HomeMy Public PortalAbout4918TEMPLE CITY BLVD_Building TEMPLE •C18Y
APPLICATION FOR BUILDING P RMT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGWEER ADDRESS
BURIDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE. COUNT' ENGINQR NEAREST
MMMM1 WA" JENSEN. BUIPT Or BUILDING CROSS ST
DISTR CT O P T.pE E38ED BY
FOR APPLICANT TO FILL IN . L9 L eoN ,SEc�_�
BUILDING STATISTICAL CLASSIFICATION ER MAP
ADD ISS EMbLGC Gill- Qc utl Cuee N WELL UNITS---ABK �-
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
TRACT L CERTIFICATE
MAPHID Hwwr STATE MAJOR SECON LOCAL
NO OF BLD68 /J NO (CIRCLE)
SIZE OR LOT NOW ON LOT L— USE ZONE PECIAL
USE ,-I CON DITIONB
EXISTITI NG BLDG 14-1
- • J/?//'�L
OWNER I / �r/L D/y NO SBUTBARD HWY ILDING EXIST
SE ACK YWIDTH
ADDRESS / Jr10 k 4C fir/' 000FRONT
y T
ENGINlER '/ fl
Lf4 �I,NyO� 1� SIDEXM I
"t STREET NAME
ADDRESS D'' N L- !Er' .J% L d
CONTRACTOR ' Elc:k=µ OQ NE IINSPEMON RECORD J.� 0
ADDRESS 410 RO 1 Al PZ.
DESCREMON OF WORK
o_
N
ADD ALTER REPAIR DEMOLISH Z
NO OF NO OF
IZE D� STORIES FAMILIES
USE OF
STRUCTURHj9W//h P-064-A-10P-064-A-10 1& /-CSL•
Jra LAi✓
SIGNATURE OR
APPLICANT
VALUATION 52!W419
APPROVALS E/ INSPECTOR33IGG NNAA,TURERE
REE FE! ROFORMSION MATER ALS N L. /
FRAM! PIREBTOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIP APPLICATION BRACING BQLTB
AND STATE THAT THE ABOVE IY CORRECT AND AONEE 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 THE LABOR COVE OF THE STATE OF CALIFORNIA RELAT _
ING TO WORKMEN S COMPENSATION INSURANCE - -
LATH EXT
NU
PSIGNATURE O /A(! HOUSE NUMB COR-
ERMITTE pECf AND P087
ADDR S-LA09 FINAL
CLYDE N DIRLAM PRINCIPAL 5 RAL ENGINEER
FLAN CHECK VALIDATION / aL/ No CAIRO PERMIT VAMATION, aL) r o eAnl
Li c 1 9 3 7 —� i 1, Y 1 2�--3D' S 25 m
L' ,1 9 3 8 j LAY 1 1 D