HomeMy Public PortalAbout5521 LOMA AVE_Building__ • : TEMPLE CITY
79AS38A CS#802- 1-" APPLICAT90N FOR BWL®9NG\PERM9T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUPT OF BUILDING CROSS ST
_' DISTRICT NO. GROUP ITYPEC SSED BY
FOR APPLICANT TO FILL IN CONST/ Liz
BUILDING- STATISTICAL CLASSIFICATION SE
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_ CLASS NO DWELL UNITS '
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I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING, BOLTS
AND'STATE THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY [�-=S
ACE. LOCATION, r /
WITH ALL COUNTY ORDINANCES,AND STATE LAWS REGULATING VENT DUCTS
AU HORI , D HEREBY I WI I CERTIFY THAT IN DOING THE WORKAUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- TH,INTTION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-ING TO WORKMEN S COMPENSATION INSURANCE v _
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' SIGNATURE O SHOUSE NUMBER COR- /�
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CLYDE N. DIRLAM, PRINCIPAL ST R RAL ENGINEER
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7OAQOBA CE#803 8.59 APPLICA`T'ION FOR BUILDING •PERM'1_ . ' �•
COUNTY OF LOS ANGELES BUILDING
'DEPARTMENT OF COUNTY ENGINEER AD t Ess
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUPT OF BUILDIN6 - CROSS ST ° �4
DISTRICT NO. GROUP TypE, PROCESSED BY -
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SIGNATURE V tJA7Z-//!10i C r11Z 7 i9r 101L .,
APPLICAN�T1 - •APPROVALS DATE INSPECTOR'S SIGNATURE `
ADDRESS477 �il!C FOUNDATION: LOCATION
` FORMS,MATERIALS
VALUATION S - QD FRAME' FIRE STOPS, „
BRACING,BOLTS
FURNACE LOCATION,
P „ PMT GAS VENT,DUCTS
FEE, FEE � //,� /�fJ
I HEREBY.ACKNOWLEDG THAT I.HAVE READ THIS AP- LATH,INT. H'-'"y� LD
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - n �p�J n,/,n
AGREE-TO COMPLY.WITH ALL•COUNTY ORDINANCES AND -• �„�.��/O /v' �������-�.C~Y-C'Y,
STATE LAWS �iULATING UILDING C TRUC LATH,EXT' Y/ 1
SIGNATURE HOUSE NUMBER COR- ✓ _ _
PERMITTE RECT AND POSTED
ADDRESS ���- ` FINAL
CK. - CLYDE N DIRLAM, PRINCIPAL STR KT RAL O N
ALENGIEER
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DONE !N THE ROAD RfGNTOr
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ea APPLICATIONFOR -BU➢L®eta PERMIT
COUNTY OF-LOS ANGELES BUILDING
ADDRES _
DEPARTMENT, OF COUNTY ENGINEER
tUlIbING AND SAFETY DMSION `LOCALITY -
• JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUPT OF BUILDING CROSS ST - - -
DISTRICT NO GROU TYPEED•BY
FOR APPLICANT TO_FILL IN •. CONST. _
BUILDING ` - STATISTICAL CLASSIFICATION SEW R MAP -,
ADDRESS / S` BKS G-
pp CLASS NO -DWELL U ITS46
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NUMBER HWY-
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OWNER FRONT-
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ENGINEER NO M -
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USE OF ' - -
STRUCTURE
SIGNATURE OF
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APPROVALS DATE - =INSPECTOR'S SIGNATURE
ADDRESS - 1:5r IFOORMSTMATEROIALSION, 3 pr '" ���D ,
VALUATION $ I FRAME FIRESTOPS, rO1"
BRACING,BOLTSPCPMT
/ FURNACE LOCATION,
FEE $ "—� I FEE $ — - GAS VENT,-DUCTS -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. - e
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AN /
STATE LAWS R LATING BUILDING C T 1 ,LATH,EXT ��—(DO
SIGNATURE OF H SE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL �� GD
' CLYDE N DIRLAM, PRINCIPAL STR Ti RAL ENGINEER
• PLAN 'CHECK VALIDATION CK. .M.O. CASH PERM"VALIDATION ' CK. M.O. CASH ,
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79A638ACe#e032/e0 APPLICATION Il H®111 FOR DUILDINV FERItl1111 l
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN BUP'T OF BUILDING CROSS ST. -
DISTRICT NO GT P •I•yPE P S Y '
'FOR APPLICANT TO FILL IN CONST]
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
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LOT NO. 'BLOCK MAP STATE NO '
NUMBER o U YES
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SIGNATURE F
APPLICAN -
r VALUATION 0.If0 -
- APPROVALS DATE INSPECTOR'S SIGNATURE
P C. PMT. FOUNDATION LOCATION
FEE $ FEE $ o FORMS MATERIALS
FR NSE FSTOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- 8 ACINGIRE BOLTS `Z�� Q
PLICATION AND STATE THAT THE ABOVE IS CORRECT ANDFURNACE:LOCATION, -
.AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,,DUCTS
STATE LAWS REGULATING -BUILDING CONSTRUCTION. -
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH, INT.
WILL NOT EMPL ANY PERSON IN VIOLA ION OF THE
WORKMEN'S CO P NS !ON LAW,�F ORNIA. LATH,EXT.
SIGNATU Y//lam`✓' � / HOUSE NUMBER COR-
PERMITTE/ / RECT AND POSTED /
ADDRESS FINAL
CLYDE-N. DIRLAM, PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION CK. M.O.. CASH - PERM VALIDATION CK. b,o. CASH
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