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HomeMy Public PortalAbout5615-17 GRACEWOOD AVE_Building__ ---------- APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER OlU 1 LD 1 N G PERMIT BUILDING AND SAFETY DIVISION BUILDING X FOR APPLICANT TO FILL IN ADDREss -� BUILDING �� ADDRESSV//� // i �� ' LOCALITY L NEAREST CITY �� hl;L C l^ ZIP �� ` • C OSS ST. 110.OF BLDGS. �f ASSESSOR SIZE OF LOT X NOW ON LOT •7 MAP BOOK PAGE PARCEL DISTRICT GR UP TYPE FIRE ROC SSED B TRACT BLOCK LOT NO. ! CONST, ZONE TEL./ OWNER it& N07 7 ( L STATISTICAL CLASSIFICATION SEWER WA, ADDRESS �` !}G(i Sr(OG�`' CLASS NO. DWELL.UNITS A. BK PG CITY ZONE MAP' ARCHITECT OR >�,, TEL. Z7 ENGINEER ( r&6ZL S7E�119"NO. N'f 5 7�,' SPECIAL C �j' CONDITIONS ADDRESS ) E; l f� ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ CONTRACTOR / 1 /,444,JIVJ NO.� �E BLDG.SETBACK FROM LIC. — FRONT PROP.LINE OF (STREET( ADDRESS {- (/ NO. TOTAL SETBACK M TYPEOF EXISTING HIGHWAY + YARD = FRONT ROP.LINE HIGHWAY WID H LIC. CITY /� CLASS _ CONSTRUCTION LENDER + O NAME AND BRANCH BLDG.SETBACK FROM U ADDRESS CITY SIDE PROP.LINE OF (STREET) mO SQ.FT.. /f NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZE �J�� STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH + = Z DESCRIPTION OF WORK NEW ❑ ADD CORNER CUTOFF YES ❑ NO ❑ USE �Jp ALTER a IN OPEN SPACE YES ❑ NO [:3EXIS G BLDG. Gtc tALV MOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT > TEL ^/ p (PRINT)�' S �i'NO.��j 1 l BY(SIGNATURE( L"e IHEREBY ACKNOWLEDGE THAT I AVE READ THIS APPLICATION AND STATE -- THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE _ WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM PENSATION INSURANCE. ..� � JJ//��//�// / SIGNATURE OF l_ (2JFINAL V I �'Y BY C.,.m. PERMITTEE DATE ADDRESS --� �-- n TEL. � P.C. Fee$ 72 Permit Fee CITY NO. l y Issuance Fee VALUATION� � Total Fee l PLAN CHECK VALIDATION CK M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 9771A: 1!;` 2 , U 187.20 ©S 76A636A GE Nsa3A 6/77 r �7 > �eAear�.os8.a APPLICATION FOR BLILDING PERMIT ], tl•aa in DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer ADDRESS 0 ", i County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST f CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. G. c FOR APPLICANT TO FILL IN DISTRICT NO. C' UI' I TYPE SEW K =PG { CONST. BUILDING ST 'WY YE�S. NOADDRESS I7 NUMBE LOT NO.�, I 0;: E 7b,Q� ""BLOCK ' USE ZON SPECIAL T CONDITIONS TRACT ;� / �g NO.OF BLDGS. SIZE OF LOT lQ10 1 p o NOW ON LOT .f'� BU'ILDING EXIST. USE OF SETBACK YARD HWY STREET NAME WIDTH EXISTING BLDG. FRONT P.L. ':•' �.. OWNERIM SIDE MAIL _ --.�- 9e �• P. L. ADDRESS O TRACT DWELL. I UNIT • 5 INDUSTRIAL 1 DWELL. 1 UNIT CITY --� N NO. 6 PUBLIC BLDG. ARCHITECT OR TEL. f 2 DUPLEX 2 UNITS pDDN.,ALT., ETC. ENGINEER NO. / 3 APT. UNITS f I 8 MISCEL. ADDRESS��L � .f.