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HomeMy Public PortalAbout5913TEMPLE CITY BLVD_Building I ATION' DING PERMIT FOR BUILDING 78A698A CE#809 8'Z64 APPL C L COUNTY OF LOS ANGELES BUILDING Y DEPARTMENT OF COUNTY ENGINEER ADDRESS ` BUILDING AND SAFETY DMSION LOCALITY IL+ JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. DISTRICT NO. I GLROUP ITYPE.. PR S.ED BY FOR APPLICANT T'0 FILL IN <o-9-- � CONST. BUILDING '� ` STATISTICAL CLASSIFICATION SEW R MAP L,-5� ADDRESS kc, �t�0 1 BK (/ "CLASS.NO. DWELL'UNITS S^� o LOT NO. BLOCK USE ZONEMAP NO. " TRACT �� SPECIAL La NO. OF SLOGS. Z CONDITIONS SIZE OF LOT NOW ON LOT olra USE OFe_ IS NG S �D BLDG. SETBACK FROM�ffA� TEL. FRONT PROP. LINE OF � �fRENT) OWNE O• o TYPE OF EXISTING SETBACK HIGHNAY YARD = TOTAL ADDRESS HIGHWAY WIDTH 'FROM C.L. ' CITY BLD . SETBACK FROM + - ARCHITEC •OR TEL. cri SIDE PROP. LINE OF (STREET) ENGINEER `�� �e t+\ig NO.Z�.`QS2S TYPE OF- .EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESSa HIGHWAY WIDTH FROM C.L. a TEL I + = 0 CONTRACTOR y p Q u ADDRESS \k 'S \ '�r:(p VC NO � Z CORNER CUTOFF YES �" NO1:1 O CITY a LC �Z SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK h Z NEW ADD ALTER REPAIR D OLI 50.FT. NO. OF NO. OF SIZE ST,ORIESjb FAMILIES o USE OF (� STRUCTURE Cy t SIGNATURE OF APPLICANT VALUATION$ �L�j APPROVALS DATE, INSPECTOR'S SIGNATURE _ FOUNDATION, LOCATION FEE$ FEE$ �• FORMS,..MATERIALS__. FR�iME, FIRE\STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION i BRACING-B.OLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT:DUCTS f 9UILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE-WORK AUTHORIZED HEREBY•1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 11 11 TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CnMPENSATION INSURANCE. LATH. EXT. SIGNATURE O ,, t\ f�U HOUSE NUMBER COR- PERMITTEE v RECT AND POSTED t e ADDRESS S5 C JO fS ���� � FI NAL V/9,/r-l— JOHN F. LEWIS, PRINCIPAL ST CTURALIENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT .VALIDATION CK. M.O. CASH �7 4"'3'O1 NOV 18 1 .D • M.O.