HomeMy Public PortalAbout5810TEMPLE CITY BLVD_Building VISION OF BUILDING AND SAFETY I BUILDING ' )
Department of County Engineer
County of Los Angeles
WM . J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.OR REc.NO. PERMIT NO.
AD13RESBUILDING 5 '/ /� -I- �� / J� fir+ 6�� T"v
ADDRESS .� R J D J�/ [=AA!s / / ( - i`rl/ �'_l � IJ '9 �„a � r�_� ((/ � /G �+ . Jf
( RECE VED BY DATE OFAPPL DATE ISSUED
LOCALITY p / 1)1. C rl-l C. F} /_ — 0 C�/�� f
NEAREST ' �� A
CROSS 9T. W. R K Al A- 1 BUILDING _
w ADDRESS .` ? /L'� � a /.T�� __ 'f4
OWNS
MAIL LOCALITY ® �
ADDRESS 2/I 4 1 A - / (l hl 1-1 C NEAREST
TEL� CROSS ST.
CITY: /11 77 6L '-C' 1 / NO. ^T FIRE I NO.OF � I TYPE, / I GROUP
ZONE PLANS �•' . —
ARCHITECT OR „ TEL
\ ENGINEER t Ain/ (M I`I-I+NO. A- 7-2 BLDG. , � � 11fl•
SETBACK LINE sj
' ADDRESS ���� li 7 h� P�� 11_'T 1 k M��.�1.�� �/
R
��11 TEL _ ZONE 6)'-:2 BYPROVED &
R
CONTRACTOR }� V (•1 LA r'C' n NO. HOUSE NUMBERING DA nT
ADDRESS i i j1 --T, [/` MAP NUMBER 00� NO. ASSIGNED BY—
LEO
7L
YLEGAL
/ CO RECTIONSDESCRIPTIJ
TRACT 1n s-&
{{ NO. OF BLDBIL s' C /��r��a4 -i �inr7� Y'cn
„r
SIZE OF LOT .�r x 1 1 I NOW ON LOT
USE OF NO.OF APS /sR r sdGQST.SQ Q VAP 3 S ��
EXISTING BLDG. FAMILIES
ui�Tb n,,rs'y•rr /�• /
DESCRIPTION OF WORK - D
NEW I x ALTERATION ADDITION D
REPAIR DEMOLITION Li I'
Bq.FT. NO.OF J 14— -7- ,�JG ., -/vev .0 -7 � '-
SIZE r ROOMS STORIES
EXT.WALL r == ROOF
COVERING F' -+t e 4 { I COVERING I_Nyr�I�"• '. ��/a)C.do/ ��.V.'�i�.4J.4_-Cn
USE OF STRUCTURE �O
11 dZ1GAS- Doo L 1`�cDD e9,J _,j"e �loe-4- )
INSPECTION FOR 1 �? APPROVALS
OCCUPANCY AB e3L''m"3 INSPECTOR'S SIGNATURE DATE
FOUNDATION:LOCATION
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FORME, MATERIALS
PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRE STOPS,
CORRECT. BRACING,BOLTS ,�"'
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
LOCATION, / (J rC. ��-�--
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS 0/`
SIGNATURE OF (. / ` LATH, INT.
PE RM ITTE ' /
ADDREBA (m �-i / r, / LATH, EXT.
( ~Y' PLASTERS INT.
AUTHORIZED AST.
PLASTER, EXT.
FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEEs�C� FINAL
76A639A DBS 3 1-53 u