HomeMy Public PortalAbout5441 WELLAND AVE_Building__ TEMPLE CITY'
76A888A CE#8081-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
=FOR APPLICANT TO FILL IN DISTRICTr G57 I TYPE / R ES BY
`J CONST.
BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Rear of 74ftyielland F BK
CLASS. NO. DWELL.UNITS--/—
LOT NO.
NITSLOTNO. 21 [ BLOCK WATER NOT REQUIRED RECEIVED w
TRACT 10200 ,
CERTIFICATE:
q
SIZE OF LOT 71Y267.66 NO.OF BLDGS. NOHWAY P (/ / {CGRCLE) STATE MAJOR SECOND LOCAL
NOW ON LOT 2 USE ZO E SPECIAL
USE CONDITIONS
EXISTITI Dwelling BLDG. g & Guest Fouse
OWNER D.D. Mack & T.R. LineNo'ED, 5571 BUILDING YARD HWY STREET NAME EXIST.
SETBACK
665 So. CK WIDTH
ADDRESS Vermont, Glendora FRONT — -�`—
ARCHITECTOR none TEL. P. L.
ENGINEER NO. SIDE
P.L.
ADDRESS TEL.A T INSPECTION RECORD a
CONTRACTOR Santa Anita Cons LAO. S
ADDRESS 8717 E. Las Tunas, San Gabrie7 w
DESCRIPTION OF WORK O
V
W
NE%lL', ADD �j, ALTER JJ REPAIR DEMOLISH W
ZET_ 1�. (+�aoaget'STORIES 1 FAMILIES
USE OF
STRUCTURE
e a,
SIGNATURE O
APPLICANT
VALUATION s
APPROVALS DATE INSPECTOR'S SIGNATURE
PMT. FOUNDATION: LOCATION
FEE $/ i FEE $ ��� FORMS. MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENS ION INSURANCE.
LATH,EXT.
SIGNATURE HOUSE NUMBER COR-
PERMITTEE clp � <--� RECT AND POSTED
ADDRES FINAL
CLYDE N. DIRLAM, PRINCIPAL STR I.1RAL ENGINEER
PLAN CHECK VALIDATION cK M.O. CABH PERMIT VALIDATION CK. M.O. CASH
LA. 8421 I=�� D39
1_se�
I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES B 1%011 L®I u
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING r tv Ip, DISTRICX.No. PLAN CK. NO. /aPERMIT NO.
ADDRESS �' 1 ` Q ` lfi.�� 9 rRllaew. ( ,5 ��
�(t� � RECEI BY DATE OF APPL. D TE ISSUED
LOCALITY h l� A SA `ti. /
NEAREST \ Ai
CROSS ST. q�h w.. ` a a �e BUILDING r�
T
ADDRESS L�
OWNER
MAIL LOCALITY
ADDRESS 6�'� �]19 11 PA r-, Q Cj1AJ@_ NEAREST
n �� TELA a CROSS ST.
CITY NO. ` l�Q 109 VI FIRE NO. OFI TYPE / I GROU
G�'�I'
ARCHITEOR a _ v TEL. I ZONE PLANS
ENGINEER h` NO. BLDG. L ORD. NO.
ADDRESS SETBACK LINE
APPROVED
BY DATE
CONTRACTOR `_��GNO. USE APPROVED
ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL9.
DESCRIPTION I LOT NO.`f I Vq Al �LBLOCK MAP NUMBS LFIELD CHECK BY
TRACT NO. ASSIGNED BY J AT
NO.OF BLDGS. CORRECTIONS
SIZE OF LOT NOW ON LOT
USE OF
IJ d NO. OF
EXISTING BLDG. Amr%A .7 e I FAMILIES
D%CRIPTION OFA WOR$
NEW I I ALTERATION I I ADDITION l y
REPAIR I I DEMOLITION I I I A
SQ. FT. ` NO. OF 'n
SIZE �j ROOMS STORIES Z
EXT. WALL 1] I ROOF r
COVERING YY COVERING
USE OF ST UCTURE
!"A fi of ha
\J IV a C 11 J�.�1 ILC h Y y INSPECCTORI'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT VI-HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF 11\ * GAS VENT, DUCTS
PERMITTEE
��,sl f� I LATH, INT.
5 ADDRESS 1) 1' �� ,I �l A
v �� LATH, EXT.
AUTHORIZED AGT.
PLASTER, INT.
t 76A688A• D883 ID-80 P. C. $
0 �.� FEE6�-0 PLASTER, EXT, n a/ V" {Lr
VALUATION FEE $ � FINAL