HomeMy Public PortalAbout5709-5711TEMPLE CITY BLVD_Building I.W-� TEMPLE CITY
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PLICATION FOR BUILDING PERMIT
�.. COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ��711 ,
BUEDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
Wjll-LIAK JENSEN. OUP TOWe CROSS ST
DIET I O P TYPE R Y
FOA APPLICANT TO FILL IN CONST a
BUILDING 8TAT18TIGLC IFIGTION S MAP
ADDRESS) �� - CLA98 NO DWELL UNITS31 K
LOT NO 0 LOCK WATER NOT REQUIREDfE[<-RECEIVED Lj
CERTIFICATE
TRACE' MAP JJ�� HIGHw AY
NO OF BLOGB NO Q(/ (CIRCLE)
STATE MAJOR ECOND OCAL
SIZE OR LOT Q NOW ON LOT - USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
EL
OWNER NO BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT
ARCHITECT OR TEL P L
ENGINEER NO BIDE
P r
ADDRESS INSPECTION RECORD O
CONTRACTOR NO U
K
ADDRESS
DESCREMON OF WORK G
W
d
N ADD ALTER REPAIR DEMOLISH h
Z
SO FT NO OF NO OF _
IZE STORIES E9 FAMILIES
USE OF A� _ �O
STRUCTURE (� e
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SIGNATURE OF
APPLICANT
VALUATION S (r(J
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APPROVALS DAT IRSPSCTOR BBISNATUSE
FPC EE �C� FEE OQ FOUNDATION LOCATION
FORMS MATERIALS YY
FRAME FIRE BiOPs I
1 HEREBY ACKNOWLEDGE THAT I HAV[R[AD THI[APPLICATION BflACI NO,BOLTH
AND YTAT[THAT THE ABOVE IY CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAW[ REGULATING GAS VENT DUCTS
BUILDING CONIRTRUCTION I CERTIPY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OP THE LABOR CODE OP THE STAT[ CAL RNIA/RXLAT )_ /
ING TO WORKMEN�qy OTD�By,T�{�.I�I I [ ! lj{��` LATH EXT V I / II
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SIGNATURE if.f/.OF ✓ HRUSE NUMBER R
PERMITTEF ECT AND PODA III
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ADDRESS
FINAL �/Ts�yC�Yy��`�
PLAN CHECK VALIDATION r o ~DASH CLYDE NPEUM DIM VALIDATION ( ac� no ENGINEER
LAC05 1 3 1% OCT 3 2 3 D 50,50A
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LjJ46212�— OCT30 1 D 101.00 p