HomeMy Public PortalAbout5447TEMPLE CITY BLVD_Building 7e•e9eA CZ-80 1-67 APPLICATION FOR BUILDING PERMIT
COUNTY OF.LOS ANGELES BUILDING "
DEPARTMENTEER OF-COUNTY ENGINADDRESS 7
BUUMING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINSAUP T OF BUILDING CRO 99 IIT1A1,,0=
DISTRICT NOGROUP TYPE PROCEIIIIB}D BY
FOR APPLICANT TO FILL IN .Os-� TC0N3T
DING y TATISTICALCLASSIFICATION IIEWER MAP
BUILDING IN ASS NO DWELL UNITS SKD PO
LOT NO BLOCK USE ZONE MAP
NO
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NO OI GLDG$ ONDITJONS
SIZE OF LOT NOW ON LOT
USE OF
GLD$ SETBACK FROM
T! A ON? PROP LIN[ OF (STREET)
WN r N —IJ J ` TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
A SLJ WAY WIDTH PROM C L
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ARCMI E TEL SLD$ $[T BACK FROM
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TYPE 01 EXISTI NO $KTSACE HIGHWAY } YARD = TOTAL
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FROM C L
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ADDREQzt4�� NO S6377 CORNER CUTOFF YES NO
�CL`IC SEE REVERSE SIDE FOR SPECIAL AP OVAL
DESCRIPTION OF WORK
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UTE OF r
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SIGNATURE OF
APPLICANT
VALUATIONS O ,00
APPROVALS DATE IMlP[CTOR'$$IGMATURt
P C G.3 PMET O FOUNDATION,TERIALION
FEE.� PB .S
F AME FIRE BTO B,
I NUI[GY ACNNOWL[OG[ THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND RAT[ THAT THE ABOVE IG CORRER AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORw NANCU AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTW C ION I CERTIFY THAT IN DOING THE WORK
AUTNOIIIEED HER I WILL NOT EMPLOY ANY P[ IN VIOLA LATH INT
TION OF TH[ THE
F CA RI_ Ad[lAT
INo To WOR LATH EXT
$IONATU RE OF NOVIIE NUMBER COR-
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ADDRE$$ FI NAL /
JOHN F LEWIS PRINCIPALS 7 U AL ENGINEER
PLAN CHECK VALIDATIONDN CASH _ PERMIT VALIDATION CK mo CAW
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