HomeMy Public PortalAbout4359TEMPLE CITY BLVD_Building DEPARTMENT OF BIIILDING;AND SAFETY APPLICATIQN FOR PERMT
COUNTY OF LOS ANGELES p 9 ' ® �
WM. J. FOX, CHIEF ENGINEER N
FOR APPLICANT TO ME IN FOR OFFICE USE ONLY
BUILDING /3/ DISTRICT NO =DAT7xorAppL.
NOPERMIT N6
ADDRESS SLOCALITY RECEIVED BY
�. BUILDING
S
OWNADDRESS
MAIL LOCALITY
ADDRESS O
N[AR[BT
TEL 6ROBS or.
NO
FIR[ NO or TVP[ 1 / OROUP�
MCHIT[CT OR TEL. ZONE PLANS Y
KMR1M[[II N6
BLDG ORD.NO
D B[TBACK LIN[
TEL / APPROVED
CONTRACTOR NO BY DAT[
4 W[ J.PPROVED
ADDRESS (i 0./ / ZON t/BY DAT[
LEGAL CORRECTIONS
DESCRIPTION /LOTNO BLOCK
TRACT YI Cis O 1 I / /S g^^ �„
NO OF BLDGB 0
/vw/�c
SIZE Or LOT IQ 's NOW ON LOT
USE or NO Or NO OF,
EKISTIN BLDDFAMw R DM
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
I C
REPAIR `M/OVING DEMOLISH p
so rT
No or z
_ SIIZE [vx� ROOMS STORI[B
WALLoor
COVERING W'- I COVERING
use OF NEW
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS
AND STATE LAW8 REGULATING BUILDING CONSTRUOTION
FRANK' FIRESTOPB.
SIGNATUR[O► BRACING BOLTS
OWNER . I /J LAIN.INT t
AUTHORIZED AST. LATH.KXT.t
1>®-3 25M SETH t-AT P.C.B PLASTKM INT.
FEE PLAST[W MT.
VALUATION G� B �dy'
FE[ FINAL