HomeMy Public PortalAbout5339TEMPLE CITY BLVD_Building „ AE]E: L] APPLICATION FOR BUILDING PERM T
COUNTY OF LOS ANGELES BUILDING
_DEPARTMENT OF COUNTY ENGINEER ADDRESS / _
BUILDING AND SAFETY DIVISION LOCALITY \
JOHN A LAMBIE COUNTY ENGINEER NEAREST
1 WILLIAM A JENSEN SUP T OF BUILDING CROSS ST F
DISTit ICT NO G P TYPE P ESSED BY
FOR APPLICANT TO Fal IN �J/ CONST
BUILDING `'1 �� �' STATISTICAL CLASSIFICATION S ER MAP
ADDRESS (/ J
/5 U' CLASS N DWELL UNITS ” BK
LO WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT / 5( ND OF MAP HICHw/.1
SIZE OF LOT /S � S2 S NOW ON LD LOTS I NO InHCLEI STATE MAJOR EC
USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG '"JOSa
OWNER T 1 �JC /!
O E/V NO 766BUILDING YARD HWY ST EET NA • EXIST
q p SETBACK M WIDTH
ADDRESS 33 T.Ofw Ic ` IT F3 �V FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P y '
ADDRESS
TEL S V
CONTRACTOR NO
ADDRESS
DESCRIPTION OF WORK
W
a
NEW V ADD ALTER REPAIR DEMOLISH ,
SO FT '/ NO OF NO OF
SIZE TOCJ �J STORIES FAMILIES
USE
ITR2f1 C
SIGNATURE OF
APPLICANT
VALUATION E
v
APPROVALS DATE IN6' o IGNATunE
PC PmT FOUNDATION LOCATION >�f
FEE $ FEE E FORMS MATERIALS G L Y
FRAME FIRE STOPS
I HEREBY AC K NOWLEOGE THAT I HAVE READ THIS APPLICATION 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
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY RERSON IN VIOLA LATH INT
TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN 6 C PCNBATION NBURAN
LATH EXT - a'
SIGNATURE OF -� V HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDR SS FINAL
JOHN F LEWIS PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION GK NO CASH _ PERMIT VALIDATION CK MO CASH
LACO2 4 4 4E3 NOV12 1 D 1 1.50