HomeMy Public PortalAbout9231 LOWER AZUSA RD_Building__ 7BA638ACE08038-64 APPLICATION FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING l
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION L O C A LI T L,: •
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST _29,_v
COLEMAN W. JENKINSOUP•T-OF BUILDING CROSS ST. �l 1�cL
DISTRICT-N GROUP TYPE, PR B
FOR APPLICANT TO'FILL IN _.~ p j .CONST.'
BUILDING STATISTICAL CLASSIFICATION SEWER MAP •.•
ADDRESS , CLASS NO. ��WELL UNITS' BK PG
LOT NO. r L04CK USE,ZONE MAP
NO.
TRACT. SPECIAL
N0. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
E XIS
I G BLDG. BLDG. SETBACK FROM
•FRONT.PROP. LINE OF (STREET)
OWNER qq �OL t TYPE OF EXISTING' SETBACK H10HWWY + YARD = TOTAL
ADDRESS /�. 0 Ci(J f�I/ fa�Il HIGHWAY IDT 'F M C.L. -
CITY d`ro BLDG. SETBAC FROM_ -- ••
A TE SIDE PROP. L NE OF -(STREET)
ENGINEER . Q NO d. TYPE OF EXISTING SETBACKHIGHWAY + YARD = TOTAL
® v - HIGHWAY WIDTH FROM C.L. d
ADDRESS
TV
CONTRACTOR NO ..0
EL. +
LIC
ADDRESS NO CORNER CUTOFF ES NO _ O
CITY cls `SEE REVERSE SIDE FOR V
SPECIAL APPROVALS W
DESCRIPTION OF WORK i Z
NEW P ADD ALTER REPAIR DEMOLISH
SQ,FT. NO. OF NO. OF
SIZE STORIES FAMILIES
.STRUILVALUATION
TURE %/ Atl
RE ONT
$ DD cl
APPROVALS PATE INSPECTOR'SSIGHIiTVE
P.C. PMT.$ L� FOUNDATION, LOCATION
FE FEE FORMS,.•MATERIALS_ / F
-FRAME, FIRE STOPLTS, - 7'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BO '
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY FURNACE: LOCATION -
WITH ALL COUNTY ORDINANCES'AND STATE LAWS REGULATING GAS VENT. DUCTS
•9UILD ING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY•I'WILL NOT EMPLOY-ANY PERSON IN VIOLA- LATH. INT. '
TION OF THE LABO ODE OF THE STATE CALIFORNIA RELAT-
ING TO WORKM• Cn NSATION R CE. '.LATH: EXT. '
SIGNATURE OF , HOUSE NUMBER COR--
PEitMITTEE RECT AND.POSTED
_ r
ADDRESS id
t f Fl NAL
0
JOHN F. LEWIS. PRIPICIP/YL SDCK
URAL ENGIN ER
'PLAN CHECK VALIDATION CK. M.O. CASH _ . ' —PEIMIT VALIDATION M.O. CASH
L - -0_2 8w �EB 23 ;1 D8.0 0M .