HomeMy Public PortalAbout9515 LOWER AZUSA RD_Building__ BA888A CE#809.7.58 APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION ABUILDING
DDRESS
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Department of County Engineer J
County of Los Angeles LOCALITY
JOHN A.LAMB1E. COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST
DISTRICT NO. GROUP I TYPE EWER- MAP r
FOR APPLICANT TO FILL IN -/ls�' B -
BUILDING r/5" wsC'/. 6t n r CONS
ADDRESS �J J l�o(• �l q' STATISTICAL SIFICATION I r%
�. CLASS. NO: DWELL. UNITS
LOT NO. BLOCK MAP STATE,
NUMBER HWY
YES O
TRACT USE ZONESPECIAL
_
NO.OF-BLDGS. CONDITIONS
SIZE OF LOTI NOW ON LOT
USE OF �
J1�p %% '
EXISTING BLDG. BUILDINGEXIST.
_ SETBACK YARD HWY STREET NAME WIDTH
OWNER S !/It FRONT
MAILP. L.
ADDRESS rIS" LG aeC A RX w-S SIDE
.... T Or// 7Ly�% P. L.
i
CITY/etit�OL� !4' N INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
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y c TEL , h,7' �_.L- �» 8
CONTRACTOR44,0tLIQ44jW�O10,4 N
ADDRESS
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{ DESCRIPTION OF WORg
NEW ADD REPAIR DEMOLISH
SQ.-FT. Nb.oF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
APPROVALS
SIGNATURE OF
APPLICANT DATE ' INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
FORMS, MATERIALS
P.C. $ FRAME: FIRE STOPS.
FEE BRACING.BOLTS
VALUATION $ FURNACE: LOCATION.
FEE .Q GAS VENT. DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-. LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH.EXT.
STATE LAWS R G BUILDI CONSTRUCTION.
SIGNATURE OF i HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
OHN A.LAMBIE.COUNTY ENGINEER. - CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cx. M.O. CASH PERMIT VALIDATION M.O. CASH
p 2 •5 7 JUL 16 1 2.0 0
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