HomeMy Public PortalAbout5851TEMPLE CITY BLVD_Building Tei
FBABBBACIE pe08B_EB APPLICATION 1F®Ii" BUIL_®IMG_ PE.RMI`T'.
COUNTY'OF LOS ANGELES BUII SINGr—
DEPARTMENT OF COUNTY.ENGINEER ADC
BUILDING-AND'SAFETY•DIVISION LOCALITY i
JOHN A.'LAMBIE, COUNTY ENGINEER N'/EAREST ' �s
CASSATT D.GRIFFIN,SUPT OP BUILDING. CROSS ST. iCyj r .
oPISTRICT NO. GROUP TYPE �PR CESSED BY.
FOR APPLICANT TOe IN ' Q.� I CONST^g
BUILDING' STATISTICAL CLASS (CATION SEWER MAP
ADDRESS J I �I BK PG. '
n o CLASS.NO. DWELL.UNITS I
LOT NO. - •BLOCK MAP a' a STATE
NUMBER Q HWY. YES
TRACT USE ZONE- SPECIAL
NO.OF BLDGS. CONDITIONS
S SIZE OF LOT, v I NOW ON LOT 1'
USE OF
EXISTING / BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER %�fia FRONT
MAIL
.ADDR S4 SIDE
CITY ' °'
ARCHITECT O INSPECTION RECORD
ENGINEER NO.'
ADD SS
db RA TEL. / '
ADDRESS yo _
DESCRIPTION OF W RK
NE ADD ALTER REPAIR' DEMOLISH;-
SQ.
EMOLISH^SQ. FT. NO. OF, NO..OF
SIZE STORIES FAMILIES
USE.OF y
-STRUCTURE
e.N2(5!2AL S `l 0'5NC'c �OrA1 �d
SIGNATURE O
APPLICANT
//� APPROVALS 'DATE INSPECTOR'S SIGNATURE
ADDRESS-- V FOUNDATION:LOCATION
Z42tJ FORMS,MATERIALS
VALUATION s ._ FRgMEE-FIRE STOPS,
BRACING,BOLTS
PMT FURNACE:LOCATION,
FEE $ I FEE tj GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. "
PLICATION AND STATE T AT THE ABOVE IS CORRECT AND :V
AGREE TO COMPLY W ALL COUNTY INANCES AND LATH,EXT.
STATE LAWS RE 1 G BUIL NSTR CTION.
SIGNATURE O 14OUSE NUMBER COR= -
PERMITTEIr RECT AND POSTED r.•
ADDRESS FINAL
12--14 ( �.(�C�'f f
-CLYDE N..DIRLAM, PRINCIPAL ST R TfJRAL ENGINEER -
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT:VALIDATION c M•O•• CASH
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