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HomeMy Public PortalAbout5249TEMPLE CITY BLVD_Building (2) TEMPLE CITY 76AC38A CE 4a03263APPLICATION FOR BUILDIjNG 'PP ERMIT / I. COUNTY OF LOS ANGELES BU'BU ADDLDING RESS �/u DEPARTMENT OF COUNTY ENGINEER MAP GHW BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST /Qjv C //� 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 I w 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