HomeMy Public PortalAbout4946TEMPLE CITY BLVD_Building 76A638A CE4803 5 6s-APPLICATION FOR BUILDI G PERM
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS )
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS.SUP T OF BUILDING CROSS ST
DISTRICT NO GU TYPE PR B
FOR APPLICANT TO FILL IN Q CONST 2
BUILDING i STATISTICAL C SIFICATION SEWER Ap
ADDRESS Cit Blvd. CLASS NO DWELL UNITS BK /_ PG
LOT NO x 18 BLOCK USE ZONE MAP ll��
TRACT 1LI 6 NO
SPECIAL
MO OF BLDOe CONDITIONS
S1ZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG p[ BLDG SETBACK FROM
OWNER er
TEL 8 FRONT PROP LINE OF — (STREET)
TYPE OF EXISTING SETBACK HIGHWAY YARD — TOTAL
ADDRESS C HIGHWAY WIDTHMgm C L
CITY Te le Cit +
ARCHITECT OR TEL BLDG SETBACK FROM
ENGINEERniz NO lIDL PROP LINE OF (STREET)
L�
Firestone TYPE OF fZIBTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 5871 E Bl HIGHWAY WIDTH FROM C L
TEL + _
CONTRACTOR NO Sp I—PP10
C'
LO _ CORNER CUTOFF YES E:] NO u
ADDRESS LI 19
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CITY South Gilte IL C 'SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK
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NEW ADD ALTER REPAIR DEMOLISH h
SO PT C!O OF NO OF Z
SIZE 16" STORIES FAMILIES
USE OF
STRUCTURE
STAND l20 _ ,/
SIGNATU O
A PPLIC
G
VALUATION
APPROVALS DATE INSPECTOR DSIOXATURf
P CMT FOUNDATION LOCATION l
FEES FEES FORMS MATERIALS —I/
FRAME FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IG CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
•UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P ON IN VIOLA LATH INT
TION OF THE "SO DC OF THC BTATC I A DANIA RELAT
ING TO WORnM wPWSATION 1 u LATH EXT
SIGN UR HOUSE NUMBER COR- `
PERMITT RECT AND POSTED
ADDI FINAL -
CN wo CASH — JOHN F LEWIS' RINCIPA TRU TURAL ENGINEER
PLAN CHECK VALIDATION
PERMIT VALIDATION Cn M o CASH
8488� MAY 11 21 D 3.75- Z
LAW 84890 MAY 11 1 D 1500- a