HomeMy Public PortalAbout9523 BROADWAY_Building__ GL[¢3 93M BETS !-9! 77
DEPARTMENT OF `13UILDING AND SAFETY F_ APPLICATIONFOA PERMIT
COUNTY OF LOS ANGELES L �w'
WM. J. FOX, CHIEF,ENGINEER Y/ U I L ® t k 0:/
'FOR APPLICANT TO FILL IN FOR OFFICE USE'ONILY
BUILDIND�q•��
DISTRICT NO. PLAN CK. NO "P,ERMIT//.NO.
,'.... ADO REBS jam.¢ I •� �1 ( i:t)_71
LOCALIn /�•'�ir/���'.• �Jr��y �/Q�/' RECEIVED BY DATE OF APPL) " .DATC IBBY[O
NEAREST QL 1_OVBRA YF
CROSS ST.
ADDRESS` 2")
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MAIL'
'AD • �� I - ALIn T
DREQ9 9110 /1 'Ne �'nFtN '
' S e
NEAREST
TCL CR099 BT.
CITY �d,5 ' l�Nc/E�13.�' ND 4 All A _
FIRE NO.or. TYPE' ,� GROUP,
ARCHITECT OR - TEL. I '�•,
ENGINEER - NO.
BLDG. - ' Ap FORD. NO.
LADDRESS - S „t SETBACK LINE
''TEL. APPROVED _ !,
CONTRACTOR V VV NOL+.. BY DATL
-. UBE ,.TT' APPROVED.`. ' L,•.
ADDRESS // dONEIL —� ,' 'BY - DATirLEGAL '
DESCRIPTIONS I-'LOTNl.' I'BLQCK +` '--� -t `. 'CORRECTIONS "
TgACT .� S. - ;8 . Adi lr' WRRST- SB.IcT OF TI-/E y .
'SIZE OF'LOT SRF I NOW ON LDT ' o� F -• F' o'T.- /9' 'e er- „ /s %- '�
USE OF NO.OP; 'NO. OF -
_EXI9TING BLDG. /fF,ri//)FA1^./I FAMILI[[ /'IBpOMH '7 V/C'lM PTGRF_ S .RAMC NO - SAN _
DE,S�C•RIPTION OF WORK . TFl�,qn/G/S CO' ilTe /ANT T1fr
'A
NEW V ''ALTERATION ADDITION I /J/� +'/ fJ S .' D�'�/i$. Q-/{�/rG.
O
• REPAIR. _ MOVING - DEMOLISH (04 t/ F I p/T F_ 4 I7I7�JJ. /`/V
62E'�`�I� J R OMB I 6TORIEB /7enANO.Or IoL. 4� ✓Q //✓ ,D V
.WIc
ALL. , • - ROOF (:,O ,v/t O / FSG N DAF er✓ �EGG/('DF.Q
COVERING C
SA'd�Nll OVERINGn _ _Aqp' S�/
USE OF NEW
BUILDING
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' �'Ii'D,7F_CiT 'S4/AL
'77/-, 20 - y/ i ''— /e•2 '
AP_.PROVALS '
1
1 HEREBY ACKNOWLEDGE THAT I HAVE•READ THIS .tINBPECTOR' ,t_Y. DAT[
"•:APPLICATION AND STATE THAT.THEIABOVE 19 CORRECT FOUNDATIONS,LOCATION,,
AND AGREE TO COMPLY WITH ALL COUNTY`ORDINANCES _FORMS, MATERIALS
AND STATE LAWS REGULATING SUILDINO CONSTRUCTION. - I'
�. FRAME: FIRE'STOP%
91GNATURC 0► BRACING; BOLTS
OWNER A //{� LATH, INT /• _ �-y� ,.
AUTHORIZED AOT- '^• ••�. ��— •�^• LATH, EXT..
Y+ --_
i p Q PLA9T[R. INT
q P. D. ® _
FEE. / ' PLASTER, E%T T., eI �/•t
.VALUATION
FEE FINAL',
TEM!'k 'Cary
;.•...•=.y.o..l�l APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING,
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING. AND SAFETY DMSION LocaurY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
TA
TRI T N GROUP TYPE PR ES B
FOR APPLICANT TO FILL INo/T TY
BUILDING TISTICALCLA$S IFICATION SEWER,MAP ,
ADDRESS j�S+/ BK ,eG
ASS. NO. DWELL. UNITS ,�
LOT NO. +4) OER NOT REQUIRED RECEIVED
IFICATE:
TRACT O' n' HIGHWAY(CIRCLE) STATE MAJOR SECOND, LOCAL
p NO.O BLDGS. oZJO ¢IflCLEISIZE OF LOTS �� O B NOW ON LOT ZONE SPECIALUSEOF - CONDITIOE%ISTING BLDG. W TELOWNER J//f��/�//[l , NO./y/ DING YARD STREET NAME EXIST.
BACK WIDTH
ADDR ONTm �1ARCH ITEC OR El. -dENGINEER NO. IDE.L.ADDRESS �pp TEL. �: INSPECTION RECO_ RDO
CONTRACTOR VZ NO. IFOUNDATION:
prr)-7/G� � Z//o" /y/�`_
.ir l 7 J" V
ADDRESS �� K
DESCRIPTION OF WORK " 1-
W
a
NEW ADD ALTE REPAIR DEMOLISH N
SO. FT. / NO.OF NO.OF Z
�IZE �(OQ STORIES FAMILIES
USE OF
STRUCTURE
SIGNATUREOF
'APPLICANT 'VALUATIONOVALS DATE i -.INSPECTOR'S SIGNATURE
FE FEES �U N: LOCATIONATERIALSE STOPS,1HEREB YACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BOLTSAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LOCATION.WITH-ALL COUNTY ORDINANCES AND STATE LAWSREGULATING DUCTS
,BUILDING 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' OMPENSATION INSURANCE.
LATH,EXT.
SIGNATURE OF, �,} HOUSE.NUMBER COR-
PERMITTEE ✓- RECT AND POSTED .i�-/ l �iDA/�✓d///I
iODIiESS FINAL
CLYDE N. DIRLAM. PRINCIPAL.STRUCTURAL E R
PLAN CHECK VALIDATION OK: M.O. cweH PERMIT VALIDATION cK. M.o. cASH
2 8 1 SEP ? 9 1 D 3 .0 ll ER