HomeMy Public PortalAbout5828TEMPLE CITY BLVD_Building OBS-3 25M SETS 9-45 `� y�i : i• ,
DEPARTMENT OF BUILDING AND SAFETY 1/ APPLICATION FOR PERMIT
—COUNTY OF LOS ANGELES F E BUILDING
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
'BUILDING . .�. C�� `� ._ DISTRICT NO. PLAN CK. NO.
PERMIT NO.NO.
ADDRESS /
r i� w �•� i r�t7l /!/ /
LOCALITY ! = eRECEIVED BAY DATE OF APPL. DATE ISSUED 4
NEAREST /art J �. trt �S — —�y�p •-'x
CR098 ST. 7C
BUILDING
OWNER G,, " c'-� L� �-c" ADDRESS
MAIL ADDRESS LOCALITY
�u �- �'
NEAREST
CITY NO�/� NO s"ST. � NO.OF
'ARCHITECT OR TEL. ZONE - I PLANS I TYPE I GROUP C
ENGINEER NO. /
BLDG. ORD. NO.
ADDRESS SETBACK LINE
. APPROVED
TEL
BY DATE
CONTRACTOR _'�_ NO.
USE - APPROVE f�I 2
ADDRESSLEGAL ` ZONE .) BYrrrG4+�/ DATE
DESCRIPTION I LOT NO.,S-9� 6I BLOCK CORRECTIONS
TRACT �� h /'
SIZE OF L13TSCD. u NO. OF BL /
NOW ON LOT
USE OFG&' NO. 13F
14�r I FAMILNO.OIEe� I .ROOMS
EXISTING BLDG. la�lf
in
DESCRIR.ATION OF WORK
NEW I ALTERATION I ADDITION O
R
REPAIR MOVING DEMOLISH p
_ �/ a
5 ZE��� !� �6 ROOMS � STORIES / r.
WALL I ROOF
COVERING.� G�1 COVERING
USE OF NEW
BUILDING .K !/ �{: • —
APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
�INSP ISTOR TSL
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION, 'x/
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS,
SIGNATURE ,,
OF fig BRACING, BOLTS
OWNER` E t+ / ��L�� LATH, INT.:
:�`a�" t fL//7r 1�•I!
AUTHORIZED AOT LATH, EXT.:
P. C.$ PLASTER, INT.
FEES `J PLASTER, EXT.
is r1
VALUATION FEE ���D� FINAL /r6 ' 3 5;r r