HomeMy Public PortalAbout10504 KEY WEST ST_Building__ 76A638A D56.3 12-54
APPLICATION FOR BUILDING PERMIT ].
DIVISION OF (BUILDING AND SAFETY ADD El's� ��
Department of County Engineer Q
County of Los Angeles LOCALITY �G -
WM. J. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN,,SUP'T OF BUILDING NEAREST
CROSS ST
DISTRICT NO GROUP SEWER MAP
' FOR APPLICANT TO FILL IN TYPE _ K _GBUILDING �.+ CONST -
ADDRESS J d MAP i STATE
NO
D /� r NUMBER F�j�+' HWY '
LOT NO / e /r BLOCK /_ USE ZONE SPECIAL _
TRACT 2"0
r �/ CONDITIONS
_ /� O�
0 I ,NO OF BLDGS �p&�
SIZE OF LOT- d NOW ON LOT BUILDING YARD HWY STREET NAME EXIST
USE OF SETBACK WIDTH
EXISTING BLDG FRONT
P L
OWNEPC��99-0� SIDE _
MAIL r P L
��7 _
ADDRESS �� - -
C TEL? t DWELL I UNIT 5 INDUSTRIAL
CITY t NO -
2 , DUPLEX_UNIT 6 PUBLIC BLDG
ARCHITECT OR TEL
ENGINEER NO 3 APT UNITS 7 ADDN ,ALT, ETC
ADDRESS - 4 COMMERCIAL - 8 MISCEL
• CONTRACTOR+ -GO � - rNE2 '_X3 _ - INNSPECT/ION RECORD
ADDRESS /1Z erg ,
DESCRIPTION OF WORK ���lll7y r71�7
_ r
NEW ADD •ALTER REPAIR r DEMOLISH
SO FT NO OF NO OF
SIZE STORIES FAMILIES
U E OF STRUC RE
SIGNATURE OF
APPLICANT - APPROVALS
ADDRESS DATE INSPECTOR'S SIGNATURE
FOUNDATION LOCATION
$ QIP P C. S FORMS, MATERIALS
FEE FRAME FIRE STOPS. _
VALUATION 3 - BRACING. BOLTS
FEE FURNACE LOCATION.
I HEREBY ACKNOWLE GE THAT I HAVE READ THIS GAS VENT, DUCTS �J 1
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT
AND STATE LAW�GULATING BUILDING CONSTRUCBUILDING CONSTRUG
TION- LATH, EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE �'�RECT AND POSTED _AND POSTED "
ADDRESS F1 NAL -
WM. J. FOX. COumTy' ENG1N Q om" VALIDATION
BY
..le 0 5---'&Y-6-� FEBZ'S
DEPUTY DEPUTY
BY t BY v "
O DEPUTY DEPUTY
• r ��dT _
r 76A638A CE #803 12/69
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,
COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvDe onl CROSS ST
BUILDING DISTRICT N GR TYPE P
ADDRESS 10504 Key West, Temple City CONST
STATISTICAL CLASSIFICATION SEWER
LOT NO BLOCK CLASS NO 5�2 /DWELL UNITS BK PG
TRACT USE ZONE MAP /�''
NO OF SLOGS NO o
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER Frank Phhl$on `
NO BLDG SETBACK FROM
ADDRESS 10504 Key West ' FRONTPROP LINEOF (STREET)
TYPE OF EXISTING SETBACK rHTIGHWAY + YARD = TOTAL
CITY Temple City, Calif. HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL + _
ENGINEER NO
BLDG SETS K FROM
ADDRESS SIDE PROP LI F (STREE
TEL .TYPE OF EXISTING SETBA HWAY +' YARD = TOTAL
CONTRACTOR NO _ HIGHWAY WIDTH FROM C.L
ADDRESS 8 NO 6 +LIC Cm
= a
CITY Los Angeles -90022 CLASS C-39 CORNER CUTOFF YES ❑ NO ❑ C-.l
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS a
SQ FT NO OF NO OFRe-roof entire house and gar a
NEW
SIZE STORIES FAMILIES Z
fj
USE OF ADD ❑ with composition
STRUCTURE Residence
ALTER ❑
SIGNATURE OF —REPAIR[:]
APPLICANT DEMOL ❑
VALUATION $ 630.00
APPROVALS DATE INSPECTOR'S SIGNATURE
P,C PMT FOUNDATION LOCATION
FEE $ FEE$ FORMS, MATERIALS
FRAME FIRE STOPS,
I HEREBY ACKNOWLEDGE THATC1HAVE READ THIS APPLICATION BRACING 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 I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 01ILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT
LABOR CODE ,OF, THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE LATH, EXT
RIGID MFG. COMPANY ,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE _ RECT AND POSTED
ADDRESS FINAL
JOHN F LEWIS PRIN IPAL TU AL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VA
PLAN CK mo CASH
1 0C