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HomeMy Public PortalAbout5430TEMPLE CITY BLVD_Building (2) nASSSNt09d_te APPLICATION FOR ILDING P R IT [I'111II COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY y OJOHN A LAI COUNTY ENGINEER NEAREST _ I COLEMAN W JENKINSSUP T OF BUILDING CROSS ST - OISTR C7�140 GROUP TYPE P SED BY / FOR APPLICANT TO FILL IN ONST BUILDINGS4.3STATISTICAyLL CCLASSIFICATION S R MAP ADDRESS QAN, CLASS NO QKa DW ELL UNI T9 LOT USE ZION'E MAP TRAC / NO SPECIAL MO OF BLDES 912E OF LOT MOW ON LOT v USE OF ■LDG SETBACK PROM EL PRORT PROP LINK 01 tT% OWNER NOQt2TYPE O/ EXISTING ■ETBACE HIGHWAY YARD = TOTAL ADDRESS F M C CITY ARCHITECT OR TEL OLDS SETBACK FROM ENGINEER NO SIDE PROP LIME OF (STREET) TYPE 0I EXISTING SETBACK HIGHWAY + YARD = TOTAL r ADDRESS HIGHWAY WIDTH FROM CL 1 TEL } = Q CONTRACTOR NO LIC ADDRESS NO CORNER CUTOFF YES NO rO IL SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORKw D Z E ADO ALTER R PA OHMOLIlH 94-FT NO OF NO OF SIZE ��U STORIES FAMILIHS NONE rermitscurb, guffer, sidewalk a rivswey epproec i In- USE OF STRUCTURE Office, or T C Co Engineers Office Immediately In order to 00 a 'a,, I, dulay 30 9.Y 9 D.0,11 W.F k IaM Irre and IS hot a �e+d SIGNA7 E OF GMII Perm hu been Iuued f rkW \F• APPLICANT 1 VALUATION$ aQO• LS Q \ ` y �J AP ROVAL! ATH T INSPECTOR'S BIG NAT At C PT;EE FRE$ /� r FOUNDATION, O FORMIIMATHR IIALS N �Il IF RA H, FIRE Br0 P9, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING GAS VENT DUCTS SUILOINO CONSTRUCTION 1 CERTIFY THAT IN DOING THE .-- AUTHORIZED HEREBY 1 WILL HOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR COD[ OF TH[ STAT[ OF CALIF RNIA R[LAT _ ING TO WORKMEN S COMP[NM N INSURANCE LATH EXT OSTED 11IGNATURE OFj7M c HOUSE NUMBER COR- PERMITTEE p ADDRESS FINAL ' JOHN F LEWIS PRINCIP ST RAL ENGINEER PLAN CHECK VALIDATION CK M O DASH _ PERNIIT VALIDATION k; cM M D GASH _ D2 1 3 ora JUN 1 2�0 1 1.00 ••Q - - - L�LO2790� J01 17 1 0 22.,00