HomeMy Public PortalAbout9400 LOWER AZUSA RD_Building__ DET'`a;EtTWENT OF BUILDING AND SAFET 2 � :iPPLICATION FOR PERMIT
COZ�NTY OF LOS ANGELES �[ 99 BUILDING� a �®I
WM. J. FOX, CHIEF ENGINEER
'POR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
FDORE
(/Gr Q
l Q G(J•f/� .q1 V S 1 p 3 !50-/ ` �-z �
TEMPIE CUT
RE EIVEDBY DATE OFFAPPL. DAT ISSUED
e BUILDING /� �{
OWNER ADDRESS 27 O / do &Lof Y
MAIL •� LOCALITY.-w yt/%¢
ADDRE88 S3 J Q NEAREST
TEL. CROSS ST.// ®� �( /�
CITY NO. FIRE NO. OF IITYPE I GROUP /`
ARCHITECT O TEL. ZONE PLANS
ENGINEER BLDG. OJZD. NO.
. SETBACK LINE �V .yPr-l.iG /•/I!7 �l
ADDRESBMIP so APPROVED
•
TEL BY DATE
CONTRACTOR NO. USE APPROVED
ZONE,4—_/ BY DATE
ADDRESS HOUSE NUMBERING
LEGAL ,Q .�v
DESCRIPTION I LOT NO. >'Y e I BLOCK MAP NUMBER 1 p 1 J FIELD CHECK BY
TRACT .� 9: Z,C, jrd N 6-10-`y c/S n C/le; NO. ASSIGNED BY j5_- DATE
NO. OF BLDGS. „ CORRECTIONS
SIZE OF LOT NOW ON LOT `fir
USE OF I NO. OF /
EXISTING BLDG, FAMILIES
�__.�c+I= . h x.61 taRJr
DESCRIPTION OF WORE
XEW I I ALTERATION I I ADDITION I C�� s[ sn (r ��/�/% ✓/�
REPAIR I I DEMOLITION
SQ. FT. NO. OF 'n
SIZE ® ROOMS . STORIES Y
EXT. WALL ROOF 1'
COVERING OVERINGCDJA SH
USE OF STRUCTURES
TRUCTURE 'mate• e
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT. /
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, •
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION, (r['
SIGNATURE OF GAS VENT,-DUCTS
PERMITTE
(1121WI 130-414-4-44W LATH, INT.
ADDRESS
`v
AUTHORIZED AGT.- !' csk LATH, EXT.
'
i
PLASTER, INT.
7GA436A•DBB 10-60 P, C. $ 3-1-1® � O FEE 7,�- PLASTER, EXT.
R-5-0 �p �
VALUATION FEE $ FINAL 14,,-60"e'8`[ v17
l
DEPARTNIENNT OF BUILDING AND SAFETY PPLICATION FOR PERMITCOUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADDRESSBUILDING DISTRICT NO. PLAN CK. NO. om PERMIT NO.
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
NEAREST -
CROSS ST. BDING
AD RESS
OWNXR -'
MAIL LOCALITY
ADDR S . NEAREST
TEL CROSS ST.
CITY NO. FIRE NO. OF I TYP GROUP
ARCHITECT OR TEL ZONE PLANS 8 f
ENGINEER NO. BLDG.
SETBACK LINE ��
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR NO. USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. ,mB kcCK MAP NUMBER FIELD CHECK BY
TRACT NO. ASSIGNED BY DATE
SIZE OF LOT �� I NO. OF BLDGf3y CORRECTIONS
NOW ON LOT
USE OF NO. OF
EXISTING BLDG. �9 & 'FAMILIES
DESCRATION OF WORK
NEW I I ALTERATION I I ADDITION
REPAIR I I DEMOLITION
SQ. FT. / NO. OF Q
SIZE tD D ROOMS STORIES Z
a
EXT. WALL ROOF r
COVERING COVERING
USE OF STRUCTURE
4 _ I
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING 1ILDING CPDLSTRUCTION.
FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTER
LATH, INT.
ADDRESS
LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
70AEi8A- DBii 10-60 .� •�p P. C. $
® . ' FEE PLASTER, EXT.
VALUATION FEE $ FINAL