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HomeMy Public PortalAbout9415 LOWER AZUSA RD_Building__ ADBS.9 11-55 APPLICATfOill FOR BUILDING PERMIT ], ns® DMSION OF BUILDING AND SAFETY ADDRESS97 15- d W r Imo. A L v s A Pb, Deportment of County Engineer b County of Los Angeles LOCALITY TFWt I �- t GITY JOHN A.LAMBIE. COUNTY ENGINEER NEAREST u CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRacT NO. GROUP I TOPE .71 ISEWER SK MA PG �/ d�/ X17_MAP �y coNsr: STATE ADDIN DRESS LII r R. q�H /T NUMBER V , HWY YES N LOT NO. ! BLOCK USE ZONE SPECIAL CONDITIONS TRACT �t NO.OF BLDGS. SIZE OF LOT Q� /` I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST' USE OF SETBACK WIDTH EXISTING BLDG. FRONT AT [ L P. N l3 1 OWNE •. SIDE MAILP.L. ADDRE3397/r_k 11SA A• O TRACT DWELL. I UNIT TEL 5 INDUSTRIAL CITY �. N 1 DWELL. I UNIT 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS .7 ADDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS ADDRESS 4 COMMERCIAL 8 MISCEL. CONTRACTOR 4NO' INSPECTION RECORD ADDRESS �!'� �'� �sN.1 M. ��A-1- DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SIZE STORIES FAMILIES USE OF STRUCTURE) ��'' /rg ©� ��•4r 'og SIGNATURE APPLICAN {+ APPROVALS ADDRESS a• Q I� DATE INSPECTOR'S SIGNATURE $ FOUNDATION:LOCATIOFi: *.. ,-*� -y q P.C. $ FORMS.MATERIALS '= 4 m v- ®� FEE FRAME: FIRE STOPS. -- VALUATION Alv 'r FEE $ O O BRACING. BOLTS "- ;T."6"' t;, ; FURNACE: LOCATION. �' rb' F": '`;`'F•:^-� •r I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS, GAS VENT.DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECTI '+` AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT. L: :-•,''-�:�-- _ ..�.a;•r AND STATE LA S REGULATING BUILDING CONSTRUC- TION. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL IOHN A.LAMBIE.COUNTY ENGINEER VALMATM.N CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR CK MO CAl3 02747`0 NOV 27 1 2.00 � ��TS�NT of 8 SAFETY •-••_AAAWM C%JALJ ASZL • A COUNTYCW �DEC2119 UIL ® 1NG WM. J■ FOX, OHIEF mmim '!R FOS APPLICANT TO F." IN FOS OFFICE=ONLY DISTRICT NQ PLAN OK.NO. PERMIT Na NUILDINN ADDR!® !?067 4 LOCALITYREOEIVm BY DATE OF ADPL. DATE 1001.110) WXARWf dr =0,!. CROP lT BUILDINE OWNER ADDRESSMAIL ADDRESS LOCALITY ' C .• rNXARIw � �- OROSB ET. FIR! NO.OF TYPE EROUP AROHITiOT OR ZONE PLANE a/ ENSINE BLDG. �4� •�¢� � O . ADDR SETBACK LIN! • APPROVED OONTRAOTCR BY DAT! USE APPRDVED ' ADDR[S■ ZONE ■Y DATE DlBCRIPTION LOT NO. B OK TRACT •z f .I s'' ow; zu so BIZ! OF LOT d .?I d NOW ON LOT ' USE OF No.OF NO.OF EXISTING BIDS. FwwILIM RCOME eirp NEW 90� ALTERATION ADDITION REPAIR MOVING DEMOLISH _ •/ _ Z ISIZZ ROOMS ETORIEBWALL nor r 013VENINERAtegmI OCVERINegk2mev� , !_ •' UB!DF NEW ■UILDINE 2 ! . oL 1 HEREBY AOKHOWLEDS! THAT 1 HAVE READ 'THIN APPLICATION AND STATE THAT THE ABCV! IN OORRECT FOUNDATION,IAOATIONMR AND AERIE TO COMPLY WITH ALL DOUNTY ORDINANCES RJiNDA11 NN1MMi LU LB if 1 �, AND STAT!LAWS RESULATINO BUILDINS OON■TRUOTION. FRAMEi FIRE■TCPSr BIENATUR! OF a/- � " BRADINE.BOLTS PERMITTE • ��. LATH, INT. AUTHORIZED AET �• LATH. orr. TGA90R1W 1C4O * /y P.Q* 00 PLASTER, INT. %6IFER, �� �• PLASTER,EXT■ . VALUATION / f F!! �� FINAL CSG 76AG38ACE*8083-66 APPLICATION FOR'BUILDI G PERMI COUNTY OF LOS ANGELES BUILDING G DEPARTMENT OF COUNTY ENGINEER ADDRESS `. AR BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE•.COUNTY ENGINEER NEAREST COLEMAN W. JENKINS SUPT OF BUILDING CROSS ST. DISTRICT NO GR TYPE Ph-vestBY FOR APPLICANT TO FILL IN —, 0 271, CONST. BUILDING t. STATISTICAL C IFICATION SEWER MAP ADDRESS CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK USE-ZONE MAP j) TRACT SP (� SPECIAL NO. OF.BLDGS. / CONDITIONS SIZE OF LOT NOW ON LOT USE OF 3 BLDG, BLDG. SETBACK FROM , TEL. FRONT PROP. LINE OR (STREET) OWNER { NO. