HomeMy Public PortalAbout4816TEMPLE CITY BLVD_Building a: 1 min Ph e f 7
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-IV — APPLICATION FOR BUILDING PERMIT '
CdUNTY OF LOS ANGELES BU
DEPARTMENT OF COUNTY ENGRIUMH ADDRESS �b e k
BMWING AND SAFETY DIVISION LOCALITY /t C r f If
• JOHN A LAMBIE, COUNTY ENGINEER NEAREST r
COLEMAN W JENKINS, SUPT OF BUILDING CROSS ST G Q(,ail y / ZCl S 4-
FOR APPLICANT TO ILL IN DISTRICT NO GROUP CONST—�I}• PROCESSED,BY
Pnnt ort a onl .0 _r
BUILDING STATISTICAL CLASSIFICATION (SEWER MAP .G
AD
ORE55 CLASS NO DWELL UNITS_ SK PG`g
LOT NO BLOCK USE ZONE MAP ;24::)
NO (o
TRACT Z SPECIAL I(
NO OF BLOGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG OO L� BLDG SETBACK FROM �y
OWNER E4
IV
Q FRONT PROP LINEOF r't-W/0/if P! ' • (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CITY ^I Q� 84
ABLDG SETBACK FROM
ARCHITECT OR TEL
SIDE PROP LINE OF (STREET)
ENGINEER NO TYPE OF EXISTING SETBACK I HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL } = C
CONTRACTOR 9 NO c.:
ADDRESS No CORNER CUTOFF YES NO ❑
nU LIC C
cITY CT CLASS SEE REVERSE SIDE FOR S IAL PP OVALS
CONS RUC N CENDE - c
NAME AND BRANCH
ADDRESS ✓ J �� + . 1
SO FT NOOF NO OF
512E STORIES FAMILIES NEW
USE OF ADD
STRUCTURE llaU 1 1•
ALTER ❑ �
❑
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑ / } •�\
VALUATIONS jeli
APPROVALS DA E INaP croR'a I Aru RE
P C PMT FOUNDATION LOCATION
FEE S FEES FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ TNI; APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING COM- GAS VENT DUCTS
STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY
PE PROM IN VIO UTI ON
OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO -
WORKMEN'S COMPEI TION INSURAI E
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED, I
ADDRESS
FINAL
JOHN-F- PRINCIPAL STRUCTURAL ENG R
PLAN CHECK VALIDATION CK MO CASH
_ PERMM IT V VALIDATION CK 'No CASH 1
I
R IACs d o s� FEB 28 1 D 1 2.00- a
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