HomeMy Public PortalAbout5825TEMPLE CITY BLVD_Building (2) TEMPLE CRTY
I6A88BA C9#8032/00 APPLICATION FOR BUILDING PERMIT'
COUNTY OF LOS ANGELES BUILDING' `
DEPARTMENT -OF COUNTY ENGIIVEER ADDRESS
BUWING AND SAFETY.DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST +�
WILLIAM A.'JENSEN SUPT OF BUILDING CROSS ST.. JIC/
DISTRICT NO. GROUP TYPE P D
FOR APPLICANT TO FILL IN izilCONST:
BUILDING STATISTICAL C< 1FICA ION I SEWER MAP
DDRESS r J K
ABPG
CLAS,.NO. DWELL.UNITS
LOT NO. f 57 , BLOCK MA
NUMBER HWYE' YES H
TRACT USEZONE:. SPECIA
NO.OF BLDGS: CONDITIONS
SIZE OF.LOT I NOW ON LOT C
USE OF
EXISTING BLDG. S BUILDING
YARD HWY STREET NAME EXIST'
TEL SETBACK WIDTH
OWNER NO. FRONT . r
P.L.
ADDRESS ,SIDE
ARCHITECT OR TgL. P•L•
ENGINEER NO• INSPECTION RECORD
ADDRESS
CONTRACTO NO.TEL. O
ADDRESS S AA Z&eV
DESCRIPTION OF WORK
NEW ADD ALTER EPAIR DEMOLISH ;{
SQ.FT. NO.'OFwA1
SIZE STORIES FAMILIES N
USE OF
STRUCTURE
A a° eb ?ry l:'
SIGNATURE OF r
E APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
_PMTFOUNDATION:LOCATION
Fp& s FEE"S
FORMS,MATERIALS
FRAME:FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING-BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION,
AGREE TO COMPLY WITH.ALL COUNTY ORDINANCES AND GAS VENT DUCTS =
STATE LAWS REGULATING BUILDING'CONSTRUCTION.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. ' LATH,EXT.
SIGNATURE OF ' �1,(i HOUSE NUMBER COR-
PERMITTEW RECT AND POSTED
ADDRES l e CX r FINAL 2-2?s - aft rr.�.`iJ;,
74&A AMk CLYDE.N. DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION ON. M.o. x PERMIT VALIDATION cK.' M.O. cases
LAC,0 2 0. 8 1 o JU14-10 1 D 3.00 Or