Loading...
HomeMy Public PortalAbout5563 GRACEWOOD AVE_Building__ xarnsION OF BUILDING AND SAFETYDop&rtmeatt of g � ' ootmty eft b�mty timmer LDIkG WM. J. FOX, COUNTY ENOIN[ER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY EUILDINO �(],> DIfTRIOT NO. Pull CIC oa RimNo. PERMIT N0. ADDREHE J 5' 7 LDOALJTY_r f A[O IVLD BY DATIC OF APPL DA IMUm PT, `vv •LDRRIii DN[R � A MAIL LOCLkUTY AD D R NX ARQt• L ISR CAN QT. PITY, N FIR[ NO.OF TYPE GROUP �� AROHITICOT OR T1[L ZON[ PLANS [H13INKER N0. 01 D13 0. ADD50f E EtTADK LIN[ Ufl[ APPRIIV[D 4 ZON[ BY DAT[ DO - HOUR[ NUMBERING AD i� NUMB[ O NO. ABBION[D EY "--J q ONS D[DaRIVI10N LOT NCL ■LOOK Z TRAOT J` N0. OF eLDQi /` lYJ r— �✓ /"-- ■IZE OF LOT NOW ON.LOT U D.OF p( � r DESCH.IMON OF WORK p L o N[W ALTIC ATION ADDITION J REPAIR D[MOLITION L G1✓�T p•FT. NO.OF �JZI ROOM■ wTORIO r ' EXT.WALL ROOF QOV[RiHM (.. OOV[RIN9 UO[OF [ / ss ;3 INEP[OTION FDR APPROVALS OOOUPANDYAS INEP[OTOR'EBIDNATUR[ DATE FOIJKDAT112NI LDOATION 1 H[RZKY ADKNOWLEDO[ THAT I HAVE READ THI! AP- FISIthM MATIOUAL - PLIOATION AND fTAT[ THAT THE INFORMATION OIV[N 1■ FRAM[I FIRIC TOA, O OORR[ T. GRADIN eOLT, I IDR[[ TD OOMPLY WITH ALL COUNTY ORDINANOO ���Ey LL�TIOII, �G Al f� AND ATE \Mf REeULATIN9 ■UILDINO OONSTRLMMON, -{ t eAJt VENT.DUOT7 " EIOHArli OF LATH, INT. PERM[ ADD Z3,-S2) LATH, ENT. r t t✓ AUTHORIZm PiJUW M INT. P. * PLQ4 D � AATf�. ZN FHR[ [T AHD PO08T[DLVAUAT 3dfS FQ 11 11ZFL INA i- 7uaaaA DM a I-ss 76A638A CE NBOS 12/69 r APPLICATION FOR BU LDING PE MIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING T JOHN A. LAM■IE, COUNTY ENGINEER ADDRESS V COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST (Print or tyoe only) CROSS ST. DIST CT N GR�1�P TYPE P ED BY BUILDING /7 rC CONST ADDRESS 55' 1p "Y LOT NO. BLOCK STATISTICAL CLASSIFICATION SEWER MAP CLASS NO-DWELL.UNITS BK PG TRACT z ZONE MAP N0.OF BLDGS. / NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF . �. V CONDITIONS EXISTING BLDG. EL OWNER G NO. BLDG.SETBACK FROM ADDRESS .� FRONT PROP.LINE OF (STREET) V TYPE OF EX19T1 ETBACK HIGHWAY + YARD = TOTAL CITY HIOHWA WIDTH L. ARCHITECT OR TEL. + _ ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINEOF (STREET) TEL TYPE OF EXISTING BET BACK HIGHWAY + YA = TOTAL CONTRACTOR NO. 114 , HIGHWAY WIDTH FROM C.L- A DDRESS J1,71AdeCLIA NO I9 + _ CITE' I IV U CILl,53 C ;2_) CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS W ADDRESS a C/1 SQ. FT. NO. OF NO. OF NEW ❑ Z SIZE STORIES FAMILIES USE OF ADD ❑ - STRUCTURE LTER ❑ EPAIR❑ SIGNATURE OF APPLICANT �q� DEMOL VALUATIONS 0 APPROVALS DATE IMBPLCTOR'• SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE S rJQO FORMS MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACT NO BOLTS AMD STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCE$ AND LAWS REGULATING BUILDING COX- GAS VENT, DUCTS ST RUC TION. I CERTIFY THAT IN DOING THE WORN AUTHORIZED HEREBY I WILL NOT EMPLOY ANY "R SOTHE LATH, INT. LABOR COD[ OF THE STAT[ OF •CTO WORN M[X'1 Co 10 IlUUR CLATH, EXT. SIGNATURE 0 HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL ld O JOHN F. LEWIS.-PRINCIPAL STIR RAL ENGINEER PLAN CHECK VALIDA'T'ION 1K. M.O. CALID SH _ PERMIT VALIDATION CK. M.O. CASH 6 5 9 1 8 SEP 2 1 D 9.0 0 1w k