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HomeMy Public PortalAbout5638 GRACEWOOD AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDINGCOUNTY OF LOS ANGELES ADDRESS C � DEPARTMENT OF COUNTY ENGINEER CITY QC,¢� �,P 9/066; BUILDING AND SA TY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT �pb X3-3 NOW ON LOT A0DRES b4h1� /n� /� ^� -- T ACT BLOCK L t4Q `� LOCALIT TEL NEAREST OWNER 2 NO. / CROSS ST. ASSESSOR ADDRESS l7 JPAG C�/� MAP BOOK PAGE PARCEL //�� ^^ DISTRICT GROUP TYPE FIRE RO SSED BY CITY iA 00 ZIP 6 G.^ CONST.. ZONE ARCHITECT OR TEL. ENGINEER NO. STATISTICAL CLASSIFICATION S ER M�P ADDRESS ��' CLASS NO.— DWELL.UN ITS rBI: PG CONTRACTOR NOL ONE MAP ��^ LIC. NO. C✓ ADDRESS NO. SPECIAL LIC. CONDITIONS CITY .�� CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES� NO CONSTRUCTION LENDER NAME AND BRANCH BLD .SETBACK FROM a FRO T PROP.LINE OF (STREET) CD V ADDRESS J CITY HIGH AY } TARO TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH O SIZE STORIES FAMILIONE ES V W DESCRIPTION OF WORK NEW ❑ N BLDG.SETBACK FRO Z ADD SIDE PROP.LINE OF (STREET) ALTER ❑ _ TOTAL SETBA ROM TYPE OF EXISTING HIGHWAY } YARD - HIGHWAY WIDTH REPAIR❑ SIDE PROP. LINE DEMOL EXISUSE OT NG BLDG. //V ❑ } APPLICANT TEL ' //� CORNER CUTOFF YES ❑ NO (PRINT) N0. (Q IN OPEN SPACE YES NO BY (SIGNATURE) IN COASTAL ZONECATEGORICAL EXEMPTIS NO ON❑ YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE , LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO t WORKMEN'S COMPENSAT N INSURANCE. SIGNATURE OF PERMITTEE ADDRESS )) TEL. FINAL DATE rl 7V BY -�_ ' I CITY //M�iI -��.(� N O. MKE CHECKS PAYABLE TFEE FEEPMT T Or P. E FEE' HARVEY ,T. BRANDY. COUNTY ENGINEER PLAN CHECK VALIDATION CK, M O. CASH PERMIT VALIDATIODcK. 1 M O. CASH V".,A� 76A 638A CE#803 7/73 8 0 Nov 13 1 u 6.0 0 A-,b t I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER PLICANT TO FILL IN FOR OFFICE USE ONLY F DISTRICT O. PLAN CK. NO. PERMIT NO. RECEIVED BY DATE OFAPPL. DATEISSUED " BUILDING _11 OWNER MAIL oi LOCALITY j/ `„r ADDRESi i NEAREST ww,�, ��f� �,,�i ' TEL. CROSS ST. (,�44 G , CITY �'�V✓•W NO. FIRE NO. OFI TYPE I GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. BLDG. [[�� ORD. NO. SETBACK LINE } ( i ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. 't' •7i� USE APPROVED ZONE BY DATE ADDRESS j'�(2/ i ,/jt'iyyy�� �" HOUSE NUMBERING LEGAL DESCRIPTION LOT NO. BLOCK MAP NUMBER FIELD CHECK BY j t TRACT f /R� IG`� NO. ASSIGNED BY DATE NO. OF BLDGS./ CORRECTIONS SIZE OF LOT NOW ON LOT USE OF I NO. OF / EXISTING BLDG, FAMILIES/ DESCRIPTION OF WORK NEW I I ALTERATION I I ADDITION O REPAIR I DEMOLITION I I A SQ. FT. NO. OF SIZE ROOMS STORIES Z a EXT. WALL ROOlf r COVERING COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE AT�TMATIM69GIVEN IS FORMS, MATERIALS CORRECT. 