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Home My Public Portal About9920 BROADWAY_Building__ ,.A.,.A CE C.CIR.BD APPLICATION FOR BUILDING 4RMIT COUNTY OF LOS ANGELES BUILDING (� DEPARTMENT OF COUNTY ENGINEER ADDRESS 90 BUILDING AND SAFETY DMSION LOCALITTrn PLE JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT N GRO PTYP PRESSED BYn FOR APPLICANT TO FILL IN Q CONST. X BUILDING /1 o 1 STATISTICALCLASSIFICATION SEWER MAP ADDRESS L .7 /� �B1c PG CLASS. NMAP �O�//Ctrt_L-nnDWELL. UNITS_SL C I ' LOT NO. )-3S BLOCK NUMBER -1_ D L' STATE YES NO TRACT / ✓ O OSS USEZONE SPECIAL ( NO. OF BLDGS. �,(^.\I CONDITIONS SIZE OF LOT O A I Z IND ON LOT !� USE OF —''/� —7] EXISTING BLDG.{$-Vp.S f/lr /{�'P�i 4-� BUILDING YARD HWY STREET NAME EXIST. OWNER �7\ C TEL' SETBACK WIDTH ALTE(Z DlJ 1VF2 NO. FRONT ADDRESS SIDE ARCHITECT OR TEL R L. " ENGINEER 10 / Q NO =L-� 1 INSPECTION RECORD ADDRESS 0r) CONTRACT R.�/� a - V/ J To''nJ-�� _ '/" �.-uu, ADDRESS !-� LZ � . L DESCRIPTION OF WOpk 1- u ell NEWER ALTER REPAIR DEMOLISH h Z SQ. FT. NO.OF NO.OF - SIZE L) STORIES FAMILIES USE OF vLAJJ'YYIInJ/UC. DO STRUCTURE nn \1 Vi TE SIGNATURE OF APPLICANT VALUATION S)-sQO. APPROVALS AT INSPECTOR'S SIGNATURE P PMT. /` FOUNDATION: LOCATION A FEE $. FEE $ FORMS. MATERIALS / A FRAME: FIRE STOPS, 19 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS 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 THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH, INT. EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT ' TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- FERMITTE AJ'C RECTANDPOSTED ADDREss FINAL - 1 tk.`_._ CLYDE N. DIRLAM• PR NCIFAL ST TURAL ENGINEER 77PLAN CHECK VALIDATION cK.I M.O. CASH PERMIT VALIDATION CK. M.O. CASH L-t X0'3 ¢ 87 0 ;:',8142 3 D 3 .00 . ,N 2.0 0 DCOUNTY ENGINEER DIVISIONSION OFF BUILDING LDING AND SAFETY COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX. COUNTY ENGINEER APPLICATION CABBATT D. GRIFFIN, SUPT GP BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PIAN CK.ors Rsc. No. PERMIT NO. BUILDING �j / /- ADDRESS 0 a GG 3 BY DATE OF APPL. DATISSUED LOCALITY ,"5. RECEIVED, ECEIVED NEAREST I Iac---c CROSS T f-h� BUILDING •CI �1 OWNER ADDRESS 1 K I l 1 MAIL LOCALITY ADDRESS 4 �- / NEAREST CITY NO CROSS SL I '✓� ARCHITECT OR TEL. FIRE NO. OF TYP GROUP ENGINEER NO. ZONE I PLANS I y/_'�J I 'f ADDRESS BLDG.SETBACK LINE i. 1 -"1 �+ CONTRACTOR NO. _ ZONE fj�' BYPROVEDTEL. USE _Ati DATE HOUSE NUMBERING ADDRESS �Gf LEGAL MAP NUMBER NO, ASSIGNED BY �S DESCRIPTION r LOT NO. IJ 3 BLOCK CORRECTIONS TRACTC_s SIZE OF LOT /s� NOW ON LOTBLDGS v` USE OF I NO. OF �F -4 Si4.MiLL JRA<.QO ftg6�.N/G EXISTING SLOG. 6 �� FAMII.IEs R✓/un J//•V/fie OAIP" O� �liE.�/ L/$.�l v� DESCRIPTION OF WORE em D - NEW ALTERATIONADDITION O �/2 w/2F FmB �Lu c-t z REPAIR DEMLITION r 40. FT. NO. OF { $-/ ,C�i�.w�/ 'A ,e4B 1.�i�Ltt•.O /.SD SIZE ROOMS STORIES EXT. WALLROOF UA COVERING /�A 01 i COVERING USE OF BTR IV CTURE //// oG^�►J rpt o P_ �t s 5 o C APPROVALS v INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION //JJ////,,,,////,11 FORMS, MATERIALS Ifi/ 4L9/S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRESTOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS AND STATE LAWS REG{�{�JJGGLL,AATI U LDIN CONSTRUCTION. SIGNATURE OF �v LATH. INT. PERMITTE J� LATH. EM. eS/O/.vG PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. FEEHOUSE NUMBER