HomeMy Public PortalAbout5424TEMPLE CITY BLVD_Building 76A698A CE Y8039-69 APPLICATION FOR BUILDING Pe MIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS- I
BUILDING AND SAFETY DIVISION LOCALITY 1
JOHN A LAMBIE, COUNTY ENGINEER NEAREST _
COLEMAN W JENKINS, SUPT OF BUILDING CROSS ST I -
FOR APPLICANT TO FILL IN DIST r No I GROU➢^_ I IPE P, E _
(PRINT OR TYPE ONLY( J
BUILDING STATISTICAL C S ICATION SEMER MAP , 1
ADDRESS 5424 Temple Cit Blvd. CLASS NO DWELL UNITS __BK , G
LOT NO BLOCK USE ZONE MAP o Cl�1
NO (J
TRACT SPECIAL
NO OF BLDGS CONDTIONS _
SIZE OF LOT NOW ON LOT ar
USE TING BLDG Dwelling
BLOC SETBACK FROM
TEL FRONT PROP LINE OF - - - -(STREET)
OWNER NO TYPE OF EXISTING1 SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 5426 Temple City Blvd. HIGHWAY WIDTH I FROM C L
CITYT=le City
ARCHITECT OR TEL 9 DE PRO LINE OM (STREET)
ENGINEER NO
TYPE OF "!STING SETBACK YARO = TOTAL
ADDRESS HIGHWAY I WIDTH FROM C L
CONTRACTOR CO. N0�87-0507 - - ` I c
LIC
ADDRESS600 S. San Gabriel NO 1610650 -- -- CORNER CUTOFF _YES ❑ NOLIC
❑ _ _
CITY CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS LQL�
CONSTRUCTION LENDER (LI
NAME AND BRANCH a
N
ADDRESS z
SO FT NO OF NO OF
SIZE STORIES 1 FAMILIES NEWE OF ❑
SUSTRUCTUREa House 6 G e ADT El
ALTER ❑
REPAIR �]
SIGNATURE OF DEMOL ❑
APPLICANT
VALUATION s 474.00 APPROVALSDATE INSPECTOR'S SIGNATURE
P C PMT FOUNDATION LOCATION `
FEES FEE S FORMS. MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS,
AND STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY BRACING. LT
WITH ALL ORDINANCES AMD LAW! REGULATING BUILDING CONSMUC• FURNACE LOCATION,
TIOM I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I AS VENT, C
TS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM-
PENSATION INSURANCE LATH, EXT
SIGNATURE OF ��C/�� p HOUSE NUMBER CORRECT
PERMITTEE �1 AND POSTED
ADOREA90 S. • GaII Gabxbl FINAL
JOHN F LEWIS PRIN IP L STRU TURA L ENGINEER
PLAN CHECK VALIDATION CK MO CAS. _ PERMIT VALIDATION CK M0 CARH
q�, 6 3 0 4R AUG 12 1 D 9.000, -