HomeMy Public PortalAbout5634 GRACEWOOD AVE_Building__ DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY BUILDING
COUNTY OF -LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
_ DISTRICT NO. PLAN CK.OR REC.No. PERMIT NO.
BUILDING
ADDRESS J C//!
LOCALITY A /?CAcJ/.4 —COO tf! `'' RECEIVED BY I DATE OF APPL. DATE ISSUED
NEAREST
CROSS ST. A- fes/ - /�Df BUILDING
OWNER
My S / ! I�. / � a J, a ADDRESS -- -- --
MAIL �y ^��� LJ� LOCALITY
ADDRESS lS /'T
NEAREST
CITY �/� l �`� TEL. +` CROSS ST. _- -
O
FIRE NO. OF i TYPE GROUP
ARCHITECT OR TEL.
ENGINEER NO. ZONE PLANS
BLDG. ORD. NO.
ADDRESS SETBACK LINE
TEL. USE APPROVED
CONTRACTOR I NO. ` / ZONE" BY DATE
ADDRESS HOUSE NUMBERING
0 ! Y
LEGAL j MAP NUMBER NO. ASSIGNED BY-
DESCRIPTION
Y DESCRIPTION I LOT NO. JC I BLOCCK CORRECTIONS
TRACT LANtA&Ugt C -2 ?aev 0
�[ ^ y �� I NO
SIZE OF LOT (�G//1 . OF BLDGS.
NOW ON LOT ���✓ J 6 �,j) L-�jt�t�--� -
USE OF NO. OF
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK q- 6 - C- o
NEW ALTERATION ADDITION
REPAIR DEMOLITION r
SQ. FT. NO. OFco tlT /.-/ d
SIZE ROOMS STORIES
EXT. WALL I ROOF
COVERING COVERING _ _
USE OF STRUCTURE �/ �f'' /
w' L L,L �y G Y1� I "rH / _ L�L/�iG� `��� I1n'proc-P L Aa
Ate - -
,c .,,APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS •� � ' ' -
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS.
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION.
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH. INT.
PERMITTE v
LATH. EXT,
ADDRESS
PLASTER, INT.
AUTHORIZED AGT. .41 14
PLASTER, EXT.
$ P. C. S .y
�!'�•i- i FEE HOUSE NUMBER RECT AND POSTED R_ r _
VALUATION FEE * FINAL
76A638A DBS 3 9-52
I
-WORKERS'COMPENSAtION DECLARATION
I hereby afflrm that I have,a egm1ffficate of content to-self
Insure,cy a certfflcare of Workbri.Compensation Inwrance, APPLICATION-
or F Off. BUILDING- PERMIT
. LLLJJJ
d ce�4Tfied copy tt»reof(sec 3800, Lqb. C.) - COUNTY OF LOS ANGELES WILDINGANDS @TY
�ollcy No__�._.Company^. 6'6
�^L
Certified COPY Is hereby.furnhhed. FO APPLICANT TO HLL IN ,ppm V 6 3
[� Certified copy Is filed with the county buiiding Inspec- Eiulo
+� tion depgrtmentf ADDRESS 56.3 4
- - . . _ -. • -
Date APpI icant: Crry zJ,0
LOCALITY
CERTIFICATE.OF•E)MYPTION FROM WORKERS', NO:Of NEAREST
'of
}GfN INSURANCEtSig OF LOT ,IOW ST.
ASSESSOR
r(Tuhr se�tIpp IkL nqt be corn letad ff the pertnit Is'-for ons .TRACT BLOCK LOT CVO: AMP BOOK Pte;
F,undred.dol4ars 0100)a lese.r
I certify,that In'the perfofmanoi'of the work for which-this OWNR - jl/1'J
TEL UK // E }}.
► ` ' ObPDJTIOf t5 LL
permit is Issued;1 shall not erhploy'anyperson Irtgay manner .,.r-�3,(4 y'q,� W QOd /}NQ•
so as to-become sub]95 to the'Work'en CompensatJdn Laves .
ate, c 3' � 'yiplicao7' �� ` . ARChIRECT OR CTTY P r)J11TRICT F7
DTEL
NQTICE TO APPkKANT: If, after makl this fficdte of
fxem Ion, -,you should became subject to Workers' �j
Coml»nsatlah provisions of the labor Code yo ust forth- ADDRESS WYEJ`.0! �YJ T[� 3 . K
with- comply with such. provlslgns or this permjt shall -be -
difemed r�irpked. .... Tom. STATISTIGI=TK)NI AFT. ZUCENS@CQNTRACTORS DECLARATION LIG _ aAiS NOUWeI_ NIIE
I h*reby affirm that.I am Ilcerred under provisions of Chapter 9 ADDRESS +4Q, WkER
(comrr>Rnclnp wttb Section7000)`of Dlvtslon 3 of theness pnd LIG MAP
ProFessloris Code1 and my Jltense Is In full fome effect. CITY � � y/�I"Tkm
SQ FT. NO.Or OF
LIcenss Number tic.Class Sig Ofd
Contractor - Date UESCRI Or ADOt1ATIOPI
-Car
I orri eximpt under.Sec - -
AL
B/rP.0 for this reasgn 3 O X Z 0 >< i
Da e; USE OF DEMCA
EXEXISTINGBLDG. .2 O Q 6 A
APPUCANT TEL
' 5,�� .. -• - ,� M1aV¢=�i�✓ �,rcl No. Il�MIAI �# a a;,•,o�.,� -
OWNER-BUIWER:DECI.ARATION PA117. ' -
i4ereby-afflrm that lam exempt from th&Qontra0orsLlcense 6 3{[ GYdILB►t�Qpp�" /e
ADDRESS Q9.675
Law for the following reason YSectlon 7031.5, Business and ��
p� )..r ti a:.:.-0.9 6756 `
BUILDING
l os owner of the property, or my employee♦ with AgDRESS ;�
wope;as their solei compensation,wlll do thewgrk ar4d LOCAL"
s - r ) (}2 7-8 8
the structure Is not Intended or offered for sole(Section
X44,-Business and Professions Code)• MCMNIQ-. TEL
..,1;as ownbr of'the property, am exclusively contracting NOI
wit+v licensed contractors to-construct the project'�(Sec- ADDRESS
tlon Inees'and Professions
7W4,bus Cade
CQNSIRKfION LENDING AGENCY aa: YARD HVVYPROP. UNE WID
1 hereby affirm that there Is a construction lending agency for FRQNT 'T
the performance of.the work for which this'pwTnL Is'hstled P.L -
(Sec. �, Civ.C. SIDE,
y P. _
LerKWF Harris 1DMA Ref.