COR- RECT AND POSTED VALUATION00 FEE $ �$ FINAL TBAGODA G088 8-52. ' �' D89-38 23M 9ET6-46 / F` I "- DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES p ® ' N w, /► G WM. JB'. FOX. CHIEF ENGINEER ' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING 2`� C O bO d_�� DISTRICT NO. PLAN CK. NO. PERM17 NO. AODRE88 Vim• C .C7/1 /� S 6 7 LOCALITY �G' MPL.LLT C/T. REOLIVED BY DATE/OF APPL. DATE ISHULD T CEA ROSSl3.A.LDWiN �.t/� 4�zs/4� 41114 /7 ROHR 9T. ' OWNER L I N / ' 77/rT BUIL, S " 519 J_ �tOn A'n 1, 1-L]11 ADDRESS MAIL ,�qq r LOCALITY /T •yC M/•�Ir'� G rT 1� AD OR Sp•Y�]G T� CITY TE NEAREST NO.L. CROSS HT{�QI ../ l 1. I /A 1 FIRE NO.OFTYPL GROUP ARCHITECT OR d�y � TEL ZONE PLANE JTr- ENGINEER yl/ry /� NO. .cJ BLDG. � /J �i j � ORD. NO. ADDRESS - //.�' A T SETBACK LINE o/. el� ✓� L/GLATCONO` q ('�� n APPROVED'- - - CONTRACTOR �T L��7�7 BY DATE � / •� USE APPROVED ADDRESS �� 4A �NdS O/C/�• ZONE1. BY l DATE LEGAL DESCRIPTION CORRECTIONS � /yI LOT NO, �� BLOCK n .( � TRACT 3^ S O J �i]L' s�J�O� j / -.. / 0% S q NO ON LOT ' SIZE OF .LOT y 0 X/bd OW O USE OF I NO.OF I NO. OF EXISTING BLDG. FAMIU[a '� ROGM9— DESCRIPTION OF WORK , NEW ALTERATION. ADDITION .O L REPAIR MOVING DEMOLISH O BD• FT. NO:OF r SIZE �U 2,� ROOMB SlT�ORIES WALL ROOF COVERING �/yQQ/� I COVERING S/-/lA-45- BUIUSE OF NEW BUILDING A �7-iya - of a�sys{ , I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 'FOUNDATION: LOCATION, INSPECTOR DATE, AND AGREE TO COMPLY.WITH ALL COUNTY ORDINANCES FOR MS, MATERIALS.. rjr`Q �, �l AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE.STOPS, r �� SIGNATURE OF - BRACING. BOLTS //J, �� OWNER JF�WV'� �•j/ Ff'L�[/^ LATH, INT.: If 'a. (•. y .i G�� AUTHORIZED AOT- LATH, EXT.:' $ /�O P. I B9�_o a PLASTER, INT. FEEE PLASTER, IXT. S• VALUATION FEE/�� `FINAL �� 7- 3' --/ WORKERS"COMPENSATION'DECLARATION hereby offirtn that I hove certificate of consent to self APPLICATION FOR' BUILDING. PERMIT insure or a certificate of Workers' Compensation Insurance, ' oro`'certified copy thereof (sec. 3800 b- C.) --' - -- " --` 'N"-" :: o. COUNTY OF LOS AGELES BUILDING AND SAFETY o.6°'346-Company --.oii,c - - - - - - E Certified,copy is herebyfurnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS tTIJ r Certified copy is filed with the county buil q inspec- BUILDING y^ 41 -tion.department. ADDRESS .`1CS,.J Date Applicant CITY el ZIP LOCALITY ERFICATE OF EXEMPTI 'FRO ORKERS' - - - - NO. OF BLDGS-- NEAREST_.. . ... ' �COMPEN$ATIO INSURANCE - SIZE OF LOT NOW ON LOT CROSS ST. ' (This section'heed not be completed if the permit•is for one - -�, B — - - - ASSESSOR - -- n . hundred dollars ($100)or.less.) TRACT K LOT N'O. MAP BOOK 1 PAGE• PARCEL TEL. MAPt. -' - OWNER:_ .. .. _ '" 'NO. US O E certify that in the performance of the work for which this 7 NO. v pe,mit is issued, I shall not employ any person in any manner _ w �. �_2 I SPECIAL - - _ _ - IL. so ds to become subject to the Workers"Compensation Laws. ADDRESS .