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Home My Public Portal About9144 BROADWAY_Building__ DIVL^sIOF BUILDING AND SAFETY De R � n 0 L ® 0 W G Department of County Engineer �U Ll County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION all FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �— DISTRICT N0. PLAN Cc, OR REC,ND, PERMIT NO. Bu1LDING � /// ADORE88 �- p /� RECEIVED BY DATE OF APPL DATE ISSUED LOCALITY ,-&-vlA y l - ,y// NEAREST a• W� C OBB BT. r 8WLDING J-/ ADDRESS OWNER lz MAIL 9/r — -� ),y 11 LOCALITY T G ADDREBB TEL. CITY / L FIRE NO.OF TYPE ,==OUP N6 ZONE I PLANE ENGINEOR /',"/ TEL —ENGINEER (/iJ/L N0. BLDG. / ORD. NO. SETBACK LINE ADDRESS UBEAP / �` T[L ZONE I BYPROVCD DATE CONTRACTOR �/I/[w/�✓JIp(/� l i NO. HOUSE NUMBERING ADDREBB ays'�/ MAP NUMBER-- NO. ASSIGNED BY LEGAL TJ CORRECTIONS D[BCRIPT�I-O/Mt� /LOOT NO. !{ BLOCK TRACTNO. OF BLO SIZE OF LOT x/ D I NOW ON LOTS USE OF //JJ ` NO. OF X EXISTING BLDG. 4_'_ FAMILIES DESCRIPTION OF WORK °a NEW ALTERATION /ly\.I ADDITION 1 r REPAIR DEMOLITION OF BZ[ ® ROOMS STORIES EXT.WALL I 'ROOF RIiY� /✓ ; COVCNG �J/yl'WOCV[RINB USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LgcATION -� 1 HEREBY ACKNOWLEDGETHAT'1 HAVE READ THIS AP- PORMS. MAT[RIALB ...PLICATION AND STATEETHAT THAT THE INFORMATIONGIVEN IB FRAME: OPS. CORRECT. BRACING,BOLTS. _. / q,� l✓ZEJ - _ IAGREE TO COMPLY WITH ALL COUNTY 13ROINANOM FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAB VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTEE ADDRESS /OP��/Y-r LATH. [XT. AUTNORI2EDXAOT. _ ��- �� K PLASTER. INT. v J _ PLASTER. EXT. - FEE H OUSE NUM BER COR- / RECTAND POSTED VALUATION FEC D1U ,,,A•n'• FINAL 76A638A DB53 1-53 76A6'BA CE OM 3-,69 \ '.' APPLICATION FOR BUILDING ERMIT COUNTY OF LOS ANGELES BUILDING I DEPARTMENT OF COUNTY ENGINEER ADDRESS 1 BUILDING AND SAFETY DIVISION 1 - JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY 1 COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. �I FOR APPLICANT TO FILL IN DIST T N0. R P TYPE CONST. P ES &0 _.. (PRINT OR TYPE ONLY( 1 BUILDING q j? Y1 STATISTICAL CLAS IFICATION ,SEWE P ADDRESS / Z o n CLASS NO. DWELL. UNITS BK PG V LOT NO. BLOCK USE ZONE MAP I NO. TRACT SPECIAL' NO. OF BLDGS. CONDITIONS- . SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM pL OWNER J O _ + G TEL. FRONT PROP. LINE OF - - (STREET) TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS /�� i 3 d _ CITY 4 _ }- _ __ ARCHITECT O TEL. BLOG.SETBA FROM ENGINEER &J N0. & -03 SIDE PROP. LIN (STREET) TYPE OF EXISTWG SET HIGHWAY- YARD = TOTAL ADDRESS Q HIGHWAY WIDTH FROM C.L. CONTRACTO 0 POOLS �kNN0361 , - - - R ADDRESS ^71 - S IV 9O. �/ CORNER CUTOFF YES ❑. NO ❑ Q CITY CLASS CLASS C �3 SEE REVERSE SIDE FOR SPE IAL A\PROVALS Q CONSTRUCTION LENDER / 4/,T p _ G NAME AND BRANCH / -7 [ /1,/ , • C G..L W ADDRESS y _ Z SO. N0. OF NO. OF J SIZEF STORIES FAMILIES NEW O L G STRUCTURE 2 0 - G(P�US OF AOD -` OJ3 Z. ALTER ❑ ` .., , REPAIR ❑ Cbl_ SIGNATURE 0 DEMOL ❑ APPLICANT VALUATION $ O O ��/.�ra..�J J APPROVALS D/TE IrvsP R•s .1GNATuec P.0 MTFEE $ FEE FO FORMS,MATERIIALSN O L 2— 2 Li IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRFURNACE: LOCATION,UC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY =--WILL- NOT-EMPLOY,ANY_PERSON IN VIOLATION OF_THE LABOR CODE LATH, INT. OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- _ PENSATION INSURA CE. TSB v rI] O J t• fi•�u, LATH, EXT. SIGNATURE JJ A r �•�l ��{- f PERMITTEE(- HOUSE NUMBER CORRECT AND POSTED n ADDRESqFINALqAp , �•.