HomeMy Public PortalAbout9612 LOWER AZUSA RD_Building__ �.�
76A638A CE #803 3-69 r
,,_APPLICATION FOR BUILDIN PERMI i
COUNTY OF`LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
r,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPT OF BUILDING CROSS ST I
FOR APPLICANT TO FILL IN DISTRICT„[d0�y G P TYPE GO T c By
(PRINT OR TYPE ONLY) UCJX
BUILDING STATISTICAL CSSIFICATION SEW R MAP
ADDRESS CLASS NO DWELL UNITS BK PG
LOT NO el BLOCK USE ZONE MAP �� J
NO
TRACT SPECIAL
NO OF BLDGS CONDTIONS
SIZE OF LOT NOW ON LOT
USE'OF
EXISTING D BLDG SETBACK FROM
OWN NOL FRONT PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
D SS 16HWAY WIDTH FROM C L.
CITY
ARCHI ECT 0 TFL SDE PROPBALINETCK E OF (STREET)
ENGINEER �
TYPE OF EXISTING SETBACK WAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L
CONTRACTO NOL
LIC
ADDRESS CORNER CUTOFF YES ❑ c
Q
CITY SEE REVERSE SIDE FOR SPECIAL APPROVALS'— of
CONSTIlUCTION LVbER 00,
NAME AND BRANCcz H c7
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ADDRESSZ
E d F Ae
SQ FT NO OF NO OF
SIZE STORIES FAMILIES NEW ❑
USE OF n • ADD ❑
STRUCTURE on
EPA IR
SIGNATURE F EMOL ❑
APPLICANT
VALUATI APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT FOFORATIOMAT RATION
FEE $ FEE $ B�
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS,
BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 GAS VENT,
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT
OF THE STATE OF CALIFORNIA IN RELATING TO WORKM 'S CO -
PENSATION INSURANCE LATH, EXT
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE AND POSTED
ADDRESSFINAL
JOHN F LEWIS, PRIN IP STRUCTURAL ENGINES
PLAN CHECK VALIDATI N �+o cASN -� CASH
PERMIT VALIDATION M o
eK
ift39229W 2 1D 6.0 0-10
I37ARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
YYM. J. SOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
AISDRESS Z Gb L-OW82 ALUSAr i?,I>
LOCA ITY T&%APLtr GIT RECEI Y DATE OF AyyP��PL. DATE ISSUED
NEAREST y '�
CRO BT
OWNER
AR,De-w M S Co, ADDRESS
MAIL1 2 O O a F'T LOCALITY
ADDRESS 1
PIEAREST 01
CITYPOMONA CA4 To Ly- 213SCROSBBT
FIRE NO OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANE
ENGINEER NO
BLDG ORD.NO
ADDRES SETBACK LINE
pOMONA VALIr6�/
TEL
APPROVED
CONTRACTOR^D V. C.O. NOI-�/, 215'12 BY DIATE
USE APPROVED
ADDRESS %II N. L-01-UST POf1noWA cAL g. ZON^Et'�• BY DATE
LEGAL
DESCRIPTION LOT NO ✓� BLOCK CORRECTIONS
TRACT
NO OF BLDGS.
SIZE OF LOT NOW ON OT
USE OF NO OF NO OF
EXIBTI SLOG FAM--We ROO
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
S
REPAIR MOVING DEMOLISH O
Sq.FT. NO OF =
SIZE ROOMS STORIES
WALL ROOF
COVERING COVERING
USE I NSTA LL. M&T U SIGN
3to'�x
t!;'-o" Fti. T oN r_AGe' o
(3t�st+D1N�-•
( HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
,1 FRAME* FIRE STOPS,
SIGNATURE OF (Spa"^J V `(, 4 BRACING,BOLTS
PERMITTEIZ LATH, INT
AUTHORIZED A13T LATH, EXT.
7GA630A 9-48 PLASTER,INT.
DBS-3 SOM BETS P C.
FEE PLASTER.EXT.
VALUATION I FEE f FI NAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX. CHIEF ENGINEER
FOR AERgCAN TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK NO. / PERMIT NNO/y
ADDRESS low
LOCALITY A RECEI BY D E OF L. !!! DA E I
NEAREST /
CRO
DRESS
OWNER ADDRESS �^ . 10
MAIL LOCALITY I
ADDRESS
NEAREST
TEL. CROSS ST
,ITY
NO.
FIRE NO OF TYPE OUP
ARCH ITEOT O TEL ZONE PLANS
ENGINEER O.
BLDG. Coe O O
ADORFAS SETBACK LINE 00
APPROVED
TEL.
CONBY DATE
TRAOTOR NO.
USE O APPROVED
DRESS ONE 1 BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. d BLOC
TRACT •
NO OF BLOBS.
