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Home My Public Portal About9358 LOWER AZUSA RD_Building__ 'BA89BA DBe.9 8•BA■ ■ L I C/-'9T I O i`Yl FOR BUILDING PERMIT �e 'DIVISION OF BUILDING AND SAFETY ADD ESS el J i 4" Deportment of County Engineer County of Los Angeles LOCALITY WM.J.FOX,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP SEWER MAP By FOR APPLICANT TO FILL IN : I C ,PE— f I (.Bx—- G ® � A SS o. YESADDRENUMBER NO LOT NO. / BLOCK 'USE ZO NS E SPECIAL �n1 J(A / OONN/DI�TTI R.� �O M4,4=/, 4 's■ r 7 I Y 1 4 1 1 V I. SR. P/1'r' TRACT NO.OF BDGS. BUILDI EXIST. L ' SIZE OF LOT I NOW ON LOT SETBA K YARD WY STREET NAME WIDTH USE OF �� FRONT EXISTING BLDG. ]� / P.L. OWNER/411�!a F' A r0 S "�' a S ��7Z ��!� SIDE ~ ? / IJ f P.L. MAIL ADORESSJ3t7 � [ [ J"�/a X4 !' O TRACT DWELL. I UNIT -_ 5 INDUSTRIAL / TEL. 7, DWELL. ' I UNIT CITY D e.4 ! NO. - 6 PUBLIC BLDG. 2 DUPLEX I UNIT ARCHITECT OR/10 y/1 TEL. 7 ADDN.,ALT., ETC. ENGINEER O e s d NO. $ APT. UNITS 8 MIscELAe ADDRESS' 4 COMMERCIAL CONRACTQR i3 x N)V ei I�S. NO.. INSPECTION ��R,.EiiCORD �A� T ADDRESS r, -4IpI/� W DESCRIPTION"OF WORK --s:..- .y NE ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF ,i SIZE ® STORIES FAMILIES US OF STRUG U E O SIGNATURE OF d APPLICANT APPROVALS f � s -' ''�� ADDRESS ��• •/ a 22 !i t�� ' /I 'p DATE INSP CTOR'S SIGNATURE FOUNDATION:LOCATIONCI 8 .JI V O FORMS,MATERIALS Z. 1 �- � 1'• ^ "'^.n FRAME: FIRE STOPS, VALUATION Cp BRACING,BOLTS FEE Ll '- FURNACE:LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT" AND AGREE TO COMPLY WITH ALL COUyTY ORDINANCES LATH.INT. AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. LATH.EXT. SIGNATURE OF`� ® HOUSE NUMBERCOR- PERMITTER � "�'�i1''�O''f RECT AND PORTED � ADDRESS-2/ ' wF!7,-lg; . FINAL" u �S' - ! [`J• r""°""' WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.D RLAM.CHIEF BLDG. INSPECTOR _,ACo 8 2 0 C S SEP 21 1 6. 4.0.0 A i; 8 !n u^ SEP 23 1 `. I4kA630A 036.9 8.56 APPLICATION FOR BUILDING PERMIT 5��1 DIlISION OF BUILDING AND SAFETY BUILDING y� z ADDRESS /,- • Deportment of County Engineer m County of Los Angeles LOCALITY g WM.J.FOX,COUNTY ENGINEER NEAREST. /�y/e�� C CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. dV..'-'•+"� yl DISTRICT O. GRO P SEWER MAPTYPE p FOR APPLICAN TO FILL IN /`�1y I CONST. BK r z BUILDING MAP Sj STATE ADDRESS + a NUMBER �✓ HWY p LOT NO. OCK •USW� L� C SPECIAL PCON ke 11 TRACT Cf p e 'y NO..OF SLOGS. BUILDINGEXIST. SIZE OF LOT NOW ON LOTSETBACK YARD HWY STREET NAME WIDTH 5. USE OF �,/ N EX STING BLDG. �dD JCC�P+h v, �. FRONT m P.L. n OWNER Il r� i//fsT.g rm� / R LE M MAIL 7O Jf/ /i / / �7 O TRACT DWELL. f UNIT ADDRESS ✓ 1�� GTc� P'�l Cd!Y e�yi0!? 5 INDUSTRIAL Z TELCITY P A^L' IV17-AI , NO.* y 1 DWELL. f UNIT M' / 1��07 6 PUBLIC BLDG: ARCHITECT OR TEL. 2 DUPLEX f UNIT 7 ADDN..ALT.. ETC. ENGINEER Q�y _ ! ANO. $ APT. UNITS 8 MISCEL. ADDRESS ! IY.Jc` ��d�+IR - COMMERCIAL CONTRACTORy 0=�/ ITvOO�``/4d 7'� INSPECTION RECORD ADDRESS �23tI�-/1/.a-m -c'r*Idr I DESCRIPTION OF WORE NEW ADD ALTER REPAIR DEMOLISH Sq. FT. NO.OF NO.OF --- STORIES / FAMILIES "G»! R� G� ,a,a t . Jk USE OF STRUCTURE 1��4'a� 11 �l Lo 'ret--o- t'1., tq"_ti S:E i,.!.t+ ta11\ M a1 rw . SIGNATURE OF APPLICANT /� 9 / APPROVALS ADDRESS. v �fYr f�'.LJ 1 El�,411, DATE INSPFICTOR'S SIGNATURE FOUNDATION:LOCATION nn L`Ill FORMS.MATERIALS r�.