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HomeMy Public PortalAbout9334 BROADWAY_Building__ 76A838A CE#803 8-63APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. DISTRI T N GROUP TYPE BRED BY FOR APPLICANT TO FILL IN CONST. BUILDING !� STATISTICAL CLASSIFICATION 5 WER MAP ADDRESS,( T _ q T K P �+ CLASS. NO. DW ELL. UNITS `� LOT NOZ Gg.�'� bw O WATER NOT REQUIRED RECEIVED S' � CERTIFICATE: TRACT NO.OF BLDGS. NQ (CI CVLE) STATE MAJOR SECOND. OCAII SIZE OF LOT SE ZZ0 SPECIAL - (L%q._ USE OF CONDITIONS EXISTING BLDG. /J _ TEL OWNER /'5 `/ G _r O. B ING �' EXISr -/ SETBACK YARD HWY STREET NAME WIDTH ADDRESS / ,Q �((.{i Yl FRONT A. ARCHITECT OR TEL. F. L ENGINEER [ NO. SIDE 1 ADDRESS - y TEL. 0 CONTRACTOR NO. V ADDRESS K O DESCRIPTION OF .WORK W a N ADD ALTER REPAIR DEMOLISH � SO. FT. NO. OF NO. OF Z SIZE S STORIES FAMILIES USE OF STRUCTURE GA A -�, SIGNATURE OF APPLICANT ' VALUATION C.J APPROVALS IDATE, INSPECTO)i S'SIGNATURE P.C. PTFOUNDATION: LOCATION EV FEE 5 �- FE $ FORMS. MATERIALS FRAME: FIRE STOPS. //9/9x / /x I HEREBY ACKNOW LE O GE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS 4WFif AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. 7- WITH ALL COUNTY OROINANC ES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN D E WORK - AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY RSO N VIOLA LATH. INT. TION OF THE LARD E OF THE STATE O CALI NIA RELAT- ING TO WORKME CO PENSATION IN..., LATH. EXT. SIGNATURE F / HOUSE NUMBER COR- PERMITTEE _ CT AND POSTED /J03/ ADDRESS FINAL .3/ .I�� JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. m.o. GASH 2 4 o JAN 20 1 D - 11 ,50, < - - 1 76A638A CE#B03 8-E3 APPLICATION FOR BUILDING, PERMIT . ., COUNTY OF LOS ANGELES BUILDI ADDRESS � DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A.JENSEN. SUPT OF BUILDING CROSS ST. ,L / DISTRICT NO. P TYPE G OCESSED BY FOR APPLICANT TO FILL IN �/�S .. CONST. BUILDING STATISTICAL CLASSIFICATION )SEWER MAP �p ADD S W CLASS. NO. b DWELL. UNITS BK '3P•-) LOT NO1''. OF r ` WATER © CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACTF VV L A / �A MAP HIGHWAY ttLA��T�E MAJOR SECON CAC 1-7 NO.OF BLDGS. NO.O2 (CIRCLE) ST SIZE OF LOTpO. C T NOW ON LOT USE ZpNE SPECIAL USE OF ICONDITIONS EXISTING BLDG. J -i t' ]> �C41 OWNER (!G✓ b �4�/' NO. _3IV5 BUILDING EJL- EXIST. !/ SETBACK YARD HWY STREET NAME WIDTH ADDRESS /T �AX-eon ry FRONT ARCHITECT OR TEL.6 P. L. vae ENGINEER ( NO.(( ' I SIDE L. ADDRESS 196 1 2263e P. 8 d TEL. $ 0 CONTRACTOR ' NO. (/ ADDRESS G - S i R6 E C DESCRIPTION OF WORK d /S/GS cP aAixr. lr�^ M. 0 NE ADD ALTER REPAIR DEMOLISH {{..����,,.rr.JJ,,nn1A �N- SO. FT. NO. OF NO. OF la"'/,'K SIZE Od T STORIES FAMILIES/ USE OF n STRUCTURE G SIGNATURE OF 'e' -p'='•"�/ ni,a a.0-9r•�� D{ �./�•.Giv-r9:�t.Om�' � APPLICANT VALUATIO /iia C✓L.• APPROVALS -V�+1�' �pDATE INSPECTORS SIGN RE VFOUNDATION: LOCATION P.C. ,J PMT.$ /1 FORMS. MATERIALS FEE $" FEE L� FRAME: FIRE STOPS. HEREBY ACKNOWLEDGE THAT I HAVE THIS APPLICATION BRACING. BOLTS ,AND STATE THAT THE ABOVE ICORRECT AND AND AGREE COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCESGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. CERTIFY AND STATE LAWS REE THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. r TION OF THE LABOR CO E OF THE STATE OF CAL ORNIA RELAT+ 14� ING TO WORKMEEN'S M OF THE INGU.ANC LATH. E%T. ! pITURE TTEE OF HRECT AND POSTEDOUSE NUMBER SIGNCOR- PERM 31 /u7 ADDRESS FINAL / JOHN F. LEWIS. PRINCIPAL STRC URAL ENGINEER PLAN CHECK VALIDATION cK. -M 0. CASH PERMIT VALIDATION GK. M.O. CASH L,I;JoI56 0 7—� DEC 9 2 3 D 3 0.25Ar L, 7 7 2 3G JAN20 1. D 6 , � `Y 76A638A CE:8035-65 APPLICATION FOR BUILD( 'G PERelI_ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST I, i �{L- COLEMAN W. JENKINSSUP'T.OF BUILDING CROSS ST." '�j�j7j��(/T^j�[�..