HomeMy Public PortalAbout4947TEMPLE CITY BLVD_Building C/T V o f �EMP�6 GiTf'
>BABSBALERBOg I/TAPPLICATION FOR BUILDING PERMIT
` COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS I
COLEMAN W JENKINS, SUP Tor BUILDING LOCALITY
7q'w"APPLICANT
T FILL IN NEAREST
CROSS ST
DISTRICT GR P TYPE OCESSED BY
CONS
STATISTICAL LASSIFICATION SEWER MAP
BLOCK CLASS NO�1 DWELL UNITS_♦ BK PG
E ZONE MAP
NO OF BLDGS NO
NOW ON LOT ( 1 SPECIAL
USE OF CONDITIONS _
EXISTING BLDG
OWNERNOL -OI
BLDG SETBACK FROM
ADDRESS FRONTPROP LINEOF (STREET)
TYPE DF EXIgTIAK'r SETBACK HIGHWAY + YARD = TOTAL
CITY MIGHWAV WIDTH FROM C L
ARCHITECTTEL + _
ENGINEER NO BLDG SETBACK FROM
ADDRESS 1113 - QL,IJ� SIDE PROP LINEOF (STREET) yy
TE TYPE OF E%IBTING SETBACK HIGHWAY + YA m = TOTAL 1
CONTRA CTrOR " 1 NO s HIGHWAY WIDTH FROM C L
ADDRESS J v/ Gl NO Z _ + - O
CITY p CILJ155 CORNER CUTOFF YES ❑ NO B
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SID FOR SPECIA PPR ALS Z
ADDRESS
5 ZE T ' NO STORIES FAMILNO IES NEW ❑ �J
USE OF ADD /
S T R T U R E ALTER 'L
f S L
REPAIR❑ /
SIGNATURE OF . G /Y
APPLICANT q' OEMOL ❑
VALUATIONS H
l ll APPROVA GATE (HSP oR a SI NATU N[
FEE
S (f FEES ! �V FOUNDATIONFORMS MATERIALS LOCATION L
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT$
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WIT ALL ORDINANCES AND LAWS REGULATING BUILDING CDN GAS VENT DUCTS
STRUC TION 1 CERTIFY THAT IM DOING THE WORK AUTHORIZED
M CRE BY WILL MOT EMPLOY AMY PERSON IN VIOLATION Or THE LATH INT
L1 BOR CODE OF TXE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPEXS TION INSURANCE
e. LATH EXT
SIGNATURE OF 4 e L.J HOUSE NUMBER COR-
PERMITTEE �--�-- RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS RI (PAL ST URAL ENGINEER
PLAN CHECK VAIIDA N cN No CASH PERNIIT V ATZION CK MO CASH
� 3S �8
I 1
^ 856 SEP 1 23 D 9.0 0 ,
uw 7 8 5 7;S SEP 1 1 D 15.00-