HomeMy Public PortalAbout5855 TEMPLE CITY BLVD_Building__ � Jy
t
: IA29A an has 6-69 APPLICATION FOR BUILDING PEIaMIT 1
COUNTY OF LOS ANGELES BUDREIN 5855 , TEMPLE CITY BLVD-1
DEPARTMENT OF COUNTY ENGINEER
BUILDII�iG.AND SAFETY DIVISION _LOCALITY TMPL E CITY, CALIFORNIA .
L
JOHN A. AMBIE.COUNTY ENGINEER NEAREST
CAB
D.GRIFFIN SUPT OF BUILDING CROSS ST. T. Tri
DISTRICT NQ. GROUP r pE PRO ESSED BY
FOR APPLICANT TO FILL IN `� CONST,-L- - '
BUILDING G F n STATIST L LASS ICATION SEWER MAP
ADDRESS 5R5 5 / F I PLE' CITY BLVD. S�—I SK PG
CLASS.NO. DWELL.UNIT
LOT NO. o'-(J BLOCK MAp STATE
i NUMBER HWY. YES NO'
TRACT Dy!~ / USEZONE SPECIAL
x v NO.OF BLDGS. CONDITIONS
SIZE OF VOT NOW ON LOT
USE OF
EXISTING BLDG. _ BUILDING YARD HWY STREET NAME EXIST.
OWNER ALL STATE INSURANCE CO . SETBACK r WIDTH
FRONT
ADDRESS 5855 TEMPLE CITY BLVD. SIDE
CITY TFJ PL E Cl TY NFO. P.L.
ARCHITECT OR TEL. INSPECTION RECORD
ENGINEER NO.
ADDRESS yy n may/+
NEON t'RODU CTS TEL. n
CONTRACTOR rti NcL T942 7
1
ADDRESS 1240 ;�o. G"HA PFL .A L HAIm P, A'keC.'.!l'.AF` MCI f',VAIV EP 5
DESCRIPTION OF WORK L R q,� =L Pfid Ale- LSId A/ eno.
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF � /.07
SIZE STORIES FAMILIES
USE OF STRUCTUREINSTALL Do F: SIGNS
Ale- R1�T�/f�'����
WITH 3 BALLASTS �fyflTl7 XS '/y�
-SIGNATURE OF APPROVALS Wlmll,t ��//yGJ`lJ��,
APPLICANT
ADDRESS 1240 So. CHAPEL DATE INSPECTOR'S SIGNATURE �U O✓
J_ FOUNDATION: LOCATION
FORMS.MATERIALS
350. 00 P.C. g FRAME: FIRE STOPS.
FEE BRACING,BOLTS
VALUATION g FURNACE: LOCATION,
FEE GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING B}�1� .CONSTRUCTION. LATH,EXT.
SIGNATURE OF �//�� //y' USE NUMBER COR-
PERMITTEE "��' RECT AND POSTED
ADDRESS 124-0 SO.' CHAPEL FINAL �����0 "v'`i'd:'ti••
CLYDE N.DIRLAM,PRINCIPAL ST AL ENGINEER
BMIT
PLAN CHECK VALIDATION CK. M.O. CASH PEVALIDATION M.O. CASH
UC0 7 '53 .5 S MAR 9 1 A 3.Q 0