• \.t 4 COMMERCIAL CONTRACTOR 7� NO' INSPECTION RECORD ADDRESS J �+�! X14.. /y/L�L.t�Gf�TI� C, '�. �`_<57 DESCRIPTION OF WORKS ,; y NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO. OF NO. OF SIZEj!j STORIES FAMILIES /� �,,yQ�' r^° USE OF STR TU E vv r� SIGNATURE APPLICAN[T- GGG[[[���LLLiii p /^ APPROVALS ADDRESS 7 Gl7 .,1ht �/c.6.�-LG��'�''i L�(� DATE INSPECTOWSSIGNATURE FOUNDATION: LOCATIO $ o� P. C. $ _FORMS, MATERIALS �• FEE FRAME: FIRE STOPS, VALUATION $ ,/�. ,�,., _BRACING. BOLTS FEE !"'^�• "m"'""�� FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS CAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. .:'j, -[,"y.�,. - G•�,;. " AND STATE LAWS REGULATING BUILDING CONSTRUC- TION. _r LATH, EXT. SIGNATURE OF, CCS HOUSE NUMBER COR- P _RECT AND POSTED ADDRESS I FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION.- CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR CK MO CASH ^.{ V J rj .0 �1 I 78AE59A CE#8 g_e_$, APPLICATI.ON FORG PERM T Z COUNTY OF LOS ANGELES BUIL DEPARTMENT OF COUNTY ENGINEER 'S DD BUILDING AND SAFETY DIVISION LOCAL �U JOHN A. LAMBIE.COUNTY ENGINEER NEARE VW CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS DISTRICT NO. GROUP TYPE SEWER MAP BUILDNG FOR APPLICAN TO FILL IN BK G CONST. ADDRESS 'SS (i . STATISTICAL CLASSIFICATION 51) Ike' W -" a CLASS.NO. DWELL.UNITS LOT NO. z Ap BLOCK MAP ,,g. STATE TRACT 3 NUMBER v r HWY. YE5 N USE ZONE SPECIAL ('� NO.OF BLDGS. /•y� CONDITIONS SIZE OF LOT rj D NOW-AN LOT 2— USE OF �SQ BV EXISTING BLDG. - BUILDING YARD HWY REET NAME EXIST. SETBACK WIDTH OWNE /a FRONT MAILADDRESS �`� 7 SIDE CITY [i TEL. P.L. NO' ARCHITECT OR T _ INSPECTION RECORD ENGINEER O. . ADDRESS TEL. m CONTRACTOR NO. ADDRESS _ DESCRIPTION OF WORK NE DD ALTER REPAINO.OF /R� DEMOLISH SIZE T -/` NADD STORIES / FAMILIES ✓.�� SIGNATURE OF APPROVALS APPLICANT _ DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION _FORMS,MATERIALS $ FFEE C. $ `�� FRAME: FIRE STOPS. 1 BRACING. BOLTS VALUATION S Q FURNACE: LOCATION, - _GAS VENT,DUCTS _A 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWSRE LATING U DIN CONSTRUCTION. LATH.EXT. SIGNATURE OF�a HOUSE NUMBER COR- PERMITTEF F:ECT AND POSTED ADDRESS ✓ FINAL JOHN A. LAMBIE,COUNTY ENGINEER, CLYDE N. DIRLAM, PRIN PAL STRUCTURAL EbI06f-bIEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M..Q._-- S�} , � 49.7M MAY 2 l A 400 2 T f 76A698A CE$80911-47 APPLICATION FOR BUILDING PE IT COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY I JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. G� I SEWER MAP FOR APPLICANT TO FILL IN TYPE < PG CONST. BUILDING ADDRESS ! ! �� STATISTICAL CLASSIFICATION I [� C 7 ' CLASS.NO.--/—DWELL.UNITS LO O (! 1€' MAP STATE d _ ?+4 NUMBER HWY. CT YES T A USE ZONE SPECIAL �• NO.OF BLDGS. � CONDITIONS SIZE OF LOT Q ' (/Q NOW ON LOT USE OF 42 EXISTING BLDG. P11 BUILDING YARD HWY REET NAME EXIST. SETBACK WIDTH OWNER FRONT �_ p MAIL /� P.L. ADDRESS SY �7 ,�"K //� Lam'• SIDE TEL P.L. CITY �a ��-� NO. