HomeMy Public PortalAbout5503 TEMPLE CITY BLVD_Building__ _ Ll 6 �
'BABSpA C/NBOS 8.64APPLICATION FOR BUILDINGPERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADORE99
BUILDING AND SAFETY DIVISION LOCAL
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS,SUP T OF BUILDING CROSS ST L�
FOR APPLICANT TO FILL IN D19r�CT N D °UP OYP T PR e B G
BUILDING !LO '_1 STTAAT STICA/-,CLASSIFICATION SEWER M P
ADDRESS a��JJ ...7 /� CLASS NO /_LL DWELL UNITS B P°
LOT NO aQQ of BLOCK USE ZONE MAP o O
Tfl ACT ,t.Gu/ � 9P ECTAL
NO
01 GLOB/ 11
SIZE OF LOT NOW ON LOT , +
USE OF
EXISTING BLDG. BLDG SETBACK FROM _
T FROM PRM LIN[ OI
OWNER TYPE O EEI/TI NO SETBACK HIGHWAY Y = TOTAL
ADDRESS II CL
CITY pLOG SETBACK FROM
ENGINEER NO
ARCHITECT OR TEL ■ID[ PROP LIN[OF
TYPE 0LHIGHWAY YRD TOTAL
ADDRESS 1111WAY WIDSTI
1
CONTRA C TO G.l�.i" O l!
ADDRESS
42 NO O/ CORNER CUTOFF YES NO O
CITY CLAss GLC SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK ,a
Z
NEW ADD ALTER REP'AI OEMOLI9H
SG FT NO OF
SIZE / STORIES MILIEB
USE OF
STRUCTUR
SIGNATURE OF
APPLIG ANT
VALUATION$ �D •I
12 APPROVALS GATE INSPECTOR'S SIGNATURE
P C P
MT POU NDATION, LOCATION
FE �� FEES FORMS MATERIALS
FRAME, FIRE STOPS,
I HERE" ACKNOWLEOGH THAT I HAVE "AD THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE 10 CONNECT AND AGR[[ TO COMMY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STAT[ LAW/ REGULATING OAS VENT DUCTS
OUILDING CONSTRUCTION I CENTIFY THAT IN DOING THE WORK
U 1
ATHORIZED HCI23Y 1 WILL NOT EM L"
ANY P[NSON IN VIOLA LATH INT
TION OF THE LABON COO. OF THE /T OF CALIFORNIA 1.11
ING TO WORKMELATH EXT
SIGNATURE ON COMRNSA N 11 U ANCH HOUSE NUMBER COR-
PERMITTEE q p
ADDRESSQ/Z FI NAL
JOHN F LEWIS PRINCIPAL $TRU URAL EN
PLAN CHECK VALIDATION CK M 0 CASH 0 7 0 APR7PERNIIT VALIDATION 8.00-
N CK MwN