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Home My Public Portal About9834 BROADWAY_Building__ BUILDI ADORE fly ADORES B yy APPLICATION LOCALITY DIVISION OF BUILDING AND SAFETY NEAREST ✓ Department of County Engineer DISTRICT NO. RECEIPT NO. P RMI- fl Los Angeles ' County of .,15 —� /� ' U. FOX, COUNTY ENGINEER pRppp DATE RECEIVED �D TIE CASEABBATT E ISSUED D. GRIFFIN,N, SUPT Dv Bm1.51HB. •rTy S�� 5 FOR APPLICANT /TO F�I/LL IN TYPE // O�.a/�. (—.•. �.C�.•+L//iI BCON . RECEIVED Bf OWNER MAP SE NUM .. 2— ADDRESS UBE ZONE 'SPECIAL CITY T EL CONDITIONS ��[ws�/ '4eJ�rU• NIJ. .I I. q ARCHITECT OR °• TEL ENGINEER NO. BUILDING YARD NWY STREET NAME EXIST. BETSACK WIDTH ADDRESS FRONT /' •� CONTRACTOR //!/� / N0. P.L' SIDE ^� P.L ADDRESS EI ATE jj• �� CORRECTIONS ^ INSPECTOR DATE � / , LOT NO. / Z' BLOCK TRACT SIZE T � � /� D NO.OF BLDGS. NOW ON LOT UBE or EXISTING BLD DESCRIPTION OF WORK as 0 NEW ADD ALTER REPAIR DEMOLISH = ;o F E X Z Z NO. OF NO.OF D STORIES FAMILIES USE O STRUCTURE '4_7 7O ES 19• NO.DF MP OYxss I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INBPECTOWIS B IG NATURE DATE CORRECT. 1AGREE TO COMPLY WITH .ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS SIGNATURE OF '� FRAME: BRACING,RBOLTS STOPS, /�/�•cr-� /� g PERMITTEE FURNACE: LOCATION, AD Ron GAB VENT, DUCTS LATH. INT. AUTHORIZED AOT. - LATH, EXT. _ $ ��D P. C.S —' HOUSE NUMBER COR- FEE OUSERECT AND NUMBER CO VALUATIO ®�FEE � FINAL ti� iG'(�t.•--" �� `'� „ 76A630A DOB 3 4-54 DEPARTMENT OF BUILDING AND SAFETY ' AYYL1GA 11V1V rvn rnnanu COUN_TY_OF LOS ANGELES Un I L D I N ^1� - WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY LIM BUILDING 11/FI DISTRICT NO. PLAN OK. NO. PERMIT NO. ADDRESS �.,1' }" ✓��. LOCALITY RE[CEIINED BY o,- 'TTg dr AAPPP�L. DATEISSUED NEAREST / ��/� �1 I / ✓ /7-b/�7 /2'U/T� CROSS ST. / SFJ(/7j/7JI/Wo-C7— .4V BUILDING OWNER fJ_ - ADDRESSMAIL ADDRESS f L.Q. LOCALITY��wyr LTJ_/- I /T V NEAREST CITY No �r9 CROSS ST. E T FIRE NO.OF -- I TYPE �-GROd I ARCHITECT OR � TEL. - - ZONE PLANS ty ENGINEER ./,[ QN NO. BLDG. p ORD.NO. ADDRESS SETBACK LINE :2)O APPROVED CONTRACTOR TEL. BY DATE -�/11q,. 1�p NO. 0 USE APPROVED _ ADDRESS ' " ZON BY DATE LEGAL CORRECTIONS DESCRIPTION ILOT/NO. �� SL CK (�/ TRACT L-3/ Ol] V-F'NO OFBLDG SIZE OF LOT y O X I NOW ON LOTS L-J USE OF } NO.Or NO.OF EXISTING BLDG. FAMILIES 4- ROOMS DESCRIPTION OF WORK NEW ADDITION REPAIR MOVING AO DEMOLISH � 90•FT. / NO. OF SIZE �� ROOMS �. STORIES / y WALL ROOF r COVERING ST//(' - -) COVERING USE O NONEW 1 HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FpUNDATIGN: LOCATION INSPECTOR DATE `� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS _ meq hu --S ;, -V/ AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS OWNER /J/n LATH, INT.: AUTHORIZED AOT. � G LATH,EXT.: IL �y oes-G msM sErs I-nv $ �l Om= P.C �e PLASTER. INT. E 7 0 FEPLASTER. EXT. VALUATION FEE /��—) FINAL I [ �/ ✓l f > I PE PENSATIONF0ECLARATI0N -`,✓ -\`p '^- f �— _• L�-- � — I�her at haver certificate of consent to self //p PPUC -170.IL��, F.0 D UOLO _ G p[�QG�1� r �1 insure, to of Workers'Compensation Insurance, !/'Q Il 11 !!'U II V or'a cerci ted copy thereof (Sec. 3800, Lob:C.) - - ,COUNTY OF LOS ANGELES, I BUILDING AND SAFETY , Policy No. Company Cerfified copy is hereby furnished. FOR APPLICANT TO FILL IN',y - ADDRESS _ O J Certified copy is filed with the county building inspec- BUiiDING qq A tion deportment. - q O.ADDRESS 34 ryi)"cu pi, Date Applicant CITY TeatPc.O GL-C, - -.ZIPS y LOCALITY - - - CERTIFICATE OF EXEMPTION FROM WORKERS' ; NO.OF BLDGS.