HomeMy Public PortalAbout5780TEMPLE CITY BLVD_Building (2) DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES on� a ®�
WM. J. FOX, CHIEF ENGINEER lga)
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRlgT NO. PLAN CK. NO.
BUILDING f
ADDRESS 'U
LOCALITY R DATE OF APPL. DATE 4SsUSM
NEAREST
CROSS STS BUILDING ,.^y ��
ADDRESS � �f/ 7;-I oi- �s / r
OWNER LOCALITY may
MAIL
ADDRESS NEAREST
TEL CROSS 8T.
CITY NO. FIRE NO. OFI TYPE I GROUP
ARCHITECT OR TEL. ZONE PLANS
ENGINEER NO. BLDG. - ORD. NO.
SETBACK LINE
ADDRESS APPROVED
TEL. BY DATE
CONTRACTOR NO. USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL
DESCRIPTION I LOT NO. I BLOCK MAP NUMBER FIELD CHECK BY
TRACT NO. ASSIGNED BY DATE
y I NO. OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT
'
US6 OF I NO. OF
EXISTING BLDG. FAMILIES ;y
4 Y
t
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION I _
' 0
• REPAIR I I DEMOLITION I I I
SQ. FT. NO. OF B
SIZE ROOMS STORIES !
EXT. WALL ROOF ', r
COVERING I COVERING
USE OF STRUCTURE
T '
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED ' FRAME:FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTEIr
LATH, INT.
ADDRESS
LATH, EXT.
"AUTHORIZED AGT,
PLASTER, INT.
76AG38A• DBMS 10-50 P. C. $
s ® FEE PLASTER, EXT.
VALUATION $
FEE FINAL
I