HomeMy Public PortalAbout5249TEMPLE CITY BLVD_Building (2) TEMPLE CITY
76AC38A CE 4a03263APPLICATION FOR BUILDIjNG 'PP ERMIT / I.
COUNTY OF LOS ANGELES BU'BU
ADDLDING
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DEPARTMENT OF COUNTY ENGINEER
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BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST /Qjv
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WILLIAM A JENSEN SUP T OF BUILDING CROSS ST JC
DISTRICT NO G P TYPE PR ESSED Y
FOR APPLICANT TO FILL IN S- pj, CONST �_
BUILDIN ,f.- `,�� / ^.�[� STATISTICAL CLASSIFICATION SEWER MAP
ADORES
G.-1 CLASS NO /D DWELL UNITS BK PG
LOT NO r 0^f'r SQ BLOCK WATER NOT REQUIRED Pit RECEIVED
�,J �6 CERTIFICATE
TRACT /�/ /�/y`� ` AD
NO OF BLDGS NO dt?�eI6 "CIRc el STATE MAJOR ECOND LOCAL
SIZE OF LOT IO (Y�` NOW ON L T USE ZONE SPECIAL
VARCHITECTOR
F/ CONDITIONS
DG
TEL
NO BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
FRONTOR TEL P L10�NO SIDEP L O
TEL
R NO K
F
S
O
DESCRIPTION OF WORK
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ADD ALTER REPAIR EMOLISH
NO OF
STORIES FAMILIES
URE
SIGNATURE OF
APPLICANT
VALUATIO —7 0
APPROVALS DAT INYPECTOR,i 1Ia NATUR[
PC PMT O.Q FOUNDATION LOCATION
FEE S FEE $ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY AC K NOWLEOGIt THAT I HAVE REAP THIS APPLICATION BRACING BOLTS
AND STATE THAT THE AGOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION /
WITH ALL COU
Nrr ORD' AN
HC ES AND STATE LAWS MGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFOR IA RELAY
ING TO WORKMEN 8 COMPE 10 NSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE ECT AND POSTED o�
ADDRESS zG d FINAL
PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS V LIPRAATIOCIPAL STR FAL ENGI ER
_ PERMIT VALIDATION CK M O CASH
LAGO 1 O 2 4;2 AAS 8 1 D 4.00- q