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•`7a+eS'SA CA J*=-"I.d7 APPLICATION FOR BUILDING PERMIT 1
}} COIINTY OF LOS ANGELES ABUILDING
DDRESS S`
DE$AfiTNf1;N* OF COUNTY ENGINEEE
B=ING AND SAFETY DIVISION LOCALITY T
L JOHN A.LAMBIE,CgUNTY ENGIN[ER NEAREST
CASSATT D.GRIFFIN WUP T OF QUILDING CROS
F
OR APPLICANT TO FILL IN DI8TR1 NO. GRO .TYPE SEWER MAP
BK PG
CO
�4� STATISTICAL q A.SSIFICATION
CLASS.NO UNI
/D��Jt�/ FLOCK MAP STATE
�/.� NUMBER �QHYrY,- U E ZONE SPECIAL
Q NO.OF BLD GB. CONDITIONS
� Z OF NOWON LOT• J/ BUILDING YARD HWY STREET NAM@ EXIST.
SETBACK WIDTH
FRONT
MAIL -P.L
ADDRES1i BIDE
P.L
CITY
ARCHfTEECT Off TEL
INSPECTION RECORD
Ft TE'-
NO.
TEL
CONTRACTOR NO.
2�
DESCRIPTION OF WORK 1 .r
u
NEIN ADD ALTER REPAIR DEMOLISH
SQ. P-F: NO.OF NO.OF
SIZE STORIES FAMILIES
U8H F U RE S -J
1 mai
SIGNATURE OFAPPROVALS
APPLICANT
- �►y� DATE INSPECTOR'D EI'GNATURE
ADDRESS •-i C FOUNDATIONi LOCATION "
FORMS,MATERIALS
0 P.Cl S FRAME: FIRE STO 8.
FEE BRACING,BOLTS
VALUATION !1< FURNACE, LOCATION.
FEE GAS VENT.DUCTS
I HEREVY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATA LAWS REG ING BUILDING CONBTRUCCIOM LATH,DCT.
SIGNATURE OF t -�--� HOUSE NUMBER COR-
PERMI RECT AND POSTED
ADDRprqp FINAL
CLYDE N. IRLAM INCI AL STRUCTURAL HER
PIJLN CHBC=VaLMAMON CK Ih O. CATH VALIDATION Gx• mo. cAsH
r
TEMPLE CITY
76A63•A C=#f03 Sa APPLICATION FOR BUILDIN PERM
COUNTY OF LOS ANGET, EUILDING 5/
DEPARTMENT OF COUNTY ENGINEER ADDRESf �J
BUIMING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SIUP•T OF NU1LDINa CROSS ST.
DIST O O TYPE PR ED BY
FOR APPLICANT TO FILL IN CONfr.
BUILDING fTATIfTICAL SSIFICATION SEWER MAP
ADDRESS 5759 mel-l-a CLASS NO. DWELL UNITS BK PO
LOT NO. BLOCK USE ZONE MAP
TRACT SPECIAL
110. OF GLOBS.
NDITIQNfI
SIZE OF LOT MOW ON LOT
USE OF
T BLDG. SETBACK FROM
James L. u,,, HL' FRONT PROP. LIN[ OF - (STREET)
OWNER V
Mont me O' TYPE OF EXISTING SET/ACK HISHWAY YARD - TOTAL
C
ADDRESS. L.
CITYSLD/. SETBACK FROM
� EC Ramp TEL.
NOINEER NO. SID[ PROF. LINK OF STREET
NO
TYPE OF [II/TIN/ SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HISHWAY WIDTH FROM C.L.
CONTRACTORViT ROOF NOL 2�7�J"! + _
ADDRESS NO 150 CORNER CUTOFF YES NO S
CITY eI LIc C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WO��'yRK
NEW ADD ALTER RLr"I DEMOLISH
SQ FT. NO. OF NO. OF
SIZE STORIES FAMILIES .
USE OF
STRUCTURE RerOOf HOUSQ & Garage
with 15# and Rock
SIaNATURE OF
APPLICANT
VALUATIbN I I 9I $ , 6 l ,QQ
APPROVALS bATB INSPECTOR'S SISKATURE
P.C. PMT. /'�/'� FOUNDATION, LOCATION
FEE$ FEE 0W FORMS, MATERIALS
FRAME, FIRE STOPS,-
I HERESY ACKNOWLEDGE THAT I HAV[ RLAD THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AORQ TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAW/ REGULATING OAS VEN U
J<JILDI NO CONSTRUCTION. I C[RTI FY THAT. IN DOING TH[ WORK
RUTH ORfZ<D HE
I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TON OF TH[ COD[ OF TH[ STAT: OF CALIF I R[LAT-
IMG TO WORKMEN'S MP[r{�I�noN!N/u O (�O. LATH. EXT.
MP6GRMITTTUEE OF // HOUfH NUMBER COR-
-! RPOSTE CT AN D
ADDREBR600 S.San Gabriel, San Gabriel F1 N A L
-2-
JOHN F. LEWIS. PRINCIPAL STAL ENGINEER
PLAN C1= VALIDATION CK. M.O. CASH _ PERMIT VALIDATION (RM.o CAS"
j [ , 1946Q; NOV 29 1D 12.0