Loading...
HomeMy Public PortalAbout5855TEMPLE CITY BLVD_Building W696A dIi4o92/66 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING GG r r DEPARTMENT OF COUNTY ENGDIEER ADDRESS r . BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT of BUILDING CROSS ST: .� - DfSTRI NO GROUP TYPE PROCES BY FOR APPLICANT TO FILL IN Imo' CONST. BUILDING ` STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 6 BK PG CLASS.NO. DWELL.UNITS-] LOT NO. BLOCK MAPS YES O' NUMBER X00. HWY. TRACTUSE ZONE SPECIA NO.OF BLDGS. CONDITIONS SIZE OF LOT IN ON LOT "9_ USE OF 6� EXISTING BLDG. BUILDING YARD STREET NAME EXIST. TEL. SETBACK WIDTH. OWNER O, FRONT I' �� �- PL. ADDRESS. SIDE � ' ARCHITECT ORTEL./.. P.L. ENGINEER I -- No. ` ANS CTION RECORD ADDRESS TEL. CONTRACTOR NO. O ADDRESS - V DESCRIPTION F WORK r0 EW D ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF ' NO.OF SIZE STORIES FAMILIES N USE OF STRUCTURE SIGNATURE OF f APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE FE $ FPMT EE $ .� � FOUNDATION:LOCATION E FORMS,MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME:FGRE STOPS, PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING,BOLTS FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH,INT. WILL NOT EMPLOY ANY.PERSO IN VIOLATION OF,THE WORKMEN'S COMP 7NSA. Q LA OF�FORNIA. LATH,EXT. SIGNATURE OFr. HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESSFINAL CLYDE N. DIRLAM, PRINCIPAL sTRjJCTbkRAL ENGINEER PLAN CHECK VALIDATION cr. M.O. CASH PERMIT VALIDATION cm m.o. CASH 1 3 .0 0 . ' ®.