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HomeMy Public PortalAbout9444 BROADWAY_Building__ i 1 76AS38A CE#B 7-56APPLICATION FOR BUILDING PERMIT Z BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDRESS County of Los Angeles LOCALITY / JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SVWT of BUILDING CROSS ST. DISTRICT NO. GROUP SE R MAP FOR APPLICANT TO FILL IN �— CONS TYPE ____a_ K/3-;e BUILOIN�,�} /J I' ADDRESS { a}:, STATISTICAL CLASSIFICATION LOT NO. ff 'LIZ CLASS. NO.-/L—'[ WE . UNITS MAP S 07 NUMBER HWY YES NO' TRACT 1 1. �/1 US ZHNE SPECIAL SIZE OF LOT SM -.\ 2 G7.71r,NOW ON LOTBLDG�9/l.r. I I CONDITIONS - USE OF �l5 EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. OWNER 4dj qf / y\. SETBACK WIDTH ( FRONT MAIL OY ")l I SIDE MAIL S ll/a T �TLgs7.4 P. L. ARCD ARCHITECT ORI TEL. SPECTION RECOR ENGINEER 1I NO. ADDRESS /. TEL. CONTRACTOR NO. J ADDRESS DESCRIPTION OF WORK _ _ JAG[rl ��v NEW ADD ALTER REPAIR DEMOLISH SO. FT. ,( d NO. OF NO. OF �t nA-) SIZE f/e' V STORIES FAMILIES USE OF'STRUCTURE� �/ Gi+ APPROVALS LADDRESS /A.L ,NI DATE INSHECTON'S SIGNATURE FOUNDATION: LOCATION FORMS. MATERIALSp, C, $ FRAME: FIRE STOPS.BRACING. BOLTS FURNACE: LOCATION. $FEE GAS VENT. DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS�CORRECT AND AGREE TO COMPLY,WITH ALL COUNTY OKDINANCES AND STATE LAWS REG/��LyTING BUILDI'NJq(700INSTRUCTION. LATH. EXT. SIGNATURE OFY'�/�� HOUSE NUMBER COR- Z n PERMITTEE /VRJ /�" v�1rr�� - RECT AND POSTED I _N� t/-� ADDRESS Uy ��"^"--' 1� FINAL `/- �. JOHN A. LAMBIE, COUNTY ENGINEER.. O CLYDE N. DIRLAM. PRINCIPAL STRUCTURA-L-ENGIN.EgR PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. N.O. ASH 8795 JM 316 18:) 0A Lfro 9 3 2 t_- JUN 17 1 3 6.0 0 76A638A CEN8035-65APPLICATION FOR BUILDI G PERMI -� ; .:.;;. COUNTY OF LOS .ANGELES But 0INs Zc 9 t` DEPARTMENT OF COUNTY ENGINEER , BUILDING AND SAFETY DIVISION LOCALITY J , JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST ' COLEMAN W. JE NKINS,SUP'T OF BUILDING CROSS ST. - DIST CT N G TYPE � R C 17 B FOR APPLICANT TO FILL IN coNsr BUILDING�. - �/ STATISTICAL C ASSIFICATION .SEWER MAP ADDRESS J'/A/�uf fQL A iI/. CLASS NO. DW ELL UNITS (y^� 6K/' P-0 LOT NO..� BLOCK USE ZONE NOP TRACT SPECIAL - - - y NO. OF SLOGS. CONDITIONS SIZE OF LOT �^ L NOW ON LOT USE OF E%1 STINGGBB ,I ,q SLOG. SETBACK FROM _ OWNER /' /� 1 /„� NOLH �J�/6� FRONT PROP. LINE OF - - - (STREET) /J TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADD RE557 / HIGHWAY WIDTH FROM C.L - I + CITY - C71 TY �1 ECT OR TEL. BLOC, SETBACK FROM _ ENGINEER - NO. 510E PROP. LINE OF (STREET) TYPE OFEXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR NO - LIC O ADDRESS NO LC - CORNER CUTOFF YES NO U Cd CITY CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK U W CIL N NEW DD ALTER REPAIR DEMOLISH - Z SO.FT. NO. OF NO. OF SIZE 5 ST RIES FAMILIFS USE67 ^ eL-, STRUCTURE ,G, Y SIGNATURE OF APPLICANT - - VALUATION$ /10 , APPROVALS DATE INSP E[TOR'S SIGNATURE P.C. PMT. - A FOUNDATION, LOCATION FEE$ FEES . C- I.�% FORMS. MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE HEAD THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION, 1 CERTIFY THAT. IN DOING TME WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT, TION OF THE LABOR CODDEEC OF THE STATE OF CALIFORNIA RELAT- ING TO WORK MEN'S CORM NSPTION INSURANCE. LATH. EXT. SIGNATURE OF // r4A� HOUSE NUMBER COR- PERMITTEE RE CT AND POSTED ADDRESS 4! - F NA L _ ] j I JOHN F. LEWIS, PRINCIPAL ST 1 URAL ENGINEER PLAN CHECK VALIDATION CK.: M.G. CASH _ PERMIT VALIDATION CH. No CASH Lit 0 