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. rv- ADDRESS TEL CONTRACTOR _ NO. t�r ADDRESS DESCRIPTION OF WORK EW ADD ALTER REPAIR DEMOLISH T. NO.OF NO.OF SIZE STORIE FAMILIES USE OF STRUCTUR ap SIGNATURE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS FEE S FRAME: FIRE STOPS.(l FEE BRACING.BOLTS VALUATION S FURNACE: LOCATION, FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RE ULATIj Ge LDI G CONSTRUCTION. LATH.EXT. NUMBER SIGNATURE OF (�`it,/��/� .V/""V�+��- HOUSE RECTAND POSTEDR PERMITT�E ADDRESS 6/ , � FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG EER PLAN CHECK VALIDATION CK. M.O. CATH PERMIT VALIDATION CK. M.O. ASH 4 5 2 u-v XL 1 1 A 16.0 0 n ®r APPLICATION FOR BUILDLNG PERMIT F,�OR APPLICANT TO FILL IN (Pr(rnt or type only) BUILDING 577 COUNTY-OF LOS ANGELES ADDRESSS9/1 jh�4,15WOOP DEPARTMENT OF COUNTY ENGINEER �-1 BUILDING AND SAFETY DIVISION CIT ZIP J /2_0/NO. BLDGS. BUILDING ' SIZE OF LOT NOW ON LOT ADDRESS /�� �y �. TRAC /� LOCK LOT NO.P0 r LOCALITY �� /- � C 'r OWNER 1. TOL CROSS ST, V O 19 O ASSESSOR ADDRESS MAP BOOK PAGE PARCEL r DISTRICT GROUP TYPE FIRE P OCESSED BY CITY ZIP CONST. ZONE ARCHITECT O T ENGINEER A;EL.• STATISTICAL gLASSIFICATION SEWER MAP ADDRESS V`/� ~L(J� CLASS NO.�L OWELL,UNIT9 BK PG CONTRACTOR EL' USE ZONERMALIC. _ADDRESS NO• CIAL CITY LIC. DITIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF D(ISTING 8 SIZ FT. ST I FAMILINO. OFES CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE tr } = O DESCRIPTION OF WORK v NEW DD BLDG,SETBA ROM SIDEPROP.LINE (STREET) i ALTER HIGHWAY } YARD — TOTAL SETBACK FROM TYPE OF EXISTS NO —REPAIR SIDE PROP. LINE HIGHWAY WIDTH EXISTING BLDG. USE EMOL ❑ + APPLICANT f TEL CORNER CUTOFF Y NO ❑ (PRINT) BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ t 7,e2 0 , IN COASTAL ZONE YES C] O ❑ VALUATION$ CATEGORICAL EXEMPTION YES NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCE■ AND LAWSREGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABORBCODE OF THE STATE OF CAL SFO IA IN RELATING TO WORKMEN'S COMPEN ION 1 URANC SIGNATURE OF PERMITTEE ADDRESS FINAL BY TEL. CITY NO. DATE %tKE CHLI KS PAYABLE' TO: FEE + FEE HARVEY T. BRANOT, COUNTY ENGINEER Q� PLAN CHECK VALIDATION CK. M.O. CATH PERMIT VALIDATION cK. i 7 473 &L 9 1 D 12,0 0--, 70A838A CErBOD 12/72 I 76A630-A C9 0903 4/10 t..✓ � A'f` }{�p4� (� APPLI�ATIOf�I FOR-BUILDINGPERMIT COUNTY OF LOS ANGEIM AbSESSOR DEPARTMENT OFCOUNTY ENGINEER MAP BOOk PARC5L BUILDING-AND SAFETY DIVISION BUILDING JOHN A. LAM-NIM, COUNlrY EI4aINKKR ADDRESS ��• /� COLKMAN W. JKNKINB,' BIUP•T OF ItUILDINa LOCALITY NEARESTFOR 1 CR.CB3 STrint or . 4+J APPLICANTTO FILL IN ✓E' C�[�Cr type an ly) DJ$TR CT NO .(:;Roup TYPE ���_$$lf,,.oC,."�EE,33ED.BY - AD,DR.BUILDING CONgTJ' )LCY✓/J/�� PDR8SS P Q � STATISTICAL CL IFICATI N .'