HomeMy Public PortalAbout4908TEMPLE CITY BLVD_Building C,-ry or-
76A638A CERD03 D BS APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BuILOING410 E e(__(F -r
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY Tc
JOHN A LAMBIE COUNTY ENGINEER NEAREST 1 //��
COLEMAN W JENKINS SUIT OF BUILDING CROSS ST LOAF= A ZL15LJ
DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN So \ CONST -
BUILDINO STATISTICAL CLASSIFICATION _ SEWER MAP
Alli SS CLASS NO DWELL UNITS
LOT NO SLOCKV USE ZONE MAP
TRACT A I
NO L
SPECIAL
NO 01 SLOGS CONDITIONS
S1ZE OF LOT D.744 Now Ox LOT -
USE OF
ISTING RL �l 41
BLDG SETBACK FROM .LO C
TEL FRONT PROP LINK 0I 1 (STRICT)
OWNER N }yp! 01 CXIDTI MO SETBACK HIGHWAY_ _YARD _ TOTAL
ADDRESS HIGH AY • M C L
CITY4"1Lwv 8o do 40 + zo = Coo
ARCH TELT O TEL SLOG SETBACK FROM
ENGINEER NO DID! PROP LI HE 0I (STRKKT)
TYPE 01 1 EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIDHWAY IWIDTH FROM CL
TT
CONTRACTO IN 3� + r
LIC CORNER CUTOFF YES NO 0
ADORE.
DDRES NO
CIT CL SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
DESCRIPTION OF WORK
d
NEW ADD ALTER REPAIR DEMO LIS
SO FT G NO OP NO OF
SIZE TORIES FA MILIF
USE O
USE
STRUCTURE141
SIO
Ali
VALUATION$ I O Q Q O
Q APPROVALS DATE INSPECTOR DSIGNATURE
1P C l 5 PMT I FOUNDATION LOCATION -
FEE$ I FEE$3� FORMS MATERIALS -
PRAME FIRE STOPS, I
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTJ /
AND sTATe THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY OROINANCEG AND STATE LAWS REGULATING GAS VENT DUCT
9UILDINO CONSTRUCTION I CCRTIIY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAY
ING TO WORKMEN SCO HGATION INSURANCE LATH EXT
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RE N P TE
ADDRES FINAL
JOHN F LEWIS PRINCIPAL ST URAL ENGINEER
PLAN GRECS VALIDATION N� M O GASH _ PERMIT VALIDATION cK M o uDH
LAGOO 6 9 9�8 MAR22 2 3 0 17.95-
Li 6 9 0-� KAR22 1 D 3 950-
Ci .>�.