`_ 63 JOHN F. LEWIS, PRIN IPA1L STR TURAL ENGINEER PLAN CHECK VALIDATION Ca. M.O. CAS? _ PERMIT VALIDATE / CK. M.o. CASH Ac-7%%7-.5-9 AUG 2.8 2 1 .D1 ll �8 0 LAGO 7 7 6 o N AUG 2 8 1 D 3 525- v DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUIL 1f�TfR�T� WIA.J. FOX. CHIEF ENGINEER r Le111 I NO. OF BLDG. ORD. NO. DISTRICT NO. PLAN CK. NO. PERMIT NO. FIRMPLASETBACK LINE FIRE APPROVED Q �C fp ZONE BY GATE ) RECEIVED BY DATE_OF ADPL. DATE ISSUED ZONE14 By use PROVED DATE -v� `�/(vr APPLICANT FILL IN HEAVILY OUTLINED PO,CRTION.ON/L�YBUILDING / I' 1 `y' O E NAME ADDRESS / Cs efolj4b V✓/4 / W Z ADDRESS LOCALITY / r / F _ _ NEAREST J r0N/,/ U W CITY CROSS ST. rG T Q STATE LICENSE _ - NOL / E NAME �� lYin pC ny/-/6 z MAIL w NAME ` ; AD RESS U O TEL. Q ADDRESS CITY NO. R F Z CITY I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O APPLICATION AND STATE THAT THE ABOVE 19 CORRECT U STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE /NO. NO. \/ n AND STATE LAWS REGULATING BUILDING CONSTRUCTION. O OWNER LOT NO. / SIZE OF LOT F�K SIGNATUREOF NO. OF BLDGS. J Q LL BLOCK NOW ON LOT AUTHORIZED ACT. G � J N TRACT �/ CORRECTIONS D USE OF BLDGS�(A � / 0 , NOW ON LOT ��1/ i((- A DESCRIPTION OF WORK USE OF BUILDING 0/ O A O Z D T r NEW TYPE GROUP ALTERATION NO. OF y. NO. OF ALTERAT !/ ROOMS FAMILIES _ter ADDITION SIZE REPAIR STORIES MOVING WALL COVERING �J !7'(/G{q� Q,�/J DEMOLISH ROOF COVERING f/�'-11YIn !v I /✓ $ P.C.s I FINAL APPROVAL FEE /I / VIM .f!' VALUATION ' FEE $� DATE I � (r IV NAME CTOR'S ' I 0 ' 41 I , :APPLLCATION FOR BUILDING PERMIT YYY COUNTY OF.LOS ANGELES . . . BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT-TO FILL,IN. BUILDING aODRESs Ihereby affirm that I have.a certificate of consent to self insure, 'BUILDING AD ISS - I,��' or a certificate of Workers'Compensation Insurance,or a certified 14)cliv ' it t Copy thereof (Seo.3800-1C:) '�aKe� cA tf I 1 DO� LO ALIT _ Policy No. Company SIZE OF LOT ' .l NO.OF BLDG5.NOW ON LOT L O'Certified'copy is hereby furnished gX I`� 'NEAREST CROS ST ❑ Certified copy is filed with the,county building inspection TRACT r BLOCK LOT O. O department. - - 0 d� s a USE ZONE MAP NO - - Date - Applicant ASSESSOR MAP BOOK PAGE' - PARCEL - SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' c OWNERy - TEL No - COMPENSATION INSURANCE I t U N G K_ M 4' 1 )3 06L WITHIN 1000 FT.OF SCHOOL? ves No 1 This section need not be completed if the:permit is for one hundred ADDRESS ( •DISTRICT GROUP TVP ONST FIRE ZONE PROCESSED BY ($100)or less.) ' CITY ZIP I certify that in the performance of the work for which this,permit I D Q Q is issued, I shalknot employ any person':inany manner so as toQ J become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. - z STATISTICAL CLA3SIIFICATION APT CONDO Date Applicant - ADDRESSDWELL UNITS NOTICE TO 'APPLICANT. If, after making this' Certific2te rof REOUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR TEL N0. SET BACK YARD ' HW V PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with silch provisions or this permit shall be deemed revoked. *ADDRESS OC.NO. PL LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC.CLASS PL } I hereby,affirm that I am licensed.underprovisions.Of Chapter 9 1 SEWER MAP - o. (commencing with Section 7000)of Division 3 of the Business and SO.FT SIZE NO,OF STORIES NO.OF FAMILIES O Professions Code.and my license is in lull force and effect. 