HomeMy Public PortalAbout5616TEMPLE CITY BLVD_Building (2) 7BA630A CA 9802-2-8T APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE•COUNTY ENGINEER NEAREST
CASGATT D GRIFFIN SUPT OI BUILDING CROSS ST
DISTRICT NO G TYPE SEW MAP
FOR APPLICANT TO FILL IN g Pal
CONST
BUILDING STATISTICAL CLASSIFICATION
ADDRESS q ^j
CLASS NOS✓ DWE UNIT
LOT NO / -IZA.3 BLOCK MAPSTATE
TRACT /j (.�/ Y • NUMBER HWY YES NO
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p NO OF SLOGS � CONDITIONS
SIZE OF LOT •3 �O NOW ON LOT
USE OF
EXIST]NQ SILD0 BUI GING YARD HWY STREET NAME EXIST
SETBACK WIDTH
OWNER FRONT /zr `\
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cITY oL 145 3 P L INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER �� NO
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CONTRACTOR d NO U 3JO
DDRE 8 22 gol Arp C i
DESCRIPTION OF WO
NEW X ADD ALTER REPAIR DEMOLISH
SO FT A O OF NO OF
SIZE FAMILIES
FAMILIES
USE OF STRUCTURE
SIGNATURE OR APPROVALS
APPLICANT
ADDRESS 1 .,, DATE INSPECTOR S SIGNATURE
FOUNDATION LOCATION
E _ P C. i FORMS MATERIALS
FRAME FIRE STOPS
�S ✓O FEE BRACING BOLTS
VALUATION f -!EO FURNACE LOCATION
FEE GASVENT DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT ,
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH A COUNTY ORDINANCES AND
STATE LAWS IN UILDI G CONSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
AooRe �— FINAL
JOHN I AMIE COUNTY EN INEER Lf CLYDEN DIRLAM PRIN IPALSTRUCTURAL GINEER f
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