HomeMy Public PortalAbout5624 1/2 GRACEWOOD AVE_Building__ _5
78A898A CE#8098-98 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRIC O. I GR I TYPE I PR S j BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLASSIFICATION I SK
SEWER MAP
ADDRESS PG
CLASS. NO—j—DWELL. UNITS
LOT NO
NUMBER C'� HWY.MAPSTATE YES 60
TRACT / • USE ZONE SPECIAL
NO.OF BLDGS. ONDITIONS
SIZE OF LOT Q NOW /`�ON LOT /1"
USE OF
EXISTING BLDG. BU DING YARD STREET NAME EXIST.
OWNER ]'��'.`.� /�f r SETBACK WIDTH'
/��1.. FRONT
MAIL P.
ADDRESS SIDE
TEL. P. L. 0 �IVf3u�
_CITY NO. INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
La
ADDRESS < c C rS�
CONTRACTOR CA olT
ADDRESS-2-744( �-
DESCRIPTION 17OF WORK * r 41
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE e e ST RIES FAMILIES
USE OF STRUCT R f' f's %IJALLSbRI
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SIGNATURE OF APPROVALS
APPLICANT
ADDRESS DATE' INSPECTaR'S SIGNATURE
FOUNDATION: LOCATION
$ FORMS,MATERIALS
P.C. $ FRAME: FIRE STOPS.
FEE -� BRACING. BOLTS
VALUATION $ �� FURNACE: LOCATION.
FEE Q GAS VENT,DUCTS k Zp
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. `j
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND '
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AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND / 3
STATE LAWS REGULACTUILd BUILDING CONST CTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- /
PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION CK. M.O. CASH
!AC.05461u OCT 223A 15.001
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