HomeMy Public PortalAbout5011 ARDEN DR_Building__ TEMPLE CITY
,6A438ACE»903. 1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER P DDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. C
DISTRICT NO. GROUP TYPE P SSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLAS IFICATION SEWER MAP
ADDRESS ��� - BK G
CLASS.NO. DWELL.UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT S� MAP� HIGHWAY JOR SECOND, LOCAL
NO.OF BLDGS. NO. B/A (CIRCLE) STAT MA
SIZE OF LOT ���• I�}AiC�/C+ I NOW ON LOT USE ZONE SPECIAL
USE OF � I CONDITIONS
EXISTING BLDG.
/ TEL
OWNER ,C� `^'" v NO. BU LD NG EXIST.
YARD HWY STREET NAME
� SETBACK WIDTH
ADDRESS FRONT
ARCHITECT OR TEL. P. L. 7 r
ENGINEER NO. SIDE
P.L. r
ADDRESS TEL. INSPECTION RECORD O
CONTRACTOR NO. (J
r
ADDRESS O
DESCRIPTION OF WORK u
W a-
NEW ,) ADD ALTER REPAIR DEMOLISH N
$IZET H G 6 STORIES FAMILIES Z
USE OF
STRUCT RE C
dall-
SIGNATURE OF i r
APPLICANT
VALUATIONI
' APPROVALS RATE INSPECTOR'S,SIGNATURE
P C FOUNDATION: LOCATION /
FEE So FEE s FORMS, MATERIALS
FRAME: FIRE STOPS, -
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
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 STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'SlC PEtLSATION I URA IJ E.
LATH,EXT.
SIGNATURE OF f,.�/ .� HOUSE NUMBER COR-
PERMITTEE c. RECT AND POSTED
ADORESSl. FINAL
CLYDE N. DIRLAM, PR NCIPAL STRI}CTl7IRAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CASH PERMIT VALIDATION cK M.O. CASH
n .5
'n T`105/ r„