HomeMy Public PortalAbout6011 HART AVE_Building__ TEMPLE CITY
76A 638A CE#803 3-68AIr"Ir IL ICA p ION FOR BUILDING PERMIT I I
COUNTY OF LOS ANGELESlul
BUfLDING
DEPARTMENT OF COUNTY ENGINEER . ADDRESS
BUILDING AND SAFETY DIVISION 1�
LOCALITYr,Ile
JOHN A. LAMBIE, COUNTY ENGINEER' '
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST /
.CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT. No. GROUP coNS PRgcesseD BY
(Print or type only) V (���Jj
A41—
BUILDING STATISTICALSIFICATION .SEWER.MAP
ADDRESS 6011 No Hart Street CLASS NO. DWELL,UNITS '.Z—BK PG��.
LOT NO. 3 2 BLOCK USE'ZONE-MA lJ
TRACT SPECIAL
od. CONDITIONS
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT -
USE OF
EXISTING BLDG, BLDG:SETBACKFROM
TEL. - FRONT�PROP.LINE OF - -- (STREET).
(STREET).
OWNER NO.' - TYPE OF EXISTING SETBACK HIGHWAY • + YARD = - TOTAL
HIGHWAY 'WIDTH FROM C.L.
ADDRESS 6013 No . Hart Street
CITY 1
ARCHITECT OR ! SI LINEO
EL. DG.SETBOM - .----
ENGINEER NO. SDE PROP.LINE OF (STREET)
- _ TYPE OF EXISTING SETBACK -HIGHWAY + YARD = TOTAL-
ADDRESS HIGHWAY WIDTH FROM C.L. -
TEL. _
CONTRACTOR H . Randol NO." a + a
ADDRESS NO. CORNER-CUTOFF YES ❑ NO:❑ U
LIC.
CITY
CLASS _ SEE REVERSE.SIDE FOR SPECIAL APPROVALS o
DESCRIPTION-OF WORK LU
N
' z
NEW ADD ALTER REPAIR XXDEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF -
APPLICANT
VALUATION $
APPROVALS DATE INSPECTOR'S SIGNATURE
P. PMT. FOUNDATION: LOCATION
FEE$ FEE $ 9 . 00 - 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,
WITH ALL COUNTY.ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS '
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY NY PERSPN IN VIOLA-
TION'OF THE LABOR CO E F T TA F.CAL RNI ELAT- LATH, INT. -
.ING TO WORKMEN'S C P SAT R CE. - '
LATH,'EXT,
SIGNATURE OF HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS
FINAL w
JOHN F. LEWIS. PRINCIPAL STIR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ ` PERMIT VALIDATION CK. -.P. CASH