HomeMy Public PortalAbout9659 BROADWAY_Building__ 76A638A CE#803162 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAM61E. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. 1
DISTRICT NO. G O 'TYPE IIfSSED BY
FOR APPLICANT TO FILL IN / CONST.
BUILDING ^ qTATISTICACI CLASSIFICATION I fEWER MAP
ADDRESS S //JJ CLASS. NO.�WELL. UNITS-----J G
L;LU C, 3 BLOCK WATER SeV
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT 1 MAP HlcNwwv
NO.OF LOGS. NO (CIRCLE) STATE MAJOR SECOND, CAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL
OWNER440wNO.�V BUILDING YARD HW . STREET NAME EXIST.
SETBACK WIDTH
ADDRESS Xjf4c' FRONT /
ARCHITECT OR TEL, P. L.
ENGINEER NO. SIDE
P. L.
ADDRESS a
IJJ O
CONTRALTO /� JNQIj Q U
ADDRESS / Q O(,A.p 'rMt'f.. %� Q
DESCRIPTION OF WORK W
a
N
NE ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE .-
G
SIGNATURE OF `\
APPLICANT
VALUATION $ _
APPROVALS q /6,
DATE/ INSPEC/TORTS SIGNATURE
FO FORMS(,ON MATERIALS Nf'-117
FEE $ FEE $
FRAME: FIRE STOPS. �,
1 HEREBY ACKNOWLEDGE THAT HAVE REPO THIS PPLICnTION BRACING, BOLTS /t
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. / \
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I 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 RE AT
ING TO WORKMEN'S/jp/JPENSATION INSURANCE. LATH. EXT.
SIGNATURE OF / T HOUSE NUMBER COR-
PERM ITTEE
OR-PERMITTEE LL� �^ RECT AND POSTED
ADDRES • FINAL )7Iµ'7 �j `�/ �1�✓'
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENO
PLAN CHECK VALIDATION CK. M.D. DASH. _ PERMIT VALIDATION CK. M.O.
76A638A CE jL 8036-62APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES SU'LD N
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY �C. ? (j '
JOHN A. LAMBIE, COUNTY,ENGINEER
WILLIAM A.JENSEN. SUPT OF BUILDING CROSS ST .
DISTRICT NO. GR dP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN f i CONST ( �l , eco L
BUILDING STATISTICAL CLASSIFICATION EWER MAP
ADDRESS 6 S (, CLASS. NO._(.�DWELL UNITS BK - G
3s' WATER NOT REQUIREDIST RECEIVED ❑
QMAP, CERTIFIC/A^T/E,:�
N O. (J(/ I/ (cG CLEIAY _
O. OF BLOGS. HW STATE MAJOR SECOND LOCAL'
SIZE OF -OT16) G�p NOW ON LOT
USE ZONE SPECIAL tsaYf
USE OF CONDITIONS
EXIS NG BL
BUILDING EXIST.
_SETBACK WARD HWY STREET INE WIDTH
ADDRB$ (Q ( FRONT
ARCHITECT'OR TEL. P. L
ENGINEER NO. SIDE
ADDRESS - F, ✓ //, ` �'U.
ADDRESSVOC
/' 0
DESCRIPTION OF WORK � ^a`'' � � N G
ADD ALTER REPAIR DEMOLISH / / Z.
5Q. FT. �?---s NO. OF N(Z. OF /' �V 4/.. � i !• I /,� O
STO ES ' [ / MIUIES
USE OF
STRUCTURE
SIGNATURE OF 11 ` ' � A%I AV'346"
APPLICANT
AD,AS If
VALUATION $ 3a c)
/� "!
APPROVALS // ' DATE/ ' INSPECTOR;s,vcNATURE
PMT. /J (rfJ FOUNDATION: LOCATION jpprr�%p �!J
FEE $ - j,' FEE $ �/ -� FORMS. MATERIALS
FRAME: FIRE STOPS. 1,q �l
1 HEREBY ACRHOWLED GE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1, l ��tr 4/ )
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. I ' // �✓F'
WITH ALL COUNTY OR.INAN C ES AND STATE LAWS REGULATING GAS VENT, DUCTS �� r I
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WOR /
AUTHORIZED HERBY I WILL NOT EMPLOY A PERSON IN 'o'
IO J.(�� J� •`Iv ' Y'
TION OF THE LABOR CODE F THE TAT CALIFORNIA R T� H. INT. �!I✓� Al/
ING TO WORKMEN'S CO N ATIO ANC.. p / t_y-
LATH. EXT. / G
SIGNATURE OF MOUSE NUMBER COR- '
PERMITTEE REST AND POSTED
l
ADDREs _ FINAL
JOHN F. LEWIS. PRINCIPAL ST C FPL ENGINEER
PLAN CHECK VALIDATION cK. M.D. CASH _ PERMIT VALIDATION cK. M.D. CASH
L,'to 9 1 4 5 eU JAii 7 2 3 D 2 8.5 0
/p/ lJl"0 7 3 1' FEB 8 ID 5 7.D00-