HomeMy Public PortalAbout5626 GRACEWOOD AVE_Building__ DEPARTMENT OF BUT XIING AND SAFETY -7- A'PUCATTON FOR PE3ENEET �
COUNTY OF LCO ANGELES BUILDING
WM. J. FOX. DHI[>r VNOIMEIR
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
SUILDIHD DISTIC7 PLAN OK.NO. PERMIT MO.
ADDRESS Z 1�LD �r✓OU� / a �� s I �f .
LOCALITY / ,ti/o/p L� �/ r f RIDItIV[O BY DAT[OF APPLL/ •JDATIC IMSLJICD
ORA=•T, f-/ vC o.4
Q BUILDING �3 L
MAIL
n ILRtr /Z� LODALITY .
NUR EST
/ TIL ���- CROQ1 ST. -
OITY /� MO. FIR[ NO.OF TYPE GROUP
AROHIT[OT OR TEL ZONE PLANS 2
[NOINE[R NO.
BLDG.
ADDRL'M oi1-1AOK LIME _ L
_ APPROVED
OOHTRADTOR ` a 3r2 EY DATE
,� UB[ / APPROVED
3 OG C.• �+I� O�/L�i 4� J ZONE / ■Y DATZ
ADPRIIAIILIA. L CORRECTIONS
DEIORIPTIOM LOT MO. d ■LOOK
T'RADT60,60,10-
40• Q
MO.OF SLDSIL
8I26 OF LOT D D NOW ON LOT
UD[OF D NO.OF vNO.OF d
QcI1srlNa■LD a, FAMILIM I ROOMS
DESCRIPTION OF WORK
N[lU ✓ ALTERATION ADDITION
O
70
REPAIR MOVING .DEMOLISH G
EQ.FT. NO.OF
■IZi ,/�,y ,rROOMS STORIIES
WALLOOVERIMS FSF �'�"N OOOV[RIN= 6,41AO
U1[OF NEW
CUILDIN
6Age"'e (/,?z
O CDC,
c
1 HEREBY AOKNDWLI[DO[ THAT 1 HAVREAD TH16 'APPRO S
APPLICATION AND STAT[ THAT THE ABOVE 10 CORRECT. FOUNDATIONI LOCATION IN T'I
AND AOR[[ TO'COMPLY WITH ALL COUNTY ORDINANCES F1IRM16 MATERIALS
AND STATE LAWS RLOULATINO EUILDINO OONSTRUDTION.
FRAMER FIRE STOPS
■IDNATUR[OF ♦ ` BRACING BOLTIR
PERM ITT _ LATH,INT.1
i EPL
AUTHORIZED AJT LATH,[%T.R
DIM" Oa4 MUM 1-40 07'- v !afP.0.* PLASTER.INT.
�n =t
VALUATION 00 �[ FINAL
APPLICATION. FOR BUILDING PERMIT
`COUNTY OF LOS ANGELES UILI)INe 40
DEPARTMENT OF COUNTY ENG1NEEE
WMDING AM SAFETY DIY,CEION L'OCAUTY
JOHN A.LAM SIE.CouNTY SNGINKKIt NEAR(?ST
TT D��p� rm, ]WILDING
CROSS ST k-11-rw
FOR. r PPXJCl'iL\1 0 FILL IN UI IC'F NO. GROUP ICM" C88 P
�� � � -CONST�
DRa j 6TA-nSTtCAL C{--MISIFIrATION- S BER MAPS
.. - CLA88, NO , Ukl .
LOT NO. DL.00K �4APSTATE YS7. NO
N(J1�•BHR '� HWY.
FAR(�*iITECTOR
L ZONE SPECIAL
NO:OF gLDOH. CONDITIONS
F L9T NOW aN LOQ
F
NQ BLDG. BUILDING V-KIz'T.
BHTBACK YARD. HWY STREET 14"9WIDTHFRONT P. L'
SIDE
NSPECTION RECORD
TSL"R - NO. I .
CONT11ACTOR O
DESCRUMON OF WORN
NEW ADb TBR REPAIR DEMOLISH
tiQ.7T. NO.OF NCrr bF
SIZE STORIER FAMILIES
F U
SI-GNATURS OF APPROVALS
AFPLI CAIN
DATE' )'NSPHCTOWS SIGIATQRE
ADDRIiaa FO NDATIQ4, TION
RO MATERIALS
s ~� P.C, 11FAAIWIEs FIRE STOPS.
