HomeMy Public PortalAbout6026 TEMPLE CITY BLVD_Building__ DIVISION OF RING AND SAFETY
Dep arlmout of County Engineer BUILDING
Cocat��of Los Angeles APPLICATION
• WFJI. J. FOX, COUNTY ENGINEER •
BUILDING
FOR 8rRCaM TO FILL-IN ADDRESS G(Z)'A_C,o --Ce-
ADDRESS LOCALITY ,
NEAREST 1
LOCALITY CROSS ST.
DISTRICT NO. PLAm CK.an REc.No. PERMIT NO.
NEAREST
CROSS ST.
OWNERr/
ECEIVED BY DATE OF APPL. +BATE ISSUED
AMAILDDRESS �'- (1� r'n A.i. .Q�
USE ZONjF\j NO. OF TYPE GROUP FIRE ZONE
TEL. PLANS
CITY NO.ARC
ENGIiITECT NEER OR NO. ^, 0 C'�`ZONING'VEBY- / DATM
ff__C-�_f_f..�
BUILDING `f! ORD.N
ADDRESS _SETBACK LINE: �a 1 �— �• k ` 1 --cq loci
CONTRACTO N / APPROVED
DATB
HOUSE' NUMBERING
ADDRESS V
7 .ca C� 7 '
LEGAL �
Laid MAP NUMBER � NO: ASSIGNED BY���'�'-=�•/ '•.\
DESCRIPTION LOT N BLOCK
DATE I CORRECTIONS I INSPECTOR
TRACT
NO. OF BLDGS.
SIZE OF LOT �� I NOW ON LOT
USE OF NO. OF
EXISTING BLDG FAMILI.ES .j-�! _ i�" I t/J17 O
DESCRIPTION ov WORE
NEW 4 ALTERATION ADDITION
REPAIR DEMOLITION '. '/sA D19
SQ. FT. NO. OF CR N
SIZE ROOMS STORIES
EXT. WALL ROOF
COVERING I COVERING I
USE OF STRUCTURE - I
APPROVALS
INSPECTOR'S SIGNATURE DATE
FO UNDATION:'LOCATION �C
FORMS, MATERIALS U j/(/L V
I HEREBY ACKNOWLEDGE THAT I HAVE READ THISAP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS:
CORRECT. BRACING. BOLTS
1 AGREE T OMPLY TH ALL COUNTY ORDINANCES FURNACE: LOCATION, /� J�
AND STATE W REGU IN UILDING CONSTRUCTION. GAS VENT, DUCTS Ly�(1'~/�1/1 (7
�. SIGNATURE O LATH, INT.
PERMITTE r � JY1
ADDRESS a LATH, EXT. V 7 J
PLASTER, INT.
AUTHORIZED AGT.
> p" PLASTER, EXT.
$ O I E.E C'S G
f� FE - HOUSE NUMBER COR-
RECT AND POSTED
ION E G9
5 t FEE ZO FINAL -r'['-
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