HomeMy Public PortalAbout5913 TEMPLE CITY BLVD_Building I ATION' DING PERMIT FOR BUILDING 78A698A CE#809 8'Z64 APPL C L
COUNTY OF LOS ANGELES BUILDING Y
DEPARTMENT OF COUNTY ENGINEER ADDRESS `
BUILDING AND SAFETY DMSION LOCALITY IL+
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST.
DISTRICT NO. I GLROUP ITYPE.. PR S.ED BY
FOR APPLICANT T'0 FILL IN <o-9-- � CONST.
BUILDING '� ` STATISTICAL CLASSIFICATION SEW R MAP L,-5�
ADDRESS kc, �t�0 1 BK (/
"CLASS.NO. DWELL'UNITS S^� o
LOT NO. BLOCK USE ZONEMAP
NO. "
TRACT �� SPECIAL
La NO. OF SLOGS. Z CONDITIONS
SIZE OF LOT NOW ON LOT olra
USE OFe_
IS NG S �D BLDG. SETBACK FROM�ffA�
TEL. FRONT PROP. LINE OF � �fRENT)
OWNE O• o TYPE OF EXISTING SETBACK HIGHNAY YARD = TOTAL
ADDRESS HIGHWAY WIDTH 'FROM C.L. '
CITY BLD . SETBACK FROM + -
ARCHITEC •OR TEL. cri SIDE PROP. LINE OF (STREET)
ENGINEER `�� �e t+\ig NO.Z�.`QS2S TYPE OF- .EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESSa HIGHWAY WIDTH FROM C.L. a
TEL I + = 0
CONTRACTOR y p Q u
ADDRESS \k 'S \ '�r:(p VC NO � Z CORNER CUTOFF YES �" NO1:1 O
CITY a LC �Z SEE REVERSE SIDE FOR SPECIAL APPROVALS W
DESCRIPTION OF WORK h
Z
NEW ADD ALTER REPAIR D OLI
50.FT. NO. OF NO. OF
SIZE ST,ORIESjb FAMILIES o
USE OF (�
STRUCTURE Cy t
SIGNATURE OF
APPLICANT
VALUATION$ �L�j APPROVALS DATE, INSPECTOR'S SIGNATURE
_ FOUNDATION, LOCATION
FEE$ FEE$ �• FORMS,..MATERIALS__.
FR�iME, FIRE\STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i BRACING-B.OLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY FURNACE: LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT:DUCTS f
9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE-WORK
AUTHORIZED HEREBY•1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 11 11
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S CnMPENSATION INSURANCE.
LATH. EXT.
SIGNATURE O ,, t\ f�U HOUSE NUMBER COR-
PERMITTEE v RECT AND POSTED t e
ADDRESS S5 C JO fS ���� � FI NAL V/9,/r-l—
JOHN F. LEWIS, PRINCIPAL ST CTURALIENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT .VALIDATION CK. M.O. CASH
�7 4"'3'O1 NOV 18 1 .D • M.O.