HomeMy Public PortalAbout5618 GRACEWOOD AVE_Building__DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' ® '
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING ` DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS 23
LOCALITY p I CEIV5D BY DATE OF APPL DATE 113BUED
NEAREST
CROSS ST.
BUILDING
OWNER ,ADDRESS G�Pqc QQ
MAIL0 / LOCALITY
ADDRESS -(/V
NEAREST
TEL. CROSS ST. (�
CITY Wit- � NO.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS
-
ENGINEER NO.
BLDG. /f ORD.NO.
ADDRESS SETBACK LINE
APPROVED
TEL. BY DATE
CONTRACTOR
USE / APPROVED
ADDRESS '✓%, `�` ZONE / BY DATE
LEGAL CORRECTIONS
DESCRIPTION LLOy�T�NO. ��J BLOCK L-✓,
TRACT _ ✓.i.rF •?�i.!� J� •C- 6 O
,,ttom� NO.OF SLOGS.
SIZE OF LOT V V31r I NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG, FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH �
S4•FT. /_ NO.OF / /
SIZE �/ ROOMS ` STORIES / y
WALL - I ROOF
r
COVERING COVERING
USE OF NEW 1
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECT R DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS, r
SIGNATURE OF - BRACING,BOLTS a
OWNER C /� LATH,INT.:
VA
AUTHORIZED AG T /! O LATH,EXT.:
OldV
DBS-3 25M SETS 4-47 $` P.C.$ PLASTER,INT.
FEE PLASTER,EXT.
VALUATION
FEE `i= FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES g U 1 L D I N
WM. J. FOX, CHIEF ENGINEER G
IN
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS -'-- 2
LOCALITY RECEIVED BY DATE OF APPL. DATE'r
B D
NEAREST
CROSS ST.
)� BUILDING -
OWNER ��/'/ [1/� ADDRESS
MAILL ,L.•) � LOCALITY
'
ADDREBB 7 �b.�✓1.. .•-�
". � NEAREST
TEL CROSS ST.
CITY C,1..,^y :.ry ..rK__ ..G`' M' NO.
. FIRE NO.OF I TYPE GROUP �►-•
ARCHITECTOR \ TEL. ZONE PLANS
ENGINEER )('" NO.
BLDG. / J N,O.
ADDRESS
SETBACK LINE ZOO OO r �
APPROVED
TEL BY DATE
CONTRACTOR - NO.
USE [/:q - APPROVED
ADDRESS ZONE °'-C-R'>!' DATE
LEGAL
CORRECTIONS
DESCRIPTION LOT NO. / BLOCK
TRACTI)�' !;,2-- 6 C -
SIZE OF LOT 70 �(,3�� I NO.OF BL /
NOW ON LOT
USE OF NO.OFNO.OF
EXISTING BLDG. FAMiLIE• //I ROOMS
DESCRIPTION OF WORK
NEW X ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH _
9q.FT. NO.OF Z
SIZE �.'"Q Jc ROOMS STORIES f D
WALLROOF f'
COVERING... ( COVERING
USE OF NEW
BUIL.D4N3
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. —
(/n FRAME: FIRE STOPS,
SIGNATURE OF /J BRACING,BOLTS
PERMITTEELATH,INT.:
AUTHORIZED AOT LATH,EXT.:
DSS-3 SOM BETS 1-48 $ ✓j� P 0.111 PLASTER,INT.
7 FEE PLASTER,EXT.
VALUATION FINAL -
FEE
r �
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES U I L D I N G
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
i DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING � �� t =
ADDRESS /���.•�i�r`�' L' �C +'i i�
.
LOCALITY
r REC IVE BY DATE OF APPL. DATEISSUED
NEAREST
-
CROSS ST.
BUILDING
ADD
�- _OWNERfJ� kE59 ` ..... .L.r•t/• _
{ MAIL �/ -/� • LOCALITY
' ADD REST NEAREST
TEL. CROSS ST. •'... ,
CITY 1.,.�`L-^'�!...�'.._ '' -�'71V..� NO. - -
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER .• NO.
—"- -- � -- BLDG. ORD.NO.
ADDRESS SETBACK LINE /'^"u ll;._�__1._
APPROVED
TEL. BY i DATE
CONTRACTOR T .�__. .y-=-.•..�Q• UBE f APPROVED
ADDRESS ZONE;' ~I BY DATE
LEGAL CORRECTIONS
.3
DESCRIPTION LOT NO.,P_ 37.3 BLOCK
TRACT �2 ( L - � y
'°'� c NO.OF BLDOB.
/ I _
SIZE OF LOT 3 I NOW ON LOT _
USE OF NO.OF NO.OF (;
EXISTING BLDG. •9.r" I FAMMICS 1 I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
Sq.FT. /� NO.OF Z
SIZE Lf/ [� ` ROOMS STORIES
WALL -"j,.-£.v'•_.5 e. 'a I ROOF
COVERING /j tA4( :` COVERING
USE OF NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT I 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
PERMITTEE ---- � r'ff ,.+C.' E�+`6.--I wf- -Y-
LATH, INT.:
AUTHORIZED AGT LATH,EXT.:
DBS-3 50MSETS 1-48 $ P.C.B PLASTER,INT.
j ) U FEE PLASTER,EXT.
VALUATION FEE // (J Q/ FINAL
76A638A CE#803 9-68
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING��I � `�� i��DO it
DEPARTMENT OF COUNTY ENGINEER ADDRESS (� R/
BUILDING AND SAFETY DIVISION LOCALITY „(
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �I
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. (O Oir
FOR APPLICANT TO FILL IN DISTRICT NO. G UP TYPE PRO ESSED BY
Q I CONST,
(Print or type only) SC
BUILDING _ /� STATISTICAL C�L�JASSIFICATION SEWER P
ADDRESS 6Ltv'o CLASS NO. `2 DWELL.UNITS� BK PG S
LOT NOBLOCK USE ZONE MAP ^�
NO. Z ��
TRACT ��, SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT ,�� NOW ON LOT
USE 09% of 04 dtv)
EXISOT NG BLDG. `�!r ��- BLDG.SETBACK FROM y�.�
TEL FRONT PROP.LINE OF �^' �jw N (STREET)
OWNER j �') _ IC�u(,7 NO. 0 _
.�a'., Q,� TYPE OFGHWAY C.L.
EXISTING SETBACK
HIGHWAY + YARD - TOTAL
ADDRESS J, Z• �,C'/ +EQ�Doi.�
CITY • ✓�.4r �� +
BLDG.SETBACK FROM
ARCHITECT R TEL. SIDE PROP.LINEOF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + = d
CONTRACTOR NO. I
LICO
ADDRESS LIC. CORNER CUTOFF YES E] NO NO. NO ❑ K
O
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRION LENDER d
NAME AN BRA H N
IVZ
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES -USE OF ADD ❑
STRUCTURE
ALTER ❑
REPAIR❑
Slq4KATURE OF
APPLICANT DEMOL
VALUATION $ 4&V V'U APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
F E $ FEE $ 9e cro FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGBOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. IRTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WI4PT EMPLOY ANY PER N IN V4QLATION OF THE LATH, INT.
LABOR CODE O THE STATE OF •C OR IA IN RELATING TO
WORKMEN'S COMP ON INS If
AN LATH, EXT.
SIGNATURE
O� � � HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PFIINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. gran
5 0 jLL p
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