HomeMy Public PortalAbout5424TEMPLE CITY BLVD_Building (2) rI .PARTD�NT OF BIIII.DIsG AND SAFETY APPLICATION FOR PERKET
e covNJ. OF LOS ANGELES B V 1 L ® 1 N G
� WM. J. PDX. OXIEF ENGINEER �
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN OK-NO PERMIT M0.
BUILDING
ADD < G
LOCALITY . /�RR[j�¢gZIIVCDBY I DATE or APPL V DATit ISSUED
NEAREST IDROSS WE :.AV Q� � v
BUILDING
OLYN ADDRESS
MAIL LOCALITY
ADDR[ V
NGR[ST
CITY 1� 3 Namur
NO or
ARONITE L OR TEZONE PLANS TYPE GROUP
ENGINEER NO
BLOC
DD SETBACK UNE
APPROVED
CONTRAOTOR /��GO✓�'� B DAT[
` USE APPROVED
A D 'rw 7'oZON _ BY DAT[
L[oAL p p s- CORRECTIONS
DESCRIPTION LOT NO \ CK per/
TRADr I ' /s �` — Chm Q -7- / /
NO OFBLDOB
BIZ[OF LOT NOW ON LOT
UBE or NO OF NO OF
FAM140CR O
DESCRIPTION OF WORK
NEW ALTERATION ADDITION D
a
REPAIR MOVING DEMOLISH p
SIZE ROOMS STORIES r
WALLROOT _
COVERING COVERING
USE OF NEW
BUILD NO
t
1 HERESY ACKNOWLEDGE THAT I MAV[ READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO CO LY,1u-�ITR ALL COUNTY ORDINANCES FORMS.MATERIALS
AND STATE IAWB 1 O�TINa BUILDING CONSTRUCTION
FRAME FIRESTOP6.
SIGNATURE O BRACINO.BOLTS
PERMITTE LATH, INT.
AUTHORIZED AUT LATA. EXT
'l6ALABA-] >vE $ p P C m PLASTER,INT.
/ G D FEE PLASTER.EXT /
VALUATION S
FEE —I FINAL