HomeMy Public PortalAbout5563 PAL MAL AVE_Building__ TEMPLE CITY
Tueeeeu leoe aaA APPLICATION FOR BUILDING PERM T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY SIR
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
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FOA APPLICANT TO FII.L IN coNsr `BUILDING `C^ ` � - ISTICAL CLA6SI FICATION SEWER MAP
ADDRESS ✓J gK pASS NO DWELL UNITSLOT NO OCK R NOT REQUIRED RECEIVED
IFICATETRACT NIGNwSTATE MAJOR SECONO OF BLDGS ¢IRCtqSIZE OF LOT NOW ON LOT ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG ,h/j
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OWN ''// NO 77AJ / SETBACK YARD HWY 6T EET NA BUILDING EXIST ADDRE55�7I /G/ FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
ADDRESS P L D.
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CONTRACTOR NO
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DESCRIPTIOf4 OF WORK
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NEW ADD ALTER REPAIR OLI6H Z
SO FT NO OF
SIZE STORIES FAMILIES
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VALUATION $ C
APPROVALS DATE rotP[cron u1GNATURE
PC PMT FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND 8TATE THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE uwG REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN V OLA LATH INT
TