HomeMy Public PortalAbout9564BISBY ST_Building (2) 7
TEMPLE ,CITY
�.. �.; APPLICATION FOR BUILDING _PERMIT IJ
COUNTY OF LOS ANG£I.ES B U I LD I N o
DEPARTMENT T OF COUNTY ENGIADDRESS
BUILDINQ AND SAFETY DIVISION LOCALITY r
JOHN A. L.AMBIE, COUNTY FLNgINI[R NEAREST
RU114DINQ CROSS ST.
1117NO. I UP [TYPE,
[D BY
FOE APPLICANT TO FILL IN TYPE,
BUILDING 5T L 7—c— STATISTICACLASSIFICATION SEWER MAP
ADDRESSBK
CLAIP. UNMM
LOT NO. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT MAP q� / HIGHWAY SATE MAJOR SECOND, OC
/ N0.0F'BLDGS• NO .7 (CIRCLE)
S=OF LOT NOW ON LOT USE ZONE SPECIAL
U's CONDITIONS
SXf IN0 BLDG /,[T'
TEL
OWNER C7 iZ NO. BUILDING ®(IST.
9' / SETBACK YAR Cf HWY STREET E WIDTH
ADDRESS / 4 S 9T G• FRONT
AR HITECT OR TEL P. L
EN INFER NO. slkmck SIDE
7-
ADDRESS T ' ON RECORD
NO.
oC
ADDRESS r .
DESCRIPTION OF WORK '
NEW AD ALTER REPAIR DEMOLI6H
SQ.FT. NO.OF NO.OF i 1` ' i
IZE STORIES FAMILIES
USE OF
STRUCTURE
1r
r+
SIGNATURE OF ✓
API'LICANT
f r
VALUATION S
APPROV ATE INS CTOR•3 31
P C' PMT '� 7 QQ FOUNQATION: LOCATION
P� FEE !� FORl18 MATERIALS
FRAME:FIR'10
STOPS,
I HEREBY ACKNOWL.EDOE THAT I HAVE READ THIB APTLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 1■CORRECT AND AGK"TO COMPLY FURNACE:LOCATION, ,
WITH ALL COUNTY ORDINANCEB'AND STATE LAWS REGULATING SAB V DUCTS
BUILDING CON BTTMUCTION. I CER YIFY THAT IN DOING THE WORK -
AUTHdRIZED HEREBY I WILL NOT EMPLOY ANY PER)ON IN VIOLA- LATH INT
TION OF THE LABOR COOK OF THR /TATE OF CALIFORNIA NELAT-
ING TO WORKMEN'/COMPFIIBA ION RAHC
LATH EXT.
SIGNATURE.OF HOUSE NUMBER COR-
PERMITTETE RECTAND
ADDRE 1 G /
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINPIR
PLAN C3= VALIDATION aN. M O PEMT VALIDATION r o aA+rt
Lpo,o 4 1 0 1 t2. ARS 1 ' 3 D 1 1.0 D a 4
LIiLo 5 5 1 .1 f-1AY 3 1 1 D 2 2.0 0-