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HomeMy Public PortalAbout9376 LOWER AZUSA RD_Building__ : .: APPLICATION FOR BUILDING PERMIT Fbk-,f P,PLICAINTTO'FILLIN (Print or type only) _ ' COUNTY OF LOS ANGELES ADDRESS �' R 1` q hj� DEPARTMENT OF COUNTY ENGINEER BUILDING .� �.ra : R �S'V-5 H• N CITY iIP BUILDING AND SAFETY DIVISION XNO.OF BLDGS., BUILDING SIZE OF LOT �/0 XNOW ON LOT ADDRESS ? 3 �j TRACT B != LOCALITY 7?t TEL. NEAREST OWNER Q•7 I, NO. CROSS ST.. (� r ASSESSOR ADDRESS :vjl w J'�J MAPBOOK �,� GE PARCEL T DISTRICT GROUP TYPE FIRE• P ESSE BY -CITY- / ( ZIP ��- CONST: ZON c ARCHITECT OR TEL. U(J ENGINEER NO. STATISTICAL CLASSIFICATION / SEWERfAAP ADDRESS. TEL. CLASS NO. �� DWELL.UNITS L— 86�� PG ' ' , CONTRACTOR p NO. USE ZONE MAP LIC. NO. ADDRESS - ry NO... / SPECIAL LIC. Z CONDITIONS CITY CLASS CONSTRUCTIOff��II JJ,EEKDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRS�NCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF , NO.OF CHECK HIGHWAY t YARD ' = FRONT PROP.LINE IHIGHWAY WIDTH SIZE STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW ❑ + — p ADD BLDG.SETBACK FROM • ¢ ` ! I SIDE PROP.LINE OF (STREET) O ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH . h ..USE OF - REPAIR Z EXISTING BLDG. �Sr �+ DEMOL ❑ + APPLICANT TEL 6 /p CORNER CUTOFF - YES ❑ NO ❑ (PRINT) - 6 NO./f '/.3� yy IN OPEN SPACE YES ❑ NO C]BY(SIGNATURE) • IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ p,061 1 HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION*AND STATE iF� �?i�fNG THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY'WITH ALL ORDINANCES. AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE /.JrTry _ "J.. i_!g WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF , THE LABOR CODE OF THE STATE OF CALIFORNIA INRELAT OWORKMEN'S COM. PENSATION INSURANCE. - SIGNATURE OF / PERMITTEE ADD FINAL BY TEL. DATE CITY NO.' MAKE CHECKS PAYABLE TO: P.CFEE. $ FEE $ HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK, M.O. CASH ''PERMIT VALIDATION CASH 15 1 U 62.25A ®s 76A638A CE#803 3.75' APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN '(Print or type only) BUI�i DINGCOUNTY OF LOS ANGELES ADDRESS 'I a wev 4AVSDEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING 01� / L-0 OLJ Vr ZLAs SIZE OF LOT SD xao- NOW ON LOT ?� ADDRESS / L..- TRACT 14LOCK LAT NO. LOCALITY Q yj (Q- at TEL.����// NEAREST ( OWNER ,���(f / NO. 7TW CROSS ST. 0MQ ASSESSOR ADDRESS �OA MAP BOOK PAGE PARCEL NE CITY �I°fjt _ ZIP ��a'� DISTRICT GROUP TYPE FIRE IP ESS BY ARCHITECT OR _ TEL. S ©� I GONST. J'j ?O� - ENGINEER NO. STATISTICAL CLASSIFICATION SE ER MAP ADDRESS CLASS NO. v' DWELL.UN ITS Z_ BKq' c4PG TEL. r7 CONTRACTOR NO USE ZONE MA NOP ADDRESS -NO. /Cly (�O SPECIAL LIC. ` CONDITIONS CITY CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ _ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF TREET) ADDRESS CITY HIGHWAY + YARD :TOTAL S CK FRO TYPE OF EXISTING SQ. FT.r NO. OF NO. OF - CHECK FRO P P. LI HIGHWAY WIDTH SIZE JO STORIES FAMILIES 'ONE . y DESCRIPTION OF WORK SOC(. R I �•@ NEW ❑ + C / <U /L$Q/r?/ -ADD AN BLDG:SETBACK FROM ,C.4 ( r ^L SIDE PROP.LINE OF (STREET) C ��n�� ALTER ❑ HIGHWAY + YAR = TOTAL ETBA FROM TYPE OF EXISTING V C[GC V C REPAIR❑ S ROP. E HIGHWAY WIDTH USE OF �g _ t EXISTING BLDG,.. Imo•,1'1 NL 414 d ie DEMOL ❑ + .APPLICANT ��r �p�� , NO ¢ CORN9R CUTOFF YES ❑ NO ❑ IN OPEN SPACE YES ❑ NO ❑ BY (SIGNATURE)IB/ INCOASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION:$ w I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _ VWITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- I STRUC TI ON. I CERTIFY THAT IN DOING THE WOgK AUTHORIZED pay p HEREBY I WILL NOT EM PLOY ANY PERSON IN VIOLATION OF THE O LABOR CODE OF THE STATE OF •CALIFORNIA IN ,RELATING TO fwiw,p i/�(Lr / /✓1 I WORKMEN'S COMPENSATION INSPANNCE •,.I� I p SIGNATURE OF Z/-(*' _ .- n PERMITTEE k , V / ADDRESS m ! 0/7 < � /I/►p 6 FINAL k) I y�TEL.oW DATECITY �A �oTIi !�a ' NO. �! I h1AKE CHECKS PAYABLE TO: P.C. PMT..$ FEE' FEE HARVEY T. BRANDT. COUNTY ENGINEER 6171 rl S PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.o. CASH 7 .4 31PINOV 12 1 1) 6P-6 2.25 du,8 76A63BA CE#609 S/74 -