HomeMy Public PortalAbout5549 PAL MAL AVE_Building__ ' TEMPLE CITY
76AS39A CC 4"3293 APPLICATION FOR BUILDING PERMR
COUNTY OF LOS ANGELES ADDRESS f
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILo1No CROSS ST
FOR APPLICANT TO FILL Ri Dlsr r�+� coNEST SSED BY
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BUILDING // G� STATISTICAL CLASSIFICATION S BKR MAP
ADDRESS ^� 4.0
CLASS NO DWELL UNITS `
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT MAP HlcNwwv STATE MAJOR SECOND O AL
NO OF BLDGS NO (CIRCLE)
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
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USE TI CONDITIONS
UEX SENG BLDG
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OWNE Klr/aO BUILDING YARD HWY 5 T AME WE%IST
SETBACK IDTH
ADDRESS Q / 4jZ FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE 1
P L
ADDRESS O
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DES ON OF WORE o
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NEW ADO ALTER REPAIREMOLIS
SO FT NO OF
SIZE5T IES F IES
USE OF
STRUCTURE
SIGNATUO
APPLIC
VALUATION E
APPROVALS DATE INaPBCTOR aa1aNATUR[
PC PMT FOUNDATION LOCATION
FEE S �_ FEE E FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACNNOWLEOOE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AMD STATE THAT THE ABOV[ IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING GAS VENT DUCTS
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 F CALIFORNI LLAT
IND TO WORKMEN 6 CONP[ TION IMEu ce LATH EXT
SIGNAT RE O HOUSE NUMBER COR
PER-ITT RECT AND POSTED
ADDREs •FINAL
JOHN F LEWIS PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION (,::j Mo CASH
E,juo 5 5 8 7:o FE8 2 7 1 D 4.0p0— 5
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