HomeMy Public PortalAbout5817TEMPLE CITY BLVD_Building a
76AGSBA CE0803 e_u APPLICATION~FOR 131111 niG PERMIT
COUNTY OF LOS ANGELES BUILDIN
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE'. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST.
DISTRICT O. R'O P TYPE. P B
FOR APPLICANT TO FILL IN �— coNsr.
BUILDING _ STATISTICAL C SSIFICATION SEWER MAP
ADDRESS /� 01 CLASS NO. DWELL UNITS BK / _ PG !.f
LOT NO. 461(a BLOCK USE ZONE MAPNO 0
/•/
C SP
TRACT SPECIAL
N0. OF BLDGS. CONDITIONS
SIZE OF LOT.16 X 7S NOW ON LOT
USE OF
E ISTING BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNE 04 A. IV I NO. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHWAY WIDTH 'F OM C.L.
CITY BLDG. SETBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL �
ADDRESS HIGHWAY WIDTH FROM C.L. d
w } _ 0
CONTRACTO 6
ADDRESS dl1/P— LI CORNER CUTOFF YES NO 0
CITY LLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w
DESCRIPTION OF WORK _Z
NEW ADgI-f" ALTER REPAIR DEMOLISH r `�
SQ.FT. t (r r NO. OF NO. OF i ,ja
SIZE 3.i off. -STORIES FAMILIES •3fa o' r
USE OFti//f1,1 ¢ �:t�%i�lir / ✓
STRUCTURE Q Y
l /? r':. Lam:�'�.✓�.r
SIGNATURE OF �// .�i• ' ��'�A zwz-��
APPLICANT
VALUATION$$��� �/��,' ,•
APPROVALS DATE INSPECTOR'SSIGNATUftE
FOUNDATION, LOCATION
P.C. PMT. S_�- FORMS, MATERIALS
FEE$ FEE$
FRAME, FIRE STOPS, �r��� �`a v' `��y!, ?�• !
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT =.7'TA/t y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:'LOCATION ]j��//
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS �^I A��IG�
GUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- -L-A_L.•H. INT. o/ p �j� ; � ^• .'-��� t
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S PENSATION INSURANCE r�
LATH. EXT.
SIGNATURE OF G HOUSE NUMBER COR- --
PERMITTEE RE AND POSTED •. l A a
ADDRESS r
Fl NAL TA-17T!
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENR
PIAN CHECK VALIDATION CK. M.O.�CASH PERMT VALIDATION CK. M.O. CASH
�L,0.9 0 7 3 3 ilAIR 7j 2 3 D J.�5A
d091 89%-33 f-yR 4 1 D 1 8.50N y