HomeMy Public PortalAbout4425TEMPLE CITY BLVD_Building 7w*RA E1MIYSBO APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESH
RUMI)ING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
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DISTR NO U TypE PR ESS Y
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CLASS NO DWELL UNITS
BLOCKI NUMAP MBER STATE YES NO
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RACTOR NO
ADDRESS
DESCRIPTION OF WORK
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N
ADD ALTER REPAIR DEMOLISH Z
NO OF NO OF
STORIES FAMILIES
FTURETURE OFLICANTATION S APPROVALS DATE INSPECTOR S SIGNATURE
PC PRIT FOUNDATION LOCATION
S FEE S j FORMS MATERIALS
PRAME FIRE STOPS
1 EREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT ANDIAGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT I$ ISSUED I SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER 80 AS TO BECOME SUSUECT
TO THE WORKMEN i COMPENSATION LAWS OV CALIFORNIA
LATH EXT
SIGNATURE OF T(O/ HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL,
CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGI
PLAN CHECK VALIDATION m r o ImAeR PERMIT VALIDATION m mo
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