HomeMy Public PortalAbout5524TEMPLE CITY BLVD_Building (2) F ROAD MATT. PERMIT 3 REQUIRIt
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FOR ANY ANTERIAL Si;�;FOE 07 \40RK /V C G J I
' DONE IN THE ROAD RICrIT OF WAY.
�•AY.A C�f.m.0 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY /
JOHN A LAMBIE. COUNTY ENGINEER NEAREST
CAHBATT D GRIFFIN SUP T OF BuilMING CROSS ST
DISY NO I GROUP TYPE P ED BY
FOR APPLICANT TO FILL IN CONST
BUILDING
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ADDRE,4 JJ h 1 L V i,ffK
CLASS NO WELL UNIT
LOT NO PO T f 3 ft� BLOCK MAP STATE YE O
NUMBER HWY
TRACT V 1119-4- t`s US ISPECAL
BLD
SIZE OF LOTl'rJ '77 I NO OFNOW ON LOTS �- a COPNDITP 67 ONS
USE OF T-7
EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST
w C SETBACK WIDTH
OWNER FRONT
MAIL � L
ADDRESS bIDE
P L
CITY L' I / n Z
TEL INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS _TEL jl/ j
p I
CONTRACTOR ���/� ,-Z G NO Iso
ADDRESS" 4�M O r ( _ / / � /
DESCRIPITON OF WOGS '
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NEW ADD ALTER REPAIR "-DEMOLISH
SO FT NO OF NO OF / f / 11
SIZE STORIES FAMILIES
USE OF T�'!I Q- T L /
STRUCTURE
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I _
SIAGNATURE OF L
PPLIGNy^ e� APPROVALS DATE INSPECTOR 9 SIGNATURE
ADDRESS; /` I yI` IN FOUNDATION LOCATION
FORMS MATERIALS O
VALUATION 33 �.. ���Q y3�'Q FRAME FIRBS
BRACING BOL O
FURNACE LOCATI N
P E �G FPMTEE • O¢ GAS VENT DUCT '
1 HEREBY ACKNOWLEDGE HAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS LATIN BU IN O STRUCTION LATH EXT
SIGNATURE O HOUSE NUMBER COR- p
PERMI Z'S/jA RECT AND POSTED Ip 7z 601 P /
ADDREB FINAL
CLYDE N DIRLAM PRINCIPAL STR)JCVRAL ENGINEER
..
PLAN CHECK VALIDATION cK o CAISH PERMIT VALIDATION No —H `
LACp9761 �3. APR 25 2 3 A 2250 ; „ ®.
oaT, - lT,0074 1TR ?y 1 A 48.00
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