HomeMy Public PortalAbout4855TEMPLE CITY BLVD_Building (2) 76A6311A CE#80356, APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES aUILDINO �� G - -
DEPARTMENT OF COUNTY ENGINEER ADDRESS G
BUILDING AND SAFETY DIVISION LOCALITY -
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINSAUP T OF BUILDING CROSS ST �p /4ZvSn—
DISTRICT NO ORO TYPE PROCESSED SY
FOR APPLICANT TO FILL IN Sp CONST Tp7s�
SUILDTo STA TISTICA L'�C1,,991 CA 1-6-N SEWER MAP
JJ
ADDRESS CLASS NO DWELL UNITS BK P03
LOT NO49 ar LOCKUSE ZONE MAP �J/J' /
TRACT y>,/ NO vv��' 4
TI
/L"� SPECIAL
CONONO OF SLOGS
SIZE OF LOTIFCONDITIQNS
OW ON LOT _
USEOFE Xi
STING BLOO BLDG ,,,./J
TEL PRO NT PROPACLINE OF 040 FROM �%N E 11QQT)
OWNER O TYPE OF EXISTING GETBACF HIGHWAY t YARD = f TOTAL
ADDRESS &
cX Y FROM C- 6Z L -
CITY �E Q +
ARCHIT CTO ■LDO SETBACK FROM
ENGINEER O SIDE PROP LINE OF (STREET)
TYPE OF 1EXISTINgBE
TBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH IRO.C L
TEL + _
CONTRACTOR O O
LIC CORNER CUTOFF YES NO V
ADDRESS NO
CITY LL SE EVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK �i
NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF �� Z
SIZE STORIES FAMILIFS
USE OF
STRUCTURE
SIGNATURE OF I
APPLICANT
j O 4
APPROVALS DATE INSPECT 'l SIGNATURE
VALUATION
P C PMT FOUNDATION LOCATION
FEES FE / FORMS MATERIALS
FRAME FIRE STOPS i
1 HERE ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING DOLT
AND STAlt THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILOING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HCREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RCI-AT
ING TO WORKMEN 8 ATION SURANCIE LATH EXT
SIGNATURE OFHOUSE NUMBER COR-
PERMITTEE REC AND POSTED
ADDRESS FINAL
JOHN F LEWISAPRINCIPAL STRUCTURAL EN
PLAN CHECS VALIDATION CK NO CABH _ PERMIT VALIDATION cK H o cADH
LA[,0,2,0 7 4'9 MAY17 2 3 D 9.25- a
P LhCO2 0 7 5HAY 17 1 D 1 8.50 a
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