HomeMy Public PortalAbout5249TEMPLE CITY BLVD_Building I
76ASSBA CE UO3-E-!7 APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS N
BUILDING AND SAFETY DIVISION LOCwun
JOHN LAMBIE,CouNn ENGINEER NEAREST
CASSATTO GRIFFIN SUPT OF BUILDING CR 95 ST
DISTRICT O I GROUPIn� ER MAP
FOR APPLICANTTO IN BIC PI!,N
BUILDING 6TATISTICAL BSIFICATION
ADDRESS �
LOT NO Fb iR BLOCK
CLASS NO ELL UNIT
MAP /
NUMBER L'/ HWY YES O
TRACT USE Z NE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
XISTI OB DG. BUITIDING YARD HWY STREET NAME EXIST
r ti SETBACK WIDTH
OWNER FRONT
MAIL P L
ADDRESS 810E
TEL P L
ARCCIr " INSPECTION RECORD
RCHITE R TEL
ENGINE NO
ADDRESS
TEL
CONTRACTOR NO
ADDRESS
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR 5SIGNATURE
ADDRESS FOUNDATION LOCATION
s - FORMS MATERIALS
�O P G i FRAME FIRE STOPS
FEE BRACING BOLTS
VALUATION FURNACE LOCATION
FE! GASVENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT
PLICATION AND STATE HAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY W H A L COUNTY ORDINANCES AND
STATE LAWS REG
TIBUIL N8 UCTIO LATH EXT
SIGNATURE OF
HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL
JOHN A LAMBIE COUNTYENGINEER CLYDE N DIRLAM PRINCI AL STRUCTURAL E EER
PLRR LSC[VALIDATION CX. Y o CADN PERbUr VALMAIION rx r o
LACD2769N APR 10 1 A 200 m.
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