HomeMy Public PortalAbout5545 GRACEWOOD AVE_Building__ 76A638A CE #803 3-69 APPLICATION FOR BUILDI G 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
DISTRICT NO. GROU➢�' TYPE CO oc
(PRINT OR TYPE ONLY)
BUILDING STATISTICAL CLLkSSIFICATION SEWER MAP
ADDRESS -J < 5 L( (,- o.��, CLASS NO. DWELL.UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT S SPECIAL
N0. OF BLDGS. CONDITIONS
SIZE OF LOT L� S NOW ON LOT
USE OF
EXISTING BLDG. 1 L- BLDG. SETBACK FROM
}} TEL. FRONT PROP. LINE OF (STREET)
OWNER ? NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS jl OZLI
CITY +
ARCHITECT OR TEL. SID PROP.
M (STREET)
ENGINEER No. SIDE PROP. LINE o
TYPE OF EXISTING SETBACK WAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
/ TEL. . +
CONTRACTOR N0.
''JJ LIC. CORNER CUTOFF YES ❑ N ❑
ADDRESS _2 V /.7Ei 7t _�,,,;....• No.'''/_'/// OV
LIC.
CITY ' i I� ( CLASS (7 SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER O
NAME AND BRANCH U
W
ADDRESS a
N
SQ. FT. NO. OF NO. OF Z
SIZE STORIES FAMILIES NEW ❑
USE OF ADD ❑
STRUCTURE ( .� L( hd e.Q
i
ALTER ❑
REPAIR ❑
SIGN URE 0 n � DEMOL
APPLICANT �,L �c � LL E/
VALUATION $ r APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ FORMS,
ORMS MATERIALS
77I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC-
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATEOF CAL NIA IN RELA N TO WORKMEN'S COM-
PENSATION INSURANCF/.. LATH, EXT.
SIGNATURE OF HOUSE NUMBER CORRECT
PERMITTEE 7 AND POSTED
ADDRESS/_LZ FINAL 6 ��
JOHN F. LEWIS, PRINCIPAL STR TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH
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A(`„4 9 9 2 L 11AY 1 1 D 6.0 0- lz
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-DEPARTMENT OF BUILDING AND SAFE LIGATION FOR PERMIT
COUNTY OF LOS ANGELES �l G 0 1 ' ® '
WM. J. FOX. CHIEF ENGINEER -
NG
FOR APPLICANT TO FILL_ IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT N
t BUILDING < /� _ � / ; -
ADDRESS a /+ /c./dcf!Lf%"0i - r
LOCALITY - ' CL CalJ17& RECEIVED BY DATE OF APPL. DAT[ISSUED
NEAREST
QRof3B ST,
L � �` W A) i BUILDING
OWNER ADDRESS
MAILo /�r weal ,�} -` LOCALITY
ADDRESS (.,, �'T 7•
+ ,r+ �°`,/� y�rt, NEAREST
y V . / 0 f4 /' CROSS ST.
CITY NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR ++ p . TEL. IVO 2. ®_/ t ZONE •` PLANS
ENGINEER ' f. qp°{C?ffl NO. �VV a%�6To
J o. i BLDG. ORD.NO.
ADDRESS f jo SETBACK LINE
re/�1-, APPROVED
CONTRACTOR v W.;+e NO. �� /tl� BY DATE
v T USE APPROVED
ZONE BY DATE
LEGAL :, .- •' ,d r`.. c CORRECTIONS `;
_ DESCRIPTION I/FLOT NO. BLOCK
TRACT
NO.OF BLOBS.
SIZE OF LOT ." /� I NOW ON LOT
UBE OF NO.OF NO.OF
EXISTING BLDG. SSD FAMILIES I ROOMS
DESCRIPTION OF WORK ,
s
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH 01IC 7'G ;0
80.FT, NO. M 7 /!�� tel/ IF
SIZE ROOMS STORIES / % 1 I a'J�/�__
IF
ROOF
WALL
COVERING �:J hov I COVERING
USE OF NEW '
BUILDING
1 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 FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION, ------
FRAME: FIRE STOPS,
SIGNATURE OF ? BRACING,BOLTS
PERMITTED LATH, INT.
AUTHORIZED AOT — LATH, EXT.
76AWSA-3 1-50 $ ..•'P P.C.8 PLASTER,INT.
FEE PLASTER.EXT.
1
VALUATION FEE r.. FINAL