- -- NEAREST .J t COMPENSATION INSURANCE SIZE OF LOT '�O K I ZO NOW ON LOT �Z. CROSS (hundred dollars ($100)or less.) I T NO. MAP BOOK PAGE section need not be completed if-the permit is for one - - - --- ASSESSOR, - I PARCEL - TRACT BLOCK LO HR."H5 O M TEL usE,,zoNE MAP OWNER NH N'NO. '8r /) 1 I certify that in the performance of the work for which this f K/y NO. D Y permit is issued, I sholl'not employ any per n in any manner D /� ,.�.p // SPECIAL so as to become subiw-to-the'Worlcers'C pen fIb yyl`aw ADDRESS R O 3 4 L7 ✓•� 7SV G, (�- CONDITIONS O y u CITY. I D a1 P(,6 _ lil.T 1 ZIP Date S !. -A1 Applicant �r < ARCHITECT OR TEL. O NOTICE TO APPLICANT: 'I f, a ter making this Certificate of ENGINEER OW N6 RJ NO. DISTRICT GROUP TYPE FIRE PROCE ED BY c Exemption, you,should become subject' to the Workers' r /1 Q CONST ZONE I W Compensation provisions of the Labor Code,.youmust forth- ADDRESS ` -• (/D V 3 d with comply with such provisions or this permit shall be - TEL STATISTICAL CLASSIFICATION APT. C NDO. Z deemed revoked. CONTRACTOR bW 06 ti NO. l— LICENSED CONTRACTORS DECLARATION -- — LIC, CLASSNO. DWEIL. UNITS I hereby affirm that 1 am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP - (8ommencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force'and'effect. CITY CLASS t •' BK. �: "' VALIDATION - • SQ.R. c NO.OF NO. OF CHECK License Number Lic.Class SIZE 6-L STORIES FAMILIES I ONE - • • . .s'am exempt under Sec $ .3.VALUATION . .- C O G.4 A. .. -' Contractor - Dae ' s DESCRIPTION OF WORK 2MM 400f (/rlN.. NEW E] Q ��Lr 'l _ ADD ❑ / / (J # • • • s 2❑ D ALTER ( • 25 1.82 8.8P.C. for this reason USE wp REPAIR ❑ ' f' - - Date:' EXISTING BLDG. - 1��p c�OSN�0, DEMOL ❑ > • 2-5 1.82 3 _. Signature _' " ' APPLICANT - - -- - TEL. FINAL OWNER-BUILDER DECLARATION _ PRINT) Oct I"E� _SCA N�N NO. dir. 4 S - DATE 9 "S _ 0 ra 15-8 5_ _ I.hereby offirm.thot I am exempt from the Contractor's License ` Law for the following reason (Section 7031.5, Business and ADDRESS FINA - Professions Code):' PRESENT '-BY ) BUILDING ®_ I, as owner of the property, or my employees with ADDRESS wages a"s their sole compensation,will do the work and - D the structure is not intended or offered for sale(Section LOCALITY . 7044; Business and Professions Code). - MOVING' - - - - TEL - - '- - - I, as owner of the property, am exclusively contracting CONTRACTOR ' NO. with licensed contractors to construct the project'(Sec- ADDRESS r H 2 2:1.6 A tion 7044, Business and Professions Code). .REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH # s T.• e it 1 I hereby affirm that there is a construction lending agency for FRONT - the-performanceofthe work for which this permit is issued P.L. -- - - - .. '(-• 3 0&75 (Sec. 3097. Civ. c.). P.L . • 3 0 6 7 5 5. Lender's Name qq / P.C. Fee$' K5 / 9:2- Permit FeQ6 a.� LDMA Ref. !l. 06 1 1 -8i5 Lender's Address 1e ! D i /� 1-certify That I have read this application and state-that the __ Issuance Fee �.� V TDMA P/C M - ,- a above information is correct. I agree to comply with all County Investigation Fee $ ordinances and State laws relating to building construction, _ _ - Total Fee w' 5 -LDMA Perm. N - I -- - u and hereby authorize representatives of this County to enter , upa -crbov'/j een toe -p ert n i_nspection purposes. ,rl \i)s�/r SEE REVERSE FOR EXPLANATORY LANGUAGE �— i5 oft of=Appiicen-or -en - ..Date __ -. _ _ _ _ ._. .. . _ _- J.... _ -_ OO , "Ir ' WORKERS' CO MPEN TION DECLARATION n I-�I�- /�a G� F� p hereby affirm that have certificate of consent to self I //'V P 0 1S B V-//"11 11 �O B V F O B n�n DING P E RN lT insure, or a certificate of-Workers'Compenstion Insurance, or u� V �L u�' u�u u a certified copy thereof (Sec. 3800, Lab. C.) 