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HomeMy Public PortalAbout5822TEMPLE CITY BLVD_Building 7GA636A CE#B033-66 UL ,FeAPPLICATION FOR B I DI . PERMI' 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING-AND SAFETY •DIVISION LOCALITY JOHN A.LAMBIE'. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSAUP•T OF BUILDING CROSS ST. DISTRICT O. . •= OUP TYPE BY FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASS( (CATION SEWER MAP ADDRESS g-2 Z C�!/'OLe. G� L.✓� CLASS NO. DWELL UNITS BK PG LOT NO. BLOCK- US•E"ZONE AP • ' ' TRACT NOS. V 12 jZ6 SPECIAL N0. OF LOSS. SIZE CONDITIONS SIZE OF LOT USE OF y1 EXISTI �" G L'&_ .W 0'0-S - BLDG. SETBACK FROM' TE PRONT PROP. LINE'OF (STREET) OWN- NO- ?Z23TYPE OF EXISTINOt ---BACK HIGHWAY:' YARD - TOTAL ADDRESS R4�c^ (-w D HIGHWAY W 'F M C.L. - CITY. 7,anhllwaL _ L /Q BLDG:,SETBACK.FpOM ENGINEER NO.EOR TEL. SIDE PROP. LINE OF (STREET) ENGINE TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL. ADDRESS - HIGHWAY WIDTH PROWC.L. CONTRACTOR/ . L ( lV ,,,, NO { AD'DRES$/ /-Ccf ex- 2140 �D p - CORNER CUTOFF• YES NO C CITY&L LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS c DESCRIPTION OF WORK t f- f-14 is EL J-- '�S6 3b cr EWADD ALTER REPAIR DEMOLISH �) , ! .FT. _ NO. OF NO. OF 6'VITIGA/ rd SIZE STORIES FAMILIES USE OF I ` > STRUCTURE SIGNATURE APPLI:CAN VALUATION i •1 I I.,DI O I �QQ 'APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT, FOUNDATION, LOCATION FEE$ FEE$ FORMS,MATERIALS - FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY FURNACE: LOCATION - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS, SUILDI NO CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'54fllftENSATION'INSURANCE. LATH. _EXT. ' SIGNATURE HOUSE NUMBER COR- PEIRMITTEE RECT AND POSTED ADDRESS FINAL JOHN F.�L�E�WIS. PRINCIPAL STIR RAL ENGINEER PLAN C lECK VALIDATION CK. M.O. CASH PEIMii• VAMATION CK. M.O' CASH 7 5 0 4 1�. MAR 8 1- D 6.0 Q ' • -