8 Lerldprs Addrers - P.C.fs,e S Pei..It Fe. i. r
L certify that I}tees read•this application and state that'Ae issuance Fee 4 V LDMA PSC of
above Infpmxdon is correct, I agree to comply with all County lnveWtgatton Fee f
ordlnanus and'Star.laws.rolating to bulloing conmuctlon, Twat i'
R and hereby authorize representatives of this County.to enter
upon the above-mentioned property for Inspection purposes.
o G1 JLC �D •� fi W FWM OM ATC*Y.UUOOVA04 .
of APpitcari+or Agent
�O➢ LO8 ANGII,EB - TEMPLE CITY # 0508 BUILDING PYRMIT
DXP 0➢ PUBLIC WORKS 9701 LAB TIIY71B RIBIbi:TLAI, ADD
BUILDING AND BAF= / LARD DYPIIOPI®iT TRMIE CITY CA 91760 BL 0508 050810006B
PHOHR: (616) 185-0488 EKT�
LI3aL ID, NO. OF CONST VIM BUILDING ADDRESS,
ON FILE BQ. FT DTORIYS TYPE OCCUP GROUP 5634 GRACEROOD AV
STRIICPURBr 271 1 VN R3 ARCD CK 910078411
188Y89OR INFORMATION NUMBER.: GARAGE: NEAR_ZJaT CROSS STR M i '
8586-014-010 OTHER: THONU PAGE, 597 GRID, B3 LOCALITY. ARCADIA, CA 9
TYRANT: EXIST BLDG USHr USE ZON'S: ISDUID ON: PROCESSED BY. EKPIRRS ON:
HZIST OCC GRP. 08/18/05 JK 08/13/06
O1CFERr THL. NO. BLDGS. HOW ON LOT: VALUATION: VINAT, DATE FTI"T. BYr CODE:
WINEKAX, SHIRLIY (626) 446-1649- 27,100 v_x r•�-
5634 GRACEWOOD AV
ARCD 910078411 FRES PAID DYDCRIPTIOH 07 WORK
ADD BEDROOM AND BATHROOM 271 S.F.
TILE DESCRIPTIOiN: QU>NTITYr DOM, AMOUNT:
APPLICANT, TIL. NOr
DYM87S - (818) 335-6003- B1 PLANCHNCK M/WEHGY 27100.00 VAL 477.40
5699 KEN HD #133 Al BLDG PERMIT ISSUANCE 27.75 SPECIAL COKDITIONB:
AGOURA HILL 91301 AC STRONG MOTION REBID 2-7100.00 VAL 2.71
B2 PERMIT W/ENERGY 27100.00 VAL 561.66 _
- TOTAL F798 1,069.52
CONTRACTOR: TXT. NO. PPROVALS CTO
YNSPER SIGNATURE
USA REMODELING (818) 609-7429- Ai
18375 VINTURA BLVD #107 LIC. NO LOCATION AND SETBACKS �.
TARMAKA, CA 91356 802511 B
SOILS EIGIYYA2 APPROVAL
1B.CHITICT ON INGDYEIR: TEL. NO: FOUNDATION TRIICH FORMS
DOWSMY, AMIT (818) 674-6034-
5699 KEN ROAD LIC. NO. BLAB iI®RR FLOOR
A3OURA HILLS, CN 91301 IONI lS
RAI SYD FLOOR TRIXINO IT
MAP NO. SYWIR MXP BOOK. PAGE: FIRM EOIY: CMP: UNIIER}LAOR INSULATION
3 01
1ST LEVEL FLOOR SH11TH
0. OF FAMILI38r DWIL1,ING UNITDr APT (:OEDr 8T1T CUBS,
NO 21 231D LEVEL FLOOR BHYzTH
SCHOOL WITHIN EULZARDOUS ROOF BREATHING
AIR QUALITY: 1000 YEr MATERIALS
YO WO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SZTBkCX FROM IIIBT BLDG DEPT. FRAME INSPYCT
SET BACK YARD. HWYr PROP LIM'Ir WIDTH:
B
FRONT PL- HHyAR PANELS
FRONT
PL-
INSULATION/WEATHER STRIP "
l7
lWrM FOR LATH DRYU ALL �--�
ExTii rOR LATH -
LOT DRAUUlGE
SMOKY DL-L=ION DEVICES
FIRS-DYPARTMHNT APPROVAL
R.IPORT ID: DPR261 ROUTH TOr B80508