HomeMy Public PortalAbout4946TEMPLE CITY BLVD_Building (2) TBAGSBA GE0803 B .. APPLICATION 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 OF BUILDING CROSS ST
DISTJC NO OU BV
FOR APPLICANT TO FILL. IN `j CONTYPEST
BUILDING STATISTICAL IFICATION SEWER�MJA P
ADDRESS BK /_ PG,O
It CLASS NO DWELL UNITS VV //
LOT NO BLOCK/ WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACTMAP HIGHWAY
NO OF SLOGS NO ICIRCLEI ,STATE MAJOR SECON LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
EL 71tF OWNER
F NO 6Var/ BUILDING 1 EXIST
SETBACK YARD HWV STREET NAME WIDTH
ADDRESS ,• FRONT 7 /�
ARCHITECT O _ TEL P L
ENGINEER NO SIDE
P L
ADDRESS
TEL 0
CONTRACTOR NO U
ADDRESS Y
0
DESCRIPTION OF WORKIII
G
W
d
NEW AD ALTER REPAIR DEMOLISH I N
SO FT NO OF NO OF Z
SIZE STORIES FAMILIES
USE O
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION E II 6
APPROVALS DATE INSPECTOR R SIGNATURE
PC PMT FOUNDATION LOCATION
FEE S FEE S FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING GONSTRU CTION I CETTI FY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WI NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR C 01 TH STAT[ OF CALIFORNIA RELAT
LNG TO WORKMEN S G NSATI INSURA E
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED ./
ADDRESS FINAL ��/ (f
JOHN F LEWIS RING IPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK M O GASH PERMIT VALIDATION &K No CASH
LAL;o9345o Jul28 1 D 9.00— a