HomeMy Public PortalAbout5913 TEMPLE CITY BLVD_Building (2) IBA69eA CE#609.7.55 A0' 'PLIOATION FOR BUILD-ING PERMIT
BUILDING AND SAFETY DMSION BUILD 1
Deportment of County Engineer ADDREsS
County of Los Angeles LOCALITY.
JOHN A.LAMBIE. COUNTY ENGINEER NEAREST
,CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS S
DISTRICT NO. GROUP PE SEWER MAP
FOR APPLICANT TO FILL IN t��/"(p/� EK _PG
/ n CONST. I
BUILDING �-/)!`- N T€MR �i�a.6C1/1� ®�
ADDRESS J 7 4L STATISTICAL CLASSIFICATION I
-LOT N0: �Q BLOCK CLASS.NO� DWELL. UNITS
MAP . TATE YES
�// NUMBEHWY
TRACT [). Q USE ZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE-OF LOT 2<S.YI*Z9I NOW ON LOT .
USE OF
EXISTING BLDG. &E-wipof_P91!/pUHC)4 _
BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
.�7�
OWNER FIG !U y R FRONT
MAIL P. L.
ADDRESS f> SIDE
TEL P. L.
CITY NO. INSPECTION RECORD
ARCHITECT OR / NO
ENGINEER
ADDRESS r /
r • TEL.
CONTRACTOR •IIG�E -E �rJO/Y/ENO. !Il O
ADDRESS 7&6'J'A5,eC#*11rrS'T Li,9, 21
DESCRIPTION OF WORK
NEW DD ) ALTER. REPAIR DEMOLISH
SQ.FT. '� NO.OF NO.OF
SIZE. STORIES' FAMILIES
USE OF STRUCTURE
APPROVALS '
SIGNATURE OF v
APPLICANT ^ DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:LOCATION
FORMS. MATERIALS
P,C, S FRAME: FIRE STOPS.
d0 FEE BRACING. BOLTS
VALUATION S FURNACE: LOCATION.
FEES GAS VENT. DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT.
STATE LAWS REGULATIN DIN 0 STRUCTION.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE x RECT AND POSTED
ADDRESS-2FINAL
IOHN A.LAMBIE. COUNTY ENGINEER. CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION. K. M.O. CASH PERMIT VALIDATION ' CK. M.O. CASH
AC '7 9 3 7- P;AY 9 1 2.00
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