HomeMy Public PortalAbout5208TEMPLE CITY BLVD_Building (2) BUILDING woon°� C11"(T6-41 o0Z F .
APPLICATION LCCALTYV �(
NEAREST / '^
DIVISION OF BUILDING AND SAFETY CROSS (�
V DIRT RI N4 RE EIPTN ER I
PTN4
Bit 7q Angeles .S
Oomty
M4. J. FOX, COUNTY ENGINEIR ORO P DAT[R[C[IV[D DATE ISSUED
OASSATT D. SRIrrIN. BAT Dr BULLRINR 30
FOR APPLICANT TO FILL IN TYPE Br. R[OEIVED BY ISSUED BY
172
OWNER Mt. 'Alexan8er A.
Kczub
MAILREBS 5408 N• Tern le Cit bly . Nm:ER 016 STATIC .m, ND
CITY ' Ic I TCL 04R40 YSCZOM[ SPECIAL
DONDITIONB
ARCHITECT OR TEL 10 0
ENOINCER NO
SETBACK YARD HWY STREET NAM[ WIDTH
ADDRL'SS
Myself TEL FRONT
�l O , L
CONTRACTORN4
BIDE
P L
BUILDING1�r1 DATE CORRECTIONS INSPECTOR
ADDRESS 4'•1 e
C O M T TO ry T
LOT N4 /03 BLOCK
TRACT
/ 5(08 ,3
( p +�3o
sirs Or LOT LoomDLOT d ��
usE or ,
.JAMINM SLOB.
DESCRIP'T'ION OF WORK
NEW ADD ✓I✓ ALTER REPAIR DEMOLISH
B4". NO or ( No.Or
BIZ[ V BTORIM rAMILI[B
USE or STRUCTURE To be used cis ig i
UTlit room, Work shop , aw
1
No or
' I HEREBY AOKNOWLEDRc THAT 1 HAVE READ THIN AP
PLICATION AND STATE THAT THE INFORMATION OIVDI IN APPROVALS INSPECTOR'BBIONATURL DA
CORRECT.
IAOREL TO COMPLY WITH ALL COUNTY 13RDI14ANCZB FOUNDATION LOCATION
AND STAT[ LAVm q[OU{,ATINO BY LDINO CONSTq{ICT N FORM MATERIALS
/V,//may//�J /O/O �/'ll/
FRAME FIRE RTOPO.
BIDNATURc or t BRACING BOLTS
PERMITTERFURNACII LOCATION.
ADDR
-5d oS OAS VENT DUCTS
ICKS
AUTHORIZED ACT , LATH INT.
LATH DIT.
SP.O ■ HOUR[NUMBER DOR-
rE[ I RIOT AND POSTED
VALUATION rce a16 FINAL
YMAILA Delia 1-e4