HomeMy Public PortalAbout9616 LOWER AZUSA RD_Building__ D§PJ�RTMENT OF BUILDING AND SAFETY I APPLICATION FOR PERMIT
-•+COUNTY OF LOS ANGELES S ® �
• WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING p f r DISTRICT NO. PLANCK NO PERMIT NO.
ADDRESS 77
LOCALITY RECE D BY DJC OF PL. D E ISSUED
s
NEAREST II
CROSS 9T f)
OWNER 11 eC'djnL'
ADDRESS Z � � e
MAIL LOCALITY / r'
ADDRESH Q
R NEAREST
CITY NO. CROSS ST
FIRE NO OF TYP GR�LJP
ARCHITECT ORd& moTEL.1-vir ZONE PLAN f
ENGINEER
BLDG JJ ORD.NO
ADDRESS /j-j–wSETBACK LINE G
APPROVED
TEL f$ BY DATE
CONTRALTO 7wV
USE �9 APPROVED
ADDRESS , ZON ABY DATE
LEGALd CORRECTIONS
DESCRIPTION LOT NQ BLOCK �t
TRACTIr z Y7- AwZZ
r NO OF BLDGS
SIZE OF LOT /as— I NOW ON LOT _
USE OF NO OF NO OF
EXISTING BLDG. F MILIEa ROOMS
DESCRIPTION OF WORK ,
NEW I r-fALTERATION ADDITION O
REPAIR MOVING DEMOLISH p
9q'ZrNO.OF Z
SEAyO ROOMS STORIES r
WALL ROOF
COVERING COVERING
USE OF NEW - or1
BUILDING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS . APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION INSPECT R DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS ?�
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME FIRESTOPS,
SIGNATURE OF
BRACING,BOLTS
OWNER LATH,INT.:
AUTHORIZED
LATH,EXT
De6-3 25M 9raTH 4-47 `$���999 P C la PLASTER,INT
/ �y r1 fi, FEE PLASTER,EXT.
VALUATION FEE FINAL
DEPARTMENT OF BUILDING AND SAFETY t APPLICATION FOR PERMIT
vk:* kTY OF LOS ANGELES 0 u ' D t
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
�wee AZVY n LO DISTRICT NO PLANCK NO PERMIT NO.
BUILDING t!7 /per
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST
CROSS ST. BUILDING
/ J��J
OWNER 9/w ��1�.}��L�I/�/+/(R-6/"/L�/fT ' ADDRESS
ZT-
MAILERS ( V� 1 6 ` LI/ -- �^'ZU�/T'/�Y LOCALITY
NEAREST
TEL CROSS ST.
CITY 91, 1WOAINO
FIRE NO OF TYPE wup
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NC.
BLDG. � RD.N
ADDRESS i SETBACK LINE
APPROVED
CONTRALTO {r ('STEL" � " 7-Yo SY DATE
USE ADDRESS/3-/S- e',*u ✓ // � wUYf ZON BYPROVED DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT a 3!x/ 3 d4 Q�'�4CSI�✓
NO.OF BLOBS.
SIZE OF LOT NOW ON LOT
USE or - NO OF NO OF
EXISTING LDG FAMILIES ROOM
DESCRIPTION OF WORK /
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH
Sq FT NO OF =
SIZE ROOMS 13TORILB y
WALLROOF r
COVERING I COVERING
USE OF NEW
BUILDING 4- 0ga
,
Qui
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 ORDINANCES FORMS,MATERIALS
AND STATE LAWS/REGULATING BUILDINGCON'SlTRUCTI N `FBRACING,BOLTSS,
SIGNATURE OF •////'' " L /V �
OWNER � - LATH,INT.
AUTHORIZED AOT
LATH,EXT
1389-3 ZSM SETS 4-47 P C III PLASTER,INT.
FEE PLASTER,EXT.
