HomeMy Public PortalAbout5526TEMPLE CITY BLVD_Building (2) TSAGSBA cEYeo3 S-SS APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY Na& Temple Cit
.JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A -IENSEN SUP T OF BUILDING CROSS ST
DISTRJLZ O GgOU TYPE B
FOR APPLICANT TO FILL IN J /VI CONST n -
BUILD'NO STATISTICALCLASSIFI CATION EWER MAP /
ADDRESS SK
CLASS NO DWELL UNITS
LOT NO 33 BLOCK WATER
CERTIFICATE NOT REOU I RED RECEIVED
TRACT Mission View Acres MAP HIGHWAv STATE MAJO ECON LOCAL
NO OF BLDGS NO IC IRCLEI
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG ra e
OWNER G T. Schaub TaT 63483 B LDING EXIST
nn +� SETBACK YARD HWY STREET NAME WIDTH
ADDRESS5526 N. SEMI Temple Cit FRONT O
ARCHITECT O TEL P L
ENGINEER standard plan NO PIpE /
ADDRESS V' I E
CONTRACTORs. TEL '210 - �V
ADDRESS
DESCRIPTION OF WORK 0
IL
NEW ADD ALTER REPAIR DEMOLISH T N
SO FT NO OF NO OF
SIZE STORIES F ILIES
USE OF
STRUCTURE Private Wim I ,
St lan
SIGNATURE _
APPLICA
VALUATION
APPROVALS DATE INSPECTOR 9 SIGNATURE
PC PMT CEJ FOUNDATION LOCATION
FEE S FEE $ I,/(/ FORMS MATERIALS
FRAME FIRE STOPS
I H EREST'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGBOLTS
AND GTATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLv FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REO T O GAS VENT DUCTS
BII ILDINO CONSTRUCTION I CERTIFY THAT IN DOINO E RK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY P RS IN DLA LATH INT
TION OF THE LASO DE OF THE STATE L RNIA ELAT
ING TO WORKMEN C NBwTION INSUR LATH EXT
SIGNATURE F USE NUMBER COR
PERMITTE AND POSTED /
ADDRESS Fir stone t9 @AL J
PLAN CHECK VALIDATION CK MO CASH JOHN F LEWISRINCIPAL STRUCTURALENGINEER
PERMIT CHECK VALIDATION em 0 CASHPERMITT VALIDATION « M o CASH
` LhL,o9 8 8 1—� MR 2 4 2 1 0 4.63
L&O9 6 8 2 c ct�R24 1 D 18.50-