HomeMy Public PortalAbout9715 BROADWAY_Building__ 7.....Apa..a-6p
APPLICATION FOR BUILDING PERMIT
DIVISION ESION OF BUILDING AND SAFETY BUILDINeH / /G U7/s� B,P0A,0W,4Y
Deportment of County Engineer /�
County of LOS Angeles LOCALITY LF_ C /TY
VIM. J. FOX. COUNTY ENGINEER NEAREST /1
CASSATT D. GRIFFIN, SUP•TOF BUILDING CROSS 9T. I0 0L'Ogly `V
DISTRICT NO. OROUp I CON ., SEWER MAP/
FOR APPLICANT TO FILL IN %/� fT�
CONST.
BUILDING ' L`` P1 JI 't LL NUMAP STATE
MBER DO NWY YES NO
ADDRESS ,f VV rLL �J
LOT NO. FF GA-L' ellALOCK USE ZONE SPECIAL
CONDITIONS
TRACT
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NO.OF BL LD BUILDING EXIST.SIZE OF LOT 7 L D NOW ON LOT SETBACK WARD HWY STREET NAME WIDTH
USE OF //s w FRONT
EXISTING BLDG. -C P L �DG✓ �j O
OWNER IY Y SIDE
P. L.
MAIL
ADDRESS 92/ T �•{. L' III % O TRACT DWELL. I UNIT
5 INDUSTRIAL
r, /J T ./
TEL DWELL. 1 UNIT
CITY l=. ♦ / NO- B PUBLIC BLDG.
ARCHITECT OR - TEL. 2 DUPLEX 1 UNIT .7 ADDN..ALT.. ETC.
_ ENGINEER NO. 3 APT. _UNITS
8 M19CEL.
ADDRESS 4 COMMERCIAL
TNEL EL
714. S • T INSPECTION RECORD
CONTRACTOR
ADDRESS i
DESCRIPTION OF WORK ' 1
NEW 1,..1 ADD ALTER REPAIR DEMOLISH
SO. FT. _ NO.OF NO.OF ,
SIZE STORIES FAMILIES
USE OF STRUCTU ,
n , l. z .;vG - P.i� e
flc - c " AC
SIGNATUREOF 1
APPLICANT APPROVALS
ADD0.E59 ' DATE INS}ECTOWS SIGNATURE
FOUNDATION: LOCATION
P.C. S FORMS, MATERIALS I SIL 4 / �CAQA�a.�•�_
FEE �D FRAME: FIRE STOPS. I Y //AII
VALUATION yy aa BRACING, BOLTS i �' Isb 4--,4 i•Ul
FEE $O�V �` FURNACE: LOCATION, A
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS '1
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-: 1
A q
TION. LATH. EXT
NU d n
HOUSE OUSE NUMBER COR-
SIGNATURE OF
PERMITTER r�.� RECT AND POSTED �•� �� - �'�
ADDRESS FINAL
U v
WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR
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