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HomeMy Public PortalAbout5834TEMPLE CITY BLVD_Building 76A63�A CE#803 5-65 APPLICATION F OR BUILDING PERMIT COUNTY OF LOS ANGELES- BUILD)NG�- DEPARTMENT OF COUNTY ENGINEER A D D R E 99�+' ; BUILDING AND SAFETY DIVISION LO C A LI T / I JOHN A. LAMBIE. COUNTY ENGINEER _ NEAREST COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST ge - DIS ICT N GR TYPE, P O S FOR APPLICANT TO FILL IN y CONST. BUILDING ns STATISTICAL CLAS IFICATION SEWER"MAP- ADDRESS 3 El"� Lk� �/� B{t PG ;;. CLASS NO.- Z22 WELL UNITS LOT NO. - BLOCKUSE ZONE NMA OP Q - TRACT SCPECIAL NBLDOS.�e n ONDITIONS SIZE OF LOT fir/ --"1-011 LOT USE OF •' EXIS NG BLDG. SAN*4ILKI 104 BLDG. SETBACK FROM - -- `�/`�,` FRONT PROP. LINE OF OWNER ` d& TYPE OF EXIST IN SETBACK HI W91Y YARD = I-TOTAL ADDRESS HIGHWAY WI DT 'ROM C.L. CITY BLDG. 9E ACK FROM, ARCHITECT OR TEL. NGINEER NO. SIDE PR LINE OF _ (STREET). E _ TYPE' EXISTING SETBACK HIGHWAY •}• -.YAAU' TOTAL ADDRESS _- HIGH AY WIDTH FROM C.L. •• CONTRACTO �ppL�AO. NO �OS + Ass Lp• `�ICr7� � CORNER CUTOFF YES 1:1NO' E] - 0 ADDRESS � CITY LIC LASS.4. SEE REVERSE SIDE FOR SPECIAL APPROVALS -FO DESCRIPTION OF WORK ti H NEW ADD ALTER RE.PAI DE OLISH Z SQ,FT. NO ...OF NO. OF ` SIZE �' STORIES FAMILIES - - - USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE' P.C. PMT. FOUNDATION, LOCATIONS FEE$ FEE$ FORMS, MATERIALS - FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION - WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS - 13UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY'1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION.OF THE LABOR COOL'OF THE STATE OF CALIFORNI RE _ ING TO WORK PENS `ATION NSURA�NCE. LATH. EXT. - SIGNATURE \ �l HOUSE NUMBER COR- PERMITTE V RECT•AND POSTED. ADORES SF I NAL f l.i JOHN F. LEWIS. PRINC'IPAL_ST UC RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ - -PERMIT VALIDATION CK. M.O CASH Ul��so 4 2371.0 AUG! 9 1 -D :: .4,0 0- b