HomeMy Public PortalAbout5919 TEMPLE CITY BLVD_Building (2) FOR BUIL NG PERMIT
BABBBA cE#BD8 B_Be APPLICATION
COUNTY OF LOS ANGELES BUILDING / .L
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 N. GR UP TYPE .�� P CE BY
FOR APPLICANT TO FILL IN T ` u CONST.,) /
BUILDING / _ q n STATISTICAL CLASSIFICATION SEWE MAP '
ADDRESS / �� L� en- �liy� 7 B
CLASS.NO. DWELL.UNITS-'-
LOT NO. BLOCK WATER NOT REQUIRED- RECEIVED ❑
Tq CERTIFICATE:
TRACT tJ� NO OGf HIGHWAY
NO.OF SLOGS. STATE MAJO SECON LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL .
USE OFOP e ��4,�T �074�� CONDITIONS
EXISTING BLDG. J ,.
r� TEL. ^�
y
OWNER .4 1/(� e%,e-* NO. BUILDING EXIST.
ate, �1 SETBACK YARD HWY STREET NAME WIDTH
ADDRESS . /� �t�S/vlQ 64 ""fol FRONT �w� f
ARCHITECT OR TEL. P. L. x-i/ G ��
ENGINEER NO. SIDE
P. L.
ADDRESS /� ` G .
CONTRACTOR L��I� 61w& .nNO 2X11 21'1 1
V/? V
ADDRESS y U c w /T �'�!p✓�
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DESCRIPTION Of WORK Ci
Lu
d
NEW ADD ALTER REPAIR DEMOLISH N
Z
SQ.FT. NO.OF f NO.OF v
SIZE STORIES ! FAMILIES
USE OF ter` 6,
STRUCTURE Q�`/ ltGRf/Yif!/
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ ' , 2� FORMS, MATERIALS
FRAME: FIRE STOPS.
'I HEREBY ACKNOWLEDGE THAT I 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 WORKMEN'S COMPENSATION INSURANCE. LATH.EXT.
SIGNATURE OF r HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS , FINAL
JOHN F. LEWIS, INCIPAL-ST RAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERM VALIDATION CK. M.O. CASH
Uj`0 0 3 :1 7—G AuG 2 8 17.2 5, c"