HomeMy Public PortalAbout6052 TEMPLE CITY BLVD_Building__ 1A
I'BA898A DBS-9
II•BS APPLICATIONTOR BUILDING PERMIT 1
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DIVISION OF BUILDING AND SAFETY
DepoStDlent Of County Engineer ADDRESS ,
County of Los Angeles LOCALITY
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST t
CASSATT D.GRIFFIN,SuF,T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN
DISTRICT N0
ROUP TYPE :SEER MAPP
J I coNST', v.
BUILDING 0 }� /�.� MAP a�Q ' STATE
YES
ATE O
ADDRESS V v(XiG �� CONDITIO
./ NUMBER bC
N
LOT NO. �• B O K USE ZONE SPECIAL
f rr (�
TRACT r (p a q,6.8
NO.O BLD S.
SIZE OF LOT • NOW ON LOT BU ING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
USE OF
EXISTING Bla. FRONT Dl
P.L. V
Wy
OWNER SIDE
P. L.
MAIL
ADDRESS Q O TRACT DWELL. I UNIT
TEL 5 INDUSTRIAL
CITY �iGG(/t✓ NO .7 t• DWELL. 3 1 UNIT
6 PUBLIC BLDG.
ARCHITECT.ORTEL. 2 DUPLEX 2 UNITS
ENGINEER NO. 7 ADDN..ALT., ETC.
3 APT. UNITS
8 'MISCEL.
ADDRESS 4 COMMERCIAL
TEL
CONTRACTONO. INSPECTION RECORD .
R
ADDRESS
DESCRIPTION OF' WORK
NEW ADD.) ALTER REPAIR DEMOLISH 2--21 s-2 C� G G
-SO.FT. NO. OF. NO.OF A
lle
SIZE � RIES FAMILIES
USE OF STRUCTURE
SIGNATURE O
APPLICANT APPROVALS
ADDRES Q f �!/ DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION 1
P.C. $ FORMS.MATERIALS. Z /r,R.S �
:.� FEE FRAME; FIRE STOPS.
VALUATION v.
L $ BRACING.BOLTS r/ !�
FEE �� FURNACE: LOCATION.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT:DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWS R TING BUILDING CONSTRUC-
TION. 4CZ2 TH. EXT.
SIGNATURE OF MHOUSE NUMBER COR-
PERMITTEE ERECT D POSTED ..
/ 6
ADD EGA L
JOHN A.LAMBIE,COUNTY ENGINEER �$I�IDATION CLYDE N.DIRLAM. CHIEF BLDG. INSPECTOR
CK 0 CASH
L.AC0 5 0 7 8- FEB 13 1 2.0 0
574
76A638A CE9803 9-66
APPLICATION FOR BUILDING P RMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS t19
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GR P TYPE - E
.S r'1 -, CONST,
(Print or type only) C/CJ
BUILDING STATISTICALCLt1�SIFICATION SEWER MAP
ADDRESS CLASS NO.. DWELL.UNITS BK PG
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT So. L
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. Rouse BLDG.SETBACK FROM
Mr. S TEL.
— FRONT PROP.LINE OF (STREET)
OWNER TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
834
ADDRESS 6052 Temple City Blvd. HIGHWAY WIDTH FROM G.L.
CITY Temple City 'SETBACK FROM +
ARCHITECT OR TEL. SIDE (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK AY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } _
CONTRACTOR Vi NO.
ADDRESS 600 S. San Gabriel NO' 169650 CORNER CUTOFF YES ❑ NO
CITY San Gabriel CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
NAME AND BRANCH c
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES 1 FAMILIES
USE OF ADD ❑
STRUCTURE reroofing house-rear ALTER ❑
with composition shngls.
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑
VALUATIONS 390.00
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE$ FEE S 9.00 FORMS, MATERIALS
FRAME: FIRE STOPS,
.1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH•ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSAT ON INSURANCE. LATH, EXT,
SIGNATURE PERMITTEE OF HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STR RAL ENGINEER
PLAN.C�CII VALIDATION 'CK. M.D. CASH _ PERMIT VALIDATION GK. M.O. CASH
CR
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