4 1 3 4a AUG 12 1 D 8,0 o~ a 76A638A CEN8035-65 APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDwG DEPARTMENT OF COUNTY ENGINEER ADDRESS C ChLC- BUILDING AND SAFETY DIVISION LOCALITY n JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUPT.OF BUILOIRG CROSS ST. DISTRICT NO. .GTYPE ES FOR APPLICANT TO FILL IN �} R CON ST. OC BUILDING L� /Y/,[� / STATISTICAL CLA$SI FIC A TION S WE MPP ADDRESS / Y7(� CLASS NO._tA/Y/DWELL UNITS 6K� PG LOT NO. BLOCK USE ZONE MAP h lj 444 NO. TRACT SPECIAL //�� �J NO. OF 5EGGS. CONDITIONS SIZE OF LOT -16,19 /(G NOW ON.LOT USE OF EXISTING BLDG, SETBACK FROM TEL. �b/ C7 FRONT PROP. LINE OF (STREET) OWNER NO. OGGO TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS Jj'C HIGHWAY WIDTH FROM O.L. CITY BLDG. SETBACK FROM ARCHITECT O TEL ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. } _ CONTRACTOR NO O LIC CORNER CUTOFF YES NO ❑ U ADDRESS NO C CITY Lc n SS SEE REVERSE SIDE FOR SPECIAL APPROVALS - ,O DESCRIPTION OF WORK _ u W NEW AD ALTER REPAIR DEMOLISH . II H Sp.FT. NO. OF NO. OF o I� Q r�' ? SIZE STORI S FAMILIES ` USE OF v^ , STRUCTURE •V - SIG ATURE OF / A LICANT Ica IA" 547 VALUATIONS I A PRO VA LS DATE INSPECTOR'S SIGNATURE //`}}..0y� FOUNDATION, LOCATION FEE$ FEES jL/ F O R MS, MATERIA LS V C/ FRAME, FIRE STOPS, IIEREBY AC NTHAT ABOVE THAT HAVE READ THIS APPLICATION' BRACING BOLT AND STATE THAT THE ABOVE IE CORRECT AND AGREE E COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS AUTHORIZED CONSTRUCTION. CERTIFY THAT. IN DOING THE WORK TIENOF THE HENEBV WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.. 'TION OF LABOR COOL OF THE STATE NC CALIFORNIA RELPT. ING TO WORN M`c N'S NSA N INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE /fes RECT AND POSTED ADDRES F I NAL - -1 �j� OR JOHN F. LEWIS. PRINCIPAL S LTCTURAL ENGINEER PLAN CHECK VALIDA ON «. M.D. DASH _ PERMIT VALIDATIO OK. M.D GASH t rlCo 3 7 6 8 .nL 2 7 1 D4.0 0Eli r) ! 76%38A CEN8033-66 APPLICATION FOR BUILD G PERM COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ✓ JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS.SUP T OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN olsJglD�T N G P CONST. B B UILDI NO �` _ /� STATISTTIICAL SSIFICATION SEW MAP ADDRESS `� C1A55 NO. OW ELL UNITS BK PG-- LOT N iKoCK USE ZONE MAP /{ G - 1 TRACSPECIA CONDI TLO NS S/ n V { N0. OI pLD05. SIZE OF LOT / {p NOW ON LOT USE OF BLOC. SETBACK FROM TEL. FROM PROP. LINE 01 (STREET) OWNER O. 44 xv TYPE OF E%ISTI NO SETBACN. HIGHWAY } YARD = TOTAL ADpR ESS NIGH WAY D H FR MC.L } - _ CITY SLOG. SETBACN FROM ARC ECT TEL. SIDE PROP. LINE DF (STREET) ENGINEER NO. TYPE 0' EXISTING SETBACK. HIGHWAY } YARO,. = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. } LI TEL. CONTRACTOR (/ VIA T LIC 1 ADDRESS NO CORNER CUTOFF YES � NO � U cI Y CLASS LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORK W a H NEW ADO llrL TER REPAIR DEMOLISH SOFT. O. NO. OF SI ZE ST RRIES FAMILI S - • 'I� USE OF �I• I A.A /A ice. /.J�s1J X. /�f STRUCTURE SIGNAT UREO APPLICANT JTd_ VALUATION$ ;0 O .00 'IA�w"Ihw_w_�U APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. q_ FOUNDATION, LOCATION - FEE$ FEE$ 0 L/ I/ FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. 'CTS 9UILOI NG 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 flEIAT. ING TO WORKMEN'S SprPENIATION INSURANCE. LATH. SIGNATURE OFop- HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS INAL JOHN F. LEWIS. PRINCIPAAL,ST RAL ENGINEER PLAN CHECK VALIDATION «. M.o. O,sH _ PERMIT VALIDATION cK. M.0 CASH LAG0 6..2"9 8- .DEC 9 1, D 1 5.0 0~ Ad ) . � K/