(•J \ FOR APPLICANT TO FILL IN DI_11o(gByzV ' D _? IT CONST , PR C ss G BUILDING STATISTICAL ASSIFICATION SEWER MAP ._ ADDRESS CLASS NO. _ DWELL UNI T5 . G PG LOT NO. p BLOCK USE ZONE MAOP� O TRACT i - SPECIAL NO. OF SUGGS. 1 (CONDITIONS SIZE OF LOT J L7 NOW ON'LOT USE OF EXISTING SLOG. SETBACK FROM e q EL. FRONT PROP. LINE'OF OWNER _ �KC' NO. TYPE OF K ISSETBACK HIGHWAY +- YARD - =TOTA ADDRESS 3, HIGHWAY WEITX T(NO fAOM LL '-� CITY SLOG. SETBACK FROM ' ARCHITECT TE ENGINEER NO. 17 /L. SIDE PAOP, LINE OF (STREET) /�Q TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS (/4iL a HIGHWAY WIDTH FROM C.L. TE CONTRACTOR o,,i NOL. / + _ ADDR E55� S Ll NO 6 CORNER CUTOFF YES NO OV Ed CITY C SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK w a NEW OD ALTER REPAIR DEMOLISH SO.FT. -1 ` NO. OF NO. OF SIZE a � STORIES FAMILIES USE OF ��....{{-,�� �FiVA. _�LL� STRUCTURE WtiLU /� 3 4N f Z 2 3 m SIGNATURE _ APPLICANT VALUATIO Cy C APPROVALS DATE (NSP ECTOR'S SIG NATURE P.C. PMT.�+ dYj FOUNDATION, LOCATION FEE lME $ AME,FORFI E MATERIALS FRAME, FIRE STOPS, HEREBY ACKNOWLEDGE THAT CORRECT AND THIS APPLICATION BRACING BOLT AND STATE THAT THE .INA IS CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUCONSTRNTYUCTION. TI O. INCER ANO . AT I LAWS DOING REGULATING WORK GAS VENT. DUCTS AUTHORIZED CONSTRUCTION. CERTIFY EMPLOY IN DOING THE WOFK , TIONO F ED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA- 1LATH. INT. ' TION OF THE LABOR CODE- OF THE STATE CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE, LATH. EXT. SIGNATURE OF//////////////////������������ ������ HOUSE NUMBER CDR - PERMITTEE _905111 RECT AND POSTED ADDRESS �7& 3` o FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL E =ASN PLAN CHECK VALIDATION CH. M.G. CASH _ PERMIT VALIDATION_ CH. M.o LACO 1.7 7 4 n MY 4 1 D 6.00- Q WORKERS'COMPENSATION DECLARATION I hereby affirm that I hove a certificate of consent to self insure, or a certificate of Workers' Compensation Insurance, APPLO 7PTM FOR- R BU RDNG PgyS R7 LJ or a certified copy thereof (Sec. 3800, Lab. C.) - - COUNTY OF LOS ANGELES BUILDING AND SAFETY ' Policy N0W_Z/_Company• "rulfn 6 . Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING' copy Y 9 P BUILDING - ADDRESS Certified co is filed with the count buildin ins ec- tion department: ADDRESS , Date Applicant CITY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BL S. NEAREST. COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS Si. (This section need not be completed if the permit is for one ASSESSOR' ` 'hundred dollars (§100)or less.) TRACT I BLOCK LOT NO. . MAP BOOK PAGE PARCEL TEL' OWNER USE ZONE MAP ' I certify that�in the performance of the work for which this �' — NO. permit is issued, I shall not employ any person in any manner _ `- SPECIAL so as to become subject to the Workers'Compensation Laws. ADDRESS 1 ` CONDITIONS 0 DateApplicant CR .2 L ZIP ITECT O NOTICE TO APPLICANT: If, after making this Certificate of AR TEL. DISTRICT GROUP TYPE FIRE O ESSED BY (1 Exemption, you should become subject to the Workers' ENGINEER NO. /�/�/��1 CONST Z Compensation provisions of the Labor Code, you must forth- ADDRESS J r`-'`-' with comply with suchprovisions or this permit shall be I - deemed