HomeMy Public PortalAbout5824-5824 1/2-5826TEMPLE CITY BLVD_Building (2) 7
�PARTMENT OF BUILDING AND SAF ; i . APPLICATION FOR PERMIT _
COUNTY OF LOS ANGELES C I.
D ING
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FAR OFFICE USE ONLY
DISTRICT NO: PLAN CK.NO. /PERM`IT,NO.
AUILDINN DDRESS �. J �i/ �� /- Z//�3
LOCALITY f" RECE�71/�QjBY DATE OF APPL. DA�SBUED
CROSS T. Yytl W '` //// </ j
• p (' /(� BUILDING
OWNER (/, J VJi ADDRESS 2
MAIL5 2 r a .\ y / E R� LOCALITY C.�
ADDREBB 6 V V L NEAREST �-
CITY R C, A Q f A No A-r. CROSS T.
FIRE NO.OF
ARCHITECT OR 7l'' TEL. ZONE --- PLANS Z_ TYPE I� GROUP
ENGINEER �1/7. ��L L �/$ NO. !'/
LL Al, n d I' B T ACK LINE ORD.NO.
ADDREBB I �-.J /V ///T!C TF nn n LE Com, .
V APPROVED
TEL. BY DATE
CONTRACTOR NO. USE77�'APPROVED
ADDRESS
ZONE � `'BY DATE
LEGAL �7 CORRECTIONS
DESCRIPTION LOT NO. ji / BLOCK
TRACT G ,S b l
a or SLOG
SIZE OF LOT �J' x 17 4_ I NOW ON LOTS
USE OF NO.OF NO.OF
EXISTING SLOG. FAMILIED I ROOMS--
DESCRIPTION
OOMS-DESCRIPTION OF WORK
NEW ALTERATION ADDITION.
— O
REPAIR MOVING DEMOLISH O
Bq.FT. # NO.OF Z
SIZE ROOMS 4f+ STORIES
WALL ROOF
COVERING I COVERING QW=nM-
USE OF NEW
BUILDING
Alf
e
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS' APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
ANDAGREE TO COMPLY WITH ALL COUNTY ORDINANCES• FORMS,MATERIALS
AND STATE LAWS REGULATING B•UITLDIN_G CONSTRUCTION.
SIGNATURE OF
v`r � FRAME: FIRE BRACING,BOLTS
S�
PERMITTEE-
LATH,INT.:
AUTHORIZED AOT- LATH,EXT.:
DHS-3 sum sErs'i-4m $ P.D.9 PLATER,INT.
FEE PLABTER,EXT.
y V V
VALUATION FEE FINAL - t'