HomeMy Public PortalAbout4303TEMPLE CITY BLVD_Building 7eAOS8A CEf8OS 8.63APPLICATION FOR BUILDING PER T
COUNTY OF LOS ANGELES BUILDING
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DEPARTMENT OF COUNTY ENGINEERADDRESS
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BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENOINECR NEAREST y�
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DIs7��T N GROUP TYPE SSED BY
ML
PPLICANT TO FILL IN 5A o- $' CONST
STATISTICAL CLASSIFICATION S ER MAP
C � r Q K P6
CLASS NON. l DWELL UNITS LOCK CERTIFICATE NOTREQUIRED RECEIVED
MAP HIGHWwvSTATE MAJOR CON LOCAL
NO OFBLDGSNO CIRCLEI.r NOW ON LOT `Q USEZONE SPECIAL
CONDITIONS
EXISTING BLDG
TEL
OWNER., NO BUILDING EXIST
SETBACK YARD HWY TRE T NAME WIDTH
ADDRESS S72 FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L I
ADDRESS /
TEL
0
CONTRACTOR NO
ADDRESS 0
DESCRIPTION OF WORK
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NEW A ADD ALTER REPAIR DEMOLISH NJ
SO FT �/' NO OF NO OF C
SIZE STORIES FAMILIES
USE OF
STft UOTURE ✓ O
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SIGNATURE O LA
APPLICANT L
VALUATION $
APPROVALS DATE INSPECTOR B slo wT qE
PC ' PMT a FOUNDATION LOCATION ,A
FEE $ FEES FORMS MATERIALS G,�
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I 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
INO TO WORKMEN B C NSATIOI INS UR CE LATH EXT
SIGNATURE /O HOUSE NUMBER COR
PERMITTEE CT AND POSTED
ADDRESS 64 �� FINAL
JOHN F LEWIS PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION « M D CASH
LA(,o7 a 6 7�2 JAN 12 1 0 11.5 0-