S
VALUATION FEE FINAL
76A638A CE0809 5-63 APPLICATION FOR BUILDIN PERMITi
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A LAMBIE COUNTY ENGINEER NEAREST r
COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST �e
DISTRICT NO UP TYPE P E S
FOR APPLICANT TO FILL IN �+�" dv
CONST '
BUILDING / STATISTICAL C SSIFICATION SEWR MAP
ADDRESS { 1�O .�(��„�, A4ZuSA �, BK PG
CLASS NO DWELL UNITS
LOT NO BLOCK USE ZONE MAP /'9/
;] p NO C�
IQACT I Po c;z SPECIAL
NO OF SLOGS CONDITIONS
SIZE OF LOT .�V 130 NOW ON LOT
USE OF FF—TAIL NALES BLDG F1 BLDG SETBACK FROM
TEL j C FRONT PROP LINE OF (STREET)
OWNER JITA YIN NO `a'+ TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS S IO M C L
CITY PGfi T GtF
ARCHITEC TEL�JQ /� ^��7�J BLbG SETBACK'FROM
ENGINEERAFoRKE12A0 W�"I�7 L• / SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS-'21-J7LYII.LE �. ryl/i HIGHWAY WIDTH FROM C L
C D
NO _ L +
ADDRESS A4 UT6 %i0 -1 CORNER CUTOFF YES NOS
CITY A C t L LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK 1 a
NEWAD ALTER REPAIR DEMOLISH (�/ N
SQ FT NO OF N NO OF .94 p O d"
SIZE S r STORIES FAMILIES ,7 I
USE OFze
G'
S T R U C T U R OM rc„t� C
SIGNATURE OF 141, • ( -iR 4p
APPLICANT //�� i Qj
VALUATION$ SI Z50 APPROVALS DATE INSP! OR'SSIIGNAT RE
`` PMT FOUNDATION, LOCATION
FEE$ 10, V FEE$ ' FORMS, MATERIALS
FRAME, FIRE STOPS, _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT SII,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT DUCTS
9U ILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR DE OF THE STATE OF CALIFORNIA RELAT
ING TO WORK MEN
S n PENSATION INSURANC ATH EXT
•
SIGNATUREUSE NUMBER COR-
PERO MITTEE r RE AND POSTED
ADDRESS G �+ �Ad Al
I N A L y'
14 CK JOHN TRURENGINEER
CASH PLAN CHECK VALIDATION Q M O CASH PERM VALIDATION CK M O_
9 8 1 8 ZE FEB 18 2 3 0 9.25A
Ljo 0126 mAR 2 1 D 18.50~ 4
DEPARTMENT OF COUNTY OF LOS LOS ANGELES BUILDING
' WM. J. FOX, CHIEF ENGINEER APPLICATION
FOR APPLIC T TO FILL IN FOR OFFICE USE ONLY
DISTR:rort Punt Cu. REc Na PERMIT NC.
BUILDING
ADDRESS
' + RECEIVE Y DATE OF^PPL r D I D
LOCALITY
NEAREST
CROSS BT. BUILDING
ADDRESS
OWNER IM Ak
MAIL /�� (� LOCALITY
ADDRESS \i1 F/ NEAREST
TEL CROSS ST.
CITY NO. FIRE NO.or
ZONE PLANS
ARCHITECT OR y TEL-
ENGINEER
ELENGINEER NO. BLDG.
ADDRESS CARTER St SON SETBACK+LINE
CONTRACTOR -- I NS---eNa ZONE "v APPROVED
DATE
HOUSE NUMBEIM If OF
c
ADDRESS12 { MAP NUMBER 20!NS" NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
i TRACT
SIZE OF LOT INO. OF BLDBIL TZ AdE
NOW ON LOT
USE OF NO OF
EXISTIN BLDG.S T Age FAMILr¢e t
DESCRIPTION OF WORE
NEW ALTERATION ADDITION
REPAIR DEMOLITION
Bq FT. NO.OF
SIZE ROOMS STORIES
EXT WALL ROOF
COVERING COVERING
USE OF STRUCTURE"n, AQ P
r
INSPECTION FOR �+� APPROVALS
OCCUPANCY AB INSPECTOR'SSIGNATUkE DATE
FOUNDATION: LOCATION
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
FORMS, MATERIALS
PLICATION AND STATE THAT THE IN
GIVEN IS FRAME: FIRESTOPB,
r CORRECT BRACING, SO-TO
I AGREE TO COMPLY WIT TY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REOUT LA�T.�+ CONSTRUCTION GAS VENT,DUCTS
SIGNATURE CF .-.SIGNS LATH, INT.
PERMITTE _19t:Peek AG
ADDRESS El o,- caw 0 nm LATH, EXT.
PLASTER, INT.
AUTHORIZED AOT.
PLASTER, EXT.
�� P C.6
FEE HOUSE NUMBER COR-
RECT AND POSTED
tip J9
VALUATION FINAL � 1�1 � •
FEE
7GA690A DBS 3 7-81
DEPARTMENT OF BUILDING AND SAFETY _ APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' C ® '
WM. J. FOX, CHIEF EN0INEER
FOR APPLICANT TO FILL IN . FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK NO. PERMIT NO.