0 _ BRACING,BOLTS'
3.'I'� S �L -►"_`--'--
VALUATIO14 ock ON.
OAS VETT DUCTS
I HKItE BY AClCNOWLTbOE TANDWIlTETHAT �HH�A/T II QkVAVK 1�p THIaCT MA1rp- LA I
CATIONCOMPLYAWiTH ALL COUNTY ORbMIANC1B AAN4
r
IMA TING WING CONSTRUCTION: EXT.
UHORNUM
EBR COR-
tIONATEF
p�U AND PO
` -
CLYDE; .D}RL1.M RINCIPAL STRUCTURAL an ,
• Y.O. amm VALEDAZMN CK- Y.d. a11iH.
20 1 3.0•0 x
76A"aA CE0803 1-67�APPLICATION FOR BU ILD G PER
COUNTY OF LOS ANGELES BUILDING 2�
DEPARTMENT OF COUNTY ENGINEEE A D D R E Sf �J
BUILDING AND SAFETY DIVISION L O C A L I T Y
JOHN A. LAMIRIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.fUPT OF f1UILDING CR033 ST.
DISTRICT NO 0 P TYPE B
FOR APPLIICANT TO FILL IN CONST.
ADDRE}f [�' ]r� CLASS NO STATISTICAL I
DWELL UNITS _ON B R MAP
BK PO
LOT NO. BLOCK USE ZONE MAF /y v
O (/
TRACT
SPECIAL �>
k0. OF
SLOGS.
SIZE OF LOT NOM OM LOT
USE OF
BLDG. SETBACK FROM _
TEL. FRONT PROP. LINE OF (STREET)
OWN NO. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDREf! c C.L. +�
CITY L4 PLO- ..
+A CHI E O TEL �.., SAC FROM
ENO LNEER NO. CY/T�C BIDE PROP. LINE OF STREET
TYPE OF EXISTING SETBACI( HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH "OM C.L.
TEL. + _
CONTRACTOR NO /'Tri
ADDRESS NO CORNER CUTOFF YEf NO
LIC
CITY 1:LASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK I�I,.LL1I
NHW Po" ADD ALTER RKPAIR DEMOLISH CC/3
Z
34 FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE tp
SIGNATURE OF
APPLICANT &
VALUATION •00 APPROVALS DATE INSFACTOR'S SIG ItATURE
P.C. PMT, FOUNDATION, LOCATION
FEE FH[$ �--'� FORMS MATERIALS
RA H, FIRE 3TOPS, I
I HKMMY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICAT-ION BRACING DOL
AND STATE THAT THE ASOYE IS CORRECT AND AGREE TO COMPLY FURNACEI LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS V N
SUILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT.
TON OF H
TE LAaOR C60E OF THE STAT[ O CALIFORNIA RELAT.
ING TO WORKMEN'S Cn TION Bu LATH. R%T.
18IGNATURE OF HOUSE NUMBER COR—
PERMITTEE
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STR L ENGINEER
PLAN CHECE VALIDATION CAS
K. M.O. CH _ PERMIT VALIDATION CK. MA CASH
101 0� OGT 3 1 D 9.00-
L
APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELA'S BUIL'DINd
DEPARTMENT OF COUNTY ENGINEER el
ADDRESS
$=INGAND SAFETY DIVWON LOCALITY
JOHN A.LAMBIE,COUNTY ENGINUM NEAREST c_
TT D.D Sup-z tUILbima CFL
FOR 1�iPPLICANT TO FILL M.mmmwaLm
DI$7RICf No. T.GRIr OUP TYPE[ P EHHEp eY
CONST
ADIgU�RNll EHHE7(p STATISTICAL CLASSIFICATION - 8 ER MAP
8H.NO NITS
LOT NO: BLOCK MAY STATE
NUMBER HwY. Y>rH
TRACT USEZONE SPECIAL
NO.OF BLDGH. � CONDITIONS
DIZE OF.LOT - NOW ON LOT
Ueli O F r "
BUIL'DINq ,ARD Hwy ESi'NAM �DTTH
SETBACK
OWNER FRONT q ��
'LP. L OC/
ADDRESS HIDE
TEL P.L
CITY NQ ARCHITECT OR TEL INSPECTION RECORD
'ENGIN ER NO.
ADDRESS
TEL
CONTRACTOR 44axNO.
