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HomeMy Public PortalAbout9608 LOWER AZUSA RD_Building__ 7awaae�,wy8-a Ia•s4 � . APPLICATION FOR WILDING PERMIT 1 BUILDING LIV91ON OF BUILDING AND SAFETY ADDRES8 Depcmlment of County Engineer County of Los Angeles LOCALITY WM.J FOX. COUNTY ENGINEER CASSATT D.GRIFpIN,SUPT OF BUILDING NEAREST P CROSS 5T Cr ' DISTRI O ROUP SEW IC MAP �-� FOR APPLICANT TO FILL IN ` Si TYP��� BUILDING ADDRCONST oz& ESS MAP O , STATE YES NO NUMBER HWY ../ LOT NO / BLOCK USE ZONE SPECIAL TRACT Q. CONDITIONS NO OF - } 4C_ SIZE OF LOT 3d NOW ON LOTS • BUILDINGEXIST YARD HWY STREET NAME SETBACK WIDTH USE OF to r FRONT �/ j /; EXISTING BLDG P L 7'V wQr .lg►LttSd o OWNERBill SIDE P L MAIL ADDRESS TEL t DWELL 1 UNIT S INDUSTRIAL CITY NO 2 DUPLEX UNIT- 6 PUBLIC BLDG ARCHITECT OR TEL ENGINEER NO 3 APT UNITS 7 ADDN,ALT, ETC ADDRESS / t, 4 COMMERCIAL-f? MISCEL CONTRACTOR�IC '—VV 4N�� L �b�7►DD INSPECTION RECORD ADDRESS C' DESCRIPTION OF WORK L NEW ADD ALTER REPAIRDEMOLISH �Ijlr4l- SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF ZfRUCT RE ` A 312 SIGNATURE OF APPLICANT APPROVALS ADDRESS AM O'ci DATE INSPECTOR S SIGNATURE $ �d P C. 16 FFORMSTION MATERIIALSION FEE FRAME FJRE STOPS. VALUATION $4 BRACING. BOLTS FEE FURNACE LOCATION. GAS VENT. DUCTS i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT LATH,iNT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC- TION LATH, EXT SIGNATURE OF r HOUSE NUMBER COR- PRMITTEB RECT AND POSTED ADDRES 12d FINAL ilk. J. FOX. CowrrY t mamiamt VALIDATION BY I ' :. V)8 5N JO 4 1 4D,0 DEPUTY '-' DEPUTY BYBY DEPUTY DEPUTY 7GA898A CE#808 1/71 - =- APPLICATION FOR BUILDING PERMlT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING / ADDRESS 6 O � 2- COLEMAN COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST rent r nl CROSS ST BUILDING DISTRICT NO I GROUP CTYPE f ONST PROC SSEF BY ADDRESS 6 o WrK %-.03A n� D F— STATISTI AL CLASSIFICATION SEWER MAP LOT NO / BLOCK CLASS NO-2-2LDWELL UNITS BK PG TRACT USE ZONE MAP .y O/ NO OF BLDGS NO /C SIZE OF LOT NOW ON LOT dJ M SPECIAL USE OF ./ G 'f.. CONDITIONS EXISTING BLDG / OWNER #V t 0✓S L'"( NOL BLDG SETBACK FROM ADDRESS �� o1.vl.t P,3 V a/1 Ve FRONT PROP LINE OF -(STREET) TYPE OF TING SETBACK HIGHWAY + YARD = TOTAL CITY'^—,Vg/C P 17`\ HIGHWAY WI FROM C L ARCHITECT OR TEL + ENGINEER NO BLDG SETBACK FROM ADDRESS SIDE PROP LINE OF (STREET) TEL TYPE OF EXISTING SETBACK HIG Y + YARD = TOTALl C CONTRACTOR NO HIGHWAY WIDTH FROM C L C, ADDRESS LIC + = NO - CD CITY LIC CLASS CORNER CUTOFF YES ❑ NO ❑ W CONSTRUCTION LENDER C`17 NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS- ? ADDRESS r SO FT NO OF NO OFNEW Milld31 , Du NJ's SIZE STORIES_ FAMILIES USE OF ADD t F O G 6 A STRUCTURE I✓, A.-I W ALTER 7R , ��p� 767 Aellf144 A� GV AL IPPLICANTOF L DEMO A ❑ ` � f VALUATION$ �• APPROVALS DATE INSPECTOR'S $14NATURE P CPMT Q FOUNDATION LOCATION FEE$ �J FEE$ FORMS, MATERIALS FRAME FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDI NO 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 THE STATE OF CALIFORNIA IN LATING TO WORKMEN'S COMPE NEAT �E LATH, EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHNPERMIT �F LEWIS RI CIIPPA/�L�SSTRUCTURAL NGIN R PLAN CHECK VALIDATION CK4. c H _ iERMI V A'iION CK M O CASH 4nn47� me 5, 23 0 684e FE8 4 1 D 9.03 r . w t I DEP" Of COUJRTr �$W OF BODRIG AAFE�Y —.>— COUPTYOSAffiBUILDING WILL" J. FOX. COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR ANPUUM TO FUS IN FOS OFFICE USE ONLY BU1 a.W /1 `i DISTRICT NO PLANCK.OR Rea NO PERMIT NO ADDRILDIN O W W A0 -s �- LOCALITY p RECEIVED BY DATE OF APPL DA 188 ED NEARESTCROSS ST. 1—'Em LE 0-,—,-y' BLM. 0 BUILDING OWNER ADDRESS, SICAOT MAIL /� �� MAILADDRESS 4 V LOCALITY NEAREST TEL C TY CRO86 ST V ARCHITECT ORFIRE NO OF TYPE GROUP TEL ENGINEER TEZONE PLANS �- BLDG ADD SON SETBACK LINE CO --_ ---TEL UBB APPROVED ZON BY ATS 141463 ADD . - FO.84O209 HO B LEGAL- MAP NUMBgR 'r— NO ASSIGN@D BY —X` DESCRIPTION N B ONS .