HomeMy Public PortalAbout5503TEMPLE CITY BLVD_Building (2) ,. o..«t...... APPLICATION FOR BUILDING PE MIT 1
COUNTY OF LOS ANGELES BUILDING �O3
ADDRE89
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY At
JOHN A LAMBIE.COUNTY ENGINEER NEAREST /f
CASBATT D GRIFFIN SUPT OF BVILDIKO CROSS 5T,
DISTRICT NO GROUPn.pE P SHD BY
FOR APPLICANT TO FILL IN CONST
BUILDINGS ER MAP
ADDRESS d E / BTATIBTICAL CLASSIFICATION
BK
W 0 CLA 88 NO DWELL UNIT f'—f
LOT BLOCK MAP STATE
NUMBER HWY YE8 O
TFtACT
SIZED UBJ� SPECIAL
NO OF BLD08 CONDITIONS
SIZE OP LOT NOW ON LOT
USE OF 5000
BUILDING YARD HWY STREET NAME EX16i
SETBACK WIDTH
OWNER FRONT r
MAIL P L O
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ARCHITECTOR TEL INSPECTION BEGGED
ENGINEER IVA ff a NO
ADDRESS
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CONTRACTOR I '
DESCFXMON OF WOES
NEW ADD ALTER REPAIR DEMOLISH
MFT NO OF NO OF
E STORIES FAMI IEE
USE OF BTRUCTURB
V AL
SIGNATUREOF APPROVALS
APPLICANT -
DATE INSPER TUBE
ADDRESS FOUNDATION LOCATION
s —_ FORMS MATERIALS
+f" P C FRAME FIRESTOPS. 1
/ H BRACING BOLTS
VALUATION j Q-Q FURNACE LOCATION
pgg OAe VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EKT
STATS LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE O HOUSE NUMBER COR.
PHRMI RECT AND POSTED
DDRE FINAL
CLYDE DIRLAM PRINCIPALSTRU RAL ENGINEER
COL mo WH P V A O cR' mo CA/H
LA15 8 2 8 N OCT 16 1 A 5.0 0
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