HomeMy Public PortalAbout9557BISBY ST_Building (4) I
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APPLICATION FO" I P MI
6758 COUNTY OF LOS ANGELES BU
ADDRESS b
DEPARTMENT OF COUNTY ENGMEII�
BUILDING AND SAFETY DIVISION LOCALITY Twmle City
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT T FILL IN DUCT No. caquP TYPE ESSED BY
Print or • only) J CONS
BUILDING STATISTICAL C ASSIFICATION WER MAP
ADDRESS CLASS NO DWELL.UNIT8 B P 43
LOT NO. BLOCK USE ZONE MAP 0O�
NO.
TRACT I SPECIAL ON8
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. I)Welli= BLDG.SETBACK FROM
TE FRONT PROP.LINE OF (STREET)
OWNER NO. TYPE OF ISTING SETBACK I HIGHWAY } YARD = TOTAL
HIGHWAY WIDTH FROM G.L.
ADDRESS 2 } _�O
CITY Temple City
BLDG.SETBACK FROM
ARCHITECT OR TEL. 'SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTINGnSETRAC�_KHIGHWAY } YARD = TOTAL
ADDRESS N7 HIGHWAY WIDTH
CONTRACTOR Virgin Roof Co NOL287 v( } - O
ADDR LIC. CORNER CUTOFF YES ❑ NO G�
NO.
CITY CLAS, _ SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER N
NAME AND BRANCH Z
ADDRESS
SQ. FT. NO. OF NO. OF Nay ❑
SIZE STORIES FAMILIES ❑
USE OF ADD
STRUCTURE ALTER ❑
with 235# Comp- Shingles
REPAIR
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION i 160.00 APPROVALS DATE INSPECTOR'■ ■IGNATURK
FOU NDATIONI LOCATION
FEE S FEES 6.00 FORMS MATERIALS
FRAME: FIRE STOPS,
I HERESY ACKNOWLEDGE THAT 1 HAV[ READ THIS APPLICATION BRACI NO BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CAL-1FORNIA IN RELATING TO
WORKMEN'S COMPENSAT N INSURANCE. LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
0
JOHN F. LEWIS, PRI CIP L --,TR!
URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CATH _ _ PERMIT VALIDATION CK. M.O. cASH
f 2.5 3 Wv 3 1 D 6.00- cv