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Home My Public Portal About5632 GRACEWOOD AVE_Building__ Ze 78A668A CE#803-9. 1 T BD APPLICATION OR BUILDING P COUNTY OF LOS ANGELES BUILDING r DEPARTMENT OF COUNTY ENGINEER ADDRESS l/!h BUILDING AND SAFETY DIVISIONr LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST w WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT GROUP -HYPEPN�l ED BY FOR APPLICANT TO FILL IN aT'� coNsr. .e BUILDING STATISTICAL CLASSIFICATION SEVER MAP BUILD . JJ''``�� A B7K P CLASS.NO.11,1+DWELL..MAP `UNITS- /�' LOT NO. BLO NUMBER �,.Ci�'`!1 L/ 'WYSTATE YES elOI TRACT USEZONE SPECIAL e Al!l 5L' I NO.OF BLDGS. ] CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BUILDING YARD HWYS ET NAME EXIST. EL' SETBACK WIDTH OWNER O. FRONT P. L. ADDRESS SIDE e ARCHITECT OR TE P�L. ENGINEER NO. INSPECTION RECORD ADDRESS CL h g O CONTRACTOR y� NO. O 327 U /f � ADDRESS Iib v { O DES RIPTION OF WORK W CL N NEW 1--ADD ALTER REPAIR DEMOLISH Z SQ.IZ FT. ySTORIES FAMOF ILIES SIZE /� STORIES FAMILIES USE OF STRUCTURE a J'� aLai SIGNATURE OF APPLICANT fill /l�l�G/Cyl.vtl VALUATION$ 4 V APPROVALS DATE INSPECTOR'S SIGNATURE P.C. ,� I PMT. [) D FOUNDATION: LOCATION Z FEE $ FEE $ FORMS, MATERIALS T1-' FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED I SHALL NOT LATH, INT. EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH,EXT. SIGNATURE F HOUSE NUMBER COR_ PERMITTEE. RECT AND POSTED / ADDRESS FINAL CLYDE N. CIRL4M, PRINCIPAL STRUCTURAL ENG ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH,J �YL/ DEPARTMENT OF COUNTY ENGINEER BUILDING -DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIF-IN, Erlj,-T OF BUILDING FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLAN CNG IK.OR REC. No, PERMIT NO. BUILDRE ADSS 1-y A o-c--, o L 1 '7'1 RECEIVED BY DATE OFAPPL. DATE ISSUED LOCALITY a/�'. 1 �y NEAREST r r/ �- � ~ LV_ ��' CROSS ST ' EP r A t��x, 1 BUILDING "° OWNER Illy,* tr&S hI /II I I I l��Y ADDRESS (� MAIL LOCALITY ADDRESS o NEAREST �,� •+� / 1 1 ip j ..E. TEL. // C CROSS ST. CITY �- O Wv ,. ARCHITECTOA TEL. ZONE PLANS TYPE I GROUP ENGINEER NO. - BLDG. S) ORD:,NO. ADDRESS SETBACK LINE Q a __ TEL. USE APPROVED CONTRACTOR NO. ZONE BY DATE HOUSE NUMBERING ADDRESS LEGAL MAP NUMBER NO. ASSIGNED BY DESCRIPTION LOT NO. L I /BLOC CORRECTIONS TRACT LP 6N :J�SLItITJ�, `) I. 4.�10� �.;Y-cNO. OF 12Ce W6' SIZE OF LOjI(�`�o'x ��/ I NOW ON LOTS 3 USEOFh hC'�c ^Ara I NO.FAM OF ✓ V• `� �i EXISTING BLDG. i 1 C '� I FAMILIES DESCRIPTION'OF WORK 0 - X NEW ALTERATION ADDITION Z REPAIR DEMOLITION _--- r SQ. FT. r NO. OF SIZE ROOMS STORIES EXT. WALL I I ROOF - -- COVERING I COVERING O(i USE OF STRUCTURE APPROVALS' INSPECTOR'3 SIGNATURE DATE FOUNDATION: LOCATION / FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRESTOPS. PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF� r lli ' LATH, INT. PERMITTEE ' + LATH. EXT. _ .- ADDRESS PLASTER, INT, AUTHORIZED AGT. _ PASTER, EXT. FEEHOUSE NUMBER COR- RECT AND POSTED VALUATION FEE $ FINAL '" C)'"`�� 76A635A DBS 3 9-52 I - IVISION OF BUILDING AND SAFETY BUILDING� � � � ' Department'of County Engineer County of Los Angeles e:l'i ,� APPLICATION WN1. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. oR REc.No' PERMIT NO. BUILDING ADDRESS IV✓n 0,0 V E _LOCALITY e e RECEIVED BY D E OF PL DATE ISSUED KEAREST - S� GROSB ST. �/Y f/B �BA BUILD140 t/� / ADDRESS `//IN OWNERl/V '1 �� Z_ .�.� S MAILr ` LOCALITY -:V to- C ADDRESS (5& V , C'L/"1' _ NEAREST // ✓ r CROS ST. l �✓ CITY / L E {� �T TNt y FIREI NO.OF TYPE GROUP -ARCHITECT OR,--DTEL/�' r ZONE PLANS I �y„� �L ENGINEER („- �� NOQ/6..C� BLDG. ORD. NO. // SETBACK LINE ADDRESS�� (j/1,`'T'='� �if,j'E/>y�'�D� USETEL. APPROVED EL. ZON / BY DATE CONTRACTOR NO. HOUSE NUMBEP.ING ADDRESS i� MAP NUMBER MS NO. ASSIGNED BY-__ DESCRIPTION LOT NLEGAL a..3y %LQQK44,ap `/ CORRECTIONS TRACT _ e NO. OF BLOGB. SIZE OF LOT / NOW ON.LOT USE OF KO. OF SL 9 --- EXISTING BLDG. DESCRIPTION OF WORK A NEW ALTERATION ADDITION ll .I Z REPAIR DEMOLITION h r BQ.FT. NO.OF SIZE RDDMS STORIES n EXT.WALL ROiTF oa/Vf [3 -- COVERIN ,� -ALV COVERING (.