HomeMy Public PortalAbout5824-5824 1/2-5826TEMPLE CITY BLVD_Building -(TMENT OF BUILDING AND SAFETY J►rrL9LL;A i ivA r uzE F.M.KMrr
��COUNTY OF LOS A*G&ES . , i J� r�Q V ' ® '
f� o WM. J. FOX, CHIEF ENGINEER t�l�j�
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
/ BUILDING `T+ _ 7 a.
ADDRESS
1 2 Ss ��' r e.,67
LOCALITY 'I '=- ;—I-y—, :_E J •-r llr $SESIVED�B�Y DATE OF APPL. DATE•ISSLIED +�
NEARESBT. •t- .� I U 1+, S TJ - � 'r —1 & % %f -2,)CROSS f`J
BUILDING /
OWNER ADDRESS � yoF /J �f •/fig
MAIL + , LOCALITY J-®a �d P/V.5 ++�'
ADDRESS S i E
NEAREST Q
TEL. CROBS ST.
CITY NO.
FIRE NO.OF � TYPE GROUP
ARCHITECT OR TEL. , ZONE PLANS C'
ENGINEER NO. A, 1"3536. I °; -�-
BLDG. ORD.NO.
ADDRESS .S D. M?LE: C"7- SETBACK LINE
APPROVED ..�
TEL. BY DATE
CONTRACTOR NO. g USE APPROVED
tl: /
ADDRESS ZONEC, -2+ BY DATE
LEGAL
DESCRIPTION LOT NO. BLOCK -- CORRECTIONS
TRACT 5 c
NO.OF BLDGB.
SIZE OF LOT -S x f S I NOW ON LOT
USE OF I NO.OF NO.OF"
EXISTING BLDG. FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
Bq.FT. ,_{_I NO.OFZ
SIZE 3 OOD W ROOMS � STORIES 7 Z
D
WALL ROOF
r�
COVERING "r f/f'( !. COVERING L-471--1 4:1
i
USE OF NEW �, a
BUILDINGLj
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
T AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. 0'...
FRAME: FIRE STOPS,
SIGNATURE OF / / BRACING,BOLTS
/
PERMITTEE I� /
.(�/�✓/� LATH,INT:: �l /C�.� G- •'
AUTHORIZED AOT LATH,EXT.:
-a
Des-3 sum swrB 7-47 $ r ) PLASTER,INT.
%FEE PLA93TER,EXT.
VALUATION .A �-i �► �` � ,�"�' FINAL
FEE -