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HomeMy Public PortalAbout5921TEMPLE CITY BLVD_Building (2) 76AG38A CE0803 9-67 P4-PL6 C e \� , APPLICATION FOR BUILDING PERMIT LJ . ' C.OUNTY OF LOS ANGELES BUILDING ---'— DEPARTMENT OF_ COUNTY ENGINEER ADDRESS 612, r BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER 'COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DIST.P,QT NO. GROUP TYPE /PRO(ZESSED BY (Print or type only) BUILDING ADDRESS ). / fxA J x,E STATISTICAL CLASSIFICATION SEWER MAP CLASS NO. DWELL,UNITS BK PG LOT NO. Z BLOCK USE ZONE MAP l - 7 - NO. TRACT CONDITIONS r SPECIAL NO.OF BLDGS. SIZE OF LOT N ON LOT USE OF �+ EXISTING BLDG. I T�g� BLDG.-SETBACK FROM OWNER J0 ySxfr� /�I L._:go rj FRONT PROP.LINEOF -(STREET). a7 TYPEDF EXISTING SETBACK HIGHWA } YARD - TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS f c i P \ - CITY BLDG.SETBACK FROM ARCHITECT OR PrEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SET CK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH. FR C.L. n �/ STEL. �y-G � + _ >•- CONTRACT jF r /`Ory sem. ANO. Ash/ 7 �D - ' CD ADDRESS 6+4./� °l[ NO. ✓ 0 3 ,- CORNER CUTOFF YES ❑ NO ❑ w CITY L HAM R/� c�Ass 1 SEE REVERSE SIDE FOR SPECIAL APPROVALS 15 DESCRIPTION OF WORK a NEW ADD ALTER REPAIR DEMOLISH L SQ. FT.. NO. OF NO. OF • � SIZE STORIES FAMILIES G USE,OF O STRUCTURE / S AGL. 680 PLO QP SIGNATURE O ° p r1l `!+ /�� APPLICANT ./`�/ /y/ . .- VALUATION S 0 0 APPRO LS DATE INSPECTOR'S SIGNATURE P.C. PMT.. FOUNDATION: LOCATION FEES FEES t FORMS, MATERIALS FRAME: FIRE STOPS, I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS r 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- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• , ING TO WORKMEN'S MPE T N INSU NCE. LATH, EXT. 1, SIGNATURE �a�17_ HOUSE NUMBER COR- PERMITTE RECT AND POSTED zj ADDRESS �- FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINE PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. MOAS �o5-8 .2 6N AUG 9 1 D :. 913.0