HomeMy Public PortalAbout5622 TEMPLE CITY BLVD_Building__ 7EAS38A CE 0803 4/72
APPLICATION FOR BUILDING PERMIT fl
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVLSION BUILDING
MAKE CHECKS PAIABLE /O ADDRESS lOo2oZ
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
11r 1 CROSS ST
ADLININGDRESS-5d -:Z- %L,7J1lC `, f, DISTRICT NO GROUP TYPE EE BY
'O CONST 1
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO BLOCK
CLASS NO DWELL UNIT9_ BK PG
TRACT USE 20NE MAP
NO OF BLDGS NO G O8
SIZE OF LOT NOW ON LOT SPECIAL
USE OF ' CONDITIONS
EXISTING BLDG
OWNERL
�'SS.EL NOB G SETBACK FROM
ADDRESS 2Z a� �,r �� F ONT PROP LINEOF (STREET)
YPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY Pl/= LI HIGHWAY WIDTH FROM CL
ARCHITECT OR TEL } _ y
ENGINEER NO DG SETBACK FROM _ y
ADDRESS SI ROP LINEOF (STREET) p
TEL TVHP!OR CXI HWAY`} YARD = TOTAL Oma.
CONTRACTOR O O� NO HIGWAY WIDTH FROM C L
NO 557
ADDRESS44nLIC _
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CITY CLASS CORNER CUTOFF VES 1:1NO�u0 _Z
CONSTRUCTION LENDER - N
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SO FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD 18
STRUCTURE
ALTER ❑
REPAIR❑
SIGNATURE OF //
APPLICANT (� DEMOL Cl
VALUATION S G �.QQ
APPROVALS - DATE INSPECTOR S SIGNATURE
P C PMT 6 FOUI MARMSTLOCLS ON
FEE S FEE S X5.0 OA
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION 'RACING,
RACING BOLTS
AMD STAT! THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING COM- GAS VENT DUCTS
STRUCTI OM 1 CEFTI FY THAT IN DOING THE WORK AUTHORIEED
HEREBY I WILL No
EMPLOY ANY PERSON IM VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE
� LATH EXT
SIGNATURE OF� HOUSE NUMBER COR-
PERMITTEE_ RECTI AND POSTED
ADDRES,%_ FINAL
PLAN CHECK VALIDATION CK MO CAGH _ PERMIT VALIDATION CK M o CASH
17r- 0 7 9 0-33, APR 2( 1 D 1 5,00-
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DEPARTMENT OF BUILDING AND SAFETY BUILDING, ''� ® �
COUNTY OF LOS ANGELES V
WM. J. Fox, CHIEF ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ _ 14=
DIST RI N0. PLAN Cc OR REc No _- PERMIT NO-
BWLDIN
ADDRESS / d
LOCALITY C /R�FoPEII�VIZDD BY DATE or^PP" DAT[ISSUED
NEAREST
D OSB BTBUILDING
ADDRESS Al
OWNER I IF
MAIL �}• /` LOCALITY 1 • �L
ADDRESS / NEARCST� I
TEL CROBB BT 04 " IAI
I N d FIREI'D
Or B OUP 1
, PLANB�
ARCHITECT O TEL ZONE
ENGINEER N0. BLDG
BETBAOKILINE 9
ADDRESS
USc —3 APPROVED ' 1
CONTRACTOR][ II T[LNO 7 ZONE BY I 'DAT[
i I 1 HOQQUHC NUMBERING! i
ADDR MAP NUMBE� O(]_NO ASAI GN ED SY
LESAL CORRECTIONS
DESCRIPTION LOT O� i LOCK
i
TRACT \
M0. OF BLDMIL
SIZE OF LOT N NOW ON LOT
USE or NO OFMlu '
KXIBTIN SLOG rA [B _ ..
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
REPAIR DEMOLITION
e ZE * ROOSTORIES _
OO WALL MS ROOF ,
OV[RINO COVERINcap
UBE Or BTRUpTUfjE ,
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INSPECTION FOR APPROV h T Q
OCCUPANOYAB INSPECT R BSIONATURE DAT[
FOUNDATION LOCATION
FORMS, MATERIALS -,-'(,(,�ti
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION ANO STAT[ THAT THE IN
GIVEN IB' FRAM[ FIRESTOP
CORRECT BRACING, DOLTS F
1 AMAZE TO COMPLY WITH ALL COUNTY ORDINANCES, FURNACE LOCATION,
L 'f
AND STATE LAWS REGULATING BUILOINO CONSTRUCTION GAS VENT, DUCTS
BIONATURE or LATH, IMT l
P[RMITTErr g y� A - ���.../yyy- a
ADDRESS
�F f/ LATH. [%T. Grs� L O
PLASTER, INT.
AUTHORIZED AOT-
6PLASTER, EXT
FEE , C HOUSE NUMBCR COR- //� � �
/ 9 �D O RECT AND PORTED / •✓
VALUATION /
D R[ 1d FINAL
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