HomeMy Public PortalAbout5334TEMPLE CITY BLVD_Building 76AS38A CEu803 S DS APPLICATION FOR BUILDIN PERMIT I..I
[ COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGDYEEEi ADORESZ�_3
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINSOUP T OF BUILOIMO CROSS ST
DIST T N O TYPE PR CE 9
FOR APPLICANT TO FILL INp� CONST
BUILDING STATISTICASSIPICATION SEWER MAP
ADDRESS CLASS NO DWELL UNITS BN PG Z
LOT NO BLOC USE ZONE MAP /NO �P
TRACT /rte/ SPECIAL -,
MO OF BLOODCONDITIONS
SIZE OF LOT NOW ON LOT
USE OP
EXISTING RLDOBL00 SETBACK FROM 26)/
TEL IRONT PROP LINE OF (STREET)
OWNER �i NO TYPE OF EXISTING I DZTBACX HIGHWAY YARD = TOTAL
ADDRESS J H F MCL --
CITY L
ARCHITECT OR TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LIME OF STR[ZT
TYPE OF EX" INB SETBACK HIGHWAY } _YARD = TOTAL
ADDRESS NIGNWAY WIOTH IROMCL
TELA �t - } _
CONTRACTO NOG(JF O
LIC CORNER CUTOFF YES NO V
ADDRESS NO
LIC
C IT Y CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS O
DESCRIPTION OF WORK
a
NEW ADO ALTER REPAIR DEMOLISH 1 //
SO FT NO OF NO OP / Z
SIZE STO RIE PAMI / /1
USE OF
STRUCTURE/
Z42 '/ // !
SI DNA TORE OF �r �(^� Y6M/ �Y, 3't
APPLICANT /
VALUATION$ O n
w APPROVALS DATE IMSPE R'D SIOMATURE
P C PMT _��J FOUNDATION, LOCATION r
PEE FEES FORMS MATERIALS
FRAME FIRE STOPS
1
HEREBY AC NNOWL[OOE THAT HAVE READ THIS ARLICATION BRACING BOLT 607
AND 6TAT[ TX AT THE ABOV[ ID CORRECT AMC AGREE TO COMITY FURNACE LOCATION
WITH ALL CO UMTY ORD IMANC[D AND STAT[ LAWS REGULATING GAS VENT DUCTS
9VILOIMG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT /J G
TION OF THE LABOR CODC OF THE STAT[ OF CALIFORNIA RELAY
ING TO WORKMEN CO ATI N INDU
BRANC[ LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RE AND POSTE
ADDRESS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION cX M o CASH _ PERMIT VALIDATION' cK M o CASH
3 4 8 1� JUL13 10 11 -50- V