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Home My Public Portal About4846 TEMPLE CITY BLVD_Building__ 1 - DEPABTBBM OF COUNsr naanMM DIVISION OF BUMDING AND SAFM BUILDING couffy OF um "mm WILLIAM J. PDX. Couwm Emommit APPLICATION_ CASSATT D. GRIFFIN. SLIP T or BNILDIKa FOR APPLICANT TOM IN FOR OFFICE USE ONLY BUILDING DISTRI O PUN CR OR RKC No PERMIT NO ADDRESS 7s3 LOCALITY RECEIVED Byl DATR OF APDL A ISSU D NEAREST ROCS ST. BUILDING �'+Q OWN ,1ADDRESS MAIL • 4 T LOCALITY �. T� NEAREST cn SST I 4G ARCHITECTOR TEL FIRE NO OF _TYPE GROU HNGINBER O ZONE �� PLANSBLDG - ADDRESS SHTBACK LINE 'O CONTRACTOR TEL. US8 APPROVED I No ZONE BY DATE ADDRESS . ` HOUSE NUMBG Z LEGAL MAP NUMBER MO ASSIGNED BY DH•CRIPTIO O / 6 CORB=ONS Vol TRACT / �,� SIZE OF IAT S6 7 NDW ON WTD G c,�GA T-a .e.tG�3 ni 5 AS USE OF �+ Ex N E G S �C DESCRIPTION OF WORK O — X NEW TION / < Z REPAIRDENO (TION // r, SO rr NO OF SIZE � � ROOMS � STORIEH COVERING S CG COVERING A/ G� LIwG UBH U RE eQe IS 77 f APPBOV� 1 e LL`S INSPCCT C SIGNATURH DATE FOUNDATION ON FORMS MATER f !C 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS AR FRAME FIRE STOPS. PLICATION AND STATE THAT THE INFORMATION GIVEN IB RRACIN9 BOLTS R CORECT 1 AGREE TO COMPLY WTTH ALL COUNTY ORDINANCES FURNACE LOCATION. AND STATE LAMS REGULATING WILDING CONSTRUCTION OAS VENT Dusm / SRE IGNATUOF PERM / f .y LATH ®IT ADD l / PLASTER. INT AUTXORIZED AGT PLASTER. EXT s Z RteC III PEREMU NEER COR- G I REST AND PORTED VALUATION FEE • D FINAL M 7a 011. 8f DEPARTMENT OF BUILDING AND SAFETY ',APPLICATION FOR PERBUTI COU,, TY OF LOS ANGELES B U I I ® I N G %vm. J. FOX, cHIEr ENGINEER FORPLICANT TO FILL IN FOR OFFICE USE ONLY /Q /V BUILDING IC Z� /� DIBTRI � PLAN Cr_Mo. PERMIT NO. - 1 / 7-3 ADDRESS )[ / LCIOALITY R[OJ[ly[D BY DA Or L D E larwo N[AR[ST O v71z13 'T 2 BUILDING �— OWNER ADDRESS OLa MAIL ,LOOALITY / ADDRESS TEL CIRCUS ST. NO CL OF ARCHITEOTOR T[L g ZGM/ NPLANS G ENGINEER NQ 7 n:Do. L L O Na ADD 1701 WMAOIC LIN[ TEL APPROV[p CONTRACTOR NO W DATE UBi APPROVED ADORCS8 zakt BY DATE LEGALCORRECTIONS TI DESCRIPTION LOT NO BLOCK TRACT w 7/ NO Or SLOGS SIZE Or LOT N / OW ON LOT A/ use Or NO or NO or 1 1 O LDD rAMiuEU ROOM DESCRIPTION OF WORK NEW ALTERATION ADDITION O U REPAIR MOVING DEMOLISH � BC IT nD or elze , RODMe STORIES WALLCOVERING W OOVERINGI Ibl•d INS NUILDIN L/ 1 jam 1 HERESY Al2KNOWLEDS[ THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STAT[ THAT TNK ABOVE IB OORq[OT FOUNDATION LODATIDN INSPECTOR DAT[ AND AOq[[ TO OOMPLY WITX ALL COUNTY ORDIMANO fORMB, MATtliIALB AND STAT[ LAWS REDULATING BUILDING OONBTRUCTI FRAM[ ►IRC rnC% BIGNATURECW ORAOIN4 BOLTS I` y OWNERLATH.INT.1 v AUTHORIZED AST. LATH.KKT 1 00E-3 ]!X ern 1K7 P.D.B PLASTER.INT. �yoo= r[E U PLASTLW�T. s/ - ` LVALUATION f[[ ! FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES. BUILDING WM. J. FOX. CNI[r ENGINEER FOR APPLICANTIO FILL IN I FOR OFFICE USE ONLY y BUILDING DIGTRICTHO PLANCK NO PERMIT NO / - —ADDRESS Y J( 11 1 LOCALITY -.