HomeMy Public PortalAbout4353 TEMPLE CITY BLVD_Building__ J
Y^� Imo• r
- TEMPLE CITY
...M..a,a...l APPLICATION FOR BUILDING PE MIT
COUNTY OF LOS ANGELES BUILDING
ADDRE88
DEPARTMENT OF COUNTY ENGINEER
BUtWI iG AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENOINKRR NEAREST
"TAM ! euFISUILDING CROSS BY
DISTRICT TYPE ED BY
FOR APPLICANT TO FIM IN SOV CONST
BUILDING / ( 7 STATISTICAL CLASSIFICATION SOWER MAP
ADDRE88 J'3 BK
CLASS NO DWELL UNITS
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT MAP HIGHWAY
NO OF IS DGS NO (CIRCLE) STATE MAJOR SECOND LOCAL
812E OF LOT NOW ON LOT USE ZONE SPECIAL
USEOF CONDITIONS
�MISTIUSEDNO BLD
OWNER / TELNO 03 fr� BUILDING EXIST
1 SETBACK YARD HWY STR NA WIDTH
ADDRESS O r 1 FRONT
ARCHITECTOR / TEL P L
ENGINEER NO SID!
/ P '
ADDRESS d
rE `S / INSPECTION.RECOHD ) / 0
CONTRACTOR
ADDRESS / (/ �Gy ✓l�7///` L /< / / O
DESCRIPTION OF WOR%
NEW ADD ALTER REPAIR DEMOLI -�
8D FT NO OF P / (�
IZE STORIES
87R FA ILIle
gURK ,
If
SIGNATURE OF
APPLICANT
VALUATION S D
e9 el
APPROVALS DATE INSPECTORS SIGNATURE
LC I
FEE �� FEM! S -1 FOFORMS I MATERALSON
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAB VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA R[LAT
ING TO WORKMEN S C [NB 10 I URANC LATH eXT
SIGNATURE OF FIOU86 NUMBER COR- /
PERMITTEEAND STIED t /
ADDRE IJV
NA
CLYDE N DIRLAMI CIPAL STRUCTURL
PLAN CHECK VALIDATION CK. r o CABN PERMIT V ATION Aa M o oASH
,,;8 0 9 4 QI FEB 7 1 D 2.0 0