HomeMy Public PortalAbout9175 BIDWELL ST_Building__ TEMPLE CITY,
�.,...aa�.. , APPLICATION FOR gUll -DING PERMIT
COMITY-OF 108 ANGELES BUILDING' a
DEPARTMENT OF COUNTY ENGRCM' ADDRESS
MING AND SAFETY DIVISION
,. 'JOHN A. 1_AM13I9, COUNTY EN4u+dut NIEMEST
CROSS ST.
DISTRICTN GROUP TYp= ED BY
FOR CATO FILL M CONST.
BUILDING STATISTICAL IFII,ATION 8 ER HAP
ADDREtlD BK
if .NO-9�DwzLL,UN
LOT NO. BLOCK WATER JOT REQUIRED RECEIVED
CERTIFICATE: 12
TRACT NAP HIO HW AY STATE MAJOR RECON LOCAL
NO.OF SLOGS. NO ICIRCLEJ
DQE OF LOT: NOW ON LOT USE ZONE SPECIAL. '
UB OF - / NDITION8
EXI81-ING'5LDO f/
TEL
OWNER ' NO.04t BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
ADDRESS 4 FRONT iy
ARCHITECTOR - TSL r P.L [J
ENGINEHR NO. SIDE
ADDRESS INSPECTION BECO$DQA
CO NTRACTO NO V
ADDRIW443
DL
DESCEUMON OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT: - NO.OF NO.OF
IZE STORIES FAMILIES
USE OF
BTRUCTURi
SIGNATURE OF
APPUCANT
VALUATION r ////
APPROVALS INSPECTOR' "RH
P.0 Pte- �f FOU�►�I1QATION:LOCATION
FEE F FORMS MA7`ERIALS
E:-FIR4 5TOM,
1 HVUMY ACKNOWLEDGE THAT I HAVCR[AD THIS APPLICATION BRACING BOLTS
AND STHVG
ATE TAT THE AOOE If CORRY.CT AND ARII TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAD DUCTS
■AILDI NG CO UCf'f10N. I CQ-fIFY TH/1T IN DOING TH[ WORK
AUTHORIZED HH Y I WILL NOT[MPLOY-ANY MUMON IH SOLA- LATH, INT-
TIORPON OF THC LAiOR COD[OF THE STXT[OF CALIFO
ENG TO WO ,[N'■COMPENSATION INSURANCE LATH,
uTH EXT.
SIGNATTULJRE F . HOUSE NUMBER COR-
PERM STYE
ADbREIIA
,L`(DE N. DIRLAM,PRINCIPAL STRUCTURAL Eyau��e
PLAN CI Ga VALIDATION or- m-m a-mi PEDUT VALIDATION me x o.
[ 0 9 5 9Z2 FEB1 ,5 1 0 4.,QQ�
78A"BA COK03 G-u APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGEI.FS BUILDING
DEPARTMENT OF COUNTY ENGINEER , ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
.JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP•T.OF BUILDING CROSS ST.
DISTRI T NO GROUP TYPE. P ESSED BY
FOR APPLICANT TO FILL IN CONST.' .
BUILDING rte, STATISTICAL LASSIFICATION SB ER MAP
ADDRESS 7S J��G�-c.- CLADS NO. DWELL. UNITS
LOT NO. BLOCK USE ZONE MAP
TRACT SPECIAL .
NO. OF ■LDGI. CONDITIO 421
SIZE OF LO.T NOW ON LOT
USE OF
BLDG. SETBACK FROM
NOL, FRONT PROP. LIN[ OF (STREET)
O N TYPE OF EXISTING I[.jBACK HIGHWAY YARD = TOTAL
ADDRESS J LL WIDTH om C
+ _
CITY rauxwe
BLDG. SETBACK FROM
ARCHITECT R THE. SID[ PROP. LIN[ OF STA
ENOINIKER NO, -
TYPE OF [%ISTIN• I[TBACN HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _ 0
CON TRA CTO NO
LIC f CORNER CUTOFF Y[• NO 01
A0DRES NO / 7� O
LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK _ Z
NE ADD ALTER REPAIR
Dt<MOLISH ��
FT. NO. OF NO, OF
SIZE - BTORIFIS FAMILIES
USE
STRUCTURE 'D C��l1,dS.0 IVC
SIONATURE OF
APPLICANT
VALUATION$ 3 APPROVALS DATE INIPECTOR,A SIGKATURE
P.C, PMT. FOUNDATION, LOCATION / ^
FSE$ Ftt� FORMSMATE AL
FFA IS FIRE STO S,
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING POLT4
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACEI LOCATION I
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT. DUCTS
GU ILD I NO CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LASOR COD[ OF THE STATE OF CALIFORNIA R't LAT.
i
INE TO WORKMEN'S COM H INJURANCK. LATH. EXT.
I
SIGNATURE OF HOUSE NUMBER COR- 1
PERMITTEE RAND POSTED ,q
ADDRESS I NAL -
JOHN F. LEWES, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. cASH PERMIT VALIDATION CK. .A-
Lrbo
CASH
8 9 7 8 RAR 1 1 D 4.0