HomeMy Public PortalAbout9222 BROADWAY_Building__ T6>�36.�E eao,z-63 APPLICATION FOR BUILDING PERMIT-
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
.BUILDING AND SAFETY'DIVISION. LocnuTv yt , I
JOHN A. LAMBIE. COUNTY ENGINEER NEARESTL /
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. 21�1 1-Azel, r
DISTR CT NO. - GROUP TYPE /PR CESSED BY� _
FOR APPLICANT TO FILL IN ib CONST rJJ�
BUILDINGC'• .. STATISTICAL CLASSIFICATION - WER MAP
ADDRESS z`� LL eoeI K CLASS. NO. _DWELL.UNITS"—jj BK Q�G
LOT NO. Glrl'tre� J LOCK WATER 'NOT REQUIRED RECEIVED
RECEIVED ❑
CERTIFICATE:
TRACT ../ MAP HIGHWAY
SIZE OF LOT j, I�•S NOW ON LOTS NO. �I CIRCLET STATE MAJOR SECOND. OCA USE ZONE SPECIAL
USE OF /� CONDITIONS
EXISTING BLDG. /\ p V G �•J"P"
OWNER C6e/� ,(/�{�. NO z0/ BUILDING 'QiLLL E%IST.•
SETBACK YARD HWY STREET NAME WIDTH
FRONT
AP 11TECT OR EL. P. L. '/.� LJLgz
EI ;EER NO. SIDE / );
\/ P. L.. ' d
ADDRESSdH,A:R`•. .6/&'+n ('7/GY J7;l�J O
TEL:
CONTRACTOR NO.
ADDRESS / i!'�" '• y/ 7 l 7 _sn/1F9'T�h,�3� .Q
DESCRIPTION OF WORK � / C w
Gi ...A G,,, /i.It,Z,v ` w,),% y a
NEW 1�' ADD ALTER REPAIR DEMOLISH
SIZE T NO. OF STORIES -,_FAMIOLIESUSEOF J ?9/�Go. ' �-e�tNp /.r't..dPi`.F1ri ✓�1N/
STRUCTURE
gyp.. .0'I•.. ` �. — .y.. AeI-,
SIGNATURE OF /�S /4� �jLQ �.fs�a9 r..GI.Fr✓�'l.
APPLICANT
VALUATIO
APPROVALS • .DATE INSPECTOp 5 SIGNTURE
FEES FEE $ 8/, SQ FOUNDATION: LOCATION 3 /A
FORMS. MATERIALS �/dY3
FRAME: FIRE STOPS. 'y
HEREBY >CKNOW LEDGE 4HAT I HAVE READ THIS APPLICATION BRACING. BOLTS IL/ 10
AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. 2 6 I Y
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS 7
BD ILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK '
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA I LATH. INT. ' w '��
TION OF THE LABOR COOS OF THE STATE OF C IFORNIA RELAT.I
ING•TO WORKMEN'S C NS N 1/SUI NC LATH. EXT.IRE �� '�.v ,, '�J,�� � •
PERMAITT EE OF `A / %Gt^'l HO ECT AND POSTEDSIGN
ADDRES L P�� e 'W AL f h
JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION . GK. M.O. CASH PERMIT VALIDATION EK/, M.O EH
Lilo 8 24 1 3k2 'FEB 3. 2 3 D'
.4 0.754
I ?� Lnl FE31,7 1 D 8 1 .50-bU r ^'
.