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
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DESCRIPTION OF WORKZ
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NO. OF NO. OF e
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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"'"�
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FRAME: FIRE STOPS,
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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
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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