HomeMy Public PortalAbout4436TEMPLE CITY BLVD_Building (2) TEA6]lA CE IIl�O QE] APPLICATION FOR BUILDING PERMIX
COUNTY OF LOS ANGELES BUILDING
'DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T Dr BUILDING CROSS ST
DISTRICT TYPE EBBED BY
FOR APPLICANT_ TO FII L IIQ CONST
BUILDING STATISTICAL CLA55 ICATI ON WE AP
ADDRESS 4436 N T le Ci Blvd BK4 PGQD
_ CLASS NO DWELL UNITS
LOT NO , g/ BLOCK WATER
/y CERTIFICATE NOT REOUIREDok RECEIVED
TRACT (� MAP HIOHwAv TATE MATO OND OCAL
NO OF BLDGS N ICIRCLEI
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF , _ CONDITIONS
EXISTING TEL ((/?
OWNERAile Cie Inch NO BUILDING YARD HWV TREET NAME EXIST
SETBACK WIDTH
ADDRESS 4436 N Temple FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
ADDRESS
O
coKrRncroRR id Mfg. TOL263.5181 V
ADDRESS 337 S Iioeds AO � O
DESCRIPTION OF WORK G
a
N
NEW ADD ALTER REPAIR$ DEMOLISH Z
BSO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE dwelling
reroof . house and garage
SIGNATURE O
APPLICANT M
VALUATION $ 525.00
APPROVALS DATE INOSCTOw SBIONATUR[
PC PMT rv� FOUNDATION LOCATION
FEE $ FEE $6.00 FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I NAV[ READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION `
WITH+ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BVILDING HBTRUCT CERTIFY AT IN GOING THE WORN
AUTHO Y[flEBY T EM ANY F ON IH BOLA
TION HQ USO C HE T LATH INT
IN N�COM N INBURAN E 'LATH EXT
SIGNA U OUSE NUMBER COR /
PERMI RECT AND POSTED y
ADDRESS FINAL l +4J- I [
JOHN F LEWIS PRINCIPAL STI RALENGIN ER
PLAN CHECK VALIDATION CK M D CASH _ PERMIT VALIDATION( c f/� M o cASH
Leo B 1 4 4-� OEC 17 1 D 6.00-