HomeMy Public PortalAbout5807TEMPLE CITY BLVD_Building (2) ;. : L
76AS38A.CE#8032-63 APPLICATION FOR BUILDING. PERMIT -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER,
BUILDING AND SAFETY-DIVISION 'LOCALITY -emPL;u t7-
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN.SUPT OF BUILDING CROSS ST. �✓ -QryU2�CIkk/✓'
DISTRI T NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IIN. 'p'g _2 coN .: G o V 0-
BUILDING �� STATISTICAL CLASSIFICATION SEWICER MAPCO
ADDRESS CLASS.NO. DWELL.UNITS (� P/¢1 .
LOT NO. J2 BLOCK. WATER NOT REQUIRED ❑
CERTIFICATE: RECEIVED ❑
TRACT SSR d
• P I: NO ?_00 ({IL
(CIRCLE) STATE MAJOR LOCAL
AY
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF • , CONDITIONS
EXISTING BLDG. - s q ( G,Z•
TEL.
OWNER t3ocLNO, BUILDINGEXIST.
SETBA'CK•, YARD •HWY' STREET NAME WIDTH
ADDRESS r . `'
ARCHITECT OR TEL. FP. L:. 1 { LE Ci rY� p 1
ENGINEER NO. SIDE, y ',
ADDRESS .,.06TEL.. - .. , /) G .�L yl✓1/ /r G..L � •!! 0
CONTRACTOR NO., leSG
ADDRESS LY 3 L p O
DESCRIPTION OF WORK`w +�` J Ir a fi;r I l W
161 U)
NEW ADD ALTER REPAIR • DEMOLISH
SQ.FT. NO.OF NO. OF �4•��'!,•I C.as•
SIZE, STORIES ' FAMILIES
USE OF 1
STRUCTURE i� •�
W.SIGNATURE.OF ./vL�f� -
APPLICAN L -
e , of •C�.••GZFf T-.^'_"`�I I ��
VALUATION $ • �/y� O� - I - /
-I 1� APPROVALS D 'TE 'INSPECTOR'S SIGNATURE
P.C, b 0 PMT. U •. FOUNDATION: LOCATION
FEE $ ✓ FEE $. ;'`-`� FORMS, MATERIAiSv' J, i•'% /�;J li�/j,•'l
: 1�/ �' !'.:Z �F sI) f//�✓
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAFRAMEF
TION BRACING BOLTIRE STOSPS.
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE TO COMPLY „ FURNACE: LOCATION. I 1 tom'
-WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING •• GAS VENT, DUCTS'. A-
BUILDING CONSTRUCTION. 1 CERTIFY' THAT IN DOING THE'WORK ;. •i/'/,��
AUTHORIZED HEREBYA WILL NOT EMPLOY ANY PERSON IN•VIOLA-
N F %/J/�IIJ
TIOO
LATH.'INT.THE LABOR'CODE OF THE STATE OF CALIFORNIA RELAT-
Il
ING TO WORKMEN•S COMPENSATION INSURANCE.
+ LATH,EXT. ,
SIGNATURE OFHOUSE NUMBER COR-- 1
PERMITTEE f, ILL. RECT'AND POSTED �.
ADDRESS k` FINAL j
!//,' rr.�.� �
d
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINE
PLAN CHECK VALIDATION CK. M.O. :FASH_..'_ _.- 1-7; ,-PERMIT VALIDATION . cK: M.O. CASH
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