HomeMy Public PortalAbout9626 1/2 BROADWAY_Building__ 7GA898A C.&S.S.10.96 APPLICATION FOR BUILDING PERMIT Z
BUILDING AND SAFETY DIVISION BUILDING
Department of County Engineer ADDRESS r
County of Los Angeles LOCALITY -
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. G UP I TYPE SEWER MAP
FOR APPLICANT TO FILL IN
Lqp// � CONST.
BUILDANG
DDREISS / bG� (zfz /�> N STATISTICAL CLASSIFICATION
LOTNO
LOT �/(p(///(p(// j (H LOCK CLASS. NO. DWELL. UNITS/
MAP STATE yES
NUMBERHWY
TRACT USEZONE SPECIAL r� i
NO. OF BLDG S.'I 4-1 CONDITIONS l'/��A�,y/ -� Z Z Z!e
SIZE OF LOT yY-T�I S� NOW ON LOT V C_-
USE OF
EXISTING BLDG., 1_'& BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER./ t //�.0�J.��] FRONT
MAILADDRESS /ry iZ� fCJYtL/1/Z/ SIDE
TEL. F. L.
CITY NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
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ADDRESS j 4- f&0_Tl ATG
-- DESCRIPTION OF WORE 4� � v - r����
NEW 4 ADD ALTER REPAIR DEMOLISH I• . �� //
SO. FT. d NO. OF NO. OF
SIZE ('] �7` STORIES FAMILIES/ _�'•m^� j �•tT_r _'.
USE OF STRUCT RE
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S APPROVALS
APPLICANT
F j'Iv T
APPLICANT DATE INSPEC GN AARE
ADDRESS S'7 f ( FOUNDATION: LOCATION
FORMS. MATERIALS
P. C. S �/ FRAME: FIRE STOP
FEE
Lam. A BRACING. BOLTS
S O FURNACE: LOCATION.
VALUATION GAS VENT. DUCTS
FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND ^t
AGREE TO COMP WITH ALL COUNTY ORDINANCES AND LATH. EXT. d
STATE LAWS G LATING BUILDING CONSTRUCTION.
SIGNATURE O HOUSE NUMBER COR- _
PERMITTEE RECT AND POSTED
ADDRESS FINAL
IOHN A. L IE. COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E' GINEER
PLAN CHECK VALIDATION K.' M.O. CASH PERDIIT VALIDATION C M,o. GSX
4AC3610-� OCT 221 6 11 .75A
I IT03 8 81-� OCT29 1 2 3 .50 m