HomeMy Public PortalAbout5470TEMPLE CITY BLVD_Building TEMPLE CITY
.. Ct#.• X/ft APPLICATION FOR BUILDING PERMIT �.
COUWfY OF LOS ANGELES BUILDINGr
DEPARTMENT OF COUM ENGD= ADDRESS
BUMDING ASAFETY DTVLSION LOrALITY
ND �i
JOHN A LAMBIE, COUNTY ENGINQQR NEAREST
WI IAM A JQ 8 BUP Tor Sumo CROSS 8T
DIST GTN OROUp TYPEtSTATE
P
FOR APPLICANT TO FILL IN C)T CONS
BUILDING f STATISTICALC IFICATION SEWER MAP
ADDRESS I F;.K- K PG
CLA88 NO WELL NITS
LOT NO L C MAP YES NO
NUMBER
TRACT C USEZONE SPECIAL
SNO OF SLOGS Z CONDITIONS
IZE OP LOT NOW ON LOT
F
USE O
EXISTING BLDG —
TEL ��./ SETBAING CK REENAME YARD HWY STT WIDTH
OWNERA&f 4a@jK NO / / FRONT
P L
ADDRESS SIDE
ARCHITECTOR TEL P L
ENGINEER NO INSPECTION RECORD
ADDRESS
TEL
CONTRACTOR ig NO O
ADDRESS V
DESCRIPTION OF WORK l G 0
oD
NEW ADD ALTE REPAIR DEMOLISH /���AI / G /
HO PT NO OF NO OF '- S– -
91ZE STORIES FAMILIES
USE OF
STRUCTURE FI
E C3 GE. 13 JvK r�
SIGNATURE OP O Q
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR 331GXATIIRE
P C PMT FOUNDATION LOCATION
PH FEE FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS
FURNACE LOCATION
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN 8 COMPENSATION LAWS Of CALIFORNIA LATH ERT
B IGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
woDR r FINAL .�-
CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENOINfi
PLAN CHECK VALIDATION cm. mo G QII PEBbUT VALIDATION ox r o CAYH
Ia&2762o J�gJ24 10 3.00 m,