•^'r^'�-- - - ' ' CONDITIONS V Date" •.a 2 Applicant r' - CITY. __ _ _ _ ZIP _ _ t K NOTICE'TO APPLICANT:'If, after-making this Certificate of ARCHITECT OR TEL ENGINEER NO. DISTRICT GROUP _TYPE . FIRE PROCES ED BV Exemption;=you should become subject •to the Workers' - CONST. ZONE t Compensation provisions of the Labor Code, you must forth- ADDRESS _o R-� .. _ d with comply with such provisions or this permit shall be - - r L. STATISTICAL CLASSIFICATION APT. C DO. Z deemed`evoked: _ 7�/� t CONTRALTO NO. ) / _ LICENSED CONTRACTORS DECLARATION — �^ •� .LIC,�fE CLASS NO. �( _ DWELL. UNITS_ I hereby affirm that lam licensed under provisions of Chapter 9 ADDRESS ' IL NST' (commencing with Section 7000)of Division 3 of the Business and - - _ LIC SEWER MAP , Professions Code, and my license is in full force and effect. CITY 6•LR c.i CLASS �3 BK PG ' - ' •-" VALIDATION ' .. -'' +1 s� ^ ' $ SO. FT. _ NO.OF _ _ FA1 OF CHECK y. License Number It��I� '/" Lic:Classy SIZE STORIES FAMILIES - ONE VALUAT/IO�pN� i (f • $ •� DESCRIPTION OF WORK NEW. .� $ VwO Contract- Date ❑ CN , ADD I am exempt under Sec - � ❑ _ - _ - - - -__- _ B.BP.C. for this reaALTER son - ,, REPAIR ❑ $' -" '- --""- ' ;234 &5A -' - - - 'Date: - USE OF DEMOL EXISTING BLDG. ❑ - # . . .,. . 1 ' Signature' APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION PRINT NO. _ DATE. I hereby affirm.that.l am.exempt from the Contractor's License Low for the following reason..(Section 7031.5, Business and ADDRESSFIN ' 1 v "Professions Code): - - RESENT' - - - - BY Q(t .`OBUILDING _ - _ _ _.. I, as owner of the property, or my employees with ADDRESS y,. " wages as their solecompensation,will do the work and -*1. 1 4785 the structure is not intended or offered for sale(Section LOCALITY J .., - i -- 7044; Business and Professions Code). -- - - MOVING - - - - TEL- l;as owner of the property, am exclusively contracting CONTRACTOR NO. - - with licensed contractors to construct the project (Sec- ADDRESS ' tion 7044, Business and Professions Code). "' CONSTRUCTION LENDING AGENCY _ - '- ' SETT BACK 'YARD -QUIRED HWY - TOTAL PROP.LINECK F' WIDTH 'Thereby affirm that there is a construction lending agency far FRONT `e' the-performance of the work for which-this permit is issued - - PA. - (Sec. 3097, Civ. C.). SIDE - ` P.I. lenders Name - / LDMA Ref. M - -- ` - - _ P.C.fee$- -- - - Permittee - YS 1 Lenders Address -- " - - •- i .!.,certify that I have read this application and,state that the - IssuanceFee a ^U LDMA P/C It, ' - a above,information is correct. I agree to comply with all County Invest gmmn Fee " $ ordinances and State laws relating to building construction, .. _. .. Total Fee I LDMA Par.. u and hereb authorize representatives of this County to enter ' P th ab ve-mentioned property for inspection purposes. - r e SEE REVERSE FOR EXPLANATORY LANGUAGE ^ Signature of Applicantor Agent Ot.. _. _ __ .Dale_. .. _ _._ _..... ._ ___ _. .., .-. •. . .. _._. ... _ _ ... _ _ . WORKERS COMPENSATION DECLARATION hereby aa.cer Jica l have r certificate of consent to =elf - -APPLICATION FOR' BUILDING PERMIT insure ar a certificate;of Workers' Compensation Insurance, or'a certified copy thereof (Sec. 3800,-Lab:C:) `- • . COUNTY OF LOS ANGELES BUILDING AND SAFETY , Policy No. _ Company BUILDING /7 �. 'Certified copy is hereby furnished. FOR APPLICANT TO FILL IN + ADDRESS Certified copy is filed with the county building inspec- "'U" GL ;] ,L tion departrnent. -ADDRESS E J r1 rL+LA Li U U14 /� Date Applicant CITY /Q '.rkl lL LI ZIP 1700 LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS - NO.OF BLDGS. - NEAREST .. . -. - COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. This section need not be¢om leted ifnhe ASSESSOR ( p permit is.for one TRACT BLOCK LOT NO. f MAP BOOK Y PAGE PARCEL hundred dollars ($100)or less.) - ' ' TEL I certify that in the performance of the work for which this OWNER r �1. - Izr C! NO.' $I Q- Z111fVS USE NEI O. } permit is issued, I shall not employ any person in any manner rnx SPECIAL - - - d s ds td become su ble<t totfi Workers Compensation Laws. ADDRESS ly 2� OLD uJ W1 - CONDITIONS ,, V T��i� . 