HomeMy Public PortalAbout4847 TEMPLE CITY BLVD_Building__ .�.Aat...✓.. APPLICATION FOR BUILDING PE MI 1
COIINTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUII.DING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE CouNrY ENGINEER NEAREST
WILLIAM JENSEN. SUP To BUILDING CROSSST
DISTRI N¢ _ R UP TYPE HO BY
FOR APPLICANT TO FILL RQ av CONST
BUILDING BTATISTICALC IFICATION "EWER
MAP
ADDRESS 4847 N. Tem le Cit Blvd, BK_
CLA99 NO WELL VNITB
LOT NO BLOCK MAP STATE YES NO
NUMBER HWY
TRACT USEZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG {,,, BUILDING YARD HWY BT NA EXIST
OWNER .TOIIII CSB$tani NO Ii SFRONTK WIDTH
ADDRESS 4847 N. Temple Cit Blvd SIDE
ARCHITECT OR TEL L
ENGINEER NO INSPECTION RECORD
ADDRESS
CONTRACTOR Monarch Rf g. Co. NOLLA 6191 Q
ADDRESS 611 S. Fair Oaks e U
DESCREMON OF WORK [[['0yyy'
NEW ADD ALTER REPAI DEMOLISH X
SO FT NO NO OF
SIZE STORIES FAMILIES
USEOF
STRUCTURE Re—roof residence
STRUCTURE
30# f elt roof in
SIGNATURE OF
APPLICANT �A M
VALUATION$ 39040
APPROVALS DATE --INSPECTORS SIGNATURE
FMT
FEE LO
------ FEE 3 OO FO UNDATION FORMS. MATERIALS TION
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME FIRE STOPS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURCE CATION
STATE LAWS REGULATING BUILDING CONSTRUCTION GAS NAVENT LOOUCTB
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH{ INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OP THfi
WORKMEN S COMPENSATION LAWS OF CALIFORNIA. LATH EXT
SIGNATURE OP HOUSE NUMBER COR.
PERMITTE RECT AND POSTED
ADDRESS FINA
CLYDE N DIRLAM P INcIPAL Sr RAL ENGINEER
PLAN CHECK VALIDATION CK. No CASH PERMIT VAI.IDATIO «. r o cASR
�(�.o7 9;3 3 !�J_ FEB 5 , 1 D 3.0 0 m.
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