HomeMy Public PortalAbout9549BISBY ST_Building (2) TEMPLE CITY
76A638A CE#803 2-63APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDISNG S /1,
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY / kcle
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST .. �/
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. y
DISTRICTNO. GROUP TYPE P CES D BY
FOR APPLICANT TO FILL IN '�'e coNsr.� ._
BUILDING C STATISTICAL CLASSIFICATION S WE MAP
ADDRESS
— // CLASS. NO,<-4DWELL. UNITS _3G
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT MAP &--'HIGHWAY
NO. OF BLOGS. NO. r2 7 (CIRCLE) STATE MAJOR SECON , LOCAL
SIZE OF LOT /NOW ON LOT USE ZO E SPECIAL
USE OING BLD _/G. j/f/ .L,L ' CONDITIONS
EX ST
TEL. Wtv
OWNER LpE-' f✓' G� O- B ILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 'y FRONT
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
ADDRESS ,{
TEL.
CONTRACTOR NO. �lh
ADDRESSZj
DESCRIPTION OF WORK w
NEW ADDALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF ..
SIZE STORIES
> 1 //FAMILIES
USE
STRUOV CrCTURE '�` / y a r.,
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS ATE INSPE✓~,TO.V+ b
P.C. PMT. �'"� FOUNDATION: LOCATION
FEE $ —'� FEE $ FORMS, MATERIALS
FRAME: FIRE STOPS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, S ,.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS.
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF (FOR R LAT-
ING TO WORKMEN'S OMPENSATION INSURANC .,,
LATH. EXT.
SIGNATURE OF r" HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS— .o
n
JOHN F. LEWIS. PRI•°NCIPAL Sr RAL NGIN ER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION cK. M.O. CASH
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4,6 2 r; I D 1 1.50-