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HomeMy Public PortalAbout9600 LOWER AZUSA RD_Miscellaneous__ P 2 COUNTY OF LOS ANGELES +� DEPARTMENT OF PL:BLIC WORKS •e�ro' SAN G;&B?IZL VALLEY REGIONA-L OFFICE THOMAS TWE-A%NSOV D.svie BUILDING ASID SAFETY 1.25 S Bald rin Avenue Arcadia, CA 91007 (818) 574-0941 MICROFILM I NYOR-gATION Record Search 1933-1.954 Building Address CCp!UCS --1(10 i�tw A� mciRocality Previous A_cdr-ess 2-2- O 0 Tract No. _ Lot No. Lot Size Building Perini issue Date Final Date Descriptio of Work r � } Scr. Ft 'i uilding Pe it Ssue to Final nate • Descri on of Wo Sq Ft Buildin ran Issue Da Final Date Descri do of Work 0 Scy Ft Building Per 1 ssue Date anal Date Das Sq Ft F Building Permit sue Date r'` Fina ate Description of rk Sq, Ft Sewer Permit Ua Issued Private Disposal System Rate Xnspected Public Sewer Connection Date 114 By 1 111. J� -T TEMP.. I T Y 78M444 DBS 78 I1 BB IVIISCELLANEOU APPLICATION 1 ` DIVfSION OF BUILDING AND SAFETY OCCUPANCY-SAFETY-TRAILERS Dep in ent of County Engluber County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS �0 CASSATT D GRIFFON SUP T OF BUILDING LOCALITY_ OR APP T IN NEAREST OWNER CROSS ST ADDRESS MAILDISTRICT O G UP TYPE N tE Q�j y CITYNO \`+- MAP STATE TEL2p NUMBER61 HWY YES O CONTRACTOR NO 6�7 USE ZONE SPECIAL UK CONDITIONS ADDRESS LEGAL DESCRIPTION I LOT NO BLOCK BUILDING EXIST SETBACK YARDI HWY REST NAME I WIDTH NO OF BLDGS FPR LNT ice_,✓ cw TRACT NOW ON LOT v� USE OF SIDE SIZE OF LOT EXISTING BLDGP. J APPLICATION FOR INSPECTI N RECOHD INSPECTION I SAFETY PERMIT 9� 'J, TRAILER USE I LIMITED TIME USE el DATE DATE ..� FROM TO _.,..., ...W. _I USE OF STRUCTURES OR DEVICES INSPECTION FOR La 1 OCCUPANCY A APPROVALSM �� Z., 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS DATE INSPECTOR'1fS1k URO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES OCCUPANCY APPROVAL AND STATE LAWS EGULAXNG BUILDIN¢ CONSTRUC GROUP OCC LOAD TION SIGNATURE OF TRAILER USE PERMITTEE o SAFETY PERMIT AD ES TEMPORARY w STRUCTURE APPROVED TEMPOBARY STRUCTURE REMOVED FEES FINAL APPROVAL JOHN A LAMBIE COUNTY ENGINEER VALIDATION-')CLYDE N DIRLAM CHIEF BLDG INSPECTOR CK MOf CASH / ,hLo 5 8 9 61-1 SEP 2 4 2 2 D 1500- RS COMPENSATION DECLARATION CE 76M4 84) MISCELLANEOUS APPLICATION I y mum that I have a certificate of consent tself COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure or a certificate of Workers Compensation Insurance e or a certifi�d copy thereof(Sec 3800,Lab C) Policy No Company FOR APPLICANT TO FILL IN BUILDING ADDRfiSS M Certified copy is hereby furnishedUILDING p Zk q � GIT ADDRESS R LOCALITY Certified copy is filed with the county building inspection LOCALITY NEAREST department CROSS ST Date ` Applicant AREST �r �I ��� DISTRI NO, GROUP TYPE P CESSED BY CRO88 ST �„ O� CONSTJ / u ` CERTIFICATE OF EXEMPTION FROM WORKERS LEGAL v COMPENSATION INSURANCE DESCRIPTION LOT NO BLOCK MAP t11GMWAY STATE MAJOR SECOND LOCAL N NO OF BLDGS O (CIRCLE) (This section need not be completed if the work involved TRACT NOW ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less) O USE OF SIZE OF L I certify that in the performance of the work for which this EXISTING BLDG 0 permit is issued I shall not employ any person in any manner ow S� so as to become subject to the Workers Compensation Laws r L NI OCCUPANCY GROUP MAII7D OR ESS till G � s D - O Data Applicant W NOTICE TO APPLICANT If after making this Certificate of CITYCLQ,_ = q i %;r4eoL.