HomeMy Public PortalAbout6235 TEMPLE CITY BLVD_Building__ 76A633A CE .303 I/72
APPLICATION FOR BUILDING PERMIT f]
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINIM MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
AIAAE CIIECAS PAIABLC 10 ADDRESS 9:'-
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
R APPLICANT TO FILL IN NEAREST
(Prim CROSS ST C+ A v F
DISTRICT NO • GROUP TYPE ROGESSED BY
BUILDING CONST
ADDRESS D
STATISTICAL L� SSIFICATION SEWER MAP
LOT NO /00/1 0� O BL K CLASS NO DWELL UNITS_ BK PG
TRACT ic USE ZONE MAP
O O BLDGS NO
SIZE OF LOT NOW ON LOT SPE AL
USE OF �13 CONDITIONS
EXISTING BLDG
TEL
OWNER P r, I NO - BLDG SETBACK FROM
ADDRESS FRONTPROP LINEOF (STREET)
TYPE OF ISTIMG SETBACK HIGHWAY + YARD = TOTAL
CITY HIOHWA FROM C L
ARCHITECT R TEL } _
ENGINEER NO 5-63
BLDG SETBACK FROM
ADDRESS _ SIDE PROP LINEOF (STREET) p
TEL TYPE OFISTING SETBACK HIGHWAY + = TOTAL p
CONTRACTOR W NO HIGHWAY WIDTH FROM C L
O
ADDRESS LIC NO } - W
LIC d
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ 2
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SO FT NO OFNO OF NEW ❑
SIZE STORIES FAMILIES El
OF ADD
STRUCTURE
ALTER ❑
REPAIR
SIGNATURE
APPLICANT Ql / DEMOL ❑
i
VALUATIONS APPROVALS DATE INSPECTOR S SIGNATURE
PC PT 0 FOUNDATION LOCATION
FEES FEE S FORMS MATERIALS
FRAME FIRE STOPS
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
ST RUC
TION 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 3 COMPENSATION INSURANCE LATH EXT
SIGNATURE OF �L
PERMITTEE • HOUSE NUMBER
RECT AND POSTED
ADDRESS/�G EA FINAL �+p��E� ��}�I�/z
PLAN CHECK VALIDATION CK MO CASH _ PERM({ VAWLAI! N CK MO CASH
Afr 0 3 2 673 APR 2 1 D\-- 9. 0 Q