HomeMy Public PortalAbout9443 LONGDEN AVE_Building__ TEMPLE CITY-
7BAss"C6 bas.I-9."
APPI..ICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER- AD°REss ,
BUILDING AND SAFETY DIVISION LOCALITY,
JOHN A. LAMBIE, COUNTY ENGINEER' NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTR.WT N GRO P TYPE P Es y
Q CONST.
BUILDING fiTATISTICAL CLASSIFICATION' SEWER MAP
ADDRESS �j� p� l H PG
CLASS.NO.�DWELL.UNIT f
LOT N OCK WATER NOT-REQUIRED ® RECEIVED
CERTIFICATE:
TRACT `-- MAP NO. `/'��� HIGHWAY STATE MAJOR SECOND, OCAL
NO.OF SIZE OF LOT. iw r{ aNOW ON LOTS IT.'E US ZONE EO SPECIAL(CIRCLEI �Q
'P f7'
USE OF . %T ry CONDITION
EXISTING BLDG. ' l � /
I f TEL. r
-
OWNER it-SIO. BUILDING EXIST.
v SETBACK YARD HWY STREET NAME WIDTH'
ADDRESS � - ,fin �Es<. FRONT
ARCHITECTOR � TEL. ,�-'� - P.L.
ENGINEER NO. SIDE
ADDRESS INSPECTION RECORD ` 0
CONTRACTOR - NEL.
ADDRESS 1, :Cif-%�ti'- i�/•/ ' i 1 �Y C /A.P�J G ��f�( �YY/�Z/"
DESCRIPTION OF *ORgLU
h
NEW ADD ' ALTER REPAIR. DEMOLISH J i { Z
SO.FT. _, , NO.OF NO.OF
IZE s,'/ TORIES FAMILIES -
USEOF
STRUCTURE fir+. ��? i� �/y/y,�C. �)''1 %���C✓/ i
li � r U' L ....✓ate'-�.'� �� /�.
^ SIGNATURE OF
� APPLICANT
VALUATION S. / I
E l{•
�''. APPROVALS DATE / INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION ! •?
P.C. PMT. /` /:• �i �/•�
FEE 'sai EFT FEE $ FORMS,MATERIALS % i.i/�•'
FRAME:FIRE STOPS, �1
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION;t: '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- („ATH,INT. �� h Z I /i ` :� �fil
F THE
TION OF THE LABOR CODE OHE STATE OF CALIFORNIA RELAT- 1 ` Y/ f� V `��
ING TO WORKMEN'S COMPENSATION INSURA ICE - Y 1J 1 /1
SIGNATURES HOUSE NUMBER CQ - I � �
, `) / f
PERMITT RECT AND POSTED It
ADDRESS -' FINAL.
CLYDE N. DIRLAM! INCIPAL ST C RAL ENGINEER
LID
PLAN CF= VAATION, CK. M.O. CASH! PERMIT VALIDATION cK "m-o. cAsH
,
LAU6 6 2 1 5 OCT 3 0 2 3 D 2 .5,0 OA v =
LACO 6 8 7 3% •140v 13 1 D 5 0.0 0, mv