�Ig—3 SD_ q 1% OCCUPANT LOAD N Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth APPLICATION FOR EXIT HARDWARE with comply with such provisions or this permit shall be TRAILER USE GEOLOGY INSPECTION ❑ No Spec Knowl deemed revoked Panic Devices LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION I hereby affirm that I am licensed under provisions of Chapter I SAFETY PERMIT LIST ITEMS BELOW 9 (commencing with Section 7000) of Division 3 of the Busi• NO OF EXITS ness and Professions Code and my license is in full force and effect PARKING SPACES RBq D D PROVIDED D License Number Lic Class PARL FILLL INC LIMITED TIME USE Contractor Date DATE DATE I am exempt from the licensing requirements as I am a FROM TO licensed architect or a registered professional engineer SIZE OF No of INSPECTOR S acting in my professional capacity (Section 7051 Bus- EXISTING BLDG STORIES SIGNATURE mess and Professions Code) FINAL APPROVAL Q PRESENT USE OF BUILDING S Lic or Reg No Date 110 HOME OWNER BUILDER DECLARATION NO OF EXISTING BUILDINGS ON LOT ANI � FEE I hereby affirm that I am exempt from the Contractors d�! License Law for the following reason (Section 70315 Busi ness and Professions Code) NO PARKING I as owner of the property will do the work and the SPACES PROVIDEDl���j— �{ t structure is not intended or offered for sale (Section j `�{ �'cU 707611 44 Business and Professions Code) r� CONSTRUCTION LENDING AGENCY PROPOSED USE OF BUILDING I hereby affirm that there is a construction lending agency I \ for the performance of the work for which this permit is 1 issued(Sec 3097 Civ C) Lender s Name PROPOSED MAX OCC Lender s Address . PERMIT FEE r I certify that I have read this application and state that the above information is correct I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction and hereby authorize representatives of this County to enter TOTAL. FEE BO up n the above entio mope r mspe tion purposes fj 7` , SEE 4EVERSE FOR EXPLANATORY LANGUAGE i ature of Permittee ate ff L WORJCERS COMPENSATION DECLARATION _ CE 875(11 84) MISCELLANEOUS APPLICATION ..'� CE 875 `I hereby'affirm that I have a certificate of consent tself I COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800,Lab C) 42 Policy No CompanyFOR APPLICANT TO FILL IN ADDRess Certified copy is hereby furnished XXi pDDREss Low p LOCALITY Certified copy is filed with the county building inspection 1 LOCALITY NEAREST department 3M CROSS ST Date Applicant NEAREST �y 1ST ICT NO GROUP TYPE �f CE686D BY CR098 ST ((/�t ��. Cit l V O I/ � CONST CERTIFICATE OF EXEMPTION FROM WORKERS LEGAL : O� COMPENSATION INSURANCE DESCRIPTION I LOT No BLOCK MAP HIGHWAY STATE MAJOR SECOND LOCAL NO OF BLD68 No (CIRCLE) (This section need not be completed if the work involved TRACT NOW ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less.) SIZE OF LOT U86 OR 1 certify that in the erformance of the work for which this EXISTING BLDG 0 permit is issued,I sha not employ any person in any manneRX OWNER of buildm eAL-NI- 1 Lo so as to become subject to the Workers Compensation Laws MAIL OCCUPANCY GROUP C, ADDRESS Date Applicant NOTICE TO APPLICANT If,after making this Certificate of CITY TNoL OCCUPANT LOAD Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth- APPLICATION FOR EXIT HARDWARE with comply with such provisions or this permit shall be TRAILER USEGEOLOGY INSPECTION deemed revoked ❑ ❑ No Spec Knowl LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION❑ Panic Devices 1 hereby affirm that I am licensed under provisions of Chapter SAFETY PERMIT ❑ (LIST ITEMS BELOW) 9 (commencing with Section 7000)of Division 3 of the Busy NO OF EXITS ness and Professions Code and my license is in full force an effect Name of business Z- RIS PARKING SPACES RES D PROVIDED License Number Lic Class LIMITED TIME USE Contractor Date DATE 0 DATE ElI am exempt from the licensing requirements as I am a PROM TDA nsvecroR s licensed architect or a registered professional engineer size OF NO OF , s NATURE acting in my professional capacity (Section 7051 Bus- EXISTING BLDG STORIES mess and Professions Code) FINAL APPROVAL Lic or Reg No Date PRESENT USE OR BUILDINGse HOME OWNER BUILDER DECLARATION NO OR EXISTING BUILDINGS O �� ON LOT AND U86 � 1 hereby affirm that I am exempt from the Contractors ^�� License Law for the following reason (Section 70315 Busi- ness and Professions Code) NO PARKING I as owner of the property will do the work and the SPACES PROVIDED structure is not intended