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HomeMy Public PortalAbout5919TEMPLE 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✓� .G 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"