1 AGRE[ TO CO PLY TS LISTED FRAME: FIRE STOPS, HERON AND WIT AL O 10 HID STATE BRACING, BOLTS LAWS REGULATI DING CONSTRU TION. FURNACE: LOCATION, - 61GNATURE OF GAS VENT, DUCTS PERMITTER! �:LI � LATH, INT. ADDRESS IL ;Ll EXT. L ED AGT. PLASTER, INT. DBas Io—a0 P. C. $ v FEE PLASTER, EXT. ,:� EL $ N FEE - FINAL I EPARTMENT OF BUILDING AND SAFETY APPLl�,. TION FOR`PE COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER BUILDING TO FILL IN71) - LOCALITY FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDINGADDRE5S < RECEIVED BY DATE OF APPL. DATEISSUED "EARESTCROSS ST. BUILDINGOWNER ;. : 1, ADDRESS MAIL LOCALITYADDRESS NEAREST CITY �jy�A .!r TEL. CROSS ST. • "'� FIRE NO.OF I TYPE GROUP ARCHITECT OR TEL ZONE PLANS 'NEER NO. BLDG. ORD.NO. .� -SS SETBACK LINE 6"� 'I 7 APPROVED ®� TEL. BY DATE ,?ACTOR NO. USE APPROVED DRESS ZONE, BY DATE DESCRIPTION LOT NO. 3 BLOCK CORRECTIONS TRACT . L.?�-i- �✓N(i / /y �*�/I� /l t- ✓y`';:. NO.OF SLOGS. SIZE OF LOTI NOW ON LOT USE OF pp�� NO.OF n NO.OF EXISTING BLDG. FV I FAMILIES V I ROOMS Id DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR I MOVING I DEMOLISH p S4•FT. NO.OF 2 SIZE .•r-wROOMS STORIES D r WALL 7 ROOF ,,.. COVERING COVERINGC-.,'I USE OF NEW BUILDING r._G lxz 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. FRAME: FIRE STOPS, 1 SIGNATURE OF BRACING,BOLTS --' �- OWNER [/ LATH,INT.: AUTHORIZED AGT AE"7)AI LATH,EXT.: DES-3 25M SETS 4-47 $ P.C.S PLASTER,INT. 3 w70 FEE _ PLASTER,EXT. VALUATION FEE v FINAL - v7 f �'+7Rt0iRS'COMPENSATION DECLAI ATIOg1 '= 1 t I"h�,e a ttfl�te pf for hf to ..� ' , " AP 'L AT*WfORBUILDING 'PERMIT or'a cbrflHtate df Workers`Compe*11on rpiuranca or acertlfie&copy'thereof,(Sec 3800, Lab. C.)- - •. .: . COUNTY OF Wd.ANGELES WILRING AND SAFETY Policy No.�_Co.mpany 0 "-Certified topy Is hereby fumithad. R APPLICANT TO FILL JN BUILDING _ ADDRESS Certified copy is filed with the county.building Inspec- g111LDING t1Rn department._' rADDRESS LOCALFTY Data App1Ipgnt , CifY LP CIiUOS SF. CERTIFICATE OF"D]MYJMON .FROM•WOIZKERS' - NQ:OF BIDGS ASSMOR COMPE.NSAMN )NSURANGf 517E OF LO ...NOW LOT MAP DOCK. PAGE` PARCEL' (Thu,seglon'heath not.be Com leted if the permit Is for one glOcx OT 1V0. hundred dollen:($100)or lest �- �J ., Tom ' F I CC64".that In t-IW'Pertomlonce of the.work for which thjj OWNE NO. COhIDiT1oN3 `' a `pettnit Is ysued, I shall not employ ony'person In any manner - DISTRICT P TYPE' ' ARE BY O so as to becomb-sublect to the W en Comperme lon Laws. AbDi CONS� Q' Date �ppllconlZIP qrY ST✓✓ATRv Tt4N • NOTICE O L ff, after rrlaking this �wIff A ^- Na Exemptlon, you should become subject, to the Workers CLASS NO. UNFiS'.' Compensation provlilons of the Godo, you.must fgrtia.=';' ADDRESSEWER MA.R w.1th Comply with suah-prov4Iq or this'permkf iholl lbi'.' . . Z deemed revoked. i . - NO. 8K PG, VAU"T" LICENSED(;DI 7 C TORS DECLARATION I hereby off nn that l atn IlcerRed undel- r V ilort�g�ff 0io�ter 9 � t . --VALUAT}O (commenting with Sedlon 700D)6f-DIvWon 3 of ihefk*nees grid - LIC. /M}J� Proteaslorn Code,and my'license Is In full force and affect'. CITY CLASS SQ. FT: STORES C-IECK - LlcdnseNumbetr• Llc"CiA. S� ST(x2B I]ES ONE z tontrc: o . Date' DESCRIPTION OF WORK - ' I am gxempt,tindar SecC-k - ADD ❑ t"IMAL B.