HomeMy Public PortalAbout6240 TEMPLE CITY BLVD_Building__ DEPARTMENT OF BUILDING AND SAFETY L APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
~ WPI. U ' D. FOX, CHIEF ENGINEER G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
ADDRESS Q OISTRI K NO �`� `�7)
LOCALITY C L RC D BY D K Or PL /✓7Z /u
ISSUED
NEAREST
RO Q
BUILDING
OWNER )VIS ADDp'a,
MAIL LOCALITY
ADDRESS
NEAREST
CI TE CROSS BT
►IRE NO OF TVP[ GROUB,�I
ARCHITECT OR TEL ZONE PLANE 1
ENGINEER NO
BLDG , ORD NO
ADDRESS SETBACK LINE
APPROVED
TEL Sy DAT[
CONTRACTOR HE
IL
ADORE ZONE .Z By DATE
LEGAL
DESCRIPTION LOT NO BLOQK 00 '3 CORRECTIONS
TRACT
NO O►BLDGB I
BIZC OF LOT OO NOW ON LOT SO J OO O -I
Ear NOOF u NO Or I
IGT I I. mocimp VVf3t 2 , 1 �O-t
DESCRIPTION OF WORK
NEW ALTERATION ADDITION �lo'L L./�O S /IM.tL ! V } It.r .
rr 0
REPAIR MOVING DEMOLISH G H r L e so 1 Fycr H e n o
SrT No Or
IZE ROOMS STORIES I
WALL ROD► T
COVERING S�PY I COVERING A S IHn
,
USE
O►N[W E6
BUILDING ltld r AIS A al N b W
U
I -
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION- LOCATION ECTOR DAT[
AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STAT[ LAWS REGULATINO BUILDING CONSTRUCTION
FRAM[ FIRESTOPS.
SIGNATUREOF BRACING,BOLTS
OWNER LATH,IMT.
AUTHORIZED A LATH,[KT
oee-3 a m Rare 4- 7 ['77
PLASTER.INT
PLASTER,6XT
VALUATION cE FINAL