100 I I NEW BK PG - U License Number - LiC.Class 'OESC IPTION OF WORK ADD ❑ VALUq�pN Contractor Date ALTER [J $ R O ❑ I am exempt under Sec. REPAIR ❑ $ ' U BBP.C.for this reason p 1"w %%Qw 'stake- DEMOL ❑ - d _ - CDMA PICA ... N Date: 1 USE OF EXISTING BLDG: - URM ❑" -. S _.. .�._._.......... ? Signature APPLICANT (MINT) - - TEL NO. - _ IPerm r"..w___.___•_ _. —. ._ _-,--+ -i-' -._.. .- ❑ 1,'as'owner of the property, or-my employees with vSages as Z HtCT.t '....... : their sole compensation, will Bothe work and the structure is ADDRESS.. _ - - O '7307 iyjc,b_I -not intended Or offered for sale�(Section 7044, Business and - FINAL DATE `/ l/.�� Professions Code.) ' WILL THE APPLICANT OR BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL � Tj.J- / � � 1TG"J �I OR A MIXTURE CONTAINING A HAZARDOUS.MATERIAL EQUAL TO OR GREATER ... AN THE J C `' as owner of the property, am exclusively contracting with " < c AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMAiK)N GUIOE> FINAL BY > �. TOTAL 16•_ e 6R� 6censedcontractors to,construct the�project (Section.7044, � _ ras❑ NO El Businessland Professions Code.) - - - t:){tt_K ' WILL!THE INTENDED USE CP THE eONSTG BY THE MODIFICATION OR FUTURE E SOUTH V ' COASTOCCUAIR REQUIRE MANAGEMENT NT CONSTRUCTION QION[u EE PERMITTING NGCHECKLI SOUTH �'u CHANGE „Ir+ CONSTRUCTION.LENDING AGENCY' const AIH Quauiv MarvacEMENrDISTRICT rscAQMorsEE PERMnnNG cHEcrcusT FOP. d-rluy CH11 I - GUIDEUrES I hereby affirm that there is a constructionlending agency for- rEs❑ NO 11 - r - - - --- ......the performance of the work for which this permit is issued(Sec. � ////// r' •y 1'�{ 0/27/K Wy _ IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMp PERMITTING 6000 �I II�TJ1 3097,Civ:C.) � CHEOKUST.I UNDERSTAND MV REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. a TITLE 2.CHAPTER 2.20 SECTION 20.100 T OUGH 220.140 CONCERNING HAZARDOUS - - {Q �� - Lender's Name ' MATERIALS REPORTING nN OR eT INCA E MIT FROM HE SCAOMD 1375 1 , Art 10 +1 . Lender's Address - - o - wmea OR AeEx. o I certify that I have read this application and state'under.Paris o Of perjury that the above information is Go Take I agree t0 Comply PC.FEE PERMIT FEE $ with all county ordinances and State laws relating to building nconstruction, and hereby authorize representatives of this County ISSUANCE FEE+, D a to enter upon the ave-men! ed property for inspection purposes. '+\ /'N 9NVESTIGATION FEE TOTAL FEE (O l SEE REVERSE FOR EXPLANATORY LANGUAGE - -WORKERS'COMPENSATION DECLARATION ir',reby,affirm cer that (.have , certificate of consent to self APPLICATION - FOR BUILDING. PERMIT' • ' inti e„or a ceniticatG df-Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lob..C.), - Policy No Company - COUNTY OF LOS ANGELES BUILDING AND SAFETY ' - - _ � • Certified copy is hereby furnished. FOR APPLICANT TO FILL IN 8 LDING F-1 - ADDRESS.. Certified copy is filed with the county building inspec- tBURDING p p �L ,T tion deportment `ADDRESS I p/t 0/TQW/Y n Date Applicant LILY /91 r— e ZIP LOCALITY - - CERTIFICATE OF EXEMPTION FROM WORKERS' - NO. OF BLDGS." NEAREST.' - COMPENSATION INSURANCE, SIZE OF LOT 6 ? X��O NOW ON LOT � ' CROSS ST. .y ,ec s: ' .y p ASSESSOR: - (This section need be completed if the permit is for one TRACT �;. BLOCK Ito NO. / �'8 'hundred-dollars (5700)or less.) - MAP BOOK - PAGE' PARCEL _ .