HomeMy Public PortalAbout4941TEMPLE CITY BLVD_Building 76As3¢A CEeaoa a-aa APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES 8 DRESSS / '"'o C/7 L D
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY �� ry
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENCEN SUF T OF BUILDING CROSS ST
DIST ICT N G TY E P E B
FOR APPLICANT TO FILL. IN coNsr04
BUILDING //JJ STATISTICAL CLA ATION SEWER M�
ADDRESSfey E T :JL(/D B PG
CLASS NO DWELL UNITS
LOT NO SL, BLOCK WATER
CERTIFICATE NOT REOU IRED ❑ RECEIVED
TRACT CF MAP HIGHWAY
NO OF SLOGS NO (CIRCLE, STATE MAJO SECOND LOCAL
SIZE OF LOT �Z NOW ON LOT USE ZONE SPECIAL
USE OF v CONDITIONS
EXISTING BLDG
TEL
OWNER /.(// NO LOO VO BUILDING EXIST
n /� SETBACK YARD HWV STREET NAME WIDTH
ADDRESS � P (�/Yr6L{eQ, C FRONT /t a�E
ARCHITECT OR TEL P L V
ENGINEER O!.✓N�lL NO SIDE
P L
ADDRESS /Vj
TEL 0
CONTRACTOR NO V
CUR& GUTTER DRIVEWAY APPROACH,
ADDRESS at
DESCRIPTION OF WORT{
G
Note Permdt for Curs guttar, slda I"f r^d driveway Approrch Imd
rAPPLICA
ADD ALTER REPAIR DEMOLISH ttallabont tllauld be fa en o,' et In, - ep t n o aVl
FT / d NO OF NO OF r - `-' ^r I • d?
E 102 ASO. STORIES FAMILIES
OF ,.,e c a lengfIry delay Survey'& Des
gn wcrl taus fine end a not t}Sri d
UCTURE RG S/ �G L/f/` c 0 arm t en inn ppy Or parkway
ll
NATURE OF NT
VALUATIONS 5000 4 L
APPROVALS DATE INSPECTA 9eloNATUR¢
PC PMT / �(r FOUNDATION LOCATION
FEE $ J FEE FORMS MATERIALS
FRAME FIRE STOPS .. /-
I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS K
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK j
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT /•
TION OF TH6 LABOR CODC OF THE STATE OF CALIFORNIA RELAT
INS TO WORKMEN 9 COMPENSATION INSURANCE LATH EXT
SIGNATURE OF � HOUSE NUMBER COR
PERMITTEE ///77/ RECT AND POSTED 1. ink
ADDRESS� FINAL I� '
PIAN CHECK VALIDATION CK M o JOHN FITLEWIS PRINCIPALS RAL ENGINEER
CASH
PERMIT VALIDATION cK M D uaM
LACID8552o RAY 1523D 11 .001
,, Ae 5 8 7G FAY 16 1 D 2 2.0 0, cv-