HomeMy Public PortalAbout4452-4454-4456-4458TEMPLE CITY BLVD_Building 7CA638A CEu8035-65 APPLICATION FOR BUIL ING PERM
• COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DrvMION LOCALITY ,
JOHN A LAMBIE COUNTY ENGINEER NEAREST v -
COLEMAN W JENKINSAUP T OF DUILDING CROSS ST
DI C N U TYPE PR 9 B
FOR APPLICANT TO FILL IN CONST
BUI LDI NO _ STATISTICAL LASSIP ATION SE*E MAP O
ADDRESS - BK PG
_ CLA94 NO DWELL UNI T9
LOT NO BLOC USE ZONE MAP l`� - -
NO D J
TRACT SPECIAL
NO OF BLDGS
SIZE OF LOT NOW ON LOT
USE OF C�
LLON SETBACK FROM
TEL FRONT PROP LIME 01 (STREET)
OWNER �1 e- NO TYPE Of EXISTING SCTSACX HIGHWAY ARD . = TOTAL
ADDRESS J- G 1 I C L --- -
CITY
ARC RITE T - TEL BLDG SETBACK FROM
EN OINEER NO SIO[ PROP LINE 01 I[TR[[T
YYPE OF EXISTING SET[ACN HIGHWAY } YARD TOTAL
ADDRESS HIGHWAY WIDTH FROM CL ' yy
NO` + 3
KRE
TOR O
J NO CORNER CUTOFF TES NO V
CITY ifAW `IG SEE REV6 $ OVALS O
DESCRIPTION OF WORK TREE REQUIRED
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ADD ALTER REPAIR DEMOLISH , gUHor, rld[wa'} ?� NO OP NO OPSTORIES FAMILIFS t CD Out ei }ho I A CG PGBd Dop', Alfede B
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APPROVALS GATE IH6P OR'S SIO NATURE
PT It r �Q,� FOUNDATION LOCATION
FEE$ [ FEE$ / VV FORMS MATERIALS
FRAME FIRE STOPS
1 HERT AC N NOWLEDGE THAT I HAVE READ THIS APPLICATION DNA"., BOLT _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
SU
ILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN G COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE �/L� R CT AN P0 -
9T
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MO CAHH
0338� F+AR1021� D� 75- o
LALOO 3 3 9� MAR10 1 D 15.00- F