HomeMy Public PortalAbout5507TEMPLE CITY BLVD_Building (2) 1#A03lA CE/503 8-64APPLICATION FOR BU LDIN6 PERMIT
COUNTY OF LOS ANGELES noILDIN uL&O
DEPARTMENT OF COUNTY ENGINEEII _ _
BUILDING AND SAFETY DIVISION LOCALIrr
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS.SUPI OF BUILDING CROSS ST
DI9 TRI CT NO GROUP TYPE R D Y
FOR APPLICANT TO FILL IN �_ CON i
BUILDING�dOvrrITATISTICAL/Cy.SSIFICATION SEWER MAP
ADDRESSS3_0 CLA94 NO L�DW EIL UNITS
LOT NOMr, �� BICC" _ USE ZONE MAP OO
T R A C ,.ca-.../ SPECIAL
MO OF OLDGS CONDITIONS
SIZE OF LOT MOW ON LOT _
USE OF
SLDO SPE
CK TROY
TEL FRONT PROP [ 01 (STA[[T)
OWNER NO TYPE OF [KISTIM [TSACK N1614!'A YARD TOTAL
C
ADDRESS 45z� NIQHWAY WIDTH FR
CITY BLDG SETBACK FROM
R 8 TEL SID[ PROP Lin OF STREET
ENGINEER NO
TTP[ 0I EXISTING BACK MIONWAY } AD = TOTAL
ADDRESS ESD NI/XWAY WIDTN IRON C L
CONTRACTORLIC
ADDRESS 6 NO �� (� U CORNER CUTOFF YES NO O
CITY `IC
L SEE REVERSE SIDE FOR SPECIAL APPROVALS rf,
DESCRIPTION OF WORK �z / � �� � Z
NEW ADO ALTER REPA R EMOLIS �L V
9O FT NO OF NO
SIZE STORIES FAMILIES
US8 OF
STRUCTURE
SIGNATURE OF TV
APPLICANT /
VALUATION$
OVALS DATE INSPECTOR'S SIGNATURE
P C MT FOUNDATION, LOCATION
FEE FEE FORMS MATERIAL!
_409P AM E, 'N' BITOPS,
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE I/ CORRECT AND AGR[[ TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDIMAryC[/ AND STATE LAW/ REGULATING GA! VENT DUCTS
OUILDING CONSTRUCTION I C[ItT IFY THAT IN GOI NO THE WORK
AUTHORIZED H[RC/Y 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE WOR CODC OF THE TAT[ OF CALIFORNIA RELAY
ING TO WORKMEN 6COMP[N/ TIO
SUN.
^ LATH ENT
SIGNATURE OF ,HOUSE NUMBER COR-
PEAMII pZ.QLANP POSTED
ADDRESS '7 FINAL
JOHN F LEWIS PRINCIPAL STRUC URAL EN
PLAN CMCE VALIDATION CK NO CASH _ PERMT VALIDATION CK MO ON
2UG 0 7 6 8' APR 21 1 D 8.0 0