�� : U9 OF STR RE - W INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR+S SIGNATURE DATE _ FOUNDATION: LOCATION FORMS,F'O:RMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS' CORRECT. BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF LATH, INT. PERMITTEE �� - _ - ADDRESS LATH, EXT. _ - PLASTER, INT. AUTHORIZED PLASTER, EXT. 4 - OUSE NUMBER COR- '7 c-:)C- FEE RECT AND POSTED FEE VALUATION /0' �!, FINAL 76A632A DSS 3 1-S2 y WORKER$' COMPENSATION DECLARATION r artfirm that I have a certffic¢te bf consent to .eff APPLICATION.. Q R 'BUILDING• P E RM I T re, or a certificate of Workers' Compensation Insurance, dr a cert-Iflad, copy'thereof (Sec.3WO, La C ) COUNTY OF LOS ANGELES 61JILDING AND SAFETY. Po Nb ✓, 0.�`4C�Com'pdny BUILDING / �7 Certified copy Is hereby fumLthed. ,3-i2-�� FOR'APPLICANT TO FILL IAF ADD.• fj //, ❑ Certtfied copy is filed with the county building Irupec- BUILDING tion d ' ent. ADDRESS � Date Applicant" CITI t PP LOCALFY RTIFICATE OF DTMPTTON WORKERS' NO. OF sLa OF LOT NOW ON LOT NEAT�T CROSS ST. COMPENSATION INSURANCE . AS SESSOR (Ails section need not.be corn feted if the'permlt Is for one TRACT BLOCK COT NO.' MAPBOOK p PARCEi. hundred dollar'($],*or lea• . OWNER Q. -NO. . .. USE 20NE MAP I certify that In the-performance of the work for which this permit Is[quad, I shall not employ any person In any manner ADDRESS CONDmONS to as to.become subject to thq Workers'Coalpenagtlon Laws O CITY- J 1 �{ ZIP U Date Appllcgnt ARCHITECT OR TEL NOTICE TO ,APPLICANT: If, after making this Certificate of . . ENGINEER NO DISTRICT GuoUP TYPE FI BY O Eiemptlon, you should become sublgct to the _Worker' ��" �2 � Compensation provlsigas-of.the labor Code, you must forth- ADDRESS J with comply with .such provlslbns or this permit shall be TEL STATISTICAL CLASSI TION APTCONDO&:4� u7 deemed revoked. CONTRACTOR NO. , , Z UCEi14SEO CONTRACTORS DKLARATIO[} LIC t1 CLASS NO. UNITS I hereby affirm that I am licensed under provisions of<hapten 9 ADDRESS �' L1// R SEINER MAP (commencing YAth Section 7000)of.Dlvlslory 3 of the Buslnbss UC.. and Professloru Cade,and my Ilcerne In full force nd ect: CITY' G 'eBK, PG. VALDAT}ON SQ. FT. NO. OF NO. OF CHECK. License Number c Class SIZE STORIES FAMIUlS OtE r. .. VALU TION Contractor Date DESC FrK N OF WORK C NEW ❑ Gv . ADD,- ;. , ,❑I am exempt under Sec. ALTER ❑ BARC. for this repWn, $ REPAI R Date: LLS�EE OF 1S1-ING BLDG: DEMOL ❑ Slgnature APPLICANT TEL. - cy OWNER-BUILDER DECLARATION LeAc o cc)pj" ` NO. DATEL I hereby affirm that I arra exempt from the Contracto{s LicenseCA Law for the fdllowling reason (Section 7031.5,'Businees and ADDRESS - FINAL 1 Professlors Code)k ft ❑ t, as owner of the property, or'rpy employees with ADbRBUIU? S:S hY�flll .i wages cm4helr sole compensation,will do-the work and � 7 .. rrtiG r the stru64r;'[s not Intended of offered for sale(Section LOC LFr - -7044, Buslnpes and Professlons Code'.) MOVING TEL 1 u F-1❑ - .I, as owner of the property,am exclusively contractlpg CONTRACTOR NO o _ � with licensed contractors to construct thq project (Sec- ADDRESS TOTAL -_�u - 75 tin 7044, Business and Professions Code.) - �-r_� 75 CONSTRUCTION LENDING AGENCY I YARD HWY FROM CVECY- • I hereby affirm that there Is a construction lending agency for FRCNTt] the pe formdnce of.the wbr'k for which this permlt.ls Issued P.L. (Sec. 3097, CT v. C-). SIDE _ P.L Lenders'Nam• 1- 71 1/ 791 .: LDMA R Lerxlers Addrgssif. / 11 rr P. Fee Perm"FM / 631$ AM 1 7:17 o 1 ccrttfy thct I have read this application arrd'state that the Iswance Fee- ' nim P/C! above Information Is correct. I agree to comply with all County InVa�fftl6oilon fed ordinances and State laws relating fo b411d1ng consiructldn, Total Fee LDMA Pum and hereby Ize rear ntatives of'thiq Cqunty to enter .upon the a tion for arupe,0Ion - @ RWLM KM DlY AlIATORY LANGlJA M Slpnature of Ap-plidani or Agent ..