HomeMy Public PortalAbout4327TEMPLE CITY BLVD_Building MAY 51968
TAPPLICATION FOR BUILDING PERMIT 1 U
COUNTY OF LOS ANGELESBUILDING
DEPARTMENT OF COIINENGINEER ADDRESS
TY 3
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST F
CASSATTD GRIFFIN SUIT OF BUILOINO CROHS y
DISTRICT NO GROUP EWER MAP p
FOR APPLICANT TO FILL IN CX z
BU ILDINO
ADDRESS LL'G STATISTICAL 81 FICTION - - -
LOT NO 5 BLOCK CLASS NO WELI, UNIT-
MAP STATE
TRACT, N
YES N
UMBER O HWY O j
UHEZON! SPECIAL 3
NO OF BLDOS '^ +� CONDITIONS
SIZE OR LOT fop NOW ON LOT
USE OF s� 1
EX'STINOBI.Po � BUILDINGEXIST
SETBACK YARD HWV STREET NAME WIDTH
OWNER C GGL(„0 FRONT
MAIL _ P L O'
ADDRESS Q L A C jE: SIDE
CITY e NEL P L
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NU INSPECTION RECORD
ADDRESS
NTRACTO O .Y -` NO > /Z Aoq
N LTL YO, UAQ L
DESCRIPTION OF WORK ) R^^
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NEW ADD ALTER REPAIR DEMOLISH
SQ PT NO OF NO OF /
SIZE /000 STORIES / FAMILIES
USE OF STRUCTUREC�/P
SIGNATURE O /'• APPROVALS
APPLICANT
ADDRESS~XIQ- aA FOUNDATION LOCATION ATE INSPECTOR S SIGNATURE
SFORMS MATERIALS f In 45*P C i FRAME FIRE STOPS V
C�O FEE BRACING BOLTS
VALUATION I f FURNACE LOCATION
FEE GASVENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS RE000ITIN ul I G CONSTRUCTION LATH EXT
BIGNATU RE OP OUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESA FINAL L
JOHNA LAMBIE COUNTYENGINEER CLYDEN DIRLAM PRINCI ALSTRU URAL GINEER
PIAN CHECK VASU)=ON a M o PESWr VALEDATION M o GASH
Mro 5 1 18R MAY 2 1 6 A 8.0 01 R '
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