ON F WORK
NEW 1..I.�DD ALTER E
FM-AIR DMOLISH
So.FT. NO.OF NO.OF
SIZE OTORIEH FAMILIES
USE OF STRUCTURE
SIONATURR OF APPROVALS
APPLI
• DATE 111DPHCTOR'8 D13HATURS
ADDRESS FOUNDATIONS LOCATION
FO RMB ►IATERIALH
s P.Ct • FRAMEI FIRE STOPS,
BRACIN BOLTS
VALUATION ; FURNACEI LOCASIQN. .
Irgs GAS VENT DUCTS
I HN4tEBY ACKNOWLEDGE THAT 1 HAVE READ THIS'AP- LATK INT.
PLICATION AND VTATE THAT THE ABOVE IS CORRECT AND
�d EE TO COMPLY I COUNTY ORDINANCES AND ),B
$GTE .LAWS Rio G DU a CO UCTION. LATH EXT.
HIGNATU118 OF HOUSE NUMBER COR-
P�I RECT AND POSTED /�
ADb FIN G iv-
CLYDE N.DIRLAM RIN IPAC CTURAL
PLM ca=VAUDAIM CK. r.o. CASH V CK. JCC. aAttt
_ M 6 8 5 7 P wv 20 1 A 3.0 0 �
- OF
AgRKER$',COMPENMIION DECLARATION
iereby affirm that have a certtNcnte of consent,fo bff ' AP P L I CAT .BUILDING PERMIT �-
Ihsuro,pr.d.certlflcate of workers' Compensation-Infurahce, Q
or a`Lwtified copy thereof'(Sec 3r�00, Lab's) COUNTY OF LOS Afi6�Ei' AN 1? SAFETY
'Policy No._�_ _�Company r
_,❑ Certified copy Is hereby fumlahed. APPLICANT TO-FILL IN �.pp .✓ �rr��'`
❑ • certified copy is filed with the county building Irrpea- BULLDiNGJr'(p "3b O
• tion department.,. ADDRESS
+ AppllcahT ZIP - - LOCALITY
flats
NEAREST r
CERTIFICATE OF D(EMPT100..FROM:WORKERS' ` - Sri LOT U O O NNqW o ON LOT CROW ST. l vG�. B v_ O T
COMPt74,SAT10N I NSU RANC3 ASSESSOR
(7hls section
need not be cam lited,if,the permlt'Is for oris BLOC][ - LOT-NO. AMP BOOK I fo. PAGEzn/ PARCH
hundred dollars ($100) or lees TEL
- O igtRD 1.� J No.-�cI 49 USE '.'. / d a
.I certify,Ahat.In the perfomance of•the-work for which this
permit Is Issued, I shall not'erpploy any Ih,any mannet .SG Z�a .cs*�r�-c L+J o ONS
so as_to become subject t8 the mpensatlon LawL .
ZIP.
vvv
Dat 4 �CAp�Ilcant ARC]I oR DiSTRI P TYPE F1 RE PROCMEDBY �-
NOTICE TO APPUCANf ,If, after nQ thW Certtficatd of EAGIN NO, CST E
Exemption, .you should become subje-qt. to the Workeii b Q
Compensation provisions of the.Labor Code,•you'moat forth :_ ..................
✓ ���CCC
with comply with such provlflona or ibpgrmlt.&hall beaot�RAc70k T' NO. SfATISTKAI.'aASSIRC-ATION APT. CONDO.
_ deemed revoked. r
LICScONTRAgTORS DEC1ARp,T101�; UC ClAs$NO. / owF�i UNQS
ENED.
I hereby afflrm that I am licensed undbr provisions of Cater 9 ADDS NO. _ . SEWER MAP
(commencing with Sectlon 7000)of DIvlslon 3 of the Business dCiTyL� , /
and Professions Code,and my license Is In full forand effect. CLASS 91C N PG. VALIDATION
SQ..FT.'J �F , - OrE .
License Number I c Claim _ Stg
_ w vALUAnorr
P110N OF WOW '
contractor om,�
ADD.
❑.I am exempt under Sec
- ALTER ❑ - - ► y� -
B.BP,G for this rja3, n REPAIR ❑ : 23
U
( DEAhOI El _ ACC 1.T ;
- EXISTING BLbG.`
APPUCANT
Signature OWNER-BUILDER DECLARATION-. o NNOO. c� DA QC •, 07 4°.7S
I hereby affirm that I am exempt from the Contractor's License ADDRESS l7/� 1- •'
Law for the following reason (Sectlon.Apl.5, Business and RNAL ACCT.
