HomeMy Public PortalAbout5808TEMPLE CITY BLVD_Building i
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES � ®� [ �
WK 4. FOX, CHIEF ENGINEER � `�
FOR APPLICANT TO FILL IN i FOR OFFICE USE ONLY
BUILDING
DISTRICT NO PLAN CK. NO. PERMIT NO
�(J n n
ADDRESS v , C??- 11I��ei.. �►rl a nGG��` '��
RECEIVED BY DATE OF ADPL. DATE ISSUED
LOCALITY ��t�,,trii�.l �L�l.•� �j
NEAREST � -
CROSS ST. BUILDING
{ np� ( !•1 ADDRESS
OWNER !4 GL'( AJ/ rl �'l.�r'1/��-+fZ(�
.4 MAIL II U ��- .. I /�� •� '`'LOCALITY
f
ADDRESS r' Y{? (o '�-9� lvil/Ia IiI NEAREST T
l V TEL. CROSS ST.
CITY .Zj ?!.(cG v NO. FIREI NO. OF I TYPE I GROUP
ARCHITECTibR TEL. ZONE PLANS
' ENGINEER J NO. ' BLDG. ORD. NO.
SETBACK LINE
ADDRESS APPROVED•
•.
TEL / I a BY DATE
CONTRACTOR!;.�f til, s% 4;.y;r,;.I:1' NO. (�(r{ { USE APPROVED
.{ � � ZONE BY DATE
ADDRESS K���1 ( � r�/id HOUSE NUMBERING
] LEGAL '
DESCRIPTION •I LOT nl 0. BLOCK MAP NUMBER FIELD CHECK BY -
TRACT NO. ASSIGNED BY DATE
NO. OF BLDGS. CORRECTIONS
SIZE OF LOT .• NOW ON LOT
USE OF I NO. OF
EXISTING BLDG, FAMILIES
'DESCRIPTION OF WORK
NEW I-. I ALTERATION I I ADDITION
REPAIR I I DEMOLITION I I I t U
SQ. FT. NO. OF 'n
SIZE ROOMS STORIES ` Z
EXT. WALL ROOF T
COVERING I COVERING
USE OF STRUCTURE
i
APPROVALS
INSPECTOR'S SIGNATURE DATE
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS All-!- 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 OFjI DAN I�W4�'r4s{d,C GAS VENT, DUCTS
PERMITTEA
LATH, INT.
ADDRESS—
AUTHORIZED AGT. 1 1u.U.0 !LM/ LATH, EXT.
Op PLASTER, INT.
78ASi SA•DH89 '10-80 .�' �0 0 1 p,
C.
81
M FEE , � PLASTER, EXT.
VALUATION !
$
FEE FINAL