HomeMy Public PortalAbout5825TEMPLE CITY BLVD_Building .76A638A CE 8803 12/69
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BbOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
i
FOR APPLICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST.
BUILDING
DISTRICT N G, TYPE P S BY
�,�
ADDRESS 5825 Tem a .Cit Boulevard L_: O CONST. `r/;
STATISTICAL CLASSIFICATION J� SEWER MAP
LOT NO. BLOCK CLASS NO. !22 1DWELL.UNITS BK —G—
TRACT USE ZONE MAP
NO.OF BLDGS. n NO.
SIZE OF LOT NOW ON LOT !�! SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER Dry Homer Hendrickson NO. BLDG.SETBACK FROM
ADDRESS Same FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK IHIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C.L.
ARCHITECT OR TEL. +
ENGINEER NO. 'BLDG.SETBACK FR
ADDRESS SIDE PROP.LINE OF N. (STREET)
TEL �y TYPE OF EXISTING SETBACK IGHWAY + YARD = TOTAL
CONTRACTOR Virgin Roof Co. No. 257-0507 HIGHWAY WIDTH FROM C.L.
ADDRESS 600 R. San Gabriel No 160650LIC. c
+ = a
CITY San Gabriel 91776 CLASS C-39 CORNER CUTOFF YES NO ❑ C
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS p
SQ. FT. NO. OFNO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
STRUCTURE Reroof with hot roof ALTER ❑
materials
SIGNATURE OF REPAIR®
APPLICANT DEMOL ❑
VALUATION$ 445.00 APPROVALS DATE INSPECTORS SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE$ FEES ,00 FORMS, MATERIALS
FRAME: RE FISTOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
-AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST R UCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATIOW INSURANCE. LATH, EXT,
SIGNATURE OF �j HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRRAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
�_ 0 4 1. 2C--' 24 1 o a.0 0N