HomeMy Public PortalAbout9314 BROADWAY_Building__ )61,63 B•T CCu803 IRS. APPLICATION FOR BUILD) ERMIT'
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 11
BUILDING AND SAFETY DIVISION LOCALITY ` E
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST • , '
COLEMAN W. JENKINSSUP T.OF BUILDING CROSS ST.
DISTRICT NO GROUP TYPE P OC ED 13
FOR APPLICANT TO FILL IN �/ D , ��/ CONST. ' � �3�A/
If !^ _
BUILDING T� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS , C• 4' 12 P uwINCLASS NO. DWELL UNITS BK PG 37
72
KT ML -E ALT, N 9 �g,I USE ZONE I MAP, G
i� NO. C'7 6
TRAC F L T 9,3O/- �— SPECIAL
I x0. Oi BLDG$. CONDITIONS
SIZE OF LOT 4.� NOw ON LOT
USE OF _
E 5 I14G BLDG� Q� E \ BLDG. SETBACK FROM
TEL. IRONT PROP. LINE OI STREET)
OWNER LATS QCZ'O lz NO. TYPE OF E%ISTI NO SETBACK HIGHWAY + YARD - TOTAL
ADDRESS XIGNWAY WIO 'FROM rC.L.
CITY &Z,a 6 JQi -�— } L�)= 2} /
ARCHITECT OR TEL. BL 00. SETBACK FROM
ENGINEER tS( NO. SIDE PROP. LINE OF (STREET)
`� TYPE OF E%)STING SETBACK XIGM WAY } YARD = TOTAL
ADDRESS �, ` 'Q, HIGHWAY WIDTH FROM C.L.
TEL. } = 0
CONTRACTOR Luft VEv O -1 V
1C- . PL,:.-
ADDRESS NO Z CORNER CUTOFF YES LIC NO O
CITY %-q
LIC
3 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK 6/Ink- �.1�3tJ9. �T g ,,Y:a 7 I/)
NEW � ADD ALTER REPAIR DEMOLISH / `
SO.FT. J NO. OF NO. OF
512E STORIES FAMILIES O / /S ,,�eY.( `
USE C (jIi(/)TJ lJ//X
STRUCTURE
M
SIGNATURE OF I /
APPLICANT
VALUATION S�Q�i
APPROVALS DATE )NSP ECTOR'491GNATUR
. 91
P.C. U PMT. r [)J FOUNDATION, LOCATION
FEES FEES �} -� FORMS, MATERIALS _
FRAME, FIRE STOPS, /
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILOING CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'$COMPENSATION INSURANCE. LATH. EXT.
I
SIGNATURE OF HOUSE NUMBER COR--
PERMITTEE RE T AND POSTED
ADDRESS L f, FINAL
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATIONcK M.o. usH PERMIT VALIDATION cK. M.O. CASH
0 6 ? eo .'r i 162 3 '7.5 0
_t':,00 6 2 A';G "TP, 1— 6 1 D 1 5.00— '
76AO38A CEBO9'T3e APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION 'BUILD �J/
Department of County Engineer' ADDRESSS
tm
County of Los Angeles LOCALITY
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST -
CASSATT D.GRIFFIN- SUPT OF Bull-DING CROSS ST.
DISTRICT67—
BUIL
O. - GROUP (TYPE SEWER MAP
FOR APPLICANT TO FILL INC
CONS
'. BUILDING /] 1 STATISTICAL CLASSIFICATION
ADDRESS zJ fV
"
LOT NO. � , CLASS�NO.�OW ELL. NITS
BLOCK MAP ♦7OO HWY
�� G NUMBER JG YES NO
TRACT L re.-C / / Q e
14 ZpNE SPECIAL
SIZE OF LOT zS �+ (\ �O O I NOW ON LOTS .•`( A CONDITIONS
USE OF SO O Y J V-'
EXISTING BLDG. /r.P BUILDING XIST.
(� _� . dLSETBACK YARD HWY STREET NAME WIDTH
OWNER 41• V , Jr-�i/4�ato FRONT
MAIL P. L.
ADDRESS SIDE.
TEL. P. L.
CITY NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS ��/!�
� 2(�YWCL'd - NO. TGSI / •S/YL (/-J C♦/��/�. .
� CONTRACTOR ♦ // �t �p �}� ^. � J�psp �C /v.� � � P- � S
ADDRESS'''3"rw.i�,ex Fw'♦ /�6F/J7%!/dt..,R /6'
DESCRIPTION OF WORE
NEW X ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE ISrr/�c STORIES FAMILIES/ "/ •'
USE OF STRUCTURE
SIGNATURE OF LJ• ��l-.•,�. r S �1���•�r
APPLICAN�nTm e+ J /'� n/•'��� ATE INSP� T
ADDRESS .f J.1 m5 `�'�L•b .uCp1//�i FOUNDATION: LOCAT ION - t�•� ,I A 1p
OO � FORMS, MATERIALS
$ / 7♦
[''� P. C. 5/) FRAME: FIRE STOPS. ,J
J �� ,— FEE ! $ �O�O BRACING. BOLTS
VALUATION FURNACE: LOCATION.
FEE GAS VENT. DUCTS
I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH. INT. L /i/-//�♦�/fl/In�A
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND /P
AGREE TO COMPLY WITH ALLCOUNTYORDINANCES AND - -
STATE LAWS REGULATING/BUILDING CONSTRUCTION. LATH. EXT.
SIGNATURE OF VoL,u'ny HOUSE NUMBER COR-
PERMITTEE ♦ /, RECT AND POSTED
ADDRESS FINAL
JOHN A. LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL I EER
PLAN CHECK VALIDATION CK. M cwsN PERMIT VALIDATION CK. M.D. cwsli
8 0 5 1 JUiJ 4 1 5 '1 8.5 0 n n G�
AS 4 -L '7 'ul 18 1
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