HomeMy Public PortalAbout4941TEMPLE CITY BLVD_Building (2) 70A638A CE.BDS B BBAPPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY --
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OP BUILDING CROSS ST
DISTRICT NO GROUP TYPE PR ESSED BV
FOR APPLICANT TO FILL IN � CONST�
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 9 ,CLASS NO�OWELL UNITS B P
LOT NO BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE
TRACT MAP HIGHWAv
0,,LOGS NO ICIRCLE) STATE MAJO SECON LOCAL
SIZE OF LOT NOW ON LOT U Z NE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
OWNER Morries Gsrbarini�o BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 4941 Temple Cit Blvd. FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L A
ADDRESSTEL
�l
CONTRACTORVir iii Roof CO.NO 287-05oft d C
u
ADDRESS 600 So. San Gabriel Blvd. ec
DESCRIPTION ORK
1
NEW ADO ALTER REPAIR DEMOLISH N
SQ FT NO F NO OF Z
SIZE
STOW
TO FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATIONS 384.00
APPROVALS DATE NSPECTOR B SIGNATURE
PC PMT FOUNDATION LOCATION I
FEE S FEE S 6.00 FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEOGE THAT 1 HAVE READ THIS APPLICATION, BRACING BOLTS
AND STATE THAT THC ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY OROINANCEB AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREB I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABO COO. OF THE STATE OF CALIFORNIA RELAT
INC TO WORKMEN S O PENSATION INSURANCE LATH EXT
SIGNATURE OF L HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS Marcia madcLen 6a FINAL
JOHN LEWIS PRINCIPAL ST RALIENGIN ER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION cM O DASH
JCo 71 1 1 ? raw 4 1 0 K 6.00—
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