HomeMy Public PortalAbout4852TEMPLE CITY BLVD_Building (2) a ,
TEA6,9A CE 4. .9.T APPLICATION FOR BUILDING PERMIT � 1
COUNTY OF LOS ANGELES BUILDING L
DEPARTMENT OF COUNTY ENGINEER
BUILDING -AND SAFETY DIVISION LOCALITY C
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST -
DISTR�T NO GROUP TYPE ESSED BY ,
FOR APPLICANT TO FILL IN , U l
BUILDING ur / ✓U STATISTICAL CLASSIFICATION S KR MAP ,
ADDRESS Q L qq�
CLASS NO DWELL UNITS �' OC 6
Q
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE '
TRACT MAPQ HIGHWA
NOF SLOGS O v
In RCLEI STATE MAJOR C LDCAL
.SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE EXISTING BLDG exz �,ye _ CONDITIONS
TEL
OWNER /(' p / ,r,0NO UI DING YARD HWY ETRE NAME EXIST
T Dk C/T �41 SETBACK OR WIDTH
ADDRESS i• FRONT
ARCHITECT OR TEL - P L
ENGINEER NO SIDE
P L 6
ADDRESS ,p O
CONTRACTOR R
A/ Q �Q I, TEL yD V
NO C YJJ u
ADDRESS 2.2 A4 1e V.4 D AI LCN 0
DESCRIPTION OF WORK w
NEW ADD v ALTER REPAIR DEMOLISH Z
SO FT / NO OF NO OF >'
SIZE D ,s /'/' STORIES FAMILIES C ✓� ! '�
USE OF /, ��JJ (� l
STRUCTURE // /GOL A^
,SIGNATURE OF
APPLICANT �J _
VALUATION $ (7"C/
APPROVALS I OATr INePEcTOR s SIOry TU
PC (/
FOUNDATION LOCATION
F E $ FEE $ / FORMS MATERIALS
FRAME FIRE STOPS 91
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LA REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING TXE WORK A
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC F THE STATE OF CALIFORNIA KELAT
',ING TO WORKMEN S COMPS AT ION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERM I a MCT AND POSTED
ADDRESS i B FINAL �G
Dy C yl C N O JOHN F LEWIS PRINCIPAL STITURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION cK N D CASH
I JULD