�j� � TEL USE ZONE MAP: '� OWNER CX.T•�L SFOy .IR No:�/3-`/3- I.certify that,in.lhe-performance of the work�for which this` - NO. , permit is issued; I shall not employ any person in any manner / - / SPECIA so as to become subject to the Workers'Compensation Laws. ADDRESS �r0 B /�F . CONDI NS ZIP Dote L" Applicant ARCHITECT OR TEL: s NOTICE TO T If, after mak g,tf- ertificate. of DISTRICT OUP TYPE -FIRE PROCESSED BY s Exemption, you should become su ect t the Workers' ENGINEER - NO. CONST.. Z NE - /�/ l I i P '� �T/ J Compensation-provisions of the Labor Code, you must forth- 'ADDRESS i ' with rev with such provisions 'or'this permit shall be • TEL v STATISTICAL CLASSIFICA ION APT.` CO deemed revoked. � CONTRACTOR NO: , LICENSED CONTRACTORS DECLARATION - LIC. CLASS NO. DWELL UNITS'_ I hereby affirm that I am licensed under provisions of Chapter 9 ,ADDRESS - r NO. SEWER MAP - (commencing with Section 7000)of Division of the Business and j f ' - LIC v' Professions Code, and my license is in full force and effect. CITY - 'CLASS 'VALIDATION �? 50. FT. NO. OF NO.OF CHECK BK. . PG. D. License Number tic Cldss SIZE' STORIES FAMIUES ONE - Q ' \/VALUATION - - `•+ Corilractor Date - DESCRIPTION OF WORK C4Q&24/K,- NEW. ❑ ❑ I am exempt under Sec. S G (d OX/L1POGi+•f 'VZs ADD ❑ ,SS /� ALTER B.BP.C. for this,reoson i �Y(/[3 — A f3 /Q/��7 REPAIR ❑ { d• Date: E OF S 7ZtA444P`WV1i+ /9^✓ ' XISTING BLDG. y DEMOL ❑ %Z Signature APPLICANT. c _ TEL. -FINAL / OWNER-BUILDER DECLARATION PRINiI. P- iC iP O. DATE I hereby affirm that I am exempt from the Contractors License, - .. Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code)' PRE EN BY ® BUILDING e. .. - `. / I,.as owner of.the property, or my employees with ADDRESS /x. wages as their sole compensation,will do the work and the structure is not intended or offered for sole(Section LOCALITY . 7044 Business and Professions Code) MOVING TEL ' _/. D I, as owner of the property, am exclusively contracting CONTRACTOR " • .NOS J\ ,4 with licensed contractors to construct the project (Sec- .A ' .•a _ tion 7044. Business and Professions Code). ADDRESS ` AGGTT, - ..CONSTRUCTION LENDING AGENCY SETT BACK YARD . 'HWY TO1;A pROF iiNE FRum WIDTH. _ , J:,07 '. -40).50 I hereby affirm that there is a construction lending agency for FRONT - 1 ITEMS theperformance of the work for which this permit is issued P.I. (Sed. 3097-• Civ. C-). SIDE P:L. ... - TOTAL 40 - 50 Lender's Name CHECK- -40.50 P.C. Fee E Permit fee /`) LDMARef..B m Lender's Address - �O `' CHANGE .f1-1 I certify that I have read this application and state that theIsauonce Fee ?% LDMA P/C N - _ above informojion is correct. I agree to comply with all County - Investigation Fee ordinances and State laws relating to building construction, - •0000—I]I)i]i 1� t5fi•9 , Total fee s VT- LDMA Perm. M' - - and hereby outhorize representatives of this County to enter < 0249 '1 AM 11:"-2 upon the above-mentioned property for inspection purposes. - 6-- SEE REVERSE FOR EXPLANATORY LANGUAGE - - m\ / Signatu a of Applin r Agent, Dote