HomeMy Public PortalAbout9465 LONGDEN AVE_Building__ ri. TEMPLE CITY
76.688A CE 803 1-62APPLICATION FOR BUILDING AdRMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY'ENGINEER ADDRESS
BUILDING AND SAFETY DMSION. LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN, SUPT OF'BUILDING CROSS S
DISTWCT NO RO P TYPE C D B
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 14 EPte¢
CLASS. NO. _ DWELL.UNITS e1
LOT NO. ' BLOCK Q WATER ' NOT-REQUIRED RECEIVED
CERTIFICATE:
TRACT MAP HIGHWAY STATE MAJOR SECOND, OCA
NO.OF BLDGS. NO.• (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE. SPECIAL �j
USE OF - CONDITIONS PSIS
EXISTING BLDG. ,
TEL. /
OWNER NO. BUILDING YARD HWY TREET NAME EXIST.
t SETBACK WIDTH
ADDRESS l' FRONT
ARCHITECT OR, a TEL. P• L•
ENGINEER NO. SIDE
y' P. L.. r I G
ADDRESS {
1 T4 Al
CONTRACTOR13
NO. }
ADDRESS Ca r Lir . C
DESCRIPTION OF WORK Af'1 r
E ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF.' O.OF a�_�•.�/ ft�L-� !+
SIZE S RIE ` AI�7[LIES --�f�io0v /. el f•
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT.
VALUATION $ l
APPROVALS ', ` D_ ATE INSPECTOR'S:SIGNATURE
P.C. PMT. 'FOUNDATION: LOCATION
FEE $ FEE $ L7� FORMS, MATERIALS "J i.A ( 1 •J v �J
FRAME: FIRE STOPS,
['HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS
AND STAYE'TH'AT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT,.DUCTS
/ / ,� //•• ' `�
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK w: -
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN V
TION OF THE LABOR CODE OF THE E OF CALI FOR%IA EL LATH, INT. I I/�• �- f`:=���;'��� I
ING TO WORKMEN'S COM NSA �pISURANC_;. _ p f` f 0 d� /e,•� ���•C�T
LATH,EXT, r l q
SIGNATURE O :HOUSE'NUMBERCOR-, -
PERMITTEE RECT AND POSTED" i I l I/.�,•r! =•t+•_ %�r�
ADDRESS FINAL frr;� f.
JOHN F. LEW 1S,'PRINCIPAL ST, RAL ENGINEER
PLAN CHECK VALIDATION CK. M:d. cABH PERMIT VALIDATION CK. M.O. CASH
U"4 4 6 101 SEP 18 2 3- D 2 5.004ce
Leo 5 z° 7 10 OCT 8' 1 D 50.00-
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