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HomeMy Public PortalAbout4901 ARDEN DR_Building__ TEMPLE CITY, 176A638ACE�..,63 APPLICATION FOR BUILDING -PERMIT COUNTY OF LOS ANGELES BUIL IISNs J;'O DEPARTMENT OF COUNTY ENGINEER O BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST DIST T N GROJIA TYPE P OC D BY FOR APPLICANT TO FILL IN _l/ CONST. [EXISTING UILDING pD STATISTICAL CLASSIFICATION SEWER MAP DDRESS �Q/ A L�^, CLASS. NO. DWELL. UNITS BK , OT NO. BLOCK WATER .,/ CERTIFICATE: NOT REQUIRED IXI RECEIVED ❑ RACT !I /� - �7 NO.OF SLOGS. NO. ��t/ (IC RCLE> STATE MAJO CONO ZE OF LOT ��� NOW ON LOT USE ZONE SPECIAL SE OF ,roc /� CONDITION 1 BLDG. - TEL. / r FENGNEEF �' NO. BUILDING EXIST. _ i ``'' •� SETBACK YARD HWY STREET NAME WIDTH R�1 �1K UK•N `FIk �l FRONT T OR TE P• L • - NO. SIDE O}. P. L. 4 OV i r G TEL. (� � TDQllN .OX�On (_ � r F/taIUI} 0Lu DESCRIPTION OF WORKZ ADD ALTER REPAIR DEMOLISH �- SQ. FT. — NO. OF NO. OF e SIZE ® STORIES , FAMILIES(� �'� +•• r (' It- U S E OF �' '-� STRUCTUREty 1�p`-� �^_ .�.. �•„pw.. /��� ,:� �- � �Paf2 (AU � �''�'r'J"'yrT r3.,^:9 rh`�,,,`J•. k'`,� �!1°�dti-r�- �:' � C�^4� SIGNATURE OF J` ,�,G - - - - •• f APPLICANT '"Qt'"�""` VALUATION.$ Q--9 •�'. - L CT,�t1, APPROVALS . 4� ,✓f1;" AT E • INSPECTORS SIGNATURE FOUNDATION: LOCATION' -FEE $Z 1 FEE S FORMS. MATERIALS J -�Q/'�Q'�� C�'?'•<i cam' "G'I"'"� �� FRAME: FIRE STOPS, v � 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS ? Ort AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,�FNT. "ol �TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. 141 ` ' ING TO WORKMEN'S COM ENSATIN INS APIC;? LATH. EXT. 4# a 1 3 , SIGNATURE OF PERMITTEE $ l?/ HOUSE R RECT AND POSTED J ADDRESSI�L.SC�. Fr 11 91 t•t�� R d, FINAL JOHN F. LEWIS. PRINCIPAI"STRU AL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION CK) M.O. CASH _7, 0 7. 7 9 JUL -1 S 2 3 D <, 3 �;' ,� w� �_o� SEP 4 1 0 4 6:50-.. ,.T MP .CI'T'E' 76A638A CE#8032-63 APPLICATION .FOR BUILDING PERMIT COUNTY OF LOS ANGELES "U LDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY j JOHN A. LAIMBIE. COUNTY ENGINEER NEAREST WILLIAM A..JENSEN.SUPT OF BUILIDINCROSS ST ' DISTRLCT Nom GROU TYPE P OC D BY FOR-APPLICANT TO FILL IN 0 CONST. ' BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS - �'^ BK' CLASS. NO./ C/ DWELL. UNITS J LOT NO. WATER NOT REQUIRED RECEIVED ❑ CERTIFICATE:' TRACT /� � '• NAOP�/ HIGHWAY STATE MAJOR COND. OCAL NO.OF B �J (CIRCLE) SIZE OF LOT �' NOW ONUSE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. JL TE �) OWNER •r/ NOBUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS �� FRONTV /�hARCHITECT OR 1 K TEP. L. V )L•/ENGINEER a L- NSIDE ,. P. L. p„ ADDRESS - O TEL. V CONTRACTOR NO. i ix ADDRESS ,S %TT/' O F� DESCRIPTION OF WORK a NEW - ADD ALTER REPAIR DEMOLISH z SQ. FT. NO. OF NO. OF / -- - SIZE STORIES FAMILIES USE OF ' STRUCTURE �� ' SIGNATURE OF APPLICANT J VALUATION $ � APPROVALS D INSPECTOR'S 5 NATURE pM FOUNDATION: LOCATION FEE $ P C -/ FEE $ FORMS. MATERIALS �4• ,,,/ FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS URNACE: LOCATION. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY F WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK r AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. r6 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPEN ATI INS U RgNCE. 1` LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- - PERMITTEE 1 "�'¢" RECT AND POSTED ADDRESS C FINAL - JOHN F. LEWIS, PR NCIFAL SOCK. RAL ENGINEER PLAN-CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIONM.G. CASH ! r `•.{J4JL rl'•'li "' t;41 i DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ®� WM.'J.' FOX, CHIEF ENGINEER NG FOR APPLICANT TO FILL IN i FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NOBUILD . EI NG ADDSS L 1 LOCALITY .� I i RECEIVED BY DATE OF APPL. DATEISSUED NEAREST ,A' • CROSS ST. L Qvv — BUILDING ADDRESS OWNER MAIL - LOCALITY . ADDRESS A5 OF bi / RII/r NEAREST ,}�� /� TEL. CROSS ST. CITY F /!� /i✓/�%o% �� p10, r., � / FIRE NO. OF TYPE GROUP�— ARCHItECT OR ° TEL.' ZONE I PLANS I \/ ENGINEER NO. BLDG.. �/A'" ORD. NO.NO. SETBACK LINE ADDRESS APPROVED TEL. BY DATE CONTRACTOR NO. DI 3 USE �f j -APPROVED - - ZONE BY DATE ADDRESS G ? 4,• A/ n R L/ / HOUSE NUMBERING LEGAL P„ DESCRIPTION I LOT NO. - < MAP NUMBER FIELD CHECK BY TRACT l ! NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT Z ' , NOW ON LOT � � USE OF Q I NO. OF (� EXISTING BLDG, / FAMILIES DESCRIPTION OF WORK NEW I I ALTERATION I I ADDITION REPAIR I I DEMOLITION SQ. FT. NO. OF �� D _ SI,E ROOMS . STORIES Z EXT. WALLROOF P COVERING �— I COVERING USE OF STRUCTUR61 ply R Y APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TOCOMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE .. BRACING, BOLTSL LAWS REGULATING �L'DING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF, aGAS VENT, DUCTS PERMITTEE %i ?s'I9�»ra__0A /�%/IFS/° /%/Z�i (��%�.r' ADDRESS Y��� fS/fii_xA _®j� �;J� yit/ q.„ LATH, INT. LATH, EXT. AUTHORIZED AGT. PLASTER, INT. 76ASSSA� DBII 10-80 4 P. C. $ FEE PLASTER, EXT. VALUATION $ FEE FINAL