HomeMy Public PortalAbout9941 LOWER AZUSA RD_Building__ TEMPLE CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEEB ADDRESS
BUMDING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A JE B N UP'T or BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GROUP P ED BY
F Z.- CONST
BUILDING STATISTICAL CLASSIFICATION
SE ER MA
ADDRESS a /��d? rpa
CLASS NO WELL UNITS
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE Li
TRACT
MAP Hlal
NO NO (CIRCLE)
COCL.) STATE MAJOR E , LOCAL
OF OLD /
SIZE OF LOT 7 NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
OWNER-f) !J/d RfI #.S t4/ TEL
/ '
G
�+ / •�+ IN WIDTH
YARD HWY STREET NAME EXIST
ADDRESS /,' 6 11�o E JE a SETBACKFRONT
ENGINEER ARCHITECTDRGvA'rrIQ O Se NEL P L
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ADDRESS I sus/ Uox t- 64 b/ P L }
CONTRACTO /e ZDAW SGT/o To ej� ON ORD p
ADDRESS ONTe A9lV _d ' ffyv I
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DESCRIPTION OF WORK
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NEW JADD ALTER REPAIR DEMOLISH N
SQ FT NO OF NO OF ) 41111
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SIZE AO 0 STORIES FAMILIES
STRUCTURE d A/0 io-X /
1
SIGNATURE OF �Z
APPLICANT
VALUATION s
.6p0 O '
ROV DATE iNRCTCIR S SIGNATURE
/ PMT FOT TION
FEE (O •'"` FEE RMS IALB
FRAM 1 STOPS.
I
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BR BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FU LOCATION,
WITH ALL COUNTY ORDINANCES AND vr STATE LAWS RB6ULA'ING GAS NT.DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING T'HE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH I
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
4 Ai
ING TO WORKMEN 6 COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMB
PERMITTEE RECT AND
ADDRESS FINAL,
CLYDE N D LAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION eK. Mo. cAsll PERM VALIDATION m no cmw
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741AG30A CR#BGS-6-57 APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGROEER ADDRESS
BUILDING AND SAFETY DIMON LOCALITY
JOHN A LAMBIE.CouNTY ENGINEER NEAREST •
CABSATT D GRIFFIN SUPT OF BUILDING CROSS ST J
DISTRICT NO GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN K
CONST
BUILDING STATISTICAL CLASSIFICATION
ADDRESS ,O S
LOT NO I ' 7Zi 66 LOCK CLASS NO DWEL UNIT ��
MAP STATE YES
NUMBER HWY
TRACT USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT C 3
USE OF
EXISTIN BLD
BUI!:RING
YARD HWY STREET NAME EXIST
OWNER O Y FRONT
MAIL F P L
ADDRESS 4 O SIDE
TE P L
CITY NO
Wjjq
ARCHITECTOR TEL INSPECTION RECORD
ENGINEER NO
ADDRESS
TEL
CONTRACTOR NO
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DE ISH
SQ FTNO OF NO O
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OFAPPROVALS
APPLICANT
DATE INSPECTOR S SIGNATURE
ADDRESS • FOUNDATION LOCATION
.S ~~ FRAME
FORMS MATERIALS
�"• FEE �^ FS
BRACING BOLTS
VALUATION /OD f FURNACE LOCATION.
GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COON ORDINANCES AND
STATE LAWS REGUTI
PERMI NG BUILDI G CO RUCTION LATH EXT
SIGNATURE OF HOUSE
RECT AND POSTEDR
ADDRES FINAL c�
JOHN A LAMBIE COU ENGINEER CLYDE N DIRLAM PfUNEIPALSTRUCTUGINEER
PLAN CIMCK VALIDATION CIL N o CASH PERMT VALIDATION CK, too H
[�2 2 3 6 M �24 1 A 1.0 0