HomeMy Public PortalAbout4915 ARDEN DR_Building__ TEMPLE CITY
76A638A CE $8031-62 APPLICATION FOR BUILDINGPERMIT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO GR TYPE E .B
FOR APPLICANT TO FILL IN a CONST.• —
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS U, aBK P
CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT `�J /2 MAP '),•�/ O HIGHWAY STATE MAJOR SECOND
(OC )
NO.OF SLOGS. NO. ,V (CIRCLE)
SIZE OF LOT (/ NOW ON LOT U ON SPECIAL
USE OF CONDITIONS (�
EXISTING BLDG. 17 v Y
Efe'°'
UV
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OWNER NQa BUILING EXIST.
D
STREET NAME
SETBACK YARD HWY WIDTH
ADDRESS a FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L.
ADDRESS ,,ypgi _ �'
TE �1�- C��'�i� '. ".e, - - 0
CONTRACTOR e, N �' n} -
ADDRESS
DESCRIPTION OF WORK(
,�;c W
NEW ADD ALTER REPAIR DEMOLISH - Z
SQ. FT. NO. OF NO. OF
SIZE STORIES If FAMILIES '
USE OF . �Z G-P"tI1C.- .n-A�k
STRUCT REJ / -
T��
SIGNATURE OF 1AA
APPLICANT o
F Gu+c ,�saa
VALUATION $ C � _
APPROVALS DATE INSPECTOR'S SIGNATURE
` -FOUNDATION: LOCATION / �r
FEE $ J ,� FEE $ �! 7 FORMS, MATERIALS 'I �'{,�(,�,..•
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS L
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS U
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL„NOa'1EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR COD- OF T/�'E CALIFORNIA RE AT-
INC TO WORKMEN'S COM NSAST �I�NRANIE. �� , LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-PERMITTEERECT AND POSTED qq
ADDRESS -i-1NAL �", f. A. xd -kg-,
a JOHN F. LEWIS. PRINC PALS UC URAL ENGINEER
s PLAN CHECK VALIDATIO CK.�M.O. CASH PERMIT VALIDATIO CK. M.O. CASH
L!"it�0 4 4 5 0 OCT . 2 3 D 2 8.5 0 6 s ;
�� 7 5 7 OCT 1 3 1 D 5 `7�i 0
76 6'38A'�`CE'918035-65 APPLICATION FOR BUIL NG PERMIT%
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS C
BUILDING AND SAFETY DIVISION LOC A LI T.Y
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST '
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.- 6.41 -
DISTRICT NO. a TYPE PRO S B
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL,Qw"X+SSIFICA.TION. SEW R MAP
ADDRESS CLASS NO. CwJC DWEL'L-U NIT'S�• 6K•_ I PG
LOT NO. .� BLOCK USE ZONE MAP •'
NO.
TRACT i SPECIAL
NO. OF BLDGS. CONDITIONS - - "' -
SIZE OF LOT X NOW ON LOT
USE OF p
EXISTING BLDG. BLDG. SETBACK FROM
TE FRONT PROP. LINE OF "' (STREET)
OWNER ,:P0 NO. D TYPE OF EXISTING SETBACKHI OH WAY.. --I' YARD _ >TOTAL
ADDRESS 1 HIGHWAY WIDTH FROM C.L. - -
CITY 'i BLDG. SETBACK FROM + -
ARCHIIFECT OR TEL. SIDE PROP. LINE OF - (STREET)
ENGINEER NO.'
TYPE OF. EXISTING SETBACK HIGHWAY + YARD - TOTAL-
ADDRESS Ca/k `/ HIGHWAY WIDTH FROM C.L. '
TEL. (G f7�• _ _ .+ - a
` - LIC CORNER CUTOFF YES NO U
AD S /' 'NO
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CITY -e CLASS SEE REVERSE SIDE .FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK W
a
NEW ADD ALTER REPAIR DEMOLISH - h
Z
SQ.FT. //99--�� NO. OF NO. OF
SIZE STORIES FAMILIES -
USE OF
STRUCTURE -
SIG A.TURE OF 9 -
APPLICANT -
VALUATIONS C � - APPROVALS 'DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION `
FEE$ FEE$ �/• FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINB
G OLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL 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. INT.
TION OF THE LABOR CODE OF THE $TATE O -FOA
LIFORNIA RELAT-
ING TO WORKMEN'S C2M EN ATIO INS -
LATH. EXT..
SIGNATURE OF HOUSE NUMBER COR- -
PERMITTEE RECT AND.POSTED _ f
ADDRESS `" FINAL
�t JOHN F. LEWIS. PRINCIPALS RAL ENGINEER
PLAN CHECK VALI TION CK. M.O. CASH PERMIT VALIDATION cK. M.O CASH
L11L 2 1 2 APR 8 1 . D 8.00-