HomeMy Public PortalAbout9606 LOWER AZUSA RD_Building__ 76A638A CE 4803 1/71 .f�I • !�
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY "f 1
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
t or tyipe n1 DISTRJ�T Q GR UP TYPE 09"S ED BY
BUILDINCa +/'� '�j A[ � _ WRA CONST.
ADDRESS +• t.J iJ
LOT NO. BLOCK
STATISTICAL�LbSSIFICATION SEWER MAP
CLASS NO. DWELL.UNITS BK PG
TRACT USE ZONE MAP 0 t
NO.OF BLOGS. NO.
SIZE OF LOT NOW ON LOT �'' ,FI�'� SPECIAL
USE OF j"
• CONDITIONS
EXISTING`BgLDG. y
OWNER tti/:^# 3c 't14' � NO /
BLDG.SETBACK FROM
ADDRESS f% " {�r J FRONT PROP.LINE OF (STRE't'T)
f TYPE OF EXI SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH M C.L.
ARCHITECT OR TEL. + _
ENGINEER NO.
BLDG.SETBACK FROM (STREET)ADDRESS SIDE PROP.LINE OF (STREET) o
/ / TEL. TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL U
CONTRAC �•€ Utr'.Y ��t I� NO. /� HIGHWAY WIDTH FROM C.L. J
LIC./ y + _
ADDRESS NO. — r
CITY W AJ ,J, A,1' CLASS' CORNER CUTOFF YES ❑ �
CONSTRUCTION BRANCH NAME AND RANHNDER SEE REVERSE SIDE FOR SPECIAL APPROVALS
W
ADDRESS 1—
FT. f.4 NO. OF NO. OF NEW
SIZE STORIES FAMILIES ❑
USE OF / '4' 1LI
�� �t 4. ADD
STRUCTURE s•
L ALTER ❑
12 REPAIR❑
SIGNATURE O %
APPLICANT DEMOL ❑
VALUATIONS �00APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. L` FOUNDATION: LOCATION
FEES FEE: , FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE Of E STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S CO. SA N I NICE
f LATH, EXT,
SIGNATURE OFr
' _ HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
t
ADDRESS AL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL E NEE
PLAN CHECK VALIDATION CK. M.o. CAs _ PERMIT VALIDATION CK. M.O. CASIRU15 r, In
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