HomeMy Public PortalAbout5020TEMPLE CITY BLVD_Building •APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUWING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CAHHATT0 GRIFFIN SUIT OF BUILDING CROSS ST
RO SST
DISTRICT NO GROU TYPE SEWER MAP
FOB APPLICANT TO FILL IN Z— Po
CONST
SU'
LDI S
ADDRESS STATISTICAL IFIGTION
LOT NO BL CK CLASS NO ELL UNITIL
MAP STATE YES O
NUMBER (---Hwy
TRACT USEZONE SPECIAL
_ NO OF SLDGS n CONDITIONS
SIZE
LOT 0 7 OW ON LOT Z /
OP
FX
I IN BLD CE BUILDING YARD HWY STREET NAME EXIST /
SETBACK+ WIDTH
OWNER FRONT y�
MAIL P L '/II/ / '
ADDRESS SIDE
� TEL P L
C NPI INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
TEL
CONTRACTOR NO
ADDRESS _
DESCRIPTION OF WORK 8
GJ 6 lU
NEW yADD ALTER REPAIR DEMOLISH
HOTI NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATUREOF APPROVALS
APPLICANT
DATE INSP NATURE
ADDRESS FOUNDATION LOCATION
P C j FORMS MATERIALS
Fl+
RAME FIRE STOPS
FEE BRACING BOLT9
VALUATION ,� $ ' FURNACE LOCATION NkE
FEE GASVENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND 1
STATE LAWS REGULATING BUILDING CONST UCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTER RECTAND POSTED
ADDRES vj:z� FINAL Co!
CLYDEN DIRLAM PRINCIPAL STRUCTURAL EN R
PLAN CEO=VALM ATION DX r o wH ' PE30ai'1'VALIDATION CK. N ousN
LQ l 5 7 1 S JUN 5 1 A 1 3.5 0 2 m,