HomeMy Public PortalAbout5546ALESSANDRO AVE_Building (3) 76A638ACE#803368 TEMPLE CITY
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 5546 Alessandro Street , T C
BUILDING AND SAFETY DMSION LOCALITY T mnle Ci'tv
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST I')
CROSS ST (%
DISTRICT NO GR TYPE P D B
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OR APPLICANT TO FILL IN � � coNsr
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CLASS NO elf—�DWELL UNITS BK PG
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BLDG BLDG SETBACK FROM
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NO — TYPEOFEXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROMCL
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ENGINEER NO _
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
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CONTRACTOR NO a_
LIC CORNER CUTOFF YES ❑ NO ❑ CD
ADDRESS NO
CITY San Gabriel CL SS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS o
DESCRIPTION OF WORK a
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NEW ADD ALTER REPAIR DEMOLISH
SO FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION S ��
�+C� APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE S FEE $ FORMS MATERIALS
FRAMEBRFIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ACING 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 GOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLO ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF T ST E OF CALIF NIA RELAT
ING TO WORKMEN S CO P SAT I U NC
LATH EXT
SIGNATURE F HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
T
ADDRESS FINAL
_ JOHN F LEWIS PRINCIP L S URAL ENGINEER
PLAN CHECK VALIDATION CK MO cnsH
PERMIT VALIDATION CK M D CASH
LAwG 9 91-81 OCT 4 1 D 1200-
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