HomeMy Public PortalAbout5818-5818 1/2TEMPLE CITY BLVD_Building TEMPLE CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING _ t
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIWSION LOCALITY >
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUF'T OF BUILDING CROSS ST. A
FOR APPLICANT TO FILL IN
DISTRICT 0 NO. :- CONST`TYPEP ESSED HY
BUILDING STATISTICAL CLASSIFICATION S ER MAP
ADDRESS 5818 N. Tem le Cit Blvd �.. L,I$'�
CLAS.NO. DWELL.UNITS
LOT NO. BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY STATE MAJOR- ECOND LOCAL
NO.OF BLDGS. NO. (CIRCLE)
SIZE-OF LOT. IN ON LOT USE ZONE 'SPECIAL
USE OF CONDITIONS
EXISTING BLDG. Commercial Bldg. �7
OWNER L. A. Walters NO. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 4211 N. Rio Iiondo,Rosemea FRONT
ARCHITECT OR. TEL. P.L.
ENGINEER NO. SIDE
P.L. }
ADDRESS INSPECTION RECORD
CONTRACTOR Virgin goof Co.
TE V
ADDREss600 S.San Gabriel Bl. S..G.
DESCRIPTION OF WORK
W
a
NEW ADD ALTER REPAI DEMOLISH z
Z
SQ.FT. N NO.OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
Re-roof :Commercial Bldg.
SIGNATURE OF
APPLICANT u
VALUATIONS 396,00
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION
FEE S FEE'S 6 FORMS.MATERIALS
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CO ENSATIONI AN E.
/ c. LATH.EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE / RECT AND POSTED l^ EDI
ADDRESS 6OO SvSan Gabrie1 lvd• FINAL' 0 1�1an a rl a CLYDE N. DIRLAM, Ph NCiPAL STR RAL ENGINEER
PLAN C= VALIDATION cr. N.C. cABR , PERMIT VALIDATION I CKI. M.D. CASH
j (;o 5 8 51N, OCT 2 3 •,1 D 6.00- CQ