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HomeMy Public PortalAbout9056 BROADWAY_Building__ APPLICATION FOR '� �' ' COUNTY OF LOS ANGELES tOBUILDING PERMIT C4 `f DBUILDNGAND AFETYDNSOMOF COUNTY A BUI Lo' NO FOR APPLICANT TO FILL IN ADDRESS90 6p� BUILDING / ADOR ESS L"OCA LITV NEAREST CITY ZIP CROSS ST, NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCE DISTRICT GROUP TYPE FIRE CE D BY TRACT K -.g BLOCK LOTION , a � �0C] CDNST. Z E / TEL. �s� (/ OWNER PIQ CI. O NO. 3 I- STATISTICAL CLASSIFICATION SEWER MAP ADDRESS GL:N CLASS NO. OWELL.UNITS L SK �7 PG CITY ZIP USE ZONE MAP / NO. ARCHITECT OR TEL. /[� SPECIAL ENGINEER NO. �� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONTRACTOR _ 'TEL.�2/ BLDG.SETBACK FROM /• O YY J ( FRONT PROP.LINE OF (ST EFT) ADDRESS 3&65NO. /312".- TOTAL.SETBACK FROM OF EXISTING HIGHWAY } YARD CITY t LIC. ` FRONT PROP-. LI HIGHWAY WIDTH 14 [) ( CLASS G/C CONSTAUCTION LENDER �.. + a NAME AND BRANCH _ BLD45ETBACK FROM CJ ADDRESS - CITY SIDE PROP. LINE OF (STREET) _U SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETB K FROM TYPE OF EXISTING SIZE TORIES FAMILIES ONE SIDE P . LINE HIGHWAY WIDTH DESCRIPTION OF WORK NEW ❑ + _ 6. N ADD CORNER C F YES ❑ NOALTE Z 7 0 Ser EPAIR❑ IN OPEN CE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES I] NO ❑ EXISTING BLDG, DEMOL ❑ APPRI NT) NO. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. ICERTI Y. THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. SIGNATURE OF FINAL �/ 'Jt- /� BY PERMITTEEzll DATE l! ADDRESS - •r > �✓ -7 /! TEL' P.C. Fee$ /3 . Q Permit Fee r CITY �L///lI/ f NO. "S- Q Issuance Fee VALUATION$ /goo;E! Total Fee PLAN CHECK VALIDATION cK. M,o. cABH PERMIT VALIDATION cK. Ho, c.sH 2 4 1 JAN 24 2 3 D 1 3.0 5 act 76A638A CE0R03012/ZS /^/\1 2 J 2�JAN 24 1 D 2 1+7 5 A-Z; L 76A638A CEA8¢5,6514PPLICATION FOR BUILDING PERMIT _ lJ _ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS p I Dk4 AB BUILDING AND SAFETY DIVISION LOCALITY_ 1e l L JOHN A. LAMBIE. COUNTY ENGINEER NEAREST ' COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. DISTRICT N GROUP TYPE P SSED BY FOR APPLICANT TO FILL IN T' ! 1.� CONST. BUILDING Z. STATISTICA LASSI FICA TION SEWR MAP ADDRESS p . 3lza1ywR CLASS NO.�OW ELL UNITS �- EK / PG i LOT NO, VO Y O•` / BLOCK USE ZONE MAP 4 /�/�' NO. TRACT // ^� / V ` ' SPECIAL NO. OF BLDOS. CONDITIONS . SIZE OF LOT' - Z NOW ON LOT / USE OF I`�.- EXISTING BLDG.SlL /C F/ BLDG. SETBACK FROM - TEL.. FRONT PROP. LINE OF (STREET), OWNER NO. TYP OF I E%ISTI NO SETBACK HIGHWAY + APD - TOTAL- ADDRESS OTALADDRESS 5-t. v / pi.♦ HI4 AYWIDTH FROM C.L. CITY �17- `/— +T11.66. ARCHITECT OR TEL. L 4. 3E BACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OFEXIST.INO SETBACK HIGHWAY + YARD = TOTAL ADDRESS - HIGHWAY WIDTH FROM C.L. �. ' ,�//y{�� TEL _ + _ CONTRACTOT //( C Ef NO S O r O AODRES5.IJ /' NO J Z 7�.. 