or offered for sale (Section 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY PROPOSED USE OF BUILDING I hereby affirm that there is a construction lending agency - for the performance of the work for which this permit is issued(Sec 3097 Cry C) r Lender s Name PROPOSED MAX OCC _9 T Lender s Address 1 PERMIT FEE I certify that I have read this application and state that the25.00 -� above information is corre t I agree to comply with all County ISSUANCE FEE ordman and State law relating to building construction and he b authorize rep of this County to enter �1�0_TAL FEE 25.00 " upon t ea ove mentiroperty for inspectio p s , iI, ��� SEE REVERSE FOR EXPLANATORY LANGUAGE XX XX , Signature of Permittee to _ ° WORKERS COMPENSATION DECLARATION 75M444IELLANEOUS APPLICATION CE 875(11 84) I hereby affirm that I have a certificate of consent to self COUNTY,_ L�S ANGELES BUILDING AND SAFETY DIVISION insilxe or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) Policy No Company FOR APPLICANT TO FILL IN BUILDING ✓�`` - ADDRESS q'0'DO ❑ Certified copy is hereby furnishedBUILDING LOCALITY ADDRESS F1 Certified copy is filed with the county building mspection LOCALITY NEAREST department CROSS ST Date Applicant NEAREST DISTRICT NO I QROUP TYPE GESSED BY -.5CONST Jr CERTIFICATE OF EXEMPTION FROM WORKERS CROSS ST LEGAL COMPENSATION INSURANCE DESCRIPTION LOT NO BLOCK MAP HIGHWAr STATE MAJOR SECOND LOCAL N NO OR BLD68 O (CIRCLE) (This section need not be completed if the work involved TRACT NOW ON LOT USE ZONE SPECIAL CONDITIONS by the permit is for one hundred dollars ($100) or less) USE OR d I certify that in the performance of the work for which this SIZE OF LOT EXISTING BLDG) L� permit is issued,I shall not employ any person in any manner OWNER O+ _ y so as to become subject to the Workers Compensation LawsMAIL p OCCUPANCY GROUP 0 Date Applicant ADDRESS Iv NOTICE TO APPLICANT If, after making this Certificate of CITY NOL 9nq `aS^6��g OCCUPANT LOAD y Exemption you should become subject to the Workers z Compensation provisions of the Labor Code,you must forth APPLICATION FOR EXIT HARDWARE with comply with such provisions or this permit shall be TRAILER USE C] GEOLOGY INSPECTION No Spec Knowl deemed revoked. Panic Devices LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busi- ness SAFETY PBRMIT (LIST ITEMS BELOW) and Professions Code,and my license is in full force and AnL No oP exlTs effect e r�71•KTs ' PARKING REQ D PROVIDED License Number Lic Class -FLOKIS1 LIMITED TIME USE > Contractor Date DATE[ DATE I am exempt from the licensing requirements as I am a FROM TO licensed architect or a registered professional engineer SIZE OF No OR INSPECTOR s acting in my professional capacity (Section 7051 Bus- EXISTING BLDG STORIES SIGNATURE mess and Professions Code) FINAL A PROVAL / Lic or Reg No Date PRESENT USE O/�►P_�pBUILDING , ` HOME OWNER BUILDER DECLARATION ON LOT AND USE NO OR EXISTING BUILDINGS lYAn, O FE I hereby affirm that I am exempt from the Contractors {/ License Law for the following reason (Section 70315 Busi QQQi]—OQQ 1 4� �/93 ness and Professions Code) NO PARKING I as owner of the property will do the work and the SPACES PROVIDED 9013 1 AM10:43 structure is not intended or offered for sale (Section 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY N pFROPOSED USE OF BUILDING I hereby affirm that there is a construction lending agencyTV for the performance of the work for which this permit s s�"� S IF issued(Sec 3097 Civ C) Lender s Name PROPOSED MAX OCC Lender s Address ` o PERMIT FEE J I certify that I have read this application and state that the above information is correct I agree to comply with all County ISSUANCE FEE ordinances and State laws relating to building construction J �+ and hereby authorize representatives of this County to enter TOTAL FEE 5 upon the atione roperty for inspection pu po, s Alf r SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Signature of Permittee at _