HomeMy Public PortalAbout9943 LOWER AZUSA RD_Building__ 76A638A CE✓Y803 2-63 APPLICATION FOR BUILDING 1pjE
WIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NQ. GR TYPE P E SED BY
PORE
R APPLICANT TO FILL. IN CONST. Of
STATISTICAL CLAS ON SE ER MAP
PG
CLASS. NO. DWELL. UNITS
p LCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
AY
NOP (+CIGRCW STATE MAJO ON LOCAL
NO.OF BLDGS.NOW ON LOT USEZONE PECIAL
pCONDITIONS
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OWNER ` S NO _4jLy
BUILDING EXIST.
SETBACK YARD HWY TREET NAME WIDTH
ADDRESS `^ / FRONT -,
ARCHITECT OR '• �y. :-. '.y ) ,►` TEL. P. L•
ENGINEER /i ,i '-'1 NO. SIDE
ADDRESS /. CL
TEL. +•� � t -
CONTRACTOR NO. `
ADDRESS �
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DESCRIPTION OF WORK4
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NEW ADD ALTER REPAIR EMOLIS 1 ` Z
SQ. FT. NO. OF
SIZE STORIES / FAMILIES . .,,.
USE OF p d+ �•'.
STRUCTURE (;. _
SIGNATURE OF
APPLICANT
VALUATION S
APPROVALS DATE SPECTQB SIGNATURE
P.C. .�-,�� PMT. FOUNDATION: LOCATION
FEE S FEE S FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CON STRUCInON. 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 RELAT.
ING TO WORKMEN'S C NSATION ANCE. LATH, EXT. I
SIGNATURE- .. HOUSE NUMBER COR- I
PERMITTEE-" RECT AND POSTED
ADDRESS i FINAL
N JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
4 7 6 2 7v (1iR14 1 D 4.0 0- �'
D" ss►4Ills" 0-44. APPLICATRON ItR PERMIT
DEPA�ttTi4tENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES 1
WM..J.FOX, CHIEF ENGINEER BUILDING
NO. OFBLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS :ZTBACK LIN!
FiRq APPROVED
ZON! BY DAT! RECEIVED BY DATE OF APPL. DAT/E�ISSUED
USN y, APPROVED By DATE cil l'J�l
(+ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
EBUILDING L D /Y
OADDRESS
ytl! NAME
Z ADDRESS LOCALITY
Te v
K V CITY CRO ST.T.
STATE TEL.
LICENSE NO. d. NAME
N MAIL C
F NAME 3 ADDRESS , (F
j2 DR,
u O Q. K' TEL. IADDRESS CITY v NO.
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CITY I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
U APPLICATION AND STATE THAT THE ABOVE IS CORRECT
STATE TSL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENS Q O NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
ZLOT NO.PDR �S� L SIZE OF LOT (12 SIGNATURE OF
C NO. OF 8LD68. OWNER i
g BLOCK �+� DYER NOW ON LOT D F AUTHORIZED AGT.
TRACT CORRECTIONS
Y
D USE OF BLDGS. j`
NOW ON LOT
DESCRIPTION OF WORK �F , �• tl
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NEW TYP ^ GROUP
NO. OF /� NO. OF
ALTERATION ROOMS /V FAMILIES
ADDITION SIZE
REPAIR STORIES
MOVING WALL COVERING
DEMOLISH ROOF COVERING
S P.C.S
FINAL AfAOV
FEE
S � INSP
VALUATION �D FEE ?;;:f7DATIt I /