BUILDING
ADDRESS �✓
��
LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED
04
NEAREST l4ttwt% 0
CROSS
UILDING
OWNER
ADDRESS
MAILLOCALITY
ADDRESS �Q
CROW ST
ITYNQFIRE NO OF TYPE , GROUP
ARCHITECTOR / MO.LZONE PLANS ��
ENGINEER
BLDG ORD NO.
ADDRESS / SETBACK LINE F
/ APPROVED
TEL. BY DATE
CONTRACTOR Nib NO.
/ USE APPROVED
ADDRESS zomea Z BY DATE
LEGAL
CORRECTIONS
DESCRIPTION LOT BLOCK
TRACT
NO OF BLDG&
SIZE OF LOT NOW ON LOT
USEOFNO OF N OF
EXISTING BLD A LI[9 ROOMII
DES ON OF WORK
NEW ALTERATION ADDITION
a I
REPAIR MOVING DEMOLISH p
9q FT D NO.OF Z
SIZE ROOMB STO IES D
r
WALLROOF
COVERING COVERING
USE OF NEW
BUILDING
/l�V\
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION INBPEOTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
SIGNATURE O
FBRAGINO,BOLTS t
PERMITTE LATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DES-3 SOM SE H 1-48 $ P.C B PLASTER,INT.
FEE PLASTER,EXT.
VALUATIONFEE v ASO i FINAL rr7't ✓L /r I'�
1
Dig N OF U C nqG ffiiG4IIi� BU
-I L D' N G
DMSION OF SUII�II�iG AND SAFETY
Conn Cr LOS AN=m `
WILLIAM J. FOX. COUNTY ENGINEER APBLICAWN
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APFIdCM TO ML IN FOR OFFICE USE ONLY `
ASUILDING
DDRESS �� OGfityJ t DIBrrRtgyNO PLAN CK.OR Rsa No PERMIT NO
LOCALITY REIRIUVD BY DATE OF APPL D T6 ISSUED
NEAR=t CROSS T. �' MP Z G `U � ��•
OWNER DRESS /Z OWNER � W D Q✓� ,
MAIL LOCALITY
ADDRESS
CI TEL CROSS
ARCHITECT OR TEL FIRE NO OF GR
ENGINEER NO ZONE PLAN$
ADDREISS BLDG
SETBACK LINE ��17
CONTRACTOR
TEL ZUSE ONE ,APPROVED BY A
TE
ADDRESS HOUSE NUMBERING
LEGA. MAP NUMB "24 O ASSIGNED BY' ,
DESCRIPTION LJOTNO BLOCK COONS
7T4/►CT
SIZE OF LOT 3 .5-1 NOW ON LOT - -
USE OF �+ To NO.OF
]DUSTING B .7
DffiClI>pMN OF WC= O -
NEW ALTERATI N I ADDITION61
z
REPAIR DEMOLITION
SQ FT NO OF
8176 ROOMS STORIES
EXT WALL ROOF
COVERING I COVERING
USE OF STRUCTURE �.
L" G U
1p
1001,
AMOVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 BRACING BOLT'S
CORRECT
1 AGREE TO CLAWSOMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION,
AND STATE REGULATING BUILDING CON&WUCTION GAB VENT DUCTS
SIGNATURE OFy r LATH. INT T�.�6►
PERM
LATH EXT
ADD
PLASTER. INT.
AUTHORI=AGT.
