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HomeMy Public PortalAbout5853TEMPLE CITY BLVD_Building (2) 16A688A CE AW 10-38 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING ! DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP �pE P ESSED:HY FOR APPLICANT TO FILL IN I CONST. I STATISTICAL.CLASSIFICATION S ER MAP BUILDING dj — I BK P _ ADDRESS .�77 C 'CLAS NO. WELL.UNITS�1 7f MAP LOT NO.' BLOCK NUMBER '� H ATE YES NO 4 §1 SPECIAL" ' TRACT USE ZONE - NO OF BLDGS CONDITIONS SIZE OF LOT I NOW ON LOT (� USE OF EXISTING ''� �' UILDING YARD HWY STREET NAM EXIST. SETBACK WIDTH V OWN I FRONT MAIL [j77' P.L. ADDRESS J(p pLL+' SIDE TEL. P.L. CITY No. INSPECTION RECORD. ARCHITECT OR TEL. ENGINEER- NO. ADDRESS I TF CONTRACTOR ADDRESSS r ' DESCHIPTIOTJ OF WORK NEW ADD ALTER . REPAIR DEMOLISH N SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF ST CTURE: / C SIGNATURE OF APPLICANT r- � APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS S a J 2 iC FOUNDATION:LOCATION FORMS,MATERIALS VALUATION-S i ' FRAME:FIRE STOPS. BRACING,BOLTS P.C. MTFURNACE:LOCATION: FEE $ I FEE I GAS VENT.DUCTS I HEREBY ACKNOWLEDGE THAT I AVE'READ THIS AP- LATH.INT. PLICATION AND STATE THAT THAT IS CORRECT AND AGREE TO COMPLY WITH ALL COUljTV ORDINANCES AND STATE LAWS REG LA ING BUIL CONSTRLICTIO LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE t RECT AND POSTED ADDRESS' af=4 FINAL CLYDE N.DIRLAM.9RINCIPAL *1RUCTURAL E SER PLAN CHECK VALIDATION CK. M.O. CASH 'PERMIT VALIDATION CK M.O. CASH