HomeMy Public PortalAbout4908TEMPLE CITY BLVD_Building (2) TEMPLE COTY
T•�••a+�✓W APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES ADDRESS
O
ME NG
DEPAT OF COUNTY ENGINEER
BUIIARIIG AND SAFETY DIVLSION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WI IAM A J SEN UP T OF I.... CROSS
ST
FOR APPLICANT TO FILL IN DISTRICT NO GR�OJUp' TYPE OR ESSED
L_ CONST
BU'LID _ STATISTICAL C IFICATION SEWERMAP
ADORESS
CLASS NO WELL UNITS
LOT NO BLOCK MAP NUMBER O, HWYE YES
TRACT USEZONE SPECIAL
LOT
NO OF BLOT Z / CONDITIONS
81ZE OP NOW ON LOT
USE OF
EXISTING BLDG E 14 BUILDING YARD STREET NAME EX18T
EL SETBACK / WIDTH
OWNER NO FP
L
ADDRESS / z (+ SIDE
ARCHITECT R TEL
ENGINEER NO
INSP=ON BI'•.CORD
ADDRESS
TEL
CONTRACTOR m NO O
ADDRESS U
DESCHUMON OF WORK {03
NEW ADD A T REPAIR DEMOLISH ;{
SO FT NO OF
NO OF F�WMl
SIZE STORIES FAMILIES
USE OF f
STRUCTURE FI
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR 4916NATURE
PCPMT FOUNDATION LOCATION
FEE FEE —/ FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRESTOPS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE LOGTION
STATE LAWS REGULATING BUILDING CONSTRUCTION G'�S VENT DUCTS
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN S COMP SATION LAWS OF CALIFORNIA. LATH EXT
SIGNATU F ` HOUSE NUMBER COR- -
PERMITTE RECT AND POSTED ry,
ADDR FINAL U'
CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION cx M o cAax PEHNHT VALIDATION OK. mo ' CASH
UC,03 7 6 1 AR 10 1 D 2 .00 ®.