HomeMy Public PortalAbout5335TEMPLE CITY BLVD_Building (2) APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOFT ANGELES BUILDING b
DEPARTMENT OF COUNTY ENGII4MB ADDRESS C7
BUMDING AND SAFETY DIVLSION LOCALITY
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JOHN A LAMBIE, COUNTY ENGINEER NEAREST �.
COLEMAN W JENKINS, YUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO LL N CONSr
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BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 5-3 CLASS NO DWELL UNITS_ BK PG
LOT NO Q f BL K USE ZONE OP /
TRACT S" C, s ��/ SPEC( L
O OF
LOGS
CONDITIONS
SIZE OF LOT .2,(R NOW ON LOT
USE OF
EXISTING BLDG BLDG/ FROM
TEL FRONTPROP LIINEOF / nn QET)
OWNER NO - TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CITY 5ec-1 ,9? Go
ARCHITECT O TEL BLDG SETBACK FROM
SIDEPROP LINEOF (STREET)
ENGINEER v NO TYPE OFEXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L ?
TEL } = C
CONTRACTOR NO I I C:
ADDRESS No CORNER CUTOFF YES ❑ NO C
ITY CLASS SEE REVERSE SIDE FOR SPECIAL APPFi VA
CONSTRUCTION LENDER v
NAME AND BRANCH ?
ADDRESS
SO FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES ❑
USE OFADD
STRUCTURE
ALTER ❑
SIGNATURE O REPAIR
APPLICANT DEMOL ❑
VALUATION
APPROVALS GATE INSPECTOR a SIGNATURE
P C - PMT OUNDATION LOCATION
FEE S FEE S �E/ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN
VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSAT H IN SU RANO LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS 04 (4FINAL 3
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH _ PERM VALIDATION CK M o uGH-
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