HomeMy Public PortalAbout9346 LOWER AZUSA RD_Building__ 76A68BA CE#608 66 APPLICATION FOR BUIL TNG PER
COUNTY OF LOS ANGELES BUILDING 3 '
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOC A LI T Y
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS;SuP'T of BUILDING CROSS ST.
DIST WT. N G OUP [TYPE PR Y
FOR APPLICANT TO FILL IN , _ CONST.
BUILDING E3
� STATISTICAL CLASSIFICATION SEWER AP
` ADDRESS A C US CLASS NO. DWELL UNITS BKS, PG�
LOT NO. LOCK USE ZONE MAP
TRACT -
1 NO. 45
SPECIAL
+ N0. Or BLDOS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
S NO al
I BLDG. SETBACK FROM /AJ
��.��++w ,LL NOL FRONT PROP. LINE OF. Zee" ek•/rZG!5S,(STREET)
DOWNER + —
TYPE AF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS Z3 UlIi�
/1� HIGHWAY W D FROM C.L.
CITY (� ;CSI.. 70 y-' +
AT RRCHITECTEL B.L7DG�:SETBACK FROM
ENGINEER NO. .2,'? SIDE PROP. LINE OF. (STREET)
B _ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS / HIGHWAY WIDTH FROM C.L.
TEL + _
CONTRACTOR O a
LIC CORNER CUTOFF YES NO C
ADDRESS . O '
CITY' CLASSLIC SEE REVERSE S. E FOR SPECIAL APPROVALS' F
DESCRIPTION OF WORK-' CURB,GUTTER, DRIVEWA
AND PARIQUAX C G
NEW ADD ALTER REPAIR DEMOLISH
T. /, NO.' OF NO. OF
SIZE L+ STORIES FAMILIES ate: Permits for curb, gutter, sidewalk, a-c: driveway approach In-
'USE OF fficsl_ n +'�..,! t>
STRUCTURE ` '=-' r ^^
Me, or T. C. Co. Enginaei s Gs'4ia! im!—C'%' 'Ofy in order to 'avoid
encu y o ay, urvey eslgn.wo^ ases.tl;+a a.
d is IMF 3Rr?M!l
SIGNATURE OF OI s or'yarkviay tree porrttit.Af
APPLfCANT ✓ ' ifyHdii: -''% �J�� F�[�r�lf✓`/� c lrC�•`f�s�flr �
VALUATION$ ; �. O: •00 APPROVALS � DATE INSas
P.C. PMT. O FOUNDATION.f:L'O.CATION•• .: '' tip.
FEE$ FEE$ 3,3
—� FORMS,'MATERIALS / !9
FRAME, FIRE STOP
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT = " a•; 4�i; , 9
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS '�''• " '
13UILDING CONSTRUCTION. 1 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' O PENSATIO TSU NCE. LATH. EXT. "� '•
SIGNAT.UREO HOUSE NUMBER COR- I
PERMITTEE RE AND POSTED
ADDRESS FINAL
✓`�ala vL/F►
JOHN F. LEWIS. PRINCIPAL'=STnCK -,
RAL ENGINEER
PLAN CHECH VALIDATION M.O. cnBH PERM VALIDATIONil:o, eaBH
i 8 o�a. 5- AFR 17 2 3"D 1.;1.0 01 -
- 5 9 5 5-E.— JUN 8 1 D 3 3.0 0 N•
DIVISION OF BUILDING AND SAFETY
6114G
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT N0. PLAN CK.OR RED.NO. PERMIT NO.
BUILDING
ADDRESSC�
�� EC�EIVED BY DATE or APPL DATE IBBUED
LOCALITY / .�Af} /i ��. d+? /J �( fJl�f'!7 e� / e q
NEAREST //��!(�c1 (9 J
CROSS ST. BUILDING Q c
�y ADDRESS
OWNER
MAIL,' LOCALITY
ADORES lg a :(,_ /� � Wil; NEAREST a
u y CROSS ST.
1� TEL �1y�
CITY ✓/..Y/1�JJRis'�-f'.0 (s: iv NO. FIRE NO.OF TYPE SROUP
ARCHITECT OR V TEL ZONE 'a PLANE
ENGINEER NC. /
BLDG. � 6
SETBACK LINE41
ADDRESS USE APPROVED A-O
TEL ZONE BY DATE
CONTRA TO �_ �__,•� O. HOUSE NUMBERING
J �, � ,+
ADDREB !0000'� a-G� rf v,l...�-�1:ra r(,F+. �1"✓ dpi• 1t"�'f�: MAP NUMBER '16'"
NO- ASSIGNED BY
LEGAL
DESCRIPTION LOT NO. _ BLOCK,✓ CORRECTIONS
TRACT Z4
/� Q
NCL or ow
SIZE OF LOT._t1 4,Y,/
/ Dd I NOW ON LOT S.
UBE OF NO.OF
EXISTING BLDG. I FAMILIES
DESCRIPTION OF WORK �°
0
NEW I-JALTERATION ADDITION Z
D
REPAIR DEMOLITION r
SFT. / ND.OF
SIZE
E (:i RQOMB STORIES
EXT.WALL I ROOF
COVEPJNG COVERING
USE DF STRUCTURE ....
INSPECTION FOR APPROVALS
OCOUPANCYAS INBPECTOR9BSI NA RE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
CORRECITN AND STATE THAT THE INFORMATION GIVEN IS F BRACING ESTOPS, �L '
I AGREE TO COMPLY WITH ALL ORDINANCES
AND STATE LAWS EGULATIND BUI DOING CONSTRUCTION. FURNACE: LOCATION, w
GAS VENT,DUCTS
SIGNATURE.GF ~ LATH, INT. r
•
PERMIT'TE '� , p"— � + "_mei
// LATH, EXT. V
ADDS
!!JJ PLABTERr INT. �
AUTHORIZED AOT.
PLASTER, EXT. l
P. HOUSE NUMBER COR-
RECT
OR- 1
O
`/ FEEE S
RECTAND POBTED
VALUATION
FEE � " RINAL
76AS313A DBS 3 1-32