HomeMy Public PortalAbout4518 TEMPLE CITY BLVD_Building__ DEPARTMENT OF BUILDING AND SAFETY - APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES - BUILDING
WM. J. FOX. CHIEF [NGIN[ER f^
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ABUILDING ODR[BB ///2- DIQTR16T N0 PLAN No 5[RM IT NO�
7
LOCALITY 77 C R[OEI S/ DAT[or/IPPL DAT[IBOm
NEAIIEST C
OR
8 ILDING Z S G�/
OWNER / ADDRESS
MAIL LOCALITYNEAREST
/ • G
AGGRESS
TEL 3. CROBB ST
FIR[ NO Or TYPE GROUP
ARCHIT[CTOR TEL. ZONE PLANG
ENBIN[[R ND.
BLDS / ORD NO
DDR SETBACK LIN[ U
v TEL APPROVED
' CONTRACTOR NO. BY DAT[
UBEAPPROVED
A DR ZONE BY DATE
D�CRIif1C/M^ LOT NO.- BLOCK '2� CORRECTIONS
TRACT / ✓ C! .Yx li dl& WW
BIZ[Or LOT 70 I 'mom FHIL.DGB.^
OY
UBE OF .. I NO D► I No or
"ISTIN LO /2.( - I 1 �R M - _
DESCRIPTION OF WORK Roof /NE �11
NEW , ALTERATION ADDITION i GLE 1 O
REPAIR � MOVING DEMOLISH
eq rT NO Or
SIZE ROOMS STORIES ' f 1 1
WALLROOT n
COVERING OOV[RIND� f - R .Y S
Bull-DINo �/� / G��/!/ U m�� �LYWeo
a►? oL S 9y
0
� N
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE IN CORRECT rOUNDAT1ON2 LOCATION INSPECTOR DAT[
AND ADR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALB
AND STATE LAWS REGULATING BUILDING COKBTRUOTION
FRAME rIRESTOPS.
SIGNATUREDr SPACING BOLTS -
PERMITT[
p, LATH.INT t
AUTHORIZED AOT- / LATH.EXT I
D138-3 MTI EErR 1-+B P C • PLASTER.INT
�V FEE PLABTER.EXT.
VALUATION FEE FINAL