HomeMy Public PortalAbout6016 TEMPLE CITY BLVD_Building__ r+fnPLC
DIVISION OF BUWING AND SAFETY
DepDsIent of County Engineer BUILDING
couat of LDS Angeles
APPLICATION
WM. J. FO COUNTYY ENGINEER
BUILDING' —"- IJr G'
FOR APPLIC TO FILL IN ADDRESS ,-a •'-- • ' ' .
BUILDIN! 0 9 ` +
ADDRESS AS LOCALITY / y
CROSS T. / :75
NEAR
LOCALITY
NEAREST DISTRICT NO. PUN CK.OR RBC.No. PERMIT NO.
CROSS U4
OWNER V RECEIVE 1-11 zrDVOF/AIL. AATE ISSUED
EDJ l/
MAIL
ADDRESS
USE ZONE <NO. OF� I TYPEI GR I FIRE ZONE
!"" TEL.
CITY PLANS
NO. f
ARCHITECT OR DATED
TEL ZONING �-
ENGINEER NO /�®
APPROVED BY/p/-
BUILDiNG �� ORD. 7
ADDRESS A A SETBACK LINE:
TEL �y APPROVED DAYS
CONTRACTOR N f BY: �/
ADDRESS HOUSE NUMBERING �
�d7
LEGAL �:• q MAP NUMBER NO. ASSIGNED BY% -
DESCRIPTION LOT NO. �/ BLOCK
c'� f DATE I CORRECTIONS I INSPECTOR
TRACT V � 1
_ NO. OF BLDG
SIZE OF LOT O I NOW ON LOT S.
USE OFy/
EXISTING BLDG. Ori I FAMILIES I '
0
DESCRIPTION OF WORK X
NEW ALTERATION ADDITION
REPAIR DEMOLITION I /"=Q a AIA-CE: V,,�l✓7' 1-640.9.
Sq. FT. NO. OF I �x
SIZE ROOMS q STORIES leb
EXT. WALL ROOF \
COVERING I COVERING
USE OF STRUCTURE
1 APPROVALS
INSPECTOWS SIGNATURE DATE
FOUNDATION: LOc*ribN / / J�,l� f %
FORMS, MATERIALS / ,Y A
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ GIVEN
AP- FRAME: FIRE STOPS,
COIRRTECTN AND STATE THAT THE INFORMATION GIVEN 18 BRACING, BOLTS �v
I AGREE TO C PLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, "Y
AND STATE LAW MOULA71 G BUI ING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT, (�'�r` •) �, 3
PERMITTE
ADDRESS LATH. EXT.
AUTHORIZED AGT. PLASTER, INT.
PLASTER, ERT.
FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEE ffi1� FINAL
78ASSBA DR5 S 2-88 '