HomeMy Public PortalAbout5916 TEMPLE CITY BLVD_Building (2) DEPARTMENT OF.BUILDING AND SAFETY 7
��PLICATION FOR PERMIT-
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER B U I L D I N G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO. PLAN CK.No. PEERR/MIT NO.
ADDRESS /Zr �cy�� l � J deo
i
DATE or
SUED
LOCALITY RECEi� • /A�'S�N'
NEAREST ^�
CRO89 9T. liLsbrr7r.+b_.ci
6 ,
1DDRE
OWNER�.r: �(s�iv ADDRE9B va���a IV r .1 !� dJ
MAIL / LOCALITY T, c ,
ADDRESS � �� Q.J.I./ .r ��•u - ,l / �L��/ 7_z/
,�/ L'
�� TEL CROSS STa n l7.S / U /V /7
CITY iii-/
,L,;
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FIRE NO.OF TYPE � GROUP
ARCHITECTpR �` r TEL. ZONE ��_ PLANS
ENGINEER V OtX NO.
> ((�' �" /fir• Ad BLDG. O.
ADDRESS /�� / \t�I.n..n !�/ d (fi%C�SQ SETBACK LINE / C// / Y 9
v APPROVED
TEL. BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE -3 BY DATE
LEGAL ;t /y CORRECTIONS
DESCRIPTION LOT NO. /O / BLOCK d� /
r
TRACT a
aS NO.OF 91-1309
SIZE OF LOT x 17 S NOW ON LOT_: ,
USE OFTRE.5#0P `? NO.OF NO.OF
EXISTING BLDG._— "T� I FAMILIEB I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH 0
9q.FT. �. ,Ig NO.OF Z
SIZE ROOMB STORIES ID'
WALL '/ ROOF
COVERING I COVERING C.0 rnpC:
USE OF NEW
BUILDING . . -Ad.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
�� FRAMEI G,BOLTS SIGNATURE OF'� _ BRACING,BOLTS
PERMITTEE l t s. —L-ATH,INT.:
AUTHORIZED AST LATH,EXT.: A
DBS-3 SOM SETS 7-47 $ P C 5 PLASTER,INT.
pC B0� FEE PLASTER,EXT. A j/ /
VALUATION FEE �Z FINAL PEE,:-: /v/0 y