HomeMy Public PortalAbout5708TEMPLE CITY BLVD_Building (2) rBA638A CE 0803 3,69 APPLICATION FOR BUIL ING PE
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5708 Temple Clty Blvd . . _
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING NEAREST — - —�-
CROSS ST Q
FOR APPLICANT TO FILL IN DISTRICT N RD - TYPE CONST PR s Y
(PRINT OR TYPE. ONLY) 1
BUILDING STATISTICAL C SS IFICATION SE ER MAP
ADDRESS 5708 Temple City Blvd - •-- -
CLASS NO DWELL UNITS BK PG
LOT NO BLOCK USE ZONE MAP
I NO
TRACT �'j) SPECIAL
NO OF BLOCSlCONDITIONS I I�
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM _
TEL _8 FRONT PROP-LINE OF - ' - '- (STREET)
OW NEfi NO V TYPE OF [KISTI SETBACK HIGHWAY ♦ YARD - TOTAL I
ADDRESS a it H1Yd IGNWAY WIDTH FROM C L
CITY Te le City
ARCHITECT OR TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TTPE OTF 6TNG lETBACK XIGNWA YARD = TOTAL
ADDRESS ypNIGNWAIDTH FROM C L _ _
CONTRACTOR Roof & MaQo: 254-20 -
Lic
ADDRESS 3310 Verdugo Road NO 179288 CORNER CUTOFF - YES ❑ - NO ❑ - - 0
CITY llOs Angeles 65 LIC Cd
CLASS C 39 SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
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CONSTRUCTION LENDER u
NAME AND BRANCH 11
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ADDRESS
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SIZFT NO OF
E37Sq STOR ES 2 FAMIILIESI NEW ❑
US E OF DD
STRUCTURE - ALLTTER Q
REPAIR ❑
SIGNATURE OF DEMOL ❑
APPLICANT16?
VALUATIONS 950.00 1 APPROVALS DATE - lNSxECTOR'! SIGNATURE
P C PMT 12.00 FOUNDATION LOCATION
FEE § FEE S FORMS, T R ALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ TN 19 APPLICATION FRAME FIRE STOPS,
R LT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLT FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BOOMED HEREBY I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT. DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM-
PENSATION INSURANCE LATH,
,,,'/D� LATH, EXT
PS 115ERNATURE M T EES // � ,✓ .� HOUSE NUMBER CORRECT
3310 Veraugo Road s�geles 65 AND POSTED
AODRES FINAL �G
JOHN F LEWIS, P INCI AL ST URAL ENGINEER
PLAN CHECK VALIDATION CK N o CASH - PERMIT VALIDATION cx - 0 CASH
�A{' 3 6 9 9€ FEB16 1 D 12.0 0;, o