�V TRACT jo NO.OF BLDGB. SIZE OF LOT N OH LOT �� �►, �t� USE OF NO.OF EXISTING BLDG FAMILMS D TION OF Wm r � O — NEW ALTMMTIQND TIO Q Z REPAIR DEMOLITION 80 FT NO OF SIZE ROOMS STORIES EXT.WALL ROOF COVERING I COVERING USE OF STRUCTURE E-viv s w 1J (, Id w- w7wU06A dp Ste,4) Y wl APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION:LOCATION FORMS. MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS, PLICATION AND STATE THAT THU INFORMATION GIVEN IS BRACING BOLTS COI AGCT REE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION. AND STATE LAWS RSGijt�� lIQ,BI,II%V ffl CONSTRUCTION, GAB VENT DUCTS SIGNATURE OF v---iS11Iii''�OONTYSaa77-VV--tIYY LATH, INT 4357 N Peak R LATH OT ADD AUTHORIZED AGT PLASTER. INT /p�Q PLASTER, ®Ci S w V r/ P S HOUSE NUMI§@R COR- VALUATION RBB y RECT AND POSTED /V/ FEE 8 �,�� FINAL C 74LAGO A nos s a-se WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compensation Insurance, or a certified cop thereof( 3800, Lob C ) lrytp3.00"g 0 ny ���� COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby furnishedFOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with t inspec- BUILDING tion de rtmeni ADDRESS LOCALITY NEAREST Date Apphca CI ZIP CROSS ST I CATE OF EXEMPTI F M RKERS' NO OF BLDGS ASSESSOR COMPENSATIO INS NCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be c plet if the permit one USE ZONE P Q hundred dollars(;100)or I TRACT BLOCK LOT NO NO TEL Z-- SPECIAL 1 certify that in the performance of the work for which this OWNER NO CONDITIONS d permit is issued, I shall not employ any person in any mannerADDRESS DISTRJCT GROUP TYPE FIRE PROCESD BY O x + V so os to become subject to the Workers'Compensation Lows CONST ZONE SE � Date Applicant CI ZIP STATISTICAL CLASSIFICATI APT CONDO NOTICE TO APPLICANT If, after making this Certificate of ARCHITEL t;Exemption, you should become subject to the Workers' ENGINEER CLASS NO DWELL UNITS Compensation provisions of the Labor Code, you must forth- • h with comply with such provisions or this permit shall be ADDRESS SEWER MAP Z deemed revoked CONTRACTOR TEL BK PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS -.-5 (commencing with Section 7000)of Division 3 of the Business and SSC VALUATION Professions Code,and my license is in full force and effect 6TY •CAA,. CLASS b 0 &w•mv ► �l 'w� SQ FT NO OF NO OF CHECK License Number z"� /��`` Lic ClasaL� SIZE STORIES FAMILIES ONE Contractor�t!•3� 41�+ & Date DESCRIPTION OF WOR NEW IV ADD I am exempt under Sec ALTER 0 FINAL L �� B&P C for this reasonREPAIR 0 DATE a USE Date EXE F BLDG muxFINA By Signature APPLICANT TEL OWNER-BUILDER DECLARATION PRINT I hereby affirm that I am exempt from the Contractor's License , 7 Law for the following reason (Section 7031 5, Business and ADDRESS Professions Code) aBUILDING 1, as owner of the property, or myemployees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section �3 b 3 5 A 7044, Business and Professions Code) MOVING TEL CTOR NO # • • • • • 1 i,as owner of the property,am exclusively contracting � with licensed contractors to construct the project(Sec- ADDRESS tion 7044, Business and Professions Code) 2 e 1 2(I,818 REQUIRED TOTAL SETBACK FROM EXIST 0 0 1 2 4 8 8 CONSTRUCTION LENDING AGENCY MIRED YARD HWY PROP LIN WIDTH I hereby affvm that there is a construction lending agency for FROM the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE Q 7. 1 3-8 3 m PL Lender's Name Lender's Address P C Fee$ Permit Fee l I certify that I have read this application and state that the Issuance Fee above information is correct I agree to comply with all County Investigation Fee ordinances an relating to ullding construction, Total Fee and hereby thortze repr sentatives f is County to enter a ention operty ton pur poses/ SEE REVERSE FOR EXPLANATORY LANGUAGE Sfg lure of Applicant or Agent 4s