HomeMy Public PortalAbout9023 BROADWAY_Building__ ,AO.A CE .W.9.BD APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 4 lQr{
BUILDING. AND SAFETY DIVISION LOCALITY c
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP'TOFBUILDING CROSS ST. - GJ�ZCF1 L"
DISTRICT NO. GRO P TYPE ESSED BY
FOR APPLICANT TO FILL IN ro y CONST.
BUILDING /G� ` STATISTICAL CLASSFICATION EW ER MAP
ADDRESS A BK G
CLASS. NO_J�_DW ELL. UNITS ��
LOT NO. G T C BLOCK MAP - . STATE YES NO
NUMBER HWY.
TRACT USEZONE SPECIAL
/ NO:OF BLDGS. CONDITIONS
SIZE OF LOT G� AJqf, NOW ON LOT 1/ 01 'A
USE OF
EXISTING BLDG. BUILDINGYARD HWY STREET NAME EXIST.
EL.
SETBACK WIDTH
OWNERr/�WIVA' f?•Raf/e?G>.CATN2;272.6r 1 FRONT
ADDRESS 902,E t•= i9.Por9nai J4Y SIDE
ARCHITECT OR TEL. P.IL.
ENGINEER ` NO. i INSPECTION
-REECCO�.s
ADDRESS
CONTRACTOR TEL.NO. v / ` / '!'" 0
ADDRESS DESCRIPTION OF WORK � 7< u
NEW ADO ALTER REPAIR DEMOLISH h
Z
50. FL NO. OF
SISEDPZE �/i n. STORIES
FAMILIES
FAMILIES s
STRUCTURE/IAC I / IJ 3 �.FiN�"' I FAL S..
SIGNATURE OF
APPLICANTiA�.-�-//F
VALUATIONS
APPROVALS DATE INSPECTOR'S SIGNATURE
P C PMT �J(J FOUNDATION: LOCATION
FEE $ FEE FORMS. MATERIALS
FRAME: FIRE STOPS, L
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS /fes ^'�^•G
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. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH, INT.
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN'5 COMPENSATION LAWS OF CALIFORNIA, I
LATH, EXT. S�&Z
SIGNATURE OF, HOUSE NUMBER COR. 1 p`/'
FERMI El �� RECT AND POSTED / I 411
411 I�(//'I�
ADDRESS '-2 --+ FINAL //1. �� 11Z' 44.409
CLYDE N. DIRLAM. PRINCCIPAL•STRUCTURAL EN R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LACo:014 .9 6Q� J020 1 0 6.00-
-