911 9q Dote Applica� 1 � 0 ARCHITECT OR TEL. DISTRICT G UP TYPE _ FIRE PROC SED BY _ (- NOTICE TO APPLICANT If, after making the -,tificate of ENGINEER - CilITMQ L'i NO. y47'�L`T3 - Rp Exemption,' you should become subject to the Workers' ��ll /1 CONST.' ZONE Compensation provisions of the Labor Code, you must forth- ADDRESS 37L9 1 C-Y" , Q e�'L N" - `� Z/{L 3CL with.comply with such provisions or.this permit shall be - - , N deemed revoked. --- TEL, STATISTICAL CLASSIFICATION APT, CO O. Z CONTRACTOR CONTRACTORS DECLARATION - LICCLASS NO. DWELL. UNITS_ I hereby affirm that I am licensed under-provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and .-, LIC - Professions Code, and my license is in'full force and effect. CITY - CLASSBK PG. - VALIDATION _ SQ. FT. L4� NO. OF NO.-OF CHECK License Number Lic.Class" SIZE !F STORIES FAMILIES - I ONE .. ❑ VALUATION - - _ Contrdctor Date DESCRIPTION OF WORK NEW ADD $ I am exempt under Sec. • - ❑ ALTER B.BP.C. for this reason REPAIR ❑ .$ - -- Date: USE OF DEMOL ❑ .1.3 9 2 8 A EXISTING BLDG. -#"� - - -`Signature' - APPLICANT TEL FINAL OWNER-BUILDER DECLARATION PRINT) )`• IJ iL-NL- NO. 2966!TIS_ DATE. - I hereby affirm than)am exempt from the Contractor's License a ( • is 7.a O 0 Law for the fallowing reason (Section 7031.5, Business and ADDRESS FIN Professions Code): - PRESENT B e"e • `]a Q O X ❑ BUILDING - - _ - - _ y - ' I, as ownerof the property, or my employees with ADDRESS ' wages as their sole compensation, will clothe work.and - ' - _ - f-- Q 1.27-8 6 the structure is not intended,or offered for sale(Section LOCALITY 7044; Business and Professions Code). '" MOVING - TEL. x. " I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project(Sec- - ADDRESS _ tion 7044, Business and Professions Cade). - .._ REQUIRED. .TOTAL SETBACK FROM T. - CONSTRUCTION LENDING AGSET BACK YARD HWY PROP. LINE WIDTH hereby affirm that there is a construction lending agency ency for FRONT the performance of the work for which this permit is issued - - PL-- (Sec. 3097, Civ, C. SIDE m - _.. ._. . . .. .. _ P.I. Lender's Name .i TDMA Ref. # , Y6Lender's Address - - P:C. Fee$ Permit Fee w Q 3 I certify that I have read this application and-state that the Issuance Fire - ,(/ � D LDMA P/C#- a above information is correct. I agree to comply with all County Investigation Fee /r -�• ordinances and State laws relating to building construction, 4o1.1 Fee LDMA Perm. # - --- - and hereby authorize representatives of this County to enter m upon the obove-menlionjedo property for inspection purposes. - L7 PA- FSEE REVERSE FOR EXPLANATORY LANGUAGE SYgnature of Applicant&Agent - Date - ' ' I I .