HomeMy Public PortalAbout5921 TEMPLE CITY BLVD_Building 7:gA638A CE #803Iz/6APPLICATION FOR BUILD). G PERMI
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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—
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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
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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
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