&P. for tfilgreason .. W7 /�1TF�2R GAT! USE OF _ Dote- EXISTING BLDG. . DEhhOL Slt7natura - r, TEL Y - OWNI�R-BUILDER DECLARAGTION PRI NO... I hergby affirm that Tani exemoifrgm theCohttotigrs Uceose ; Law.for the.followlnq reason (Section 7931.5, Bus,now o Profealprn Coda): l i, I,"as owner of the property, Sr Trey -omplayo" wjfh ADDRESS - - - wgges as thi(r stile poInpansatlon,will do'the ve"-ar L(X.e1fFY the atrucfun is not Intended or bffete<�for sale(Section ' '. 7(}44,8yalneas andProfasslgarCodej MOVING TEL ..0 -.L�as.awnei of.the propetty' cirri bxtluslvely Contracting with Ilcepsed contractors to construct the proJecY(Sec- ADDRESS 'tion 7644, Business and Profeslgns Code). _ r + CONSTRUCTION LENDING AGENCY REQUIRED YARD tip' T "PROP. u ` QM l _ 2 5.4'1 9 A, 1 here-by affirm tbatthere,ls`0 cghstrUcllon.lendingf agency for FRCxlT ,`' _ the performance df the work for WhICh'1h11 pefmlt Is issued " ' t }t` -' # e o 0 0 61. Sac 3097, C`.Iv. C. SIDE O O.. Larches Name'— P.L J" ;e • 0.3 O 03 1 Lend s'Addresis P.C_.Fsee PWM it L r O Q , . .1 �1 -8.6 I taifffy'thdt I Kaye read this application and state that the Isuahce Fee ' 'i' dbove Inforn rtlon Is coned. L agree to cbmpry with all.County ._ InvaetlpaHan Fee ordinances-and State laws relating-tobu(ldlog conttructidh,' Total ti 4 and.hereby authorize representatives of TWIs.Cbuntyto enter n the above-rrmh4oned property f6r Inappctlbn purposes. w IVA \� fi kN�PO_R OMANATO[Y U"GUAW._ _ Slprwturs I or, Date APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES .'BUILDING jVD SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby affirm that I have a certticatt of consent to serf Insure i00 11 or a col of Workers' Compensation Insuranoe, or a oerdW Y copy thered(Sea 3800,Lab.a) 7�tmat (A T ZJP OLoc� Poticy No. Company SEE OF LU r 40.OF NOW ON LOT ' ❑ Certfied copy is hereby fwnbhed. TEIF ST M)SS ST. ❑ Certmad Copy IS fled with the county bufVdhiq Irlepedion TRACT BLOCK LCT NO. deem- USE� MAP No. Dflte ApQI{�nt ASSESS R MIP BOCK PAGE PAFiCF1 SPfrC CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' y No YFMN 1000 Fr.OF sG-100-7 COMPENSATION INSURANCE ` (fhb section need not be corpleted ff the permft Is for one hundred tv DS`TRIC7 GROUP TYPE-CONST. FRE ZONEPROCE ddlars ($10 b par CfT'1' W oo I certify that in the perforTller,ce of the work for which this permit, � � Z1P Is leased, I shall not empioy arty on persIn arty manner ao as to become subject to the Worker's'Cor peneation Law& OR EFA TE1 Na SAT STK;JkL CLASSIF C-KIF ON APT Date Al ADDRESS CLASS Na DWP1L timTs MOTKCE TO APPLAGANT: ff, after makhlg this Cert}flcate of FEOUFIED TOl SETBACK FROM EMST Exemptkxl, you Shock become sub}ect to the Yrbrkers' C X TRACT0R TEL Na SET BACK yr,FD Hfyyy PROP LITE WpTH Compensation provWom of the Labor Code, you must forthwith FRONT compty with such provialcm or this pal ehal)be deemed revoked. ADDRESS LIC.Na PL LICENSED CONTRACTORS DECLARATION PDE CITY L.IC.Cl_.