A
o Ions Code): _ ; �. By r
/ I, -as owner of the property; of my employees with pp NG - O� 1 LL , `� D7 2M.69
wo4es as their able oorripensa]Ion,will do the work and TM cSK'tol "Q'P.J �C i` ITEMS
the structure Isnot Intended or offs fed for sale(Secilon , �—L I� !- „'
7044, Business and Profusions Code:)- - MOVING
ODNTRA7 TfLTOTAL +�87- 4 ft
El 'I,as owner of the property, am gxdusively coptracting ,/
with licensed cbntrac(ors to construct fhd proleci•(Seo- 144,4- , 217.44
tion 7044,$using s and Prgfessions Code.), TOTAF
ODNS?kU n ON LEN b I NG AG8,kY YAP -1 rWY Fi20M:
I hgreby affirm that there Is a constructIQn Ignding agency fpr
=the performancdbf the work for which thb-per`ptit.ts issued p• Z�.
s. (Sec. 3097, Ov. c ) 514E . 04001, 12/ 9/92
-P:L ` 6447 1 Ali 91-22
Lrnr#!rs Norrie p LDMA Ref.i-'
' - P.G Fes U• Perm FtFse � .'
w Lender's Addle* r
14ertify that t have read this appllcation and state that the Wancqf" LDlMA P/C i ,
abl)ve Informa-Hosts correct.I agree to comply.wlth all County invest op /�
ordinances and Starte laws relating to-building constrv4flon, Total F. / LDMA Penm
and hereby authorize.representatives of this County.to enter
upon tion property for Inspectlo pu
so"Viiiiiii:i1 TOR MLA TORY LAWR AGS
SigAbture of Applkont or Agent Date
r � `
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BU=ING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAP= / L?.MD DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1210100078
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5626 GRACENOOD AV
STRUCTURE: 2000 V-B ARCD CA 910078411
ASSESSOR INFORMATION NUMBER: NRARE3T CROSS ST'RESP:
8586-014-012 THOMAS PACTS: 597 GRID: B3 LCH2ALITY: TEMPLE CITY CA
TENANT: RZIST BLDG USE: RFSID USE ZONE: R-1 18SCID ON: PROCESSED BY:
EXIST OCC GRP: 10/10/12 SR
Ow2u R: TEL. NQ,: BLDGS. NOW ON LOT: VALUATION: FINALDAZY: CODE:
RzNG, SI'ACSY (626) 447-4830- 1 8,000
5626 GRAC WOOD AV
ARCD 910078411 FElE.S PAID RSCRIPTION OF WORK
TEAR OFF RIISIM ROOF, INSTALL PLYWWOOD AND REROOF WITH
FEE DESCRIPTION: QDANPITY: UOM{: AMOUNT: 30 YEAR SHTW-I SS
APPLICANT: TEL. NO:
CASSADY ROOFING (562) 944-5817- AA BLDG PERMIT ISSUANCE 27.80
13021 LA.KS AND RD AS STATE GREEN BLDG FEE 8000.00 VAL 1.00 SPECIAL CONDITIONS:
SANTA FE SPRLTRGS AC STRONG MOTION R&SID 8000.00 VAL 0.80
D2 PERMIT W/O RN-HC 8000.00 VAL 183.00
TOTAL FEMS 212.60
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CASSADY ROOFING (562) 944-5817-
13021 LAXE AND RD LIC. NO LOCATION AND SETBACKS
SANTA FE SPRINGS CA 06/30/06 +
SOILS ENGINEER APPROVAL
ARCHITECT OR R INNS : TEL. NO: FOUNDATION TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
15OH267 3 00
FLOOR SHEATHING
NO. OF FAMILIES: DWELLIM UNITS: APT/COED: STAT CLASS:
0 NO 21 ROOF SHkATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET nmTERIA.LZ
NO NO Mao FRAME IFSPECTION
FIRE SPRINKLER HANGERS
INSULATION/WEATHER STRIP
INTERIOR LATH/DRYNAL.L
EM=OR LATH
RA= FLOOR/CEI: A3SEM.
WALL ASSEBBT.TF37
RATED SHAFTS OPRlwII s
T-BAR CEILINGS
+ ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPP-261 ROUTE TO: BS0508
- - J