� RECLVED OY DATE Or APPL OAT ISSUED NEAR[AT / C B BUILDING OWN ERADDRESS MAIL LOCALITY 1 ADDRESS NEAREST, ✓ I TEL CITY Njj- CROSS ST i(/1./�•V.i I fIRC I NO OFTYPE GROUP I ARCHITEOTOR TEL. ZONE I PLANS ENGINEER �'� NO ' SLDG I /� ° 4 / GDcN ADDRESS �' SETBACK LING I / APPROVtD CONTRACTOR TEL BY I I DATE USE 1 ° APPROVED ADDRESS ZONE BY, I DATE C LEGAL CORRECTIONS DESCRIPTION LOTNOBLOCK I TRACT / / �J T V / NO Or BLDGA f 1 I Bar Or LOT NOW ON LOT USE OF NO Or I NO Or EXI AMILI[[ MINH DESCRIPTION OF WORE -- - - - NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH L G_ SO FT. ZOOMS I ' .I n r r 812E 2- 0 ROOMS STORIES WALLROOF COVERING COV RING USE OF NEW BUILDING i ` I 1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATIC LAWS REGULATING BUILDING CONSTRUCTION FORMA,MATERIALS S FRAME FIRESTOPB. SIGNATURE OF f BRACING.BOLTS ++ S P[RMFTTEr LATH. INT AUTHORIZED AGT LATH, EXT. I 1 1 7e 9w P O PLASTER,INT LVALLIATION ►[[ PLASTER.EXT -APPLICATION FORIBUILDING PERMIT - FOR APPLICANT-TO FILL IN (PfInrPF rr PB PNIY) BUILDING COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITv ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT "- ADDRESS TRACT BLO LOT NO LOCALIT L NEAREST OWNER CROSS ST / ASSESSOR ADDRESS MAP BOOK PAGE PA CEL - pCIISTRICT ROUP TYPE FIRE CESSED BY CIT ZIP �;� CONST ARC IT CT R TEL ENGINEER NO STATISTICAL SSI FICA TION SEWER MAP ADDRESS CLASS NO DWELL UNITS!:: BK PG TEL CONTRACTOR Z EMAP LI NO ADORES O SPECIAL C I T LI CONDITIONS 01 CLA55 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CO TR TION L DER y NAME AND BRANCH BLDG SETBACK FROM - - W FRONTPROP LINEOF (STREET) ADDRESS CITY HIGHWAY } YAgO - TOTAL $ T10 FROM TYPE DF E%(STING SO FT NO OF NO OF CHECK FRONT OR LINE HIGHWAY WIOTN SIZE STORIES FAMILIES ONE I PFNt - o NEXISTINGBLDG,,5�1 ORK NEW ❑ y BLDG SETBACK FROM = 12 + OD ❑ SIDEPROP LINEOF (STREET) ALTER ❑ HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING EPA( SIDE PROP LINE HIGHWAY WIDTH USE: OF AA EMOL }TCORNER CUTOFF YES ❑ NONO� • IN OPEN SPACEYES ❑ NO ❑Q IN COASTAL ZONE YES ❑ c]NO VALUATION$ _ • CATEGORICAL EEE MPTION YES[] NO ❑ HEREBY ACKNOWLEOOE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON ST RUC TI ON I CERTIFY THAT IN DOING THE WO HIRIIED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT PLO ANY PERSON IM VI LA TIO 0P THC LABOR CODE OF TX ST OF CALIIORMIA 1 RCL IND TO WORKMEN 5 CO M"P, TI I SURAMC SIGNATURE OF PERMITTEE ADDRESS FINAL TE BY CIT4�SJJg All.P SQA N / DATE - M11dKf C/1ECKS PA YA BLL TO FEE $ FE - HARVEY T BRANDT COUNTY ENGINEER poo"CCM �.�� l' PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION cN Mo CASH 4 7 7:OCT 24 7BA538A CE9803 7/73 lm'