HomeMy Public PortalAbout4911TEMPLE CITY BLVD_Building ,6AE]B.CE#..325] APPLICATION OR BUILDING P RMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUIIDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRI T NO GROU TYPE ESSED BY
FOR APPLICANT TO FILL IN coNsr
BUILDING STATISTICAL CLASSIFICATION ER MAP
ADDRESS 4911 Temple Cit Blvd. BK
CLASS NO DWELL UNITS
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
TRACT /41
CERTIFICATE MAP HIoHWgr STATE MAJOR EC D OCAL
NO OF BLDGS NO (CIRCLET
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF A/
ECONDITIONS
USE O NG BLDG Residence -
L TEL
OWNER Emma Ingram NO [rRON
YARD HWY STREET N ME EXIST
WIDTH
ADDRESS 49
ARCH ITECT OR TEL ENGINEER NO ADDRESS 0
CONTRACTOR Vir in. Roof �BOsI hT 7050 _ mADDRESS 600 S. Jan Gabriel Blvd. 0DESCREMON OF WORKSan Gaba
N
NEW ADD ALTER EPAIR DEMOLISH Z
SO FT NO NO OF -
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION $371.00 '
APPROVALS DATE INSPECTOR SBDGHATURE
PC c FOUNDATION LOCATION
FEE 6
S T��� FEE S .00 FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGL THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THL LABOR CODC OF THE STATE OF CALIFORNIA RELAT
[NO TO WORKMEN COMPENSATION INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS 600 S.San Gabri 1 Blvd. FINAL '
PLAN CHECK VALIDATION IK a e SH JOHN F LEWIS PRINCIPAL ST RAL ENGIN ER
O
PERNIIT VALIDATION DK M D CASH
V,Lo 5 2 8 3:d FEB 5 1 D -6.0 0"