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Home My Public Portal About9720 BROADWAY_Building__ TEMPLE CITY 76AG30A CE+`9032-6] APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS L BUILDING AND SAFETY DIVISION LocnurY JOHN A. LAMBIE. COUNTY ENGINEER - NEAREST v f WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. ' -tr /• DISTRIT GRO TYPE P QC SSED BY FOR APPLICANT TO FILL IN (J CONST. /� r2",�/� BUILDING STATISTICAL CLASSIFICATION SF+WER MAP 'ADDRESS }]/ MBK G _ CLASS. NO._Is;– DWELL. UNITS 'BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT •-y, +"L MAP „ HIGHWAYSTATE MAJOR SECOND, OCA O. OF SLOGS. NO. /y(r (CIRCLET) SIZE OF LOT NOW ON LOT _ UNE SPECIAL USE OF" (,f/�V�I CONDITIONS EXISTING BLDG tJt%�6q � - 'le' ( TEL. OWNER+ I I2Pb(/D BUILDI EXIST. / '7 0 SETBACK ADDRESS/ `/ YARD HWV STREET AME WIDTH ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE '; ADDRESS TEL. Q CONTRACTOR NO. ADDRESS O DESCRIPTION OF WORK w a N NEW DO ALTER REPAIR DEMOLISH Z SO. FT. NO. OF NO. OF _ SIZE ( STORIES (LIES USE OF STRUCTURE gal SIGNATURE OF APPLICANT VALUATION $ _ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S - FEE $ 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. L - WITH ALL, COUNTY ONDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS J BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I 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. �j /gyp LATH. EXT. SIGNATURE OF Y �.JV G f �I - . -_ j- AL,I HOUSE NUMBER COR- PERMIT TEE �—-aR LG .L IE},[_( ,� RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL ST RPL ENGINEER PLAN CHECK VALIDATION CK. M.D. GASH _ PERMIT VALIDATION GK. M.D. GASH Le Iuo H 8 2 6 14 1 D 6.0 0 r } 'TEMPLE GdTY 16.8]BA DE i 9.33.6: APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGL DEPARTMENT OF COUNTY ENGINEER 'ADDRESS 9 A BUILDING AND SAFETY DIVISION LOCALITY I .JOHN A. LAMBI E. COUNTY ENGINEER NEAREST ' /lti WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN olsT cr pf GROUP TYPE .T Pzp� b av J y0 CONST.--% BUILDING _STATISTICAL SIFICATION SEWER MAP ADD ESS CLASS. NO. DWELL.UNITS LOti 6 ' , BWATER 91 �''� CERTIFICAAnTE: NOT REQUIRED VK 1 RECEIVED ❑ TRACT NO.OF BLDGS. �^ NO. H C.. Q ^ �cGRCLEI STATE MAJOR SECOND OCAL SIZE OF LOT 5�'\ ;?01/1NOW ON LOT USE ZO E SPECIAL USE OF ++�� 1!� 1 CONDITIONS EXISTING BLDG. oCl �L.�U/ JI\ I T L. OWNER j( �� NO. ' DING EXIST. �`— SETBACK YARD HWY STREET NAME WIDTH ADDRESS p O FRONT ARCHITECT OR TEL. P. L U ,J}tGc JO ENGINEER NO. SIDE /� 1 ADDRESS P L /'/ TEL. v O CONTRACTOR n "' NO. Ir ADDRESS ' N1 Aa If F DESCRIPTION OF WOR% a h NEW <ADOD ALTER REPAIR DEMOLISH Z SQ. FT. . OF NO. OF b A ..- ♦ !/A.% i/ SIZE /yQ RIES FAMI IES / O V `Q / ' USE OF / `"E��/!•H J/ / STRUCTURE / r SIGNATURE OF APPLICANT VALUATION S �- //✓� PRA ��PdiuR APPROVALS DATE, NSPECTOR'SSIGNA_TURE FEE' FEES J�s� FOUNDATION: LOCATION FORMS, MATERIALS Oo XiT 7 FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION "ACING, BOLTS AND STATETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY (FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I 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 7JI— D HOUSE NUMBER COR- -r PERM ITRECT AND POSTED y ADDRESS _ _ FINAL - '- JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION K. M.D. DABH LA',o 8 3 7 5 ; Riva 4 1 D 1 350- TGA698A 040803a-a, PPLI AGIION "BUILDINGFOR ELES Pop RMIT COUDEPARTMENT OF COUNTY ENGINEER ADDRESS O SLO BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST M COLEMAN W. JENKINS¢u P'T.oF BUILDING CROSS ST. J pISTR CT NOI. GROUP TYPE P OC�55 ED BY FOR APPLICANT TO FILL IN CONST.?? — � BUILDING STATISTICAL CLASSIFICATION SEVER MAP ADDRESS - r O CLASS NO. DWELL UNITS BK/.': PG LOT .