HomeMy Public PortalAbout4812TEMPLE CITY BLVD_Building (2) r DEPARTMENT (:(F BUiLDIN SAFETY f • APPLICATION FOR PERMIT fl `-
COUNTY OF LOS AUG 1 91(110 B u 1 L ® 1 N G - -
WM. J. FOX, QHIE► ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING 1/ - DISTRICT NO //Q PLAN CK/.Nd I P7R/IT/N/0.��/>
ADDREHS 1/ O!O ( /
LOCALITY RECEIVED BY DAT[O/APPL. DATE ISSUED
NEAR d aCk
i /t-� // 9-
l (BUILDING /D c3
OWNER /ADDRESS (
MAIL !. LOCALITY Ti C I
ADDRESS
NZARCEIT
CITY TEL. •,,� 9 CROBB ST. /\ Ocl or U�rIR9 /�
AROHIT[QT ORS TEL ZONE ` PLANS / TYPE /� GROUP
ENGINEER ! NO V
BLDG C ORD.NO
ADDRESS 9 SETBACK LIN[
QONTRACTOR91 / APPROVtp
NO
Q BY DAT[
USE
ADDRESS ZONE B PROVED DATE
LEOAL- CORRECTIONS
DESCRIPTION LOT N0. BLOCK
//
TRACT "7_ 4-4
NI or DGB
BIZ[Of LOT Q NOW ON LLOT
/ \
USETI NO Or NO 0I / n
EXISTING BLDG '� w LI ROOMS � / �. ) ( ����,� W'q �m
DES TION OF WORK \
hl Fl^ (RF �f1/R ' ( RRcJ/ � PE v
NEW ALTERATION ADDITION C
m
REPAIR �I MOVING DEMOLISH G
No or
B ZE I�I ROOMS BTORIEB
No0
DOVERoar
RING Si0/NG COVERING '
I or NEW
BUr1 ckx� ✓JO
eSENo �1�
y.
!L`r i
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT rOUNDATION LOCATION INSPECTOR DATE
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS y 4✓f /b- 7- %�
AND STAT[LAWS REGULATING BUILDING CONSTRUCTION
FRAME: rIRE BTOPB.
SIGNATURE or BRACING.DOLTS
OWNERaA , �I l LATH,INTI
N
AUTORIZ[D AOT. LATH.L>IT f
onea 2e B 1�7 ISP.C.B PLASTER.INT.
f-10POO 1 -
,�O rtE (I PLAeT[ cT.
VALUA/OM ��' ����/ RE FINAL W o 6 FINAL