HomeMy Public PortalAbout5816TEMPLE CITY BLVD_Building //6A638A E #803.12/69 -01 4/ �?r-e
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES 'ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING �pLF
JOHN A. LAMBI E, COUNTY ENGINEER ADDRESS O 6 -�� Z T��'/9/'
COLEMAN W. JENKINS, SUPT OF-BUILDING
LOCALITY rE PZ /f L f dl-/ %
FOR APPLICANT TO FILL IN CROSS ST. 74,y Al 5
Print or tvoe onl
BUILDING DISTRICT NO. GROUP TYPE PROCESSED BY
ADDRESS / /�.r —Z CONST. i�
IF Cl STATISTICAL CLASSIFICATION SEWER MAPF
LOT NO. BLOCK /a7'
CLASS NO. DWELL.UNITS PG
TRACTNO.OF yy USE ZONE�SPECIA
P
d►�i� /,9`d NOW ON LOTS. _-7 .
SIZE OF LOT G- L
USE OF NDITIONS
EXISTING BLDG. / d'
OWNER D !j N6�� 7�o BLDG.SETBACK FROM
ADDRESS FRONT PROP.LINE OF--r-Ef4pl pLF CL (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. SQL' �O ctp ® + O = O
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL., TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR pHIGHWAY WIDTH FROM G.L.
ADDRES .jp- p-e_ NOLI .C. alp•/F + = p
LIC. C
CITY WN 90D CLASS �- CORNER CUTOFF YES ❑ NO ❑ C
CONSTRUCTION UENDER C
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS p
SQ. FT. NO. OFNO. OF NEW 10 /9 7D G S/TF �r'A.cJ'ARJ yr� /-//t�,�
SIZE STORIES FAMILIES
USE OFG •• ADD El D.A "4ecA w' O, Tv D.✓Yr,""'��G�v'qr
STRUCTURE ZaW eq .F'4CC',T
ALTER ❑ �/r �rq�y3�
*r 1pejil7 w`a REPAIR
SI NATURE OF �'Y ��,�✓� F��, IArfiw
APPLICANT DEMOL ❑
VALUATIONS � ��
APPROVALS DATE INSPECTOR'S SIGNATURE
FEE S PMTFEES rOFORMSON
!MATERIA
y- FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS o,I'i % J7. �YJ ..�.•r»
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, •
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE TATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENS ON INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE p�y� RECT AND POSTED
/�
ADDRESS 40 n` E/ dr,ftd FINAL .i7 l)
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENnCASH
PLAN CHECK VALIDATION CH. M.O. CASH _ PERMIT VALIDATION CK. M.O.
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