HomeMy Public PortalAbout9018 BROADWAY_Building__ ['76A638A
CE 48036-62APPLICATION FOR BUILDINGPERMIT
COUNTY OF LOS ANGELES I6UILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 9 (J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
T
DISTRACN -GROUP TYPE OCES LIBY
FOR APPLICANT TO FILL IN F / CONST. /
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS - �JZ (� •:C BK )p(�
.CLASS. NO. -� DWELL. UNITS 1
LOT NO. 3 BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT /f /� MAPHIGHWAY STATE MAJOR SECOND. LOCAL
NO. OF 11_11S. NO. jcIRC LEI
SIZE OF LOT Q X / O NOW ON LOT USE ZONE SPECIAL
USE OFCONDITIONS
EXISTING BLDG. ITB5/nE All-- r '
OWNER&&,AIT/_ l¢V PjX,41VNO. BUILDING EXIST.
/ SETBACK YARD HWY STREET NAME WIDTH
ADDRESS// �/f' J �A�FfHj-h FRONT /
ARCHITECT OR - TEL. P. L.
ENGINEER NO. SIDE
ADDRESS Al r 4 3,
TEL. Y W
CONTRACTORt-OQ1'�(•III.I/✓ 'J/0
� C/H a. NO.7�S J-0... "•.�/� �.:.s� L �C✓b'C7 "!CNV//I�1I In
ADDRESS X 4-S Y/a I_L I_V 1-4i_✓11
DESCRIPTION OF WORE
NEW ✓ADD` ALTER REPAIR,,/DEMOLISH / / N
Sq Jflf�'" QST�LORIED ✓ FAMIOLIES
STRUUSE OCTUREJ/ RA14. I 'Ir 1,P-7?Y111i !�// � G/��../���y/✓/7N/., �1 /'/ // .},/
C ORr.�J,//', � �a�IC'w'9 �i//!/!/Nf9 h..�G✓ i7'��' Y//9�..•
SIAPPLTCANTF---t
VALUATION S �..�
f AA APPROVALS DATE INSPECTOR'S SIGNATURE
FEES L Z A S� FEE $' .y FO FORMS, MATEROW ALS LOCATION
FRAME: FIRE STOPS.
I HERE&Y 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 CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK ' I
AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. 1\
TION OF TEIC/.BOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTOWORE N'S COMPE NSATION INSURANCE. �/
/S � LATH, EXT. /
SIGNATUR O _L'!- (�ff� HOUSE NUMBER COR.
/PERMITTE'E 7/ RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK M.D. CASH
LAU) 5 6� P.aR ?5 2 3 D 4 7.5rjA `=
s,
Li Ilio 4 9 4 2 v i':r.'f 2 1 D 9 5 ,0