HomeMy Public PortalAbout5519 GRACEWOOD AVE_Building__ 70ABSBA CE #,W03 +}B9
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING-AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DIST ,9 GM TYPE PR ss Y
(PRINT OR TYPE[ ONLY) �f'
BUILDINGSTATISTICAL CLASSIFICATION SE ER MAP
ADDRESS CLASS N0. DWELL.UN BK PG
LOT NO. BLOCK USE ZONE MAP J1 -
jf �J NO. (J
TRACT .2O .3 �a /� SPECIAL
N0. OF BLDGS. /\ CONDITIONS
SIZE OF LOT V ,7 7 NOW ON LOT
US E OF '
EXISTING BLDG. BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OW NER NO. TYPE OF I HIGHWAY + YARD = TOTAL
ADDRESS y H1 WIDTH FROM C.L.
+ _
CITY �
ARCHITECT OR TEL. IBLDG.PROP. LI FROM (STREET)
ENGINEER N0. SIDE PROP. LINE OF
TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL
CONTRACTOR N0. +
� j NO CORNER CUTOFF YES ❑ NO ❑ 0
ADDRESS
CITY L•. cL-LICss — Z SEE REVERSEE SIDE FOR SPECIAL APPROVALS 0
CONSTRUCTION LENDER - G
NAME AND BRANCH LL.1
CL
ADDRESS Z
3Q. FT. NO. OF NO. OF ❑
SIZE STORIES FAMILIES NEW
USE OF ` ADD ❑
STRUCTURE ❑
ALTER
REPAIR C]
SIG LIRE F DEMOL
APPLICANT
VALUATION , APPROVALS DATE INSPECTOR-2 516NATURE
P.C. PMT. FOUNDATION: LOCATION
FEES FEEFORMS, MATERIAL$
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
DRAI L
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC-
TION. ICERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I QNS VENT. DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CA MIA IN RELATING 0 WORKMEN'S COM-
PENSATION INSURANLATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEEAND POSTED
ADDR FINAL -Ace otz
JOHN F. LEWIS, PRIN IPAL STCK. URAL ENGINEER
PLAN CHECK VALIDATION CK. m.o. c"H - PERMIT VALIDATION M.O. CAOH
L „4 5s 7R mtl q, 1 o 6.0 0l�. .vm