Loading...
HomeMy Public PortalAbout5555 GRACEWOOD AVE_Building__ WVIS10.24 OF BUILDING AND SAFETY BUILDING Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. OR REC.No. PERMIT NO. BUILDINGAll ADDRESS v C _ 1 RECEIVED BY DATE OF ADPL. DATE ISSUED LOCALITY NEAREST CROSS ST. %''C�/� BUILDING H ADDRESS OWNER_ MAIL ��- I 'I / A i __LOCALITY ADDRESSj� CSS©� NEAREST TE �� ,�Cr CRABS ST. CITY P, NO. FIRE NO. OF TYPE GROUP ZONEI PLANS ARCHITECT OR �,.,_, TEL. ENGINEER NO. BLDG. ,,,,y ORD. NO. _SETBACK LINE - ADDRESS USE APPROVED./ TEL _ ZONE BY "' ' DATE CONTRACTOR NO. HOUSE NUMBERING ADDRESS MAP NUMBER NO. ASSIGNED BY .-_—_._.. LEGAL < CORRECTIONS DEBORIPTION I LOT NO. BLOCK , 0,.2-,3 �j %.- ,c TRACT � � NO. OF BLDGS. BIZE OF LOT I NOW ON LOT 7 USE OF NO. OF EXISTING BLDG. I FAMILIES DESCRIPTION OF WORK A 0 NEW ALTERATION ADDITION Z D REPAIR DEMOLITION t- SGT. FT. N O.O F SIZE ROOMS STORIES EXT.WALL ROOF COVERING I COVERING USE OF STRUCTURE ! J,: II INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION - FORMS, MATERIALS a—y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, �T CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF i' "i'�'' �Z �� LATH, INT. d PERMITTE - LATH, EXT. ADDRESS _a PLASTER, INT. AUTHORI EO AGT. PLASTER, EXT. P.C.$ HOUSE NUMBER COR- RECT AND POSTED III VALUATION VV FEE FINAL 76A63BA DBS 3 1-52 76A898ACEf8033-" APPLICATION FOR BUILDI G PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY IKNG INFER 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 DISTI(CT NO cRo rYPe�Cplss Y (PRINT OR TVP ONLY) BUILDING STATISTICAL CLA.S,91FICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS BK LOT NO. BLOCK USE ZONE MAP // NO. CZj TRACT _ - - b SPECIAL N0. OF BLDGS. ' CONDTIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM TEL. FRONT PROP LINE OF (STREET) OWNER N0. TYPE OF EKIS SETBACK HIGHWAY + YARD = TOTAL HIGHWAY WIDTH OM C.L. ADDRESS O- CITY ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM L.L. TE + CONTRACTOR 7 N0. �fy LIC ADDRESS NO pc / CORNER CUTOFF YES ❑ NO ❑ {Qy CITY CLASS Z SEE REVERSE SIDE ICOR SPECIAL APPROVALS CONSTRUCTION LENDER O NAME AND BRANCH C, ADDRESS SQ. FT. NO. OF NO. OF ❑ Z SIZE STORIES FAMILIES NEW USE OF } ADD ❑ STRUCTURE ❑ LTER REPAIR ❑ SIGNATURE OF DEMOL APPLICANT VALUATION APPROVALS DATE INSPECTOR-2 SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEES T RIALS I+iEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION FRAME: FIRE STOPS, RA IBOLTS 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 EMP LOYPERSON IN VIOLATION OF THE LABOR CODE LATH, INT. ' OF THE STATE OFALI ORNIA INR /�ING TO WORKMEN'S COM- PENSATION INSURANCE LATH, EXT. SIGNATURE HOUSE NUMBER CORRECT PERMITTEE AND POSTED ADDRESS, f FINAL JOHN F. LEWIS, PRIN IPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. L4.0. CABH - PERMIT VALIDATION C M.0. CASH ('�, 9 9 5F- W19 1 D 6.0 O' v