' SIZE OF LOT S NOW ON LOT
USE OF NO OF �_ NO OF
1 ING BLD `� FAMILI[D OMS"'
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
la
Sq FT. NO OF =
SIZE ROOMS STORIES
WALL ROOF t'
COVERING COVERING
t
USE OF NEW
BUILDING
11
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDIN NGES FORMS,MATERIALS
AND STATE LAWS S TING UILDIN CONST 1 N
AM Ell FIRE STOPS,
SIGNATURE OFBRACING,BOLTS
PERMITTE
LATH,INT.i
AUTHORIZED AST LATH,EXT.: T
988-3 SLIM Baia 7-47 P C.S PLASTER,INT.
r
FEE PLASTER,EXT.
VALUATION APO FEE lll� FINAL
DEPARTMENT OF BUILDING AND SAFETY � APPLICATION FOR PERMIT
+� COUNTY OF LOS ANGELES 1 C D ' N G
WM. J. FOX. DHIcr ENGINEER
F APPLICANT TO FILL IN FOR OFFICE USE ONLY
R
DISTRICT NO. PLAN Cr_NO. PERMIT NO.
BUILDING ,) \' � 2 3
LOCALITY RECEIVE BY DAT[OF AP PL. / DAT[IPBUED
NEAREST I G
CROPS D
BUILDING zz00
OWNERMAIL
ADDRESS
ADDRESS y LOCALITY
NEAREST
TLX
CR
CITYOBB By.
FIRE moor TYPE DROOP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO.
SET B. I ORD.NO
SET
ADDRE BACK LIN[ r fiG
APPROVED
L. BY DAT[
CONTRACTOR NO.
\� UBE '' 'JAPPROVED
ADDRESS • 1 ZON ' Y DATE
LEGALCORRECTIONS
DESCRIPTION I LOT NO. 7 BLOCK
/e 1 r
TRACT
NO.OF BLDOB.
SIZE OF LOT NOW ON LOT
UBE OF NO OFNC.OF
EXISTING BLOP, MMILIKS I nao B
DESCRIPTION OF WOBS
NEW ALTERATION ADDITION D
S
REPAIR MOVINrr. GOr
DEMOLISH p
SIZROOMS STORIES D
r
WALLOOF
R
COVERING COVERING
USE OF N
BUILDINGBW `
• r'
f / VL
1 HEREBY A01010WLEDD6 THAT 1 HAVE READ APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT FOUNDATION:LOCATION INBPEOTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORME,MATERIALS
AND STAT[LAWS REGULATING BUILDING CONSTRUCTION.
FRAME, PIR[STOPS.
BIGNATUR[OF� � GRADIN BOLTS
/�I♦!! � 000CCC Vv
PERMITTE LATH.INT.! // 9
AUTHORIZED ADT LATH.[XT.,
D99-9 SMA SICT9 1^413 P.D.8 PLASTER.INT.
tea. t
FEE PLANTER.[XT.
VALUATION FE[ • � FINAL ��. Ya
NT OF B7LDI�I(G AND SAFETY p APPLICAI- N FOR PERMIT
!`r7 JMUNTY OF LOS ANGELES f j " ! 3
WM. J. FOX, CHIEF ENGINEER BUILDING
FOR APPL12MLTO FILL IN FOR OFFICE USE ONLY
BUILDINGDISTRICT NO. PLAN CK. NO. PERMIT NQ
n
5- -7
LOCALITY �-'' '� sticeymm DATE OF APPL. DATE ISSUED
NEAREST
OR
OWNER ` ?J��" �(�t.(,r �7 ADDRESS 4c
MAIL1
ADDR /0 (- 40 LOCALITY
/` NEAREST
TEL. CROSS ST.
O. FIRE NO.OF j GROUP
ARCHITECT O i T6L. ZONE 1 PLANS l
ENGINEER NO. i} (O J a
DREGS �4-4eCr' i 14, SACK LINE �+
jj�� APPROVED
CONTRACTO `,?/' t&-" t TEL. u1 )NO. BY DATE
`b
( � 1 USE APPROVED
ADDR "'^^'' /of 'v, �*s.�-�� ZONlow BY DATE
LEGAL
OMSCRIPYION LOT NO. Ar C CORRECTIONS
TRACT d C3 f
NO OF BLDGIL �l
SIZE OF LOTX / NOW ON LOT
USE OF NO.OF v NO. OF
. J
EXISTING BLDGFAMILIEH^ ROOMS `—
DESCRIPTION OF WORK ,u
NEW ALTERATION I ADDITION a
B
REPAIR / MOVING DEMOLISH O
B 2E�• b 0 0 ROOMS STORIES
WALL ROOF
COVERING •60 COVERING
s '
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONS LOCATION, I BPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS x n I` ill,—)lop
AND'STATE LAWS=BUILDING CONST UCTION. FRAMES FIRE STOPS` � p�
811NATURE}OF BRACING. BOLTS ✓a�1 J
lbWNER LATH` INT.: .►
AUTHORIZED AST LATH. EXT.1
�
00 P. a.
PLASTERP INT.�•�- �Z�Q 16 � po.
®� FEE ® ' PLASTM EXT.
3 VALUATION FEE FINAL /