HomeMy Public PortalAbout9561 LOWER AZUSA RD_Building__ ,.AODeA Cit#&W6-09 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT WO GROUP TYPE 97
OCESSED Y
FOR APPLICANT TO FILL IN CONST
BUILDING STATISTICAL SIFICATION I SEW R WAP
ADDRESS IlL
CLASS NO OWE L NITS
LOT NO 3 BLOCK MAP STATE
YES
TRACT 5342 U$ZOVE SPECIAL H
NO OF SLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF House
BUILDINGEXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER Ala OS Toth FRONT
MAIL P L
ADDRESS 9561 Lower Azuza Rd. 2m SIDE
TEL P L
CITY TempleNO INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
D
'�lll� P� ConstructionCo. TELOL 3134
NO
ADDRESS 7970 Melrose Ave. L.A.
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
to existing rior
SIGNATURE OF APPROVALS
APPLI CA
DATE INSPECTOR S SIGNATURE
ADDRESS 0 Me r0 a 'Ave. FOUNDATION LOCATION
FORMS MATERIALS
1.100.00 FEE $ FBRACING BOLTSS.
VALUATIONS FURNACE LOCATION.
FEE 9.00 GAS VENT DUCTS
I HEREBY ACKNOWLE E THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE M
E IS CORRECT AND
AGREE TO COMPLY W L DINANCES AND H,EXT
STATE LAWS REG TI NSTRUCTION.
SIGNATURE F USE NUMBER COR-
PERMITT RECT AND POSTED
ADDRESS O e OSe Ue FINAL �. •S'�' ��h j.�
CLYDE N DIRLAM,PRINCIPAL STR RAL ENGINEER
PLAlf CHE=VALIDATION CK. M O CASH PERKY VALIDATION CK M O CASH
LQ 17 9 8 Auc 2 7 l A 9.0 0