HomeMy Public PortalAbout5530-5605TEMPLE CITY BLVD_Building iaAaD'A.CE 0803 1/7I �.n.ir��/�`-•I� C aiC'y/
APPLICATION FOR BUILDING PERM(
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE, PARCE
B=ING AND SAFETY DMSION BAUILDING 53'00
DDREss
COLEMAN W. JENKINS. SUP? OT BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
BUILDING I DISTFyICT O OUP TYPE ---./-� ED
ADDRESS 0 CONST \/
STATISTICAL CLASSIFICATION ' Y SEWER MAP
LOT NO A" BLOCK r CLASS NO_QZOWELL UNITS BK PG"23 G
TRACT�30 USE ZONEI MAP n (pot
NO OF BLDGS I NO
SIZE OF LOT NOW ON LOT _� SPECIAL
USE OF CONDITIONS '
EXISTING BLDG
TELA
{1O / /OWNER /0-1-/4& / BLDG SETBACK FROM
ADDRESS �// 414, FRONTPROP LINEOF (STREET)
L �y�` TYPE OF E%ISTI NG BETBACI( HIGHWAY } YARD = TOTAL
CITY /� NI GHWAY WIDTH FROM C L
ARCHITECT ORTEL -_
ENGINEER G•'L }
( A.!�v NO
C M
ADDRESS / aIIe E
.✓I SIDE PROP LOF (STREET)
� /t�,
TEL c� TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR
(f '�/ NO QUO / HIGHW Y WIDTH FROM C L
LIC
ADDRESS d A.2� NO +- S `/I� }
fl
.�I�./G�Ii-+.� LCJ
CITY CU1IC55 CORNER CUTOFF VES ❑ NO ❑ y�
CONSTRUCTION LENDER H
NAME AND BRANCH f _ i. SEE REVERSE SIDE FOR SP IAL APPROVALS z
ADDRESS ,L 8 L
SO FT NO OF NO OF NEW
SIZE �Q STORIES FAMILIES
USE OF ' ADD ❑ 3
STRUCTURE /�A" '. ALTER ❑
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
/
VALUATION S / GC�
APPROVALS DATE InB VE oR•G alGxA ru Re
P C PMT FOUNDATION LOCATION
FEE 5 I FEE $
/ .SD FORMS MATERIALS [�
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUC TI ON I CERTI IY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT [MPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF _SAL IF NI N EL TI NO TO
WORKMEN B COMPENSATION IN
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED 01
ADDRESS IrFINAL
• JOHN F PERMIT
PA �T T�U RAL ENGINEER
PLAN CHECK VALIDATI N CN M O CASH PERM( N( c�l .0 CASH
tfito � Am' o a 81.90 ����/
-
LdWR 069 S& 27 1 D 136.50