HomeMy Public PortalAbout9173 JAYLEE DR_Building_11/17/1969_reroof TEMPLE CITY
78A638A CE#8033-e8 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES' BUILDING -�
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND,SAFETY DIVISION �ocALITY.
JOHN 1.A. LAMBI E, COUNTY ENGINEER
_COLEMAN W. JENKINS, SUP'T OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT .:.'_GRO P TYPE �•�s' PR ESSED BY
(Print of type only) Z-, Q i— CONST:I /,
BUILDING ' STATISTICAL CL SSIFICATION <.J-�•_• S WER MAP
ADDRESS .9173 E j a . ee Drive T CLASS NO. 9 DWELL•UNITS. BKA. PGq
LOT NO. BLOCKlJ$EMAP
J
NO.
TRACT / SPECIAL
;7PCONDI
NO.OF BLDGS. TIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. _ BLDG.SETBACK FROM
TEL.- FRO .TPROP.LINE OF -- - - (STREET).
OWNER Laurence -Mason NO.. TYPE OF ISTING SETBACK .HIGHWAY •} YARD = TOTAL
' �1 I NIGHWAV TH FROM C.L.
ADDRESS 9173 E . J ;7a lee 'Dri ve
CITY Q City4 LDG.SETBACK FRO -
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGH } YA RD - _ -TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TE
CONTRACTOR H LR d n d 01 NOL2 8 -4 0 4 0 +
CL.
CD
ADDRESS 5 2.9. E NO.LIC l 6 .CORNER CUTOFF YES ❑• Nd`-W V
LIC: - - - - �
'CITY San GabrielCLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK r,
C-3
z
NEW ADD ALTER 'REPAIRXX DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF.
STRUCTURE Re-roof. Dw 1 & Gar. . '
SIGNATURE OF
APPLICANT
VALUATION $533 . 'APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION _
FEE$ =FEE $ 9 0 FORMS,.MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT,THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE':.LOCATION,.
WITH ALL COUNTY ORDINANCES 'AND -STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION; I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLO NY PERSON IN VIOLA.
TION OF THE LABOR CODE OF TH ST E F CALIFORNIA RELAT. LATH, INT..
ING TO WORKMEN'S CO P SAT I UR CE.
LATH, EXT.
SIGNATUR F HOUSE NUMBER COR-
PERMITTEE- RECT AND POSTED
ADDRESS 529 .• E . Valley Blvd . SanGab
JOHN F. LEWIS, PRINCIPAL ST RU URAL ENGINEER
PLAN''CHECg VALIDATION. CK. M.O. CAsH _ PERMIT .VALIDATION CK. M.O. CASH
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