HomeMy Public PortalAbout5313TEMPLE CITY BLVD_Building (2) VIP, TEMPLE-CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING -_3C
DEPARTMENT OF COUNTY ENGINEER ADDRESS,]
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUR T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DlsTgc� GR.�ua TYPE PR s r
a S g !r CONST
'BUILDING R` P[.E L1 j 8L STATISTICAL C), IFICATION SEWER MAP
ADDRESS ? rI'� �Z/�
U7 CLASS NO DWELL UNITS
LOT NO 8 / / LOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT ' MAP HIGHWEY STATE MAJOq LOCAL
NO OF SLOGS NO ICIRCLeI
SIZE OF LOT Q /S3 NOW ON LOT 2 USE ZONE SPECIAL
SIZE
/SOME AkAG CONDITIONS
EXISTINGBLDG
OWNER oben2t , Lv NO (, 863 9UlLDING YARD HWY STREET NAME IIST I
�Jf q Q SETBACK WIDTH
ADDRESS �13 i` Clj}'8lACS FRONT /j _ OI 1
ARCHITECT OR TEL P L VVK,
dl
ENGINEER '�� NO SIDE r
_ P L
ADDRESS R
O
TEL .6
CONTRACTOR .S SL•F+ NO v
cc
ADDRESS �� O
DESCRIPTION OF WORK
2 G r7s
NEW ADD ALTER REPAIR DEMOLISH Z,
SQ FTNO OF NO OF
SIZE STORIES FAMILIES /
USE OF /4 � / 'I
SIR j TORE �- I
SIGNATURE OF /
APPLICANT
VALUATION S -� �
APPROVALS ATJE INSPECTOR 6 SIGNATURE
FOUNDATION LOCATION
FEE FEE $ FORMS MATERIALS --"/lN /•Y/i>�
FRAME FIRE STOPS /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS _ A , L�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
6UILOI NO CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHOR12E0 HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAY
ING TO WORKMEN 6 COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEEPat-l—miRECT AND POSTED
ADDRESS -ct FINAL
JOHN F LZWIS PRINCIPAL STI URAL ENGINEER
PLAN CHECK VALIDATION CK Mo cASH
_ VALIDATION CK MO CASH
LAL0 8 4 6 U tIHY Jr
G
I