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HomeMy Public PortalAbout5855TEMPLE CITY BLVD_Building (2) i 76AG38A CE#808 I-62 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 WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP ITYPE SSED BY FOR'APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION MAP ADDRESS fT�- CERTIFICATE: PCLASS.NO. DWELL.UNITS /yLOT NO. BLOCK WATER NOT REQUIRED RECEIVED TRACT MAP HIGHWAY NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND,LOCAL SIZE OF LOT NOW ON LOT USE ZONE SPEC IAL USE OFCONDITIONS EXISTING BLD L'- TEL.)J OWNER N .Iv BUILDING EXIST. ^`^ SETBACK YARD HWY STREET NAME WIDTH ADDRESS +I FRONT ARCH ITEC OR TEL. P. L. ENGINEER NO. SIDE ADDRESS . O TEL c CONTRACTOR yy,, rd O. .d ADDRESS pC 34 /dAw C f DESCRIPTION OF WORK u u v NEW ADDALTER REPAIR DEMOLISH 2 SQ.FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OFAs ^ APPLICANT VALUATION$ 6s APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKM N'S COMPENSATION INSUR N E. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR. PERMITTEE RECT AND POSTED ADDRESS FINAL -Z� JOHN F. LEWIS, PRINCIPAL STR CTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH V 1 6 9 6"' OCT 21 1 D 6.00- q