. SEWER MAP LOT NO. OLOCK " CtAS$NO T' DWEC.) .U.NITB BK�^*`Y�f . TRACT UE 7_ONE p� O.OF,DLDO3. �LdQ SIZE OF LOT `O'X N 00 NOW ON LOT , SPECIAL USE OF CON DI TIOt EXISTING PLOG. _.,. ' OWNER NO.. BLDG.SETBACK FROM ADbRESS - FRONT PROP.LINE OK ISTREET) TYPE'OF ISTINQ SETBACK HI WfWAY. + YARD r TOTAL, CITY P 14IGHWA WIDTH PROM C.L, - ARCHJT CT'OR TEL. + _ EN INEE-R NO, BLDG SETBACK FROA4 AOQRESS SIDE PROP.LINE OF (STREET) TkTLTYPE Of, IDTRiO'SETRACK HIQHWAY, .} YARD' = AL CONTRACTQR NO. HIbHWAY WIDTH FROM C.L LIC., + _ o ADDR�S8 NO C� LIC. 'CITY , CLASS CORNEWCLITdKF' YES ❑ NO Q CON$TRLICTiON LENDEF7 AME AND B NCH -,SEE REVERSE SIDE FOR SPACIAL APPPOVAI.S ADDRE" Sq. .NO. OF NO: OF NEW ❑ SIZE STORIES FAMILIES USE OF % 4DD ❑ STRUCTURE �v ,4 "SER ❑ _ AIR SIGNATURE OF APPLICANT DEMOL VALfU^TION fon rf A,FPROVALS' - DATE INSFECTORPS SIGNATURE P C p T. FOUNDATICX41 LOCATION FEE ! F E f FORMS MATERIALS FRA�1E. FIEi�STOyp�q -I HEREBY ACKIIOWLEDG[ THAT 1 HAVE#EAg. THIS AP4 ICAT4ON BI4 LFIEI BOLTS� AND *TATE THAT THE ABOVA IS CORRECT AN AGREE TO COMPLY �I,JRNACEI LOCATION, WITH ALL ORDINARY AND LAWS REGULATLNG BUILDING CON- QAg VENT, DU TS ' ITRUCTIOW. I CERj•I rY THAT IN DOING THE WORK AUTHORIZED HERESY I WILL I�0T PLOY AR RSON IN VIOiAIrl0k OF THE LATH, INT.-;, LA 60R CODE Or T CTAT[ NIA .IN RELr TIIIG TO WORKMEN' SATION I U - ' LFTH, EXT.. , SIGNATUR %gev, 148CSE N MBEFi CO PERMI RECT AND POSTED } ADC�R FINAL JOHN F. LtwIS. PRINCIPAL STRLjCTURAC:'gNQIN-EEk PLAN CHECK VALYDATION ck. mb; cA.+I _ PEOUT VALIDATION CR ia.D. t s,,BfD 7 =16 T 76A898ACE #Bo3 �-� APPLICATION FOR BUIL ING 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 DISTR CTp. r ONST. ED BY (PRINT OR TYPE: ONLY) C//�ate/ BUILDING L, STATISTICAL C IFICATION 3EWER MAP , ADDRESS 617 Gracewood Ave. CLASS NO. DWELL.UNITS BKAI PG LOT NO. BLOCK USE ZONE MAP 1 .0. (f TRACT / SPECIAL NO. OF BLDGS. I CONDITIONS SIZE OF LOT NOW ON LOT US E OF EXISTING BLDG. BLDG. ET BACK FROM OWNER v NO. FRONT P. LINE OF (STREET) w TYPE OF IEXtSZING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 17 Cbrace oo(i Ave • ;HIGHWAY1 WID FROM C.L. + o CITY ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EAIST14 SETBACK HIGHW + "YARD = TOTAL ADDRESS IGHWAY WIDTH FROM C.L. TEL..,L + CONTRACTOR i Mf • NO. 263-5181 = ADDRESS337 S. NOOdB Ave. NO 159496 CORNER CUTOFF YES ❑ NO ❑ CITY Los Angeles U CLAILICSS C- 39 BEE REVERSE EIDE FOR SPECIAL APPROVALS 00 CONSTRUCTION LENDER NAME AND BRANCH CL ADDRESS N Z Sq. FT. NO. OF No OF ❑ SIZE STORIES FAMILIES NEW US E OF STRUCTURE RereOf ADD E] ALTER REPAIR SIGNATURE OF DEMOL ❑ APPLICANT Fin VALUATION •w APPROVALS DATE IN.P[CTOR'. SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE .SMATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL THAT AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION, TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT. DUCIS WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE OF CA fgRNI,A�IN LAT IN�'+ T ,O EN'S COM- PENSATION IN7URAMCELiIl.g]td g• �^+'}�a+y LATH, EXT. SIGNATURE OF '}� �'�/ /J HOUSE NUMBER CORRECT PERMITTEE ` �/7,��i,�,/71L A�.