� O FRAME: FIRE STOPS. VALUATION �r '�/ $ v� BRACING,BOLTS ( OI.Ca Gu �S•�e �.. FEE FURNACE:LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT,DUCTS APPLICATION AND' STATE THEN THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.CONTY ORDINANCES LATH, INT. AND STATE LAWS REGULATI BU DING�N TION. (C�.EtLs� � I LATH.EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL {t + T°t - - WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR D6 3 4 9 AUG- 5 16 1 U.0 U e 6 kGo 7' 3 9 2 SEP 1 1 2 0 .Q.0 hereby affirm +not I hoveceate of cn+ to sett I AF'r�L1C A11 ION FOK BUILIJINCs PIE1�11IL11 Insure, or o certificate of Workers' Compensation Insurance, or a certified copy there !vSec. 3800, La v C.) i -, ` COUNTY OF LOS ANGELES 3 ILDING AND SAFETY Policy No ompony BUILDING 1:1Certified copy is hereby furnished. I FOR APPLICANT TO FILL ADDRESS Certified copy is filed with the county building inspec- I BUILDIN /- r.�i tion department. I ADDRESS 6 j Iv �� Date�'� Applicant 'l I CITY ZIP LOCALITY I CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDG5 NEAREST lr/Al / COMPENSATION INSURANCE I SIZE OF LOT NOW ON LOT CROSS ST, i '( (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BBL�OCKK LOT NO. MAP BOOK PAGE PARCEL 1 certify that in the performance of the work for which this I OWNS , � DX T"_N0. l ?Z USE ZONE .--�� permit is issued,I shall not employ any person in any manner ADDRESS ) 7 ! 2 SPECIAL I CONDITIONS so as to become subject to the Workers'Compensation Laws. rr '022 Date Applicant CITY ZIPAdz l Q (P NOTICE TO APPLICANT: If, after making this Certificate of I ARCHITECT OR L. DISTRICT GROUP TYPE FIRE PROCESSED BY Exemption, ENGINEER NO. _ ODt�T. ZONE p you should become subject to the Workers' /� �� / Compensation provisions of the Labor Code, you must forth- ADDRESS 4 t t/ v with comply with such provisions or this permit shall be deemed revoked. TEL STATISTICAL CLASSIFI TION r APT- DO. CONTRACT �� NO. I Lt{/ LICENSED CONTRACTORS DECLARATION LIG CLASS NO. DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code,and my license is i II force and effect. CITY CLASS BK PG VALIDATION d SO. FT. NO.OF O.OF CHECK 0 License Number Lic.Class_ SIZE STORIES FAMILIES ,ONE VALUATION 0 ' ��11 �t� NEW ❑ 0' Coniractor � � '""' Date - L DESCRIPTION OF WORK ❑ s 0 ATii DD ❑I am exempt under Sec. 1. ALTER B.BP.C.for this reason Aiz,_ ' 97106> Am� REPAIR ❑- xis z EXISTING BLDG. USE OF +v ,� &ff � L Date' �/S'C�+ Signature APPLICANT o- FINAL/7 OWNER-BUILDER DECLARATION PRINT NO. 1 17 DATE I hereby affirm that I am exempt from the Contractor's License A Law for the following reason (Section 7031.5, Business and ADDRESS � FI' Professions Code): PRE ENT B ' El BUILDING I, as owner of the property, ormy employees with I ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY , 1 7044, Business and Professions Code). MOVING TEL r hT ❑ CONTRACTOR NO. I a4`41 0 A I,as owner of the property,am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK 1 ITEMS CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP UNE WIDTH 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. TOTAL 60.50 (Sec.3097,Civ.C.). SIDE bQ til P.L. ,�yy Lender's Name G) LDMA Ref. N 4Tt"E .OV Lender's Address P.C.Fee$ Permit Fee / ` polo I certiMleth application and state that the Issuance Fee f 0•v LDMA P/C M �rtN,_ { 1�f�Iaboverec I agree to comply with all County Investigation Fee WLJ11 1 1t89 ordinarelating to building construction, Total Fee t LDMA perm.N ^a 1 ('{y�:�vand hresentatives of this County to enter ��^^ Q��upon ned roperty for inspection purposes. 2- SEE REVERSE FOR EXPLANATORY LANGUAAF I Signature plicont or Agent Date