�99 PL , I hereby affirm that I am licensed underprwkeiom of Chapter 8 SEWER MA.P (commencing with Section 7000)of DfvielOn 3 of the Busbam andN0.OF 9 N).OF FAl S - ProfesdCode,and my M1cepae Is Ln ftdl force and effectygolff— NEW El BK . PG orle , Llcerhse tiunl LIC.Class ADD ❑ �Q�,b�►*�f n/� Contractor Date ,, ALTER ❑ $ Elex cc I am empun t der Sea REPAIR ❑ $ cc BARC.for tib reason DEMOL ❑ LDMA P/C t Date. USE OF oasTi URM ❑ l' -DAM Pr:Tn r 23 �I T as owner of the property, or my enpbyeea wRil wal as z ACCT. their sole compensation, WH do the work and the structure Is not intended or offered for sale (Section 7044, Business and Fill DATE 3W3 50.50 Pro(esalorle Code.) YALLT1-�,APPLKIAIT oR Fund BULOM3 Hl4DLE A FNZAFDOlJB WAFE}UL ❑ I as owner of the em exckmhrely oontrsctFlq wtth OR A IdCr iE co►rnaaro A HAZAFlDOIie a TO on GREArEh THAN THE prop", Ar,rour M SPEGFED ON THE HAZARDOUS lodKr a PFCFUCI N GLADE? FNAL BY acensed corhtraciors to conatl-uot the project (Section 7044, Y®❑ No❑ ACCT.t Bu lrleae and Profeasiorra Code.) 33 V2 82 ` Y&LOCC1 THE kN NTEHD� USE OF TFE BY THE OR FUillfE ra■ryr� .lei L'S 6V2.82 OCCUPANT�A PEFIIlr FOR OR FTROiI�l-E T—_— CONSTRUCTION LENDING AGENCY �n AF o�TY M'�ENT � � r ITEMS a rim.rw I hereby afftrm that two Is a cor'mIt'Wtlon IDrdtnp agency for YES❑ No❑ /y �y the perfortneAce o{tie work for which Wa permit to belled(Seo. NME F AD THE N42ARDCUB uASi45►Foar4roN GLIDE ALIO THE eGno PEFFATTM TOTAL 7.33 -32 o W97,Ctv.C.) pEOQ.tBT,IUCERSWC Art'REQUFBBlTH LANDER THE LOS NCEIFo QOUlrV ? Lenders Mama �a�a�F:W Ct%1 a HAZAFC� C�ECY. T,i3.32 LenAddress �'rA •.00ders O °r" AQMff Q I certify that I tree read thle S-Wicati n and state under PMIRy �'y �y-y�_ryy7y may' . Y at perjury teat the b CO(Tect I Spree tO cm ly P.C.FEE�O >h PERPAT FEE LRJLII.—WO 1 12 1./ 5 R wftr all and State Iews relating b bLjU&Q t«I a fthortza of t,le County 1884JANCE 3 3524 1 ASI10:03 to up-m ab— o FIVESTIIATION FEF TOUrL FEE ~� SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TELE CITY �0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD , .. BUILBIM6 AND SAFETY / LAND DEVELOPMENT ,- TEMPLE CIT7 G ~+ BL 0508 970428Q082 . PHONE: (818) 285-0458 EXT; LEGAL ID: 'W. 4OF CONST NEW BUILDING ADDRESS- ON FILE= _ SG. FT STORIES TYPE OCCLP GROIP 5638 GRACE6100D AV STRUCTURE: 1200 1 V R3 ARCD G 910075411 XATION NUMBER: GARAGE: NEAREST CROSS STREET: 8586-014-008 OTHER: 200 1 THOMAS PAGE: 597 GRID:.93 LOCALITY: TEMPLE CITY TENANT-' EXIST BLD-G IZE: USE ZONEr PROCESSED BY: EKPIRES ON: EXIST OCC GRP: 04/28/97 TC 04/28 06INER: TEL. NO: BLDGS. NOW ON LOT: VALUATI?: FINAL DATE F I HT;�� CODE: TANG- FRANCIS C-GRACE M _ (818) 447-1.6B6-. 1 1115.HUGO 9EID DRl V I ARCD 910076163 _ FEES PAID DESCRIPTION OF WORK ENCLOSED PATIO WITH PLASTIC WINDOWS 200 SQ. FT_ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0-- SAME AS OWNER - - AA BLDG PERMIT ISSUANCE 27.75 << AC STRONG MOTION RESID 2640.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT Y/0ENIL tT X40.00 VAL 27.4fl CONTRACTOR: TEL. NO: �` L b EF1 SAME AS OWNER - l APPROVALS+►�`�\ I� LIC. N0 �A dLOCATION AND SETaACKS LII:.�up: - MAP NO: SEWER KhP BOOK: PAUL: I Kt:.LUN h: OOR INSULATION 3. 01 FILJ c. d c)RR S . NO 21 �.NO. OF-FAMILIES.: DWELLING LIN I T-5- APT/COND: SCHOOL ROOF SilEATHIiG AIR QUALITY: 1000 FEET MATERIALS `"�N HAZARDOUSi ND ..Nd ND � � vEIRE DEP1. BLDG DEPT- FRA SETBACK YARD: HWY: PROP LINE: . WIDTH: ^ + �b FRONT PL- -, SIDE PL- 51 � INWYERIOR LATH TERIOR LATIVNMEE FIRE DEPARTROT-09MVE x REPORT ID: DPR2611- ROUTE TO: BS0508