HomeMy Public PortalAbout4836TEMPLE CITY BLVD_Building TEMPLE CHT Y
�W...a,k'.a�`• APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING 7 `
DEPARTMENT OF COUNTY ENGINEER ADDglg _ V
BUMDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINCBR NEAREST
M J6 e S CRO"8 BT
DIST NO GROUP pE ,O EBS Y
FOR APPLICANT TO FILL IN _Z CONST
BUILDING / STATISTICALCLAG$IFICATION "EWER MAP
ADDR (� �{/p B
CLASS NO WELL UNITS
LOT NO 101F,
LOCK MAPSTATE
NUMBER A67 HWY YES
TRACT USEZONE SPECIAL
NO OF]SLOGS CONDITION
SIZE OF LOT O I O NOW ON LOT
UBE OF
EXISTING BLDG BUILDINGEXIST
i SETBACK YARD STREET NAM! WIDTH
OWNER NO FRONT' C-/ O/
ADDR 71 G• SIDE
ARCHITECT OR TEL L
ENGINEER NO INSPECTION RECORD
ADDREH9
TEL Z /6
CONTRALTO NOIPZ //� O
DDRE88 - ' I cJ t !' V
DESCRIPTION OF WORK nn_P�� 0O
NEW ADD ALTER REPAIR DEMOLISH
" PT NO OF NO OF
SIZE 2, STORIES FAMILIES I
USE OF
STRUCTURE
SIGNATUREOF
APPLICANT
VALUATION S
APPROVALS DATE INSPECTOR S SIGNATURE
PMT r0 FOUNDATION LOCATION
FEE
PC FEE FORME MATERIALS,41H
EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AFI FRABRACME INFGIRE eTOPB
BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION 4
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS JJ
STATE LAWS REGULATING BUILDING CONSTRUCTION
1 CERTIFY THAT IN DOING THE WORK AUTHOPIIZED 1 LATH INT J f ---,'
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE —
WORKMEN 8 CO BATION LZAWS ORNIA LATH EXT
SIGNATURE O HOUSE NUMBER COR- i
PERMITTE RECT AND POSTED
ADDRESS / ' FINAL
CLYDE N DIRLAM, INCIPAL ST ENGINEER
PLAN CHECK VALIDATION cK. mo aASR PERM VALIDATION cK M o wx
M1532 '� JM24 1 0 15.00 m,