HomeMy Public PortalAbout5780TEMPLE CITY BLVD_Building 8A898A CE#803..10.58 APPLICATION FOR BUILDING - PERMIT. 1•
BUILDING AND SAFETY DIVISION BUILDING o
Department of County Engineer ADDRESS
County of Los Angeles
LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS-ST.
112212m, ' 13111111111 ' DIST ICT NO. GROUP . TYpEP
FOR APPLICANT TO FILL IN I SEWER MA I 0
CONS lei
BUILDING T C STATISTICAL
ADDRESS pSHOO N. TEMPLE
1 TY BLVD. CLASSIFICATION F'
_
LOT NO. BLOCK
CSS. NO• DWELL. UNITS STATE
NUMBERZZ HWY YES O ..c
TRACT a USE ZONE S.PNO.OF H
SIZE OF LOT I�5 I NOW ON LOTS � ^ CO ON
Ck
USE OF. M R t •rye Z
EXISTING BLDG. "'e ,O� BUILD IN ' EXIST. 1%LEE-HILL O R T U A R Y SETBACK ARD STREET NAME WIDTH u!
OWNER FRONT
MAIL • TLmPLL GIIY BLVL. P. L. 5�o't�-W. /1rJ4 ,4 CITY
ADDRESS ' SIDE
CITY TEMPLE I T Y y CALIF• NOL. A T 1 12 P. L•• r: wo 12 kNV�AJ ' (J fJ 2
ARCHITECT OR TEL. INSPECTION RECORD z
ENGINEER NO. 5
ADDRESS
TEL.
CONTRACTORS ne t T u F N r. I N. C o.NO. G 186 143
ADDRESS 1903 DOREEN AVE. , EL MONTE
DESCRIPTION OF WORK
NEW X ADD ALTER. REPAIR DEMOLISH
SQ.FT. 2191t X 310NO.OF p( NO.OF 0
SIZE STORIES FAMILIES
USE OF STRUCTURE /� /rj� .�" �lc e)c__ c'
(-Wim^-Fi�ER.•,•n e j� �J � p
APPROVALS.
SIGNATURE OF
APPLICANT DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
.FORMS. MATERIALS
$ P.C. g-�j FRAME: FIRE STOPS.
FEE � BRACING.BOLTS
VALUATION 625.00
FEE S FURNACE:
GAS VENT DUCTS
N�
I HEREBY ACKNOWLEDGE THAT I 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 RIQUL&TING BUILDING UCTION. LATH.EXT.
SIGNATURE O t. r �1 HOUSE NUMBER COR-
PERMITTETL� ��:%V�1.� �--> RECTAND POSTED
'aDnREss FINAL � l
OHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.•DIRLAM.PRINCIPAL-STRUCTURAL ENG
PLAN CB= VALIDATION CK. M.O. CASH PEMT VALIDATION CK. M:o. H
3902a
27-08 "'
r SEP 26: l 4.00' � ;