HomeMy Public PortalAbout9840 BROADWAY_Building__ TBAfi9eA ass APPLICATION FOR BU` LDIN.G PERMIT
76AS
[I DING
DIVISION OF BUILDING AND SAFETY pDO RIESS /
Deportment of County Engineer
County of LOB Angeles LO CALITY
JOHN A. LAMBIE, COUNTY ENGINEER N' AREST
CASSATT D.GRIFFIN. SUPT OF BUILDING C rROSS ST. / J
DISTRICT NO. GROUP TYpE SEWER MAP
FOR APPLICANT TO FILL IN - CONST r6K PG
BUILDING �� KFRONT
STATE
ADDRESS HWY YES NO
LOT NO. ROCK ECIAL
( p DITIONS
TRACT -
SIZE OF LOT V �Ji_7 NOW ON LOTS Z I � EXIST.
D HWY STREET NAME WIDTH
'US OF '—
EXISTING BLDG. qG q
OWNER • SIDE
P. I
MAIL
ADDRESS Q Cp TRACT DWELL. i UNIT 5 INDUSTRIAL
MN
1 DW ELL.Y 7,UN1T
CITY / (J 6 PUBLIC BLDG,
ARCHITECT OR DUPLEX 2 UNITS
ENGINEER -
NOAPT. __UNITS 7 ADDN..ALT.. ETC.
V 8 MISCEL:
ADDRESS 4 COMMERCIAL
CONTRACTOR t• i. .`t? INSPECTION RECORD
I ADDRESS V W(
DESCRIPTION OF WORK
I
NEW ADDIt ALTER REPAIR DEMOLISH
' SO. FT. )� NO. OF NO. OF ,
SIZE L STC ES FAMILIES
USE
�Y
SIGNATUR OF W A
APPLICANT ppROVALS
ADDRESS , DATE INSPECTORS SIGNATURE
FOUNDATION: LOCATION \ r
FORMS.MATERIALS 3^ `1�5�1 lA,,_ �
VALUATION .}�`�✓ ` FEE FRAME: FIRE STOPS.
S. ,~ Q BRACING. BOLTS
FEE FURNACE: LOCATION. ,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT ((��
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. J 1 CI SZ h'e'f.os A.r
AND STATE LAWS REGULAFING BUILDING CONSTRUC-
TION. f) y0 � LATH. EXT. U
SIGNATURE OF •Aly �(,"{.(�4[ HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
'JOHN A. LAMBIE, COUNTY E GINEER VALIDATION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR
C
NO CASH
5 1 0 4 5, FEB 13 1 1 2.0 0 In
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