HomeMy Public PortalAbout5302TEMPLE CITY BLVD_Building DEPARTMENT OF BUfLDING AND SAFETY APPLICATION FOR PERICT
COUNTY OF LOS ANGELES BUILDING
WM J. FOX. CHIEF @IGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN CK NO PERMIT NO
ADORM11 S3 0 1 Al, k ,8/v,:/ y/.3
LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST /Q ` / jr Y- 2 3T rl /^
CROSS BT T BUILDING
ADORMS J 3 O.T. A �Y?l ✓ / �//j/V
OWN yy
!JAIL LOCALITY o"
ADDR NEAREST
TEL CROSS BT /J/Q o
CITY NO FIRE NO OF TYPE J GROUP
ARCHITECTOR TEL ZONE PLANS VIr
ENGINEER NO BLDG ORD NO
SETBACK LINE
ADDRESS APPROVED
TEL BY DATE
CONTRARO O USEw APPROVED
_ ZONH/y -/ BY DATE
ADDRES Q 000 HOUSE NUMBERING
L66AL
DESCRIPTION N BLOCK MAP NUMBER 6� FI¢LD CHECK BY
TRACT \ NO ASSIGNED BY-,i5-----DAT DAT
NO OF BLDG CORRECTIONS
SIZE OF LOT NOW ON
US[OF NO OF
EXISTING BLDG FAMIU" C L2Urra �,
DESCHIDTION OF WOHE
NEWA=9"T10N I I ADDITION I GO LAAO lL/ D
REPAIR DEMOLITION F
80 FT NO OF �' D
SIZE ROOMS, l STORM /• �. (�•\ >
EXT WALL ROOF R•�s - r,
COVERING �•�` IC01(ERINGxf
USE OF STRUCTURE
INSPROV
P¢CTOvSIONATU RE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. FOUNDATION 00CATION �> >
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT
1 AGR[[ TO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRESTOPS. /
1101 EON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING. BOLTS
LAWS REGULATING BUILDING CONSTRUCTION
FURNACE LOCATION.
SIGNATURE OF GAS VENT, DUCTS
PERMITT¢
LATH. INT
ADED
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LATH, ®R
AUTHRIZdD AGT
PLASTER, INT
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FEE PLASTER. EXT
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