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HomeMy Public PortalAbout5921TEMPLE CITY BLVD_Building 7:gA638A CE #803Iz/6APPLICATION FOR BUILD). G PERMI 'r J--a fl COUNTX'OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK Q PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS + COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvDe onl CROSS ST. DIST CT NO. GROUP TYPE ESSED BY BUILDING CONST. ADDRESS t y + C) I STATISTICAL CLASSIFICATION SEWER MAP LOT NO. T BLOCK CLASS NO. 'tl OWELL.UNITS BKe— PC/S TRACT / / e USE ZONE MAP NO.OF BLDGS. NO. 0O SIZE OF LOT NOW ON LOTSPECIAL USE OF O� CONDITIONS EXISTING BLDG. s 7 TE OWNER To G tea., �. NOL,.Z/PS-.Z n BLDG.SETBACK FROM ADDRESS l AM FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK I HIGHWAY + YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. G / ARCHITECT OR TEL. + _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. ADDRESS NO + C LIC. C CITE' CLASS CORNER'CUTOFF YES ❑\ NO ❑ ' C CONSTRUCTION LENDERr NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS ` C SQ. FT. NO. OF NO. OF NEW Q , SIZE STORIES FAMILIES ❑ 6/ USE OF ADD STRUCTURE ALTER9 /Jt SIJ 70 GNATURE OF' ct �IREPAIR❑ APPLICANTLd DEMOL off— ❑ � . O VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE$ FEE$ Q Q FORMS, MATERIALS FRAME: RE FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON­ GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSO}I IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIG PENATURERMITTEE�OF HOUSE NUMBER COR- RECT AND POS `� `� ADDRESS �� g FINAL /3d 7 ' JOHN F. L S. PRINCI AL STRUCTURAL EN R PLAN CHECK VALIDATION CK. M.O. GASH _ P T VALIDATION CK. M.O. CASH . �5 S 8 8,R Ji>f 2.2 1 D 6.00- q Ale