HomeMy Public PortalAbout4331TEMPLE CITY BLVD_Building l 15EPARYT;.'?09 OF BUILDING AND SAFETY APPLICATION FOR PERBUT
COIINYY OF LOS ANGELEIU N 4 p 1 ! I 1 DIN GLVL
' WM J. FOX, CHIEF ENGINEER 1 G V L ��A
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PO8 APPLICANT TO M IN FOR OFFICE USE ONLY
BUILDING IIISTRICT NO PLANCK NO PfiRM1Tn,N0[[��
ADDRESS �, [ T
LOCALITY Yo RHC 1 ED BY DAT OF CPPL DATE ISSUED
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CROSSST BUILDING
ADDRESS
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MAIL LOCALITY (�.�y.� � �( /
ADDRESS I ` NEAREST
TEL.
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CITY NO FIR! NO OF TYPE /V GROUP
ARCH( R TEL ZONE PLANS E�
ENGINEER BLDG / &A,
ORD NO
SETBACK LIN!
ADDRESS m APPROVED
TEl BY DATE
CONTRACTOR T. U8! APPROVED '
ZONE BY DATE
ADDRESS
LEGAL HOU86 NUMBERING
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DHBCRIPf10N LOT NO BLOCK MAP NUMB! lJ IdD CHECK BY
TRACT j OL 1,t CA r 0
NO "SIGN 6D BY
NO OF SLOGS COHHF._ O
SIZE OF LOT NOW ON LOT (/O.
USEOF NO OF lY/lN�.+
EXISTING BLDG FAMILIES
DESCRUMON OF WORK
NEWIli ALTERATION I ( ADDITION
REPAIR / I DEMOLITION
80 FT NO OF
SIZE GQ ROOMS STORIES ;
EXT WALL I ROOF f
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COVRING COVHRIN6
USE OF STRUCTURE
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1 CT R'SSIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I H H D THIS AP- FOUNDATION LOCATION I J
PLICATION AND STATE THAT THE INFORMA N GIVEN IS FORMS MATERIALS / 1
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOPS,
SERMON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS I ��
LAWS REGULATING BUIL DIN CON FURNACE LOCATION,
SIGNATURE OF RUC71 GAS VENT, DUCTS
PBRMITT �.
ADDReaa 9s_AQ�/ � /_ "� LATH, INT
LATH EXT
AUTHORIZED AOT
PLASTER, INT
11A/mEw OSY� RftO S r P C •
VALUATION
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L ATION •
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