[1-//T-f`LlI M.y� AND POSTED % ADDRESS-337 $. Hoods Axe., L. A. 9002 FINAL �7 JOHN F. LEWIS, PRIN IP LST TUR AL ENGINEER PLAN CHECK VALIDATION CR. M.o. CASH _ PERMIT VALIDATION cR M.O. CA.H 1pf, 2565F., NGV 4 1 D 9030- 4 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) Temple City- BUILDING COUNTY OF LOS ANGELES ADDRESS 5615 Gracewood. - DEPARTMENT OF COUNTY ENGINEER CITY Arcadia ZIP B=ING AND SAFETY DIVISION p..,� NO.OF SLOGS. BUILDING SIZE OF LOT O X/0" NOW ON LOT ADDRESS TRA BLOCK LO 3 LOCALITY TEL NEAREST � .- OWNE NO. `�-02 CROSS ST. ASSESSOR Ell ADDRESS racexood MAP BOOK PAGE - P RCEL q�{ D STRILTGROUP TYPE FIRE R ED BY CITY Arcar�.i.a' ZIP CONST, ZO ARCHITECT OR TEL ENGINEER NO. STATISTICAL CLASSIFICATION SEWERi ADDRESS CLASS.NO DWELL,UNITS BK 6 PG CONTRACTOR Pigid Mf g. Co'. TEL'263-5181 LEZONE MAP LIC. Q�yQ� NO. ADDRESS SO. Woods Ave NO 159x+`9. S PEtlA L - CITY LOB Angeles, Ca. LIC. C-39 CONDITIONS - CLASS ROAD bEPARTMENT APPROVAL REQUIRED YDS❑ NO❑ CONSTRUCTION LENDER yy NAME AND BRANCH BLOG.SE BACK FROM b.+ Ileroof - FRONT P OP,LINE OF (STREET) 8 ADDRESS CITY HIG"AY +' YARD TOTAL SETBACK FROM TYPE OF EXISTING 'pC SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES' ONE DES-C RIPTION OF WORK 0 4 NEW + DD ❑ SI DEG PROP.LINE OF (STREET) i ge:voof with classmaterial ALTER ❑ HIGHWAY } - YARD = TOTAL SETBACK FRO TYPE OF EXISTING EPAIR1:1 SIDE PROP. LINE IGHWAY WIDTH USE OF ENOL ❑ + EXISTING BLDG. real APPLICANT TEL CQRNER CUTOFF YES ❑ NO (PRINT) - - - NO. IN OPEN SPACE YES ❑ NO ❑ DY (SIGNATURE) - IN COASTAL ZONE YES ❑ NO ❑ VALUATION D - CATEGORI CAL-EXEMPTION YES❑ NO ❑ 1 HEREBY ACKNOWLEDO[ THAT I HAVE HEAD THIS]AAATION ENVIRONMENTAL ' AND [TATE THAT THE ABOVE IB CORRECT AND.A[REOMPLY IMPACT EXEMPTION DECLARATION_SIGNED (DATV) WITH ALL ORDINANCES AND LAWS RE[ULATIN[ ECON- STRUCTION. I CERTIFY THAT IN DOINS THE WORRIZED IMPACT REPORT PRDCEBBED --(DATE) HEREBY I WILL NOT EMPLOY ANY RERSO N IN VIOLF THE LABOR CODE OF THE STAT[ OF CALIFORNIA IN N[ TO WORKMEN'[ COMPENSATION INSURANCE. • PANY ) /O/��� r •7 SIGNATURE OF 1�1T1GRet �'� do 4a- - �� � PERMITTEE ADDRESS 337 SO. `Avenu -P.O• Boox. .bFI TEL. FINAL Y CITY T,f�s AnGti�� Ca• NO. 1 DATE MARE CHECKS PA TABLE TO: F E FEEi �•oo HARVEY T. BRANOT, COUNTY .ENR .PLAN CIi-CH VALIDATION CK. 14,0. CASH _ PERMIT VALIDATION CK. M.O. CASH 1.2.0 0 .� 76A83BA CE/803 7/73 APPLICATION FOR BUILDING PERMIT FF APPLICANT TO FILL IN (Print or type only) Temple City BUILDING CQUNTY OF LOS ANGELES ADDRESS 5617 Grace-wood. DEPARTMENT OF COUNTY ENGINEER CITY Arcagiia ZIP BUILDING AND SAFETY DIVISION •� NO.OF BLDGS. BUILDING SIZE OF LOT 60 � 'f NOW ON LOT ADDRE551::5 BLOCK L 4L�,�f�-3 LOGALI NEAREST OWNER arl r OhaT'Bon N0.4-42-02 CROSS ST. ASSESSOR ADDRESS 5617 Gracewood MAP BOOK PAGE P RCEL Arcadia DISTRICT GROUP TYPE FIRE OC €D Y CITY