HomeMy Public PortalAbout9628 1/4 BROADWAY_Building__ 1
°•°° APPLICATION FOR BUILDING PERMIT
11-°!
DIVISION OF BUILDING AND SAFETY ADDP EISS
Deportment of County Engineer4 uJ��i4 1 C.
County of Los Angeles LOCALITY �m - "
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST <
CA86ATT D. GRIFFIN. SUP
•T of BUILDING CROSS ST. I:eT "
DISTRICT NO. GROUP SEWER ~MAP
FOR APPLICANT TO FILL IN 1
-�R TYP &- PG
� CONST. � AV
BUILDING n /•
ADDRESS _s
_s /�ejj�tl,y wl) :..JH'� . IQ �`.� � NUMBER �[7"L� HWY OYES NO
C- /'O y [1 fL I.V� BL�dC SPECIAL pl-,z /_//D 71 fT 1z�.Gi
LOT NO K USE ZpNE CONDITIONS /
TRACT -�'I�I-t/.s.l_:x>N CIa/a.�� L.�C/u•.t� ssij-,J—/.�r.Ji
NO. OF SLOGS.
SIZE OF LOT/,O yyq,.� NOW ON LOT -� BUILDING YARD HWY STREET NAME EXIST.
USE /� SETBACK WIDTH
E%ISTTING BLDG. .Z.1.1 ,/i xAf1 F=k✓e'_JPlia FRONT
1 P. L. r�� -ix I KAc
OWNER �R p DLE
MAIL
ADORE569(oZ I,> ,{�?Rn.111 cU:ly - s'TEL O TRACT DJWELL. ( UNIT 5 INDUSTRIAL
CITY �B:YI D�G 1. !:% NOy 1J70�-- 1 DWELL.( 1 UNIT
6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR)ln, �Jg r_�iv£l'w rvoYah-Go:i 8t> INSPECTION RECORD
li I
ADDRESS5d/.SO JA R:9 /1101% J.A 14r 1 +G. r-= ,, v 4)s-7._L 0-1.
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. n(T I NO. OF NO. OF 4
SIZE O.1�! 7i STORIES FAMILIES 1
U tE OIF STRUCT Rt RE
I
SIGNATURE OF / 2,
APPLICANT -� APPROVALS
ADDRESS _ ,JVD AIA(A111d4- 6.N_ 77:< DATE INSP CTOR'S SIGNATURE
FOU N DATION: LOCATION I
$ ��[ �y P. C. S Q,0 FORMS.MATERIALS
UU FEE FRAME: FIRE STOPS,
VALUATION $ _7 �(1 BRACING. BOLTS
FEE FURNACE: LOCATION, I al
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT. DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT -f AlND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. I �I ` ri
AND STATE LAWS REGULATING BUILDING NSTRUC-
y v
TION. / LATH. EXT.
SIGNATURE OF V�� /GIL�, HOUSE NUMBER COR-
0
OR-
PERMITTEE— / RECT AND POSTED
ADDRESS "G• FINAL \ U
JOHN A. LAMBIE, COUNTY ENGINEER }TAF.IDATION CLYDE N. DIRLAM• CHIEF BLDG. INSPECTOR
c Mo CASH
2432', !,101116 16 11 .00Ae
ACD3 6 DEC26 1 2 ..0 0 n