HomeMy Public PortalAbout5733-5735 TEMPLE CITY BLVD_Building__ O/ b•
'7HA68BAC6;#eo38=09 APPL.ICATION FOR bUILDING PERMIT
COUNTY 'OF LOS ANGELES BUILDING
ADDRESS.
DEPARTMENT OF COUNTY ENGII�iEER: � �-:. I -
BUILDING AND. SAFETY DIVISIONS '-
. LocALlTirc + :`� -c
JOHN[A. LAMBIE; COUNTY ENGINEER NEAREST •�
CASSATT D.GRIFFIN SUPT OF-BUILDING' CROSS ST..
DISTRICT NO: GRs1JP TYPE PROCESSED BY'
FOR APPLICANT TO FILL.IN < ,�J coNST. �i f
BUILDING r �' /• STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 3 7 / • c 1 HK PG
CLASS.NO:t l� DWELL.UNITS
LOT NO. S .✓r0 D ''BLOCK ' MAP ' STATE YES NO •�`
/ NUMBER A ,.i c _ HWY. 1
TRACT — -+.i [, USE ZONE SPECIAL
F NO..OF 8LDGS. CONDITIONS
SIZE OF LOT. X/'_)• I NOW N LOT.
USE OF
EXISTING BLDG. C� BUILDING - EXIST.
SETBACK WARD HWY STREET NArME WIDTH
OWNER J$LOS- • FRONT
MAIL i c..:r.. ...•
ADDRESS 3 " SIDE
TEL, r P.L.
CITY ARCHITEC OR rE INSPECTION RECORD`
ENGINEER - NO.,.
ADDRESS
TEL.
CONTRACTOR NO. p'O�
ADDRESS ,4
DESCRIPTION.OF'WORK
NEW X ADD�+ ALTER REPAIR DEMOLISH
SIZE c 1 / S�RIES FAMIOLIES
USE OF
STRUCTURE
SIGNATURE OF +
APPLICANT AR
Q / APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS l 4 �(� FOUNDATION:LOCATION .
U
FORMS,MATERIALS
VALUATION $ 3 �� `^ I FRAME:FIRE STOPS,
BRACING„BOLTS
P.C. PMT. FURNACE:LOCATION,
GAS VENT DUCTS
FEE $ I .FEE $r
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT,.
PLICATION AND STATE THAT THE ABOVE IS CORRECT'AN:D
AGREE TO COMPLY MONH AL CO TY ORDINANCES AND.
STATE LAWS REGU IIN L. ING NST.RUCTION. . LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE �" RECT AND POSTED
ADDRESS FINAL
CLYDE N: DIRLAM, PRINCIPAL ST .CT RAL ENGINEER
PLAN CHECK VALIDATION qK M.O. SASH ," PERMIT VALIDATION CK. M.O. CASH
7 141 e J64-4
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