8 CORNER CUTOFF YES NO C.7 r /� 1 OC CITY / � /e \ .4 CILASS / SEE REVERSE SIDE FOR SPECIAL APPROVALS O D17S-CRIIPTION OF WORK NEW ADD Y ALTER REPAIR DEMOLISH SO.FT. •40a L' •} QNO. OF NO. OF._ ' " " "� '"•_""'� .CdLAh��/FR+U� SIZE STORIES FA MI LIF$' S_/ !, e, -�/%.J `Q �f'}.\ USE O F Q//� .YIG/• iC.tri�' If.J/ STRUCTURE (� O 2 Z Sl_G NATURE APPLICANT VALUATION A / E - ,�J APPROVALS DPTE (�' INSPECTORSSP�y /JSIGNATURE P.C. PMT. FO G! FORMS! MAN, ATERCIALS ATION /0/43h C<; , FEE$ FEE SJ .� _ FRAME, FIRE STOPS, 547 HERE Sy AC THAT THE ABOVE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE I$ CORRECT AND AGREE E LAYING FURNACE: LOCATION WITH ALL COUCONSTRUCTION. TI O. INCE$ ANO STATE LAWS REGULATING GAS.VENT. DUCTS 9VILDING CONSTR VCTION. CERTIFY THAT IN DOING THE WORK - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.-INT. IfA � TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'5 COMPENSATIONINSURANCE,. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE ////////'"' RECT AND POSTED � � ADDRESSz .1 7/� ©A�t /Y✓0- -"C FI NAL J JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION OK. M.O. GASH PERMIT VALIDATIO cK. M.D CASH 6 3 4 9-o OCT1 3 1 D 1 1.50- a` APPLICATION . FOR 'BUILDING PERMIT � . DIVISION OF BUIIDING AND SAFETY . ADDRESS Department of County Engineer —�—� County of Los Angeles i LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. I C� DISTR I CT NO. GROUP TYPE/D SEWER . MAP. FOR APPLICANT TO. FILL IN oo N PG c� CONST. ADDRESS D J �./jQQ,d N MAKER O I STAT�HWY - YES NO LOT NO. BLOCK(..J US Z07E SPECIAL " qq ) /_A 'CONDITIONS TRACT 1 6/ l� (-x /J•7!+ NO.OF SLOGS. SIZE OF LOT 01J I NOW ON LOT ( BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH USE OF FRONT -l�pQw �Y^`/ 710 EXIST,NG BLDG. r-lz.e$ R L_ t! I' /T _LSA OWNER / r- f-0-A_",fA_ SIDE t P.L. ADDRESS yQS� IaA.6nd CL)"'Al O TRACT DWELL. . 1 UNIT 5 INDUSTRIAL -n -1 L' r 7 DWELL. i UNIT. CITY - / Cid/ NO: /.'r'/�'��[A 6 PUSLIC BLDG. ARCHITECT O /�. /�• TEL. / .(yc� 2 DUPLEX 2 UNITS ENGINEER �fP(1�(-y!�'L(J•i NO. `'J(•�•'f �Z LT.. ETC. P� �j ' s A 3 APT. _UNIT q ADDRESS 1 Rd �" to 'TJ4 4 COMMERCIAL 8 MI$CEL. sW 1.A1'-�O /t n TEL. fi,•Z p pX INSPECTION RECORD '-` aCONTRACTOR(�/�dJp�7q�gy/� NO. ADDRESS' �V� / l�C�.R�-7 C �4- 1 OVA l� DESCRIPTION OF WORK NEW ADD ALTER REPAIR - DEMOLISH SO. FT. NO. OF NO. OF• SIZE . STORIES FAMILIES _ USE .,OF.STsj2U CTU REQ - > • UR *Y .YZCiA �•�d,_p/_ ,ctrY lllj� SIGNATURE OF � � APPROVALS APPLICANT . ' ADDRESS r J ,p� {/.^) L �cC�� DATE - INSPECTOR•S SIGNATURE $ FOUNDATION: LOCATION '•OP V P. e�T FORMS.MATERIALS FEE FRAME:FIRE STOPS. (,v . VALUATION $ dQ BRACIN G, BOLTS FEE /0 FURNACE: LOCATION, 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT . ' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS 'REGULATING BUILDING CONSTRU{,• TON. - - I 4- LATH. EXT. WsbJ .w�LL y SIGNATURE OF HOUSE NUMBER COR_ . PERMITTEE RECT'AND POSTED 1 ��7 ADDRESS ' INAL V (o l JOHN A.LAMBIE, COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK MO CASH ...'T07 5 13,,—, ,,11.123 16 2.5 0 A. 8 0.0 5 1 4 JliiJ 2n