HomeMy Public PortalAbout4836TEMPLE CITY BLVD_Building (2) 1 i
TEMPLE CITY",
Ta :/W APPLICATION FOR BUILDING PEWIT Z
COUNTY OF LOS ANGELES BUILDING +
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, CouNTY ENOINKER NEAREST
ILLIA JENSEN. SUPT OF OULGIXo CROSS HT
FOR APPLICANT TO FILL IN DISTR CT O OU TYPE P ED BY
O CON
BUILDINGS7AT18TICALC IPICATION SEWER MAP
ADDRESS C K
CLASS NO LL UNIT
LOT NO ICK MAP STATE YES O
NUMBER HWY
TRACT USBZONE SPECIAL
SIZEOPLOT 0)� 6 NO OFBLDGB A 1 CONDITIONS
NOW ON LOT f�
USE OP
EXISTING BLDG N BUILDING YARD I HWY8T NAM EXIST
r TEL SETBACK WIDTH
OWNER NO FRONT
y / P L C.
ADDRESS dtfJ Aul. K SIDE
C OR L
INSPECTION RECORD
ADDRESS Yh
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TE 7-,Z 7 Aol O'/ FQ q
CONTRACTOR N O
-�.1/i� /fi�w� / V./G
ADDRESS
DESCBEMO OF WOIft / +r
r �C
NEW ALTER REPAIR DEMOLISH
80 PTNO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE /✓
6 - /y -
SIGNATURE O
APPLICANT
VALUATIONS
APPROVALS DATE INSPECTOR 5 SIX NRE
FOUNDATION LOCATI 8
FEE O� PEE FORME MATERIALS
1 NEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND BRACING BOLTS
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AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND RNACE LOCATION
GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION I
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT +
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN 8 COMPENSATION LAWS OF CALIFORNIA LATH EXT
SIGNATURE 0274 -f HOUSE NUMBER COR.
PERMITT Af
RECT AND POSTED
DRESS FINAL, / ,Lea _--
�� CLYDE N DIRLAM PRINCIPAL Sr L ENGINEER
FLAN CHECK VALIDATION �cx. �mo PEBM VALIDATION cK o u
LACj 3 9 7 4 AUL 2 22 3 D 300
LfiCO33 9 7 5 JUL2- 2 1 D 1200 M ¢