'COUNTY OF LOS ANGELS i BUILDING AND SAFETY Policy.No. Company Certified copy is hereby furnished: - FOR APPLICANT TO FILL'IN ADDRESS Certified copy is filed with the county building inspec- BUILDING . tion department. ADDRESS �// LOCALITY G zL �/ NEAREST _ Date _ Applicant CITY i p( Cl ZIP 7O CROSS ST, CERTIFICATE OF'EXEMPTION FROM WORKERS' NO. OF BLDGS ASSESSOR COMPENSATION.I NSU RANCE SIZE OF LOT / L./ NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZO MAP Hundred dollars (5100)or less.) , TRACT BLOCK LOT NO. NO. } // TEL. SPECIAL IY ._ I certify that in the performance of the work for which this OWNERS /� ^ v NO � CONDITIONS 0 permit is issued, I shall not employ any person in any manner DI ICT GROUP TYPE FIRE P ES D BY U so as to become subject to the Workers'Compensation Laws. ADDRESS p c- �J CONST�� 6, CITY ".E�'!///'�p �C Z ZIP r Date Applicant - - / D STATISTICAL CLAS IFICATION A CONDO. (~j ARCHITECT OR - TEL. NOTICE TO APPLICANT: Ib after making this,Certificate of ENGINEER NO. C1AS5 NO. - DWELL. UNITS_ - d Exemption, you should become subject to the Workers' N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP .1A with comply with such provisions or this permit shall be - deemed revoked. CONTRACTORNp. BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. - - I hereby affirm that I am licensed under provisions of Chapter 9. ADDRESS NO. VALUAT10 (commencing with Section 7000)of Division 3 of the Business and - LIC. Professions Code, and my license is in full force and effect CITY CLASS.. S , 50. FT. O. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAM)UES ONE Contractor � � Date DESCRIPTION OF WORK J Tf-/J ,Je CE NEW $ Elam exempt from the licensing requirements as am a �j'/Q ADD- licensed architect or a registered professional engineer ALTER - FINAL - acting in my professional capacity (Section 7051, ❑REPAIR DATE - Business and Professions Code). USE OF EXISTING BLDG. STD AG F, DEMOL By AL Lic. or Reg. No. Date APPLICANT 7 TEL. - - OWNER-BUILDER DECLARATION (PRINT) I hereby affirm that I am exempt from the Contractor's License Law for the following reason.(Section 7031.5, Business and 1ADDRESS Professions Code): PRESENT ' I, as owner of the property, or my employees with BUILDINGADDRESS wages as their sale compensation,will do the work and -the structure is notintended or offered for sale(Section f LOCALITY 7044, Business and Professions Code). ` MOVING TEL. - ElI, as owner of the property, am exclusively contracting CONTRACTOR NO. - - with licensed contractors'to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). _ CONSTRUCTION LENDING AGENCY REQUIRED ygRD - HWY TOTAL SETBACK FROM EXIST. �3 9 7,5 A SET BACK - PROP. LINE WIDTH hereby affirm that there is a.construction lending agency for FRONT - # e'e e e a 1 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE. 1 2;-, s 4 3,00 P.L. Lender's Name .0.0 - 4 3 0 03 Lender's Address P.C. Fee 5 Permit Fee - L/ .0205-81 . I certify that I have read this application and state that the Issuance Fee aabove information is correct. I agree to comply with all County Invesrlgation Fee - ordinances and State laws relating to building construction, ictal Fee and hereby authorize re rese ntatives of this County to enter m ups ' ov@-mer id P ra er y. count p rpose . - `a f - SEE REVERSE FOR EXPLANATORY LANGUAGE Sig tore of Appllcom or A Dot - �?