HomeMy Public PortalAbout6236 LOMA AVE_Building__ ,.TEMPLE--CITY
76A638A CE X78032-63 A ■ LICATION FOR BUILDING PERMIT _
'COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ne
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN. SUP T OF BUILDING CROSS ST
D IS_T_Ra CT GROUP I T E RO E Y
FOR APPLICANT TO FILL IN '11�1 O - NSTI
BUILDING - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS - / ^--BK P
CLASS NO - DWELL UNITS F--
LOT NO p� �,� BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE
TRACT Q MAP I o6 HIGHWAY STATE MAJOR SECOND OCA
NO OF BLDGS _ NO (CIRCLE)
SIZE OF LOT e NOW ON LOT USE ZONE SPE IAL
USE OF N TION `
EXISTING BLDG 7 p
TEL
OWNER NO BUILDING YARD HWY STREET NAME XIST
�.y > - SETBACK WIDTH
ADDRESS `� r FRONT
ARCHITECT OR TEL P L
ENGINEER NO 14 SIpE
Ill P L
r ADDRESSy. O
TEL
CONTRACTOR NO ,ray fes' rq �r j� ii��J�,•g//� .y.[�J,�r V
ADDRESS '`, d? - j /•� 0
DESCRIPTION'OF WORK •� ;_ �� /��" o �yr� w
,I N
,NEW. ADD ALTER REPAIR - DEMOLISH
FT NO OF NO OF '_y
SIZE t STORIES FAMILIES'(, _
USE OF
STRUCTURE
EVALUATION
O
ANT -
�/"
I APPROVALS DATE INrSPECTOR'S� GNATURE
�j FOUNDATION LOCATION /off 'r
FEEOC. -, �,.' FEE rf FORMS MATERIALS /7"r %�[f ,,1'� �
FRAME FIRE'STTS / ` / CL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS y J ,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
B U ILD I NG.CONSTRUCTION `I CERTIFY THAT IN DOING THE WORK �/
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT iL!!
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S COMPENSATION INSURANCE
LATH,'EXT _
SIGNATURE OF HOUSE NUMBER
COR-
PERMITTEE iRECT AND POSTED / �l/'Ir
ADDRESS -FINAL �� 13,& �_ _
' JOHN F LEWIS, PRINCIPAL ST
IRRAL ENGINEER
PLAN CHECK,VALIDATION0MO CASH _ PERMIT VALIDATIONM O CASH
7 2 2 7 -S rtP 2 2 3 D 3 G.Q Q
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY Z
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A JENSEN, SUPT OF BUILDING CROSS ST
DISTRI T NO GROUP TYPE SSED BY.
FOR APPLICANT TO FILL IN 19CONST 1
BUILDING qq JJ STATISTICAL CLASSIFICATION $ I ER MAP
ADDRESS Ot� �p /,�--BK G
CLASS NO DWELL UNITS L
O NO c) 70 BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED ❑
Q�(
TRACT /,10 MAP HIGHWAY STATE MAJOR SECOND. CAL
S NO OF BLDGS NO, n
SIZE OF LOT Q NOW ON LOT USE ZONE SPECIAL
USE OF n CONDITIONS
EXISTING BLDG ll//(11L/
TEL
OWNER NOxa t-n 6BUILDING YARD HWY T EET NAME EXIST
SETBACK WIDTH
ADDRESS FRONT ! '
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L
ADDRESS }
_ a
TEL O
CONTRACTOR NO u
ADDRESS
O
DESCRIPTION OF WORK ri
W
NEW ADD ALTER REPAIR DEMOLIS N
SO FT NO OF z
SIZE STORIES / FAMILIES
USE OF
STRUCTURE d(O q D
IGNATU OFA
APPLICANT
VALUATION
APPROVALS DATE\ INSPECTOR S SIGNATURE
_PCPIVIT FOUNDATION LOCATION ) J
FEE �'-i FEE FORMS, MATERIALS
FRAME FIRE STOPS, Lf y
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL C $
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
OUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCT
WORK
/r
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S COMPENSATION INSURANCE LATH EXT + ,
SIGNATURE OF HOUSE NUMBER COR- A �a
PERMITTE EE r , RECT AND POSTED
ADDRESS / J ,Q, �e,- FINAL
JOHN F LEWIS PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
LIiLo 8 0 2 71 APR 2 3 1 D 4.0 0- 3