HomeMy Public PortalAbout4814 FIESTA AVE_Building__ w�
56980.DOS
11 59 -APPLICATION FOA-BUILDING PERMIT
11
DIVISION OF BUILDING AND SAFETY BUILDING
ADDRESS Y
Department of County Engmeer L
County of Los Angeles LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO I GROUP- JT4E SEWER MAP'
BK PG
CONST
BUILDING
ADDRESS NUM ER STATE YES NO
US
LOT NO ZONNE SPECIAL
CONDITIONS
TRACT =�=V G
NO OF BLDGS
SIZE OF LOT OW ON LOT BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
USE OF
EXISTING BLDG FPOLNT
OWNER p ,/ (SIDE ^f'
MAIL �Il I`f' �r - •• rte- P L
ADDRESS it.(✓Q/I--(l�� O TRACT DWELL f UNIT
TEL/�w` 5 INDUSTRIAL
CITY NO / ��� t iDWELL 1 UNIT
6 PUBLIC BLDG
ARCHITECT dR TEL 2 DUPLEX 2 UNITS
ENGINEER NO 3 APT UNITS 7 ADDN ALT ETC
r 8 MISCEL
ADDRESS
4 COMMERCIAL
TEL
CONTRACTOR NO INSPECTION RECORD_ -1
ADDRESS I T �
DESCRIPTION OF WORK ,
NEW ADD ALTER REPAIR DEMOLISH v
SO FT NO OF NO OF
SIZE STORIES FAMILI
USE OF STIjITURE /c�
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS ATE INSPECTOR S SIGNATURE
$ FOUNDATION LOCATION ep
P C $ FORMS MATERIALS
FEE FRAME FIRE STOPS
VALUATION $ BRACING BOLTS i
FEE '� FURNACE LOCATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT Kin ON
AND STATE LAWS REGULATING BUILDING CONSTRUC
TION LATH EXT 110 l
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE �j RECT AND POSTED A
ADDRESS FINAL S SZ r �
JOHN A LAMBIE COUNTY ENGINEER VALIDATION CLYDE N DIRLAM CHIEF BLDG INSPECTOR
CK MO CASH
n
0
Temple City
76A638A CE#8033 66 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
le
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 Z �%
FOR APPLICANT TO FILL IN DISTRST-Nle O GROU Y P E PRO SS BY
a CONST
BUILDING STATISTICALSSI FICA TION SEWER/J+1AP
ADDRESS CLASS NO DWELL UNITS SK � PG
LOT NO BLOCK USE ZONE MAP
TRACTSP�j O
SPECIAL
NO OF
BLDOS CONDITIONS
SIZE OF LOT NOW ON LOT r
USE OF
I-XIST, BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER NO H!ISTING BE HIGHWAY YARD = TOTAL
ADDRESS F M C L
CITY T PM
ARCHITECT R TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL'
ADDRESS HIGHWAY WIDTH FROM C L
T + 4 =
CONTRA CTO 288-4o d
ADDRESS NO LIC CORNER CUTOFF YES ❑ NO
Ic
CITY San Gabriel CCL SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
c:
E ADD ALTER REPAIR DEMOLISH z
SQ FT NO OF NO OF
SIZE STORIES FAMILIFS
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ O&P UU APPROVALS DATE INSPECTOR SSIGNATURE
P C PMT FOUNDATION LOCATION
FEE$ FEE$ 6.00 FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THA N DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY A V PERSON IN VIOLA LATH INT
TION OF THE LABOR C JJOF T S�WRNIA RELATING TO WORKMEN S C P'NSA O IN LATH EXT
SIGNATU HOUSENUMBER COR
PEitMITTE R E_C T
AND POSTED
ADDRESS S`�Q R. Val lay Blvd- S- G., F1 NAL 14Z.
JOHN F LEWIS PRINCIPAUfSTURAL ENGINEER
MIT
PLAN CHECK VALIDATION CK M O CASH _ PERVALIDATION CK M O CASH
LACO8-3 7 8- MAf 4 1 D 6.00- U