HomeMy Public PortalAbout4430TEMPLE CITY BLVD_Building (2) A ROAD DEPT PER,^IT IS REQUIRED
FOR ANY IAATCRIvL SVCAGE O2 (YORK
DONE IN THE ROAD RIGmF OF WAY
+•Amuuab•.o APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTbIENT OF COUNTY ENGINEER ADDRESS
B=ING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE OCE88ED Y
FOR APPLICANT TO FILL IN CONST
BUILDING ./.fgO -s/ .O STATISTICAL C IFICATION SEWER MAP
ADDRESS
7Z/J 4 (O
CLASH L NO WELUNIT BK PG
LOT NO BLOCK MAP q O SE YES
NUMBER
TRACT 9 Iq USE ZONE SPECIAL
NO OF SLDGH / / CONDITONS
612E OF LOT NOW ON LOT
USE OF
EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST
SETBACK WIDTH
OWNER FRONT /} /
MAIL P L V
ADORERS IL GIDE
rEL
P L
CITY NO G - ✓ INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS
TEL CO
CONTRACTOR NO 5' Y �G-77—L6 C
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH // Y
F7 NO OF NO OF
SIZE STORIES FAMILIES
USE OF f/ A 1
STRUCTURE
SIGNATURE OF
"41ge v;,1 ,
APPLICANT I 1 /i
APPROVALS E DATINSPECTOR 4316ATURB
ADDRESS FOUNDATION LOCATION
FORMS MATERIALS J -
VALUATION SQO DV FRAME FIRESTOPS
BRACING BOLTS -
P CMT 0= FURNACE LOCATION /
FEE III FEE GAS VENT 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 w
STATE LAWS REGULIITIN BUILDING CONSTR C LATH EXT _
SIGNATURE OF P HOUSE NUMBER COR-
PERMrrrEE RECT AND POSTED q� q
ADDR FINAL
CLYDE N DIRLAM PRINCIPAL ST RAL ENGINEER
PLAN C = VALIDATION CK M O CASH PERMIT VALIDATION CK mo CASH L
1
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