRKERS' COMPENSATION DECLARATION • insure, or°a certificate of Woke s'tCompensal on eInsurance, APPLICATION FOR BUILDING PERMIT mor a certified copy thereof (Sec..3800, Lab: C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS f •LL S ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS ' V L.o N-2-L4SA CITY . ��.P L� G LOCALITY Date Applicant NO. OF BLDGS. CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW-ON LOT NEAREST CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOKPAGE PARCEL hundred dollars ($100) or less.) TEL. USE ZONE MAP rq OWNER QS NO. ! -S2�p NO. / 7 '?. I certify that in the performance of the work for which this t } permit is issued, I shall not employ any person in any manner ADDRESS 0 r f(�K V CCL. ie> 'l� SPECIAL a_ so as to become subject to the Ww _ 'C;this ensation Laws. y�� �^ O CITY r • f C) 1�+� 0 ZIP 0—Am ON Date 3—�2' � Applicant '�` ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making Cer icate of DISTRICT GROUP TYPE FIRE P�SSED BY ENGINEER NO. CONST. ZONE � �/ U Exemption, you should become subject t the Workers' `J ,1 1�� 3 LU Compensation provisions of the Labor Code, you-must forth- ADDRESS R J . 9 — with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATIONAPT. CONDO. N deemed.revoked. CONTRACTOR NO. 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 LIC. SEWER MAP and Professions Code,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION DESCRIPTION OF WORK Q L,05P NEW ❑ Contractor Date ADD $ 1:1 ) (J v El ► I am exempt under Sec.— TIN rz LTER B.&P.C. for this reason (7 rn A L7O0ANN FCl REPAIR ❑ $ . Date: USE OF EXISTING BLDG. �� �Q� DEMOL ❑ Signature APPLICANT TEL• c' FINAL OWNER-BUILDER DECLARATION (PRINT) "►� T� NO. Zs (61 yy��.� I hereby affirm that I am exempt from the Contractor's License DATE ADDRESS 01��vy '� - Low for the following reason (Section 7031.5, Business and FIN fessions Code): PRESENT By I, as owner of theproperty, or m em to employees with BUILDING i Y P Y ADDRESS �i•t•T n s wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY �r 7044, Business and Professions Code.) MOVING TEL. 5 T x'8. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. I t EIMS with licensed.contractors to construct.the project (Sec- ADDRESS TOTAL tion 7044, Business and Professions Code.) �� ® 50 REQUIRED TOTAL SETBACK FROM EXIST. /� r•LL��, f CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH t• S1`1 2.8.Js) I hereby affirm that there is a construction lending agency for rFRONTthe performance of the work for which this permit is issued(Sec. 3097, Civ. C.).Lender's Name /1`/ }$ ��/ 1 LDMA Ref. # 00 3i 1�it_1 ,�, ��','v Permit Fee Lender's Address PM12:15 0 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# 111 0 8 above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, L% Total Fee f J iJ LDMA Perm. # a and hereby authorize representatives of this-County to enter n bove-mentioned property.for inspection purposes. �! o (/�// SEE REVERSE FOR EXPLANATORY LANGUAGE n ignature of Applic nt or Agent Date To V COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS SIGN BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9903040006 PHONE: (626) 285-0488 EXT: LEGAL ID: NUMBER OF SIGNS: I BUILDING ADDRESS: TR: 11148 LT: 1 BL: A SIGN DESCRIPTION: PLASTIC LETTER (NEW SIGN) 10241 LOWER AZUSA RD TEMP CA 917804027 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ARDEN DR. 8585-015-001 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: ISSUED ON: PROCESSED BY: EXPIRES ON: EL CAPIRO EXIST OCC GRP: 03/04/99 UT 03/04/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL CODE: UGARTE ROSA - 700 73T 102 BEVERLY BL -11 MBLO 906404303 FEES PAID DESCRIPTION OF WORK NEW SIGN - PLASTIC LETTER ATTACH WITH SCREWS FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTIONRESID---__ 700.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O-EN-_HC__-: -_ _y,700,.00 VAL 43.50 TOTA�FEES 71.75 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS r (� J( " SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: - J(� FOUNDATION/TRENCH FORMS LIC. NO �1111111 �` � SUPPORT STRUCTURE O MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 00 NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: _ — - -- NO 20 SCHOOL WITHIN -HAZARDOUS AIR QUALITY: 1000 FEET MATERIALS Z7 i j NO NO NO Ir_ REPORT ID: DPR261 ROUTE TO: BS0508