HomeMy Public PortalAbout9432 BROADWAY_Building__ 78AS88A CE#808_Bd7 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINS
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DEPARTMENT OF COUNTY ENGINEER ADDRES
BUILDING AND SAFETY DIVISION LOCALITY ?E A E cl T
JOHN A. LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. 0 V Z
DISTRICT NO. GRSEWER MAP
FOR APPLICANT TO FILL IN `� TYPE� BK PG
(J'` p ./ CONS
ADDEISS9r3� F, B/{ �/%'D�A STATISTICAL SSIFICATION
� LpT Y CLASS. NO.=WELL.UNITS-I
LOT NOE J
Y , j 1 i d 7yf BLOCMAP STATE YES NO
•H/4S ti V/E C E' NUMBER HWY.
TRACT 11 q f V USEZONE SPECIAL
SIZE OF LO Iy 6 I NO.OF BLDGS. /� CONDITIONS
NOW ON LOT '1%1
USE OF 1
EXISTING BLDG. 1Fesln G'/(/L GS BUILDINGEXIST.
YARD HWY STR ET NAME
' SETBACK WIDTH
OWNER #LJ f FRONT /
AO RAl LESS/� D L G% U�//w� yam) SIDE
CITY R/IT)D/F C T NOL /Td 1j. P.L.
ARCHITECTOR TEL, INSPECTION RECORD
ENGINEER NO.
ADDRESS
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-. CONTRACTOR W MC'c - D/L{/)�RNr' pEL.,
ADDRESS .'A
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO.OF NO.OF ) K
SIZE w STORIES FAMILIES V-A w • /i
USEOFSTRU TUR
E ,ANG Err
G R 6-E -ZrF ° POlee il _ oo
SIGNATURE OF APPROVALS
APPLICANT
ADDRESS -4G ATE INSP TOR'S SIGNATURE
FOUNDATION: LOCATION
FORMS.MATERIALS
�� FRAME: FIRE STOPS. �{y
EE
V - s � BRACING. BOLTS /� ,7
VALUATION ,U( E FURNACE:� LOCATION.
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FEE GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND �y
STATE LAWS REGULATING BU G CONSTRUCTION. LATH,EXT.
SIGNATURE OF /• HOUSENUMBERCOR-
PERMIQ✓ RECT AND POSTED
�S
ADDRESS FINAL
JOHN A. LAMBIE, COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STR RAL IN ER
PLAN CHECK VALIDATION K, M.O. CASH PERMIT VALIDATION
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