revoked. CONTRACTOR _® EL. STATISTICAL CLASSIFICATION - APT. CONDO.IM - Z LICENSED CONTRACTORS DECLARATION Lit. CLA55 NO. DWELL, UNI75 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ed NO. (commencing with Section 7000)of Division 3 of the Business and LIC - SEWER MAP Professions Code, and my license is in full force and effect. CRY CLASS VALIDATION SO. FT. NO, OF NO. OF CHECK BK. FG. • License Numbej;2�� Lia Class Q q SIZE - STORIES FAMILIES ONE /� /' VALUATION Conlroctor6'7,Qf'Wi U�Al/. Date + DESCRIPTION OF WORK ADD ❑ $ I am exempt under Sec -8 Q ALTER B.BP.C. for this reason e- Y EPAIR ❑ 9 - D.a US TI DEMOL ' EXISTING BLDG. ❑ Signature APPLICANT TEL. FINAL //ff O f - 11 ECLARATION PRINT NO. DA i2 /O/ I hereby affirm hotm exempt from the Contractor's License i [/ Law for the following reason (Section 7031.5, Business and ADDRESS F Professions Code): PRESENT - - j ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 7044, Business and Professions Code). MOVING TEL 1, as owner of the property, am exclusively contracting CONTRACTOR NO. ,3 9 0eW7e 9 A^ eA with licensed contractors to construct the project (Sec- ADDRESS - tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET ggCK YARD rtwv PROP. LINE WIDTH I • 1 2 4 8 8 I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PA- - a,e-12 8$,V (Sec. 3097, Civ. C.). SIDE Lender's Name P.L. 03.0.1 -,88 DMA R.I. N m Lender's Address P.C. Fee$ - Permit Fee certify.that I have read this application and state that the Issuance Fee - co IDMA PiC R D above information is correct. I agree to comply with all County Investigation Fee - ' ordinances and Slate laws relating to building construction, Total Fee 8 and hereby authorize representatives of this County to enter - WMA. Perm. R .upon the above-mentioned property for inspection purposes. . }' SEE REVERSE FOR EXPLANATORY LANGUAGE �bigr } Applicant or Agent Dote TEMPLE -COTY ......E,#........ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING 33 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY 7 JOHN A. LAMBIE, COUNTY ENGINEER NEAREST /� WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. ( - +- FOR APPLICANT TO FILL IN °�=Z F - cR co T. PRS Ey BY BUILDING0� U D /// STATISTICAL CLASSIFICATION WR ADDRESS e CN r CLASS.NO. DWELL. UNITS B /! G LOT NO: BLOCK WATER NOT REQUIRED IVED /^per CERTIFICATE: TRACT '(�J ny'y /'� NO OF SLOGS, NO, (•/ ICGROLE)MAP AY STATE J SECON LOCAL SIZE OF LOT./-'J O USE OF '/'l/yy✓' _ I NOW/ON LOT USc ZOt E SPECIAL EXISTING BLDG. �r(U/y-LG� T O V �M CONDITIONSWNAME (OU IL.1O/t• f TEL. OWNER 9 / NO. B LDING YARD HWYADDRESS Q (L1 � SETBACK ' ! FRONT ARCHITECT OR �CL� TEL. P. L. Ir ENGINEER C NO. SIDE P. L. ADDRESS )) } CONTRACTOR '9 p- Ze &/Y�+/NTEL /J��� y ECTION a ADDRESS �J� T F G /J/ /r (w K DESCRIPTION OF WORK 0 rlV W NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO.OF NO.OF Q Z IZE ,//� STORIES J/ FAMILIES USEOF STRUCTURE OZ'S"^ L LV/✓6! 14, vll SIGNATURE OF APPLICANT- VALUATION PPLICANT VALUATION$ � 0-0 APPROVALS DATE INSPECTOR'S SIGNATURE FEE ,� I FEE $ FOUNDATION: LOCATION FORMS,MATERIALS FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS 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 DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE On.ALIrORNIA RELAT- ING TO WORKMEN'S CO ENSATION INS RANCE. LATH,EXT. SIGNATURE OF HOUSE HOUSE NUMBER COR- PERMIT EE RECT AND POSTED ADDRESS d G FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK. M;o. CASH PERMIT VALIDATION cK. M.O. cAsm 6 2 2 ;F€E 1 2 3 D 15 .0 O-A