HomeMy Public PortalAbout5821TEMPLE CITY BLVD_Building 76A588A CE#808_8-57 APPL.ICA`T'ION FOR BUILDING PERMII`f
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS v�1
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUPER MAP
- FOR APPLICANT vTO FILL IN 5 �v I TYPE B� PGG BUILD ,
CONST.
EI
NG
ADDSS STATISTICAL CLASSIFICATION /�
�n / CLASS.NO. DWELL.UNITS
LOT NO: �N BLOCK MAPSTATE YES NO
NUMBER ® HWY.
TRACT ! USE ZONE SPECIAL
-� NO.OF BLDGS. ,/ CONDITIONS
SIZE OF LOT 2- OW ON LOT /v -
USE OF (�
EXISTING BLDG. BUILDING YARD HWY STEXIST. •
�• SETBACK _77 IREET A E WIDTH
OWNER D i _.-r FRONTO '
MAIL P.L: 77ll�jff
ADDRESS SIDE
P.L.
CITY C�A.yY?/ No INSPECTION RECORD
ARCHITECT OR{1 f TEL.
ENGINEERNO1-
ADDRESS
``-- /� +r16?����\�
CONTRACTOR.:�I'� "_ NO,i 7 1.13N > '
ADDRESS d
s DESCRIPTION OF WOR9
vly
d 7` 4 g) '
NEW.K ADD ALTER REPAIR DEMOLISH `r
SQ.FT. NO.OF NO.OF
SIZE A AWRIES FAMILIES
C
US29 ST R URE id
`
SIGNATURE O r
- APPROVALS
APPLICANT �_� -
DATE INSPECTOR'S SIJ96ATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
P.C $ FRAME: FIRE STOPS,
FEE BRACING.BOLTS
VALUATION FURNACE: LOCATION,
FEE ,GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REG+ULA ING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OF ^p �� "" HOUSE NUMBER CO
RECTAND
PERMITPOS EDR-
TE
ADDRESS-- INAL
JOHN A.LAMBIE.COUNTY ENGINEER. CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION. cK. m.o. H -
�..�Co 1 2 2 S U v q 7 2.00 m