HomeMy Public PortalAbout5812-5814TEMPLE CITY BLVD_Building (2) •:`DIVISION OF BUILDING AND SAFETY' 105MILDION
G
y., Department of County Engineer
County of Los Angeles
' WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
UILDINGJ-e '/ DISTRICT NC. PLA CCK.oR REo.No. PERMIT N
ADDRESS () y- e / � �/ J� 5-
LOCALITY
R EIVED'BY DATE OF APPL. DATE ISSUED
�2.� �r�.r`�itf dy�,}.�Y-�'+%
NEAREST
CROSS BT. r!l/ ��r�• BUILDING �
ADORERS !� 6-4I
OWNER A s V
MAIL v LOCALITY
ADDRESS NEAREST
CROSS ST.
CITY NO. FIRE I NO.OF TYPE ROUP
f — !
ARCHITECT OR / � TEL ZONE PLANS
ENGINEER 1� y NO.
4 BLDG. /
SETBACK LINE LA b J ~
ADDRESS Q 't.j L'-'.. 1 ya
USE BY
/ f TEL " ZONE BY DATE
CONTRACTORhI ✓r):sL-moi` d/� C-NOS Al 7-.ZS"� HOUSE NUMBERING
ADDRESS fSI' { ; '� MAP NUMBERV� •; NO. ASSIGNED BY
LEGAL CORIECTIONS
DESCRIPTION LOT NO. - BLOCK
TRACT r s-C/,,11)�
SIZE OF LOT ,t51°'I N W ON LOT 8. �� l/ n�
USE OF NO.OF (,
EXISTING BLDG. I FAMILIES �z v `, ��� -
DESCRIPTION OF WORK of D
>o
NEW ALTERATION ADDITION
REPAIR DEMOLITION ,�/���J �` r� / r
SII.FT. / !1 �� NO.OF _
612E / /+ / ROOMS STORIES
EXT.WALL >z, r G� � N • ��'r •a't s f I A- .3 .i
C ROOF
COVERING -t t 4 C,P" I COVERING " / �J
USE OF STRUCTURE / 4 y
INSPECTION FOR t�+Ys•c 3 ,2�S APPROVALS//
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATI
FORMS. MATERIALB�
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE BTOPB,
CORRECT. BRACING,BOLTS r .09v &IL,f LLy Z /
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION.,.GAS VENT,DUCTS
SIGNATURE OF LATH. INT.
PERMITTEE `��' - "`" C �Sr' •
,`ate••4'F+°q, %/ri/ P 4sc -'�f efiL%(i�/(rL,'(� j•' S,/( jt
LATH EXT.
ADDRE6g -
- � •• - /'
AUTHORIZED AOT. PLASTER, INT. V R
o' /
PLASTER. EXT. if
$ P.C. �, y
FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEE /� FINAL •- ��
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