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS rrNIGH Y D F M C.L. ' Ty RCHIT CT Ty OR TEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OR EXISTING SETBACK HIGHWAY -1- 'YARD = TOTAL ADDRESS ,y HIGHWAY WIDTH FROM C.L. CONTRACTORie' tJ + LIC CORNER CUTOFF YESE:1- NOEj ADDRESS / NO C cIT ' SA SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTIO OF WORK - L NEW ADD LTER REPAIR DEMOLISH SQ.FT. O. OF NO. OR SIZE STORIES FAMILIES USE O F e '�1� I 1 /Iii>�•,..f ✓P•r_.-" ! l- L.2F•dam.. STRUCTURE ' a IGNATURE OF APPLICANT VALUATION.$ ( I ,00 , APPROVALS DATE INSPECTOR'S SIGNATURE `� FOUNDATION, LOCATION FEE$ FEE.$ a (/ FORMS,MATERIALS - FRAME, FIRE STOPS,- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT /0��7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILOING CONSTRUCTION. I 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- Al . ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATUREOF HOUSE NUMBER COR- PE4tMITTEE RE AND POSTED ADDRESS9.4t ' 1 NAL 41'7�n� +. ✓r��2r--. JOHN �LF..�LEWIS. P7RIINCIPAL MCK. RAL' ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PEEN I VALIDATIOM.OCASH Lffio-7 8 � MR29 1 D 1150- V WORKERS'COMPENSATION DECLARATION 'fl I have a certificate of- r ffirm tself APPLICATION BUILDING PERMIT %rinsconsent ;ora certified copy there-5f(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY / Policy No. Company BUILDINGI ❑ Certified copy is hereby furnished. FOR APPLICANT T ADDRESS s FILL IN 1 1 �l Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS yy-- a Date Applicant CITY �i s.s ZIP a' 9 O LOCALITY 1 1 CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT �® �. ® NO.OF BLDGS. NEAREST COMPENSATION INSURANCE NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL' Q USE ON MAP 1 certify that in the performance of the work for whichis OWNER E NO. NO. permit is Issued, I shall not employ any person in any ma gr ,-r1 1 SPECIAL so as to become subject to th4ht Com ensu ion aw ADDRESS t1+' CONDITIONS U Date O ' Applic CITY rdo ZIPARCHITECT OR TEL. DISTRICT G&,OUP TYPE FIRE PR CESSED BY O NOTICE O PLI T: If, athis rtifica a tK/1J/�)p y ENGINEER NO. �/ CONST. ZONE WExem tion, ou should becct to The War rs' Compensation provisions of the Labor Code, you must f th- ADDRESS l with comply with such provisions or this permit shall beN deemed revoked. STEL. STATISTICAL CLASSIFICATION APT. CONDO. CONTRACTOR NO. ^ � Z LICENSED CONTRACTORS DECLARATION f LIC. CLASS NO. a 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 in full force and effect. CITY CLASSVA0011�V[L A SQ.FT. NO.OF NO.OF / CHECK BK. r PG. License Number Lic.Class SIZE D STORIES FAMILIES a ONE # o 0 2 3 2 3 Contractor Date DESCRIPTION OF WORK d t0 NEW $ �❑ VALUATIO � () l� 1 - 42(175 1a r� ADD ❑ I am exempt under Sec. NI ALTER ® ° - 42Q755 USE B.BP.C. for this reason ^r/ r"d REPAIR ❑ $ �y 10,21 -87 Date: RES] r- / DEMOL ❑ EXISTING BLDG. L 1 Ia.a Signature APPLICANT TEL FIN OWNER-BUILDER DECLARATION PRINT 61'- NO. DAT I hereby affirm that I am exempt from the Contractor's License �j; �, Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT BY BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SETQBACK YARD HWY TOTAPROPLINE WIDTH 9933.5 A I hereby affirm that there is a construction lending agency for FRONT # 0 0 0 0 0 the performance of the work for which this permit is Issued P.L. (Sec. 3097, Civ. C.). SIDE .1 - 50550 P.L. Lender's Name C4 l �Z S�-I IA�3Cr T} LDMA Ref, # ° 0505500 Lender's Address 9.k1� !�/� TcL 117 P.C.Fee$ s Permit Fee ` (/ 04,07-88 1 certify that I have read this application and state that the Issuance Fee / LDMA P/C H above information is correct. I agree to comply with all County Investigation Fee �" ` ordinances and State laws relating to building construction, Total Fee J J ✓ LDMA perm. 1t and hereby authorize re a entatives of this County to enter u n the ab ve-mentio a property fo spection purpo7C4 + ^� u y- � SEE_REVERSE FOR EXPLANATORY LANGUAGE SI &, F App scant r ent Dat