-'Zb� AFF w '- Gy SYa'-J— aCK FZ USE ZONE MAP L'_l•.n / L' C IN OJ LT'LJ TRACT SPECIAL NO OF BLDG9. CONDITIONS SIZE OF LOT NOw ON LOT USE OF EXIST, TIN BLDG. SETBACK FROM NV O TEL. FRONT PROP. LINE OF (STREET) OWNER TYPE OF EKI9TI NO 9ETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY DTH 'F OM C.L. CITY r ARCHITECT OTEL. BLDG. SETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING 9ETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGH.AY WIDTH FROM C.L. Y d TEL. + = O CONTRACTOR NO lJ LIC CORNER CUTOFF YES ElNO C ADDRESS NO O CITY L CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK y d.1OT �u' NEW AD� ALTER REPAIR DEMOLISH d ` eRrCll • ¢' SOFT. NO. OF NO. OF UISE OF C STORIES FAM(LI F_9 ZE Ada., ` BGG•-�1 '� �y �,/�/�'�.L(`A STRUCTURE &"C&/Pity— SIGNATURE OF APPLICANT VALUATION$ 1: 9_ `� !i !/4 APPROV LS DATE INSPECTOR'S SIGNATURE EES FEE$ �� FOUNDATION, OC ATION FORMS, MATIERIALS il2r ,Ycr•, ';. t FRAME, FIRE TOPS, )„F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING 8 LT h�1 ANO STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS VENT. CUCTS C 9UILDINc CONSTRUTION. I CERTIFY THAT. IN GOING TXE WORN AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH. INT. TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'5 COMPENSATION INSURANCE. \/ LATH. EXT. �T SIGNATURE OFw/7L.i— ay / HOUSE NUMBER C R- �J PERMITTEE RECT AND POSTTD ADDRESS z 171NAL JOHN F. LEWIS. PRINCIPAL 5 TURAL ENGINEER PLAN CHECK VALIDATION CK. M,O. CASH _ PERMIT VALIDATIO cK M.D. CASH Lr. o9 0 7 5 1-1 AD 3 1 D 1 5.00~ 7ea638A CE0803 8-84 APPLICATION FOR BUILDING PERMIT (r COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS D BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST COLEMAN W. JE NKINS,SUP'T,OF BUILDING CROSS ST. DISTRICT NO GROUP TYPE PRO ESS E{51BY FOR APPLICANT TO-FILL IN v y_ CONST. BUILDING STATISTIC A L}��y�ASSIFICATION SEWER MAP ADDRESS o CLASS NO. + } DWELL UNITS BK >•--PG j�'-�2 LOT NOAI ytDG AHJ/ '� USE ZONE MAP ..: —a NO. U U TRACTfcL! �'/-' Y / SPECIAL OF BLOOS._ CONDITIONS SIZE OF LOT LN9. ON LOT USE OF p Z. E IN .! /�-A'� / / BLDG. SETBACK FROM .{ TEL FRONT PROP. LINE OF , •+ ETRE ETI OWNER NO. TYPE OF I EXISTING SETBACK HIGHWAY + YARD TOTAL ADDRESS ,[ HIGHWAY ]WI91b FROM C.L. CITYBLDG. SETBACK FROM ARCHITECT OR TEL. BIDE PROP. LINE OF (STREET) ENGINEER N0. TYPO OF [X IBTINO SETBACK HIGHWAY } YARD = TOTAL } ADDRESS HIGHWAY WIDTX $ROM C,L. y TEL. + — .O CONTRACTOR r_Tw i G / NOLIC U ADDRESS NO CORNER CUTOFF YES NO F7 O r LID SEE REVERSE SIDE FOR SPECIAL APPROVALS w D'E�SCRIPTION OF WORK U5 NEW ( D ALTER REPAIR DEMOLISH Z SO.FT. NO. OF NO. OF SIZE. STORIES FAMILIES USE OF STRUCTURE SIGNATURE F- APP LIGAN VALUATION.$ � APPROVALS DATE ,INSPECTORS SIGNATURE P, PMT. �� PO FORMSI MATERIALS �N FEES FEE I2 FRAME, FIREBSTOPS, /V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING OLT / ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS J 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK I 1 / AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S CO EN8 TION INSUR LATH. E%T. SIGNATURE 01 //�J/1,, � / HOUSE NUMBER COR-- v PERMITTEE 6(O leff& `LGG�� RE ANO POSTED ' ) ADDRESS ' 4 FINAL 29/15T , N JOHN F. LEWIS. PRIN IPAL ST RAL ENGINEER PLAN CHECK VALIDATION CH. M.O. CASH _ PERMIT VALIDATION cK. M.D. CASH Ao 9 5 2 7" MAR 12 0 1 1.50- tt