HomeMy Public PortalAbout5820-5820 1/2TEMPLE CITY BLVD_Building (2) 76A888A CE#808_8-117 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING A® MMAP
DEPARTMENT OF COUNTY ENGINEERA°°REss J (•� JU-�"BUILDING AND SAFETY DIVISION LOCALITYJOHN A.LAMBIE,COUNTY ENGINEER NEARESTCASSATTD.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP EW
FOR APPLICANT TO FILL IN TYPE BK PG
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ADDRESS ;Z STATISTICAL CLASSIFICATION
` LOT NO. �� Y CLASS.NO. DWELL.UNIT
BLOCK MAPy
' NUMBER / STATE YES ' NO
TRACT USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING DG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK � WIDTH
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MAIL P.L: _Y///��`) \ (�
ADDRESS SIDE
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ARCHITECT O TEL.
ENGINEER O. J f
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ADDRESS c
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CONTRACTO
ADDRESS Q j�
DESCRIPTION OF WORK .
NE ADD ALTER REPAIR DEMOLISH
FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTUR
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SIGNATURE OF APPROVALS
APPLICANT
(+ DATE INSPECTOR'S SIGNATURE ,
ADDRESS 6> FOUNDATION: LOCATION
FORMS,MATERIALS
$ P.C.' $ FRAME: FIRE STOPS,
FEE BRACING.BOLTS
VALUATION;aa 0 S 9 FURNACE: LOCATION,
FEE. ' GAS VENT,DUCTS
1-HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COON ONANCES A
STATE LAWS REG�ATING BUI D G NSTRUCTI LATH,EXT.
SIGNATURE OF HOUSE NUMBER.COR-
PERMITTEEREC T AND POSTED
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ADDRESS FINAL
IOHN A.LAMBIE.COUNTY Ek6INEER. CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL 'N
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ex. M.D. cwsN
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5 ` MAY 6, 1 R 2'.00 1