HomeMy Public PortalAbout5821TEMPLE CITY BLVD_Building (2) 73A398A Gb3.8 M i—■ •.
-A• P�P L � .�1
V_ D•I- P1 T 1-J
r\ ,
DIVISIaN OF BUumm AND SAFETY ADDRESS
Deportment. of County Engineer
County of 1.08 Angeles LOCALITY
JOHN A.LAMBIE- COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
FOR APPLICANT.TQ FILL IN DISTRICT GROUP TYPE SEWER MA PG
CONST
BUILDING MAP HWY
ADDRESS i NUMBER YES O
LOT NO. BLOCK USE ZONE SPECIAL
CONDITI.ON8'
TRACT-
f� x �� I NO.OF BLDGS.
SIZE OF LOT
NOW ON LOT BUILDING EXIST.
YARD HWY STREET NAM
• SETBACK ^� - WIDTH
EXISTIUSEONG
FRONT •G rte{pWy,� �'
EXISTING BLDG.
P.L. �
OWNER , SIDE
P.L.
MAIL
ADDRESS O TRACT DWELL. i UNIT 5 INDUSTRIAL.
TEL. I DWELL. i UNIT
CITY / NO, f 6 PUBLIC BLDG.
ARCHITECT O TEL. 2 DUPLEX / 5 2 UNITS 7 ADDN..ALT., ETC.
ENGINEER NO. g Apt. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
CONTRACTOR
L• 11 INSPECTION RECORD
ADDRESS 1 rlr
DE .CRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLIS14
SQ.FT. NO.OF NO.OF ' k'� "' I~ 1 mk L. n..
SIZE Z -B STORIES FAMILIESl n.ld1-1~. Nl n..1 `1Aid
USE OF STRUCTURE -
n
J
SIGNATURE OF
APPLICANT_
PPLICANT APPROVALS
ADDRESS `I DATE INSPE OR'S'SIGNATURE
P.C. $ F FORMS.rMATERIIALS LOCATION S n
FEE FRAME: FIRE STOPS.
VALUATION $ 6 G BRACING. BOLTS
FEE ` FURNACE: LOCATION-
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT 11 1A1
ANP AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
• :ANDSTATE LAWS REGULATING BUILDING CO STRUC-
_-TION. LATH. EXT.
�V
SIGNATURE OF � 4 HOUSE NUMBER COR- 2
PERMITTEE RECT AND POSTED IZ SC.
ADDRESS ,FINAL 4 _ n
JOHN A.LAMBIE.COUNTY ENGINEER WMATION CLYDE N.DIRLAM. CHIEF BLDG.•INSPECTOR
/Vlc) MO CASH
9 5 7 1- AUG 24. 1 6 18.50 G III.
4 f y9 7 2 1 AUG 29 1 3 7.0:0 n