HomeMy Public PortalAbout5758 TEMPLE CITY BLVD_Building__ 'U638A CE#8032/6G APPLICAn6N FOR BUIL DING PE MIT' 1
COUNTY OF LOS ANGELES BUILDING t
DEPARTMENT OF COUNTY ENGINEER ADDRESS `
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST VF
WILLIAM A. JENSEN SUPT OF BUILDING I CROSS ST.
DISTRICT NO. GROUP �.pE P ESSED BY
FOR APPLICANT TO FILL IN G �f' coNsr.
BUILDING �j C Q' ✓
ST
CLASSIFICATION SEWER MAP
/y U AC�71Z(i .9K PG
ADDRESS ` _ / CLASS.NO. DWELL.UNITS
LOT NO. /� 5r64' �/ �� BLOCK NUMAP MBER H ATE YES
TRACT USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF
> EXISTING BL22. BUILDING EXIST.
YARD HWY STREET NAME
A , TEL. SETBACK WIDTH '
OWNER /�/J NO. FRONT
r. P.L.
rageal
ADDRESS SIDE
ARCHITECT OR TEL. P.L.
' ENGINEER No. INSPECTION RECORD
ADDRESS
CONTRALTO TOI 4!yc
.3 ky W
ADDRESS
DESCRIPTION OF WORK t O
N
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZEyyyy STORIES FAMILIES
USEOF
TRUCTURE g
SIGNATUR
APPIICA
VALUATIONS '70c) —, I
APPROVALS DATE INSPECTOR'S SIGNATURE
P C. FOUNDATION:LOCATION
FEE '$ J FEE $ FORMS,MATERIALS
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING,BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT.
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMENCO FZE SATION LAWS O LIFORNIA. LATH,EXT.
SIGNATUR HOUSE NUMBER COR-
-I, AND POSTED !� ��)) / �/��///�f
ADDRESS FINAL /Ory ' �Oi�!•i (i-7lfL J
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL I- R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ;
Li '.;1 ! 7 .C; �J ®F