- J.._ . . WORKERS' COMPENSATION DECLARATION - hereby affirm that I haver certificate of consent to self. APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, , or a certified pco�py��thh�ereof (Sec 3800,.Lab sC ) j{,� - COUNTY OF LOS ANGELES .. .BUILDING,AND SAFETY ' Folic o(�fC,'L•�e 4 Company S7X iA �Fr•'(/4.LJ - ��Y-� BUILDING. `y �L'.J Certified copyisFerehy furnished. . FOR APPLICANT TOFILL'IN - ADDRESS YI ❑ Certifiedcopy is filed with the county b ng inspec- BUILDING tion de�p+arttm , ADDRESS Appimnt. � CITY" T Date ,�ent. - LOCALITY NP.O ' l v / F ZIPBLD S. � ` NEAREST CERTIFICATE OF EXEMPTION F WORKERS'. SIZE OF LOT 9 NOW ON LOT -' CROSS ST ' COMPENSATION INSURANCE - ASSESSOR - (This section need not be completed if the permit is for one TRACT BLOCK - LOT•NO. - MAP BOOK. - " PAGEPARCEL hundred dollars ($100) or,less.) - 4EL. OWNER _ O_ USE ZONE MAP I certify-that in the performance ofthe work for which this - NO, permit is issued, I shall not employ any person in any manner ADDRESS. --!OA - - SPECIAL - - - d CONDITIONS so as to become subject to the Workers'Compensation laws. - . - . CITY - ZIP.v - Dote 'Applicant - - - ARCHITECT OR TEL. - ,NOTICE TO APPLICANT. If, .ofter.making this Certificate of ENGINEER NO DISTR^ICT GRO'y1p CONST. FIRE OCESS D BY Q Exemption, you should become subject t the Workers' _ • / I�- " )ITYPE � a Compensation provisions of the Labor Code, you must forth- ADDRESS o :: P with comply'with such,provisions or this permit shall be TELc.e, A STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. _'�: CONTRACTOR ?' - NO.cQv / ^V Z LICENSED CONTRACTORS DECLARATION UC CLASS NO. DWELL UNITS_ t, I hereby affirm that I am licensed under provisions of Chapter,9 ADDRESS L O. _ (commencing with Section 7000)of Division 3o the Business - LIC. -. - SEWER MAP and Professions Code,and my license is in full force and effect CITY. -p - CWSS BK PG - VALIDATION ' - SQrFT. p- O. OF NO. OF -' CHECK License Number-. 3 e 7 ZLic. Class SIZE STORIES FAMILIES ONE VALUATION (,1 � .4&TSate 'rte Fy DESCRIPTION OF WORK 6- G NEW ❑ $ 00 0 Contractor / •,_ qADD ❑ - - ❑I am exempt under'Sec - uIO r 7-,) ALTER ❑ B.BP.C. for this reason - USE OF��/�� } s � y REPAIR 5 -l.D,at�e: EXISTING�BLVG'/F"�p �k� MAEN" 'DEMON❑ - - S iwe l/1 ARIA lF �`V APPLICANT q - FINAL ''. j WNER ILD R DECLARATION - - (PRINT) DATE - NO.,,L -� v I hereby affirm that I am exempt from the Contractor's License. - - Law for the following reason (Section 7031.5, Business and ADDRESS' - FINAL- _ 1` j Professions Code): - - PRESENT ey ❑ .. BUILDING ..._ x I, as owner of theproperty, or m employees with �C•CT.r YADDRESS .t wages ct their soletintended will for sole(S k and - LOCALITY - - e.6l]7 - 70.38 the structure is not intended or offered for sole(Section 11 M 7044, Business and Professions•Code.) - MOVING - TEL.' . y ITEMS - ❑ I, as owner of the,property,,am exclusively contracting CONTRACTOR NO. - with licensed contractors To construct the.project (Sec-.. - _ _ _ - TOTAL 70- 38 tion 7044, Business and Professions Code.) . - ADDRESS' _ .-,REQUIRED' TOTAL SETBACK FROM .EXIST. CHECK 70.36 CONSTRUCTION AGENCY. "SET BACK - YARD' HWY PROP. LINE WIDTH •' I hereby affirm that thereJsa construction lending agency for FRONT CHANGE .00 the performance of the wbik for which this permit is issued, P.I. - - - - - (Sec. 3097, Civ. C.). .SIDE - ,Lender's Nome _ CICICICI-CI�CI I T.'. t/ 6AI m P C Fee$ •. - Permit Fee - ADMAL# JLender's Address 2hh g5'741', NM iV'4I certify that I.have read this.application and state that the - ' Issaonce Fee ' 3:1J LDMAabove information is correct..)agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee - 0LDMA ' and hereby authorize representatives of this County to enter - upon 1 e above-mepi ned pro erty for-inspection purposes. r - - ' - - - A _ 9 -ISEE REVERSE FOR EXPLANATORY LANGUAGE _ ,- Signay re of Applicant or Agent Date �•