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HomeMy Public PortalAbout5916TEMPLE 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,; .r1.f 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