ZIPQ CONST. ZONE ARCHITECT OR TEL. , .9 ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MA - ADDRESS p CLASS NOOWELL.UNITS BKG CONTRACTOR Rigid Mfg. Co . TEL. 263-518 USE ZONE MAP ADDRESS 337 So. WOOdB Ave. No•1594 V�- 'I SPECIAL LIC. CONDITIONS CITY LOS Angeles, Ca. CLASS C-39 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLD TBACK FROM - FRO T PROP.LINE OF (STREET) 8 ADDRESS CITY HIGH AY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ, FT. NO_OF NO, OF CHECK FRONT PROP, LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE ❑ } _ DES-CRIPTION OF WORK NEW D E] BLDG, BACK FIR roof with class C maters SIDE PR (STREET) ITER ❑ HIGHWAY } YATOTAL SETBACK TYPE OF EXISTING RD = EPAIR❑ SIDE PROP. LINE AY WIDTH EXISUSE OT NG BLDG. house & garage DEMOL 1:1 } APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) N0. IN OPEN SPACE' YES ❑ NO E]BY (SIGNATURE) t IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ CATEOQRICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (GATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING .THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL HOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OrCALIFORNIAIN RELATING TO WORKMEN'S COMPENSATION IN V 1.7 M . CV1T1.CM /! SIGNATURE OF u e� PERMITTEE ADDRESS_._i:�7 90y WO&& � 46nue P.O. Box 6782 _ TEL. FINAL CITY T,GSNO. DATE MAKE CHECKS PAYABLE TO: FEE FEE x•00 HARVEY T. BRANDT, COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.o. CAOH 5 3 9"JAN 22 1 p 1 �.0 U —� 76AB30A CEMSOS 7/73 /� ,.,.�.. a=►.m,o-... APPLICATION FOR BUILDINGPERT T 1 ' COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF CODIM ENGINEER ADDRESS _ BUILDING AND SAFETY DMMON LC-L LITY r JOHN A. LAMBIE, CouNTY ENGINRER NEAREST �. CASSATT D. GRJMN, Sur-r of Burr.Drxa CROHH HT. DIST13LCT NO. GRgUP TYPH P BY . FOR APPLIC O FILL IN° CQNSt. BUILDING STATISTICAL CLAWIFICATION MAP AD K �(J CLASS.NO U 1 'L NO. Y MAP STATE NUMBER HWY. YES O W 2- US NIX TRACT r r•-. y - SPE _ y/ CONDITIONS - 'SIZE OF LOT Gb /' I NOWON LOTS USE OF - EXISTING BOG. K BUILDING - ®UHT. - ' y SETBACK YARD HWY ThAZT.NAME WIDTH Ow, R tom- FRONT MAIL ADDRESS 7 rI l7 /I"'► SI L SIDE. TEL P L CITY NO. ngsp=ON RECORD ARCHITECT OR TSL ENGINE NO. _ ADDRESS - - - TEL, CONTRACTOR NO. ADDRESS DESCRUMON OF WORK , L NEW D TER REPAIR DEMOL18H HQ.FT. NO.OF NO.OF r SIZE STORIES ..FAMILIES /7 USE OF STRUCTURE 4' �' HION ruRR OF APPLICANT APPROVALS DATE IH CMR•S 911 ATOCE ADDRESS FOUNDATION:LOCATION FORM. MATERIALS VALUATION s. FRAM11-FIRESi•OPB. BRACINg,BOLTS P.C, PMT. FURNACE:LOCATION. _ FHS FEE ; GAS VENT DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AR �� . PLICATION ANLT STATE THAT THE ABOVE 18 CORRECT AND - AGRER TO COMPLY WITH ALL COUNTY ORDINANCEH AND - - STATE LAWS REGjJLATING IJ ILD NO CnNBTRUCTION. to EXT. BIO?jA OP HOUSH NUMBER COR- RECT AND POHTXD ADDFHqAl CLIYDE N. PIR1AM. PRINCIPAL,STRUCTURAL PLAN CHECK