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HomeMy Public PortalAbout5249 1/2TEMPLE CITY BLVD_Building -' TEMPLE-CITY 741.43EA CE FODp x" APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �^ DEPARTMENT IOF COUNTY ENGINEER ADDRESSASZ� / B=ING AND SAFETY DIMION LOCALITY Ae JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST MA — Fm APPLICANT TO FILL IN UlbTRRICCTT NO GROUP TYPE P CES D BY O CONST.T BUILDING `� _^�� STATISTICAL CLASSIFICATION SEWERB7M"A G� CLASS NO /DDWELL UNITSLi"' � BLOCK WATERNOT REQUIRED XF RECEIVED fCERTIFICATE�(�� /p —/J HWA o OF BLDGS NOP 2C1 (CIRCEI STATE MAJOR ECOND OCAL JP J�3Q NOW ON LOT USE ZONE SPECIAL ar CONDITIONS EXISTING BLDG P y TEL OWNER [� r�P(�Wej ,10 Z BUILDING YARD HWY STREET NAME EXIST ADDRESS J •z / w G <•j �/d SETBACK WIDTH FRONT �J�/ {mss/ �• q� ARCHITECT OR TE P L G O ENGINEER NO SIDE ADDRESS P L y TEL QCONTRACTOR t.4ul NO Be ADDRESS _ r�e- GI $(r r 0 DESCRIPTION OF WO IIUL n. 44, NEW ADD ALTER REPAIR IEM0LIS Z SO FT NO OF OF _ SIZE STORIES FAMILIES USE OF STRUCTURE Kms• l ce SIGNATURE OF APPLICANT VALUATI •7Q APPROVALS DAT INSE RCTORBSIG ATURE PC PMT / FOUNDATION LOCATION F E S FEE S i� �' FORMS MATERIALS / FRAME FIRE STOPS 1 HERESY AC KNOWLEDGC THAT 1 HAVE READ THIS ARPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BU ILD INO CONSTRUCTION I CERTIFY THAT IN DOING THE WORN AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STATE OF CALIp RNIA RELAT INO TO WORKMEN S COM 1INSURAI E LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE s/ RECT AND POSTED Q' ADDRES FINAL p �� JOHN F LEWIS PFiINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK MO CASH _ PERM VALIDATION cK M o CASH U;p 1 0 2 5;Z Alli 8 i v - 4.00- g