PLASTER. IDrr
FUR $ HOUSE NUMBER COR-
(/D v RECT AND POSTED
VALUATION $
PEs FINAL
7aA,08" DM s 9-15a
1
7GA688A CE9809 8-88 C
+� APPL C ION F BUILDING ERMIT
Ib COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS W US
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE P BY
FOR APPLICANT T ILL IN coMST
Print or type only)
BUILDING STATISTICAL CLAS FICATION SEVER MAP
ADDRESS CLASS NO DWELL UNITS BK PG
LOT NO3 BLOCK USE ZONE MAFS
NO
TRACT 9
SPECIAL
CONDITIONS
NO OF BLDGS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER O TYPEOF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAYWIDTH FROM C L
r
CITY BLDG SETBACK FROM
ARCHITECT OA SIDE PROP LINEOF (STREET)
ENGINEER NO TYPE OF 1ING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL + _
CONTRACTO NO a
ADDRESS + O L CORNER CUTOFF YES ❑ NO ❑ v
CITY CLCASS 0_ SEE REVERSE SIDE FOR SPECIAL APPROVALS om
v
DESCRIPTJON OF WORK
N
Z
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OFjC
{{�f
STRUCTUR
SIGNATURAPPLICANVALUATIO � APPROVALS DATE INSPECTOR'8 SIGNATURE
P C PMT FOUNDATI N LOCATION
FEE$C FEE$ r FORMS MATERIALS
FRAME FI E STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH, INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAY
ING TO WORK MEW8 COMPENSATION INSURANCE
LATH, EXT
SIGNATURE OIS, � HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS& FINAL
PLAN CHECK VALIDATION CK MO CASH 'IOHNp�Fp�LEWIS PRINCIPAL SIAL ENGINEER
i�+LL�Yi VALIDATION CK M O CASH
Ar.,,12 9 4 0% DEC - 2 2 3 D 5.4 O A 4 cu
[ A('„2 9 94% DEC 5 ID 9.0 0
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent to self APPLICATION FOR-�B U I L D I N G P E RM I T
insure, or a certificate of Workers'Compensation Insurance, �,+
or a certified copy thereof(Sec 3800, Lob C)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No Companyf -
BUILDING
Certified copy is hereby,furnished FOR APPLICANT TO FILL IN ADDRESS
Certified copy is filed with the county building inspec-
tion department ADDRESS LOCALITY
NEAREST
Date Applicant CITY MhPLE `1 ZIP CROSSST ,
CERTIFICATE OF EXEMPTION FROM WORKERS', NO OF BLDGS ASSESSOR
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
s (This section need not be completed if the permit is for one �A� LOT NO USE ZONE
hundred dollars($100)or less) TEL /�!'
SPECI certify that in the performance of the work for which this OWNER E E 11�FN0 `� CONIDITIONS IL
permit is issued,I shall not employ any person in any manner DI TRICT GROUP TYPE FIRE PROCESSED BY O
so as to become subject to the Wor 'Compen ion s °� � Muee0 CONST ZONE c V
Dafe Applicant ARCHITECT OR ZIP TEL STATISTICAL CLASSIFICATION An CONDO
NOTICE TO APPLICANT If, after making this Certificate of ENGINEER A) D - NO ^W CLASS NO 0-�+DWELL UNITS W
Exemption, you should become subject to the Workers' ti
Compensation provisions of the Labor Code, you must forth- ADDS q JR 466-T-Irio ItS40 GAIS- SEWER MAP Z
with comply with such provisions or this permit shall be _
deemed revoked ICONTRACTOR TEL
SK aPG, 10 VALIDATION
LICENSED CONTRACTORS DECLARATION LIC
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION
(commencing with Section 700D)of Division 3 of the Business and LIC
Professions Code,and my license is in full force and effect CITY CLASS $ ,
ns ` SQ FT NO OF NO OF CHECK
License Number Lic Class SIZE D STORIES FAMILIES ONE
Contractor Date
DESCRIPTION OF WORKAJ)f) CES NEW ❑ $
❑1 am exempt under Sec ADD
ALTER FINAL IS_A ?
9
B&P C for this reason REPAIR ❑ DATE
Date USE of DEMOL ❑ FINAL
EXISTING BLDG F
By
Signature AIPRINiEl
MIX. NO I
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License •0 O
Low for the following reason (Section 7031 5, Business and ADDRE O
sTiocl Poo
Professions Code)
BUILDING
I, as owner of the property, or my employees with ADDRESS ,
wages as their sole compensation,will do the work and
the structure Is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code) MOVING TEL
1,as owner of the property,am exclusively contracting CONTRACTOR NO
with licensed contractors to construct the project (Sec- ADDS i99922A-
tion
9922A-tion 7044, Business and Professions Code) AED
YD HYY TOTAL FROM I
CONSTRUCTION LENDING AGE14CY RUBPLINWDTH
#'•'• • • •
1 hereby affirm that there is a construction lending agency for FRONT - 1
the performance of the work for which this permit is issued P L , 2-'• • 4 9 8 8
JSec 3097, Civ C ) - SIDE
P
Lender's Name L #•t• • 4 f) 8 8"05
s' - �j - -
Lender's Address PC Fee$ Permit Fee 10218-83,
I certify that I have read this application and state that the Issuance Fee Aq
above information is correct L agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee i O
and by authorize representatives of this County to enter
u the above-me(ti�onop�rty for inspection purposes
o • tX " } t<
M REVERSE FOR EXPLANATORY LANGUAGE
n
ignature of Applicant or Agent Date ? s
1 +