VAIMATION,, c K.O. AM PEBNIIT VALIDATION d- ti of 1 8 7 Ln huc 13 1 A 9.0 0 ` Nom, 79 A1A I,-en D~a APPLICATION FOR BUILDING PERMIT ], DIVISION OF BUILDING AND SAFETY B ILDlNO Of � ISnuh-! DRESS (L' Caunty of Los AAQe1M L6CALrrY . JOHN A. LA BIE, COUNTY ENaINme NEAREST CMMATT D. GRIMM. lurT or Cu1Lo,llo CROSS SZ FOR APPLICANT TO FILL IN DIYf}IICT NO. GROUP TYPE SEWER MAP BK PO CO N BT. BUILDING) F/ E' d ADDRESS 06 O NUMBER �HWY YES O USE ZQNE SPECIAL nLocK J CONDITIONS 9 TRACT ��II BUILDING NO. OF BLDG8. liIZE OF LOT D U NOW ON LOT S ACK YARD HWY EET NAME ®ClE1XIal.TH USE OF EXISTING BLDG. C TfRONT ' P. L OWNER GB S NL 8.46 GIDE . _ //J'2 ) n P / ADDRESS / J'2 OR O O TRACT DW,E.LJL 1 UNIT 5 INDUSTRIAL CITY L NO ,?',32 DWRLl_ G! 1 UNIT a PUBLIC DLDO. ARCHITECT OR! TEL. 2 DUPLEX VVV 2 UNC 7 SDN.,ALT., [TC ENGINEER NO. g APT. KNITS 8 MISCEL ADDRESS 6 7 4 COMMERCIAL Tm- WSPECYION RECORD CONTRA R f� NO. � i ADDRESS DESCRIPTION OF WORE NEW ALTER ' REPAIR DEMOLISH SQQFT. NO. OF NO. OF SIYE STORIES PAMILIKS USE OF 7UCTURA ) SIGNATURE ' APPLICANT APPROVALS I ADDRESSDATE IRlPECTOR'S DIGRATURE y^ LOC � P. C. >t �._ FORMS,MATERLS �W �E FRAME: FIRE STOPS, VALUATION BRACING, DOLTS ' FEE FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAV[ RKAD THIS GAS VENT. DUCTS - APPLICATION AND STATE THAT TH[ ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWS REGULATING BUILDING CONSTRUCG TION. ��� LATH. EXT. 4 SIGNATURE OF HCLIBE NUMBER COR- PERMITTEE HCT AND POSTED - DDRES j FINAL JOHN A.LAMB1$, COUNTY ENaINXM VA DATI CLYDE N. DIRLAM, CHimr BLDG. INfP[LTOR cx mo LACO7973'u",�;)V 9 1 6.0tiJ � 1 r 76A638A CE#8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ! DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY �' = i JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP -TYPE .,.,r; PROCESSED 7Y F,, OR APPLICANT TO FILL IN CONST.a / / ! STATISTICAL CLAS IFICATION SEWER MAP ! _ -�^-� BK PG CLASS. NO._'� DWELL. UNITS , f�LO�C WATER _ CERTIFICATE: NOT REQUIRED I RECEIVED ❑ ,,:. C.� MAP_ '' HIGHWAYNO.OF BLDGS!"- NO.:'.' f (CIRCLE) STATE MAJOR SECOND, I.,bCACI NOW ONLOT USEZONE SPECIAL - CONDITIONS r TEL. ! ^ OWNER NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME f WIDTH ADDRESS FRONT Y ARCHITECT OR TEL. P. L. �/ !. >. ENGINEER NO. SIDE C- P. L. O ADDRESS V TEL. W CONTRACT O /;,� '3 NO. ADDRESS DESCRIPTION OF WORK Q NEW ADD ALTER,,f REPAIR DEMOLISH # O SQ. FT. NO. OF NO. OF SIZE -:STORIES FAMILIES Lu W USE OF STRUCTURE ' SIGNATURE OF APPLICANT VALUATION $ "�! (^ `✓ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. 0 FOUNDATION: LOCATION FEE $'""' FEE $ -....+.•+ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I 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 141,DOING THE WORK AUTHORIZED HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERM ITTEE OR- PERMITTEE RECT AND POSTED ADDRESS_ FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH `' I