HomeMy Public PortalAbout5708TEMPLE CITY BLVD_Building APPLICATION FOR BUILDING PERty T
COUNTY OF LOS ANGELES BUILDING s w s TEMPLr L
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DEPARTMENT OF COUNTY ENGINEER ADDRESS /
BUILDING AND SAFETY DIVISION LOCALITY C. 7-
JOHN A LAMBIE COUNTY ENGINEER I NEAREST
WILLIAM A JENSEN SUR TOP BUILDING CROSS$T
DISTRICT N U TYPE B
FOR APPLICANT TO FELL IN GDNST
BUILDING p,^n STATISTICAL CLASSIFICATION ER MAP
ADDRESS 7 Q 8 Tsm 2-� CIT BLV
CLASS NO _DWELL UNITS---j �K
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LOT NONOST-/ (IQ 3 �� L BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED '
TRACT & MAP a HIGHWAY
NO OF BLDG$ NO ICIRCLEI STATE MAJOR SECOND LOCAL
512E OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF � CONDITIONS
EXISTING BLDG s r'
TEL
OWNER �JN�J 0rz DIC IC"KNO BUI DING YARD HWY STREET NAME EXIST
ADDRESS �( �. L46 MAl)'K T/L' SETBACK WIDTH
FRONT
ENGTEL
IiNEERT OR �. FEkR��-. NO i SIDE - �J
P L d
ADDRESS
CONTRACTORCTLII� r00I-.S TEL NO /fl G-aaLo ' I � O
ADDRESS 8OCo J.—, LRS TUN R. 4
DESCRIPTION OF WORK SAN 6AB, '� a
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NEW ADD ALTER REPAIR DEMOLISH
FT NO OF NO OF (�(
SIZE Q STORIES
FAMILIES - /
$TR UUSE OCTURE U J�/'I�I Poo L �'
s. PL OSE, 0T
SIGNATURE
APPLICANT
VALUATIONS !n�O . ,
vv V APPROVALS ATE- INeRECT ee TUwe
PC PMT /' q,/7 FOUNDATION LOCATION
FEES FEE E C/ ✓ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACRNOW LEDGE THAT HAVE READ THIS APPLICATION BRACING BOLTS
ANDWITH
STATE THAT THE DINAI 18 CORRECT AND AGREE TO CONRLY FURNACE LOCATION ,
WITH ALL COUNTY TION INCE •Np THAT
LAWp REGULATING GAS VENT DUCTS
BUILDINGTORR CONSTRUCTION NCERTIFYEM THAT IN DOINO THE WORN
AUTHORIZED HEREpY WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT �^
TION OF THE R CODC OP THE STATE OF CALIFORNIA RELAT
IND TO WORK ER COMPENSATION INSURANCE
�� LATH EXT
SIGNATURE OF Inn L. HOUSE NUMBER COR
PERMITTEE I RECT AND POSTED
ADDRESS L4 TJ S FINAL /
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLANV ATION « M o CASH _ PERMIT VALIDATION 4 M o cANI
L,dp6 8 7 9z; 14,R2 3 2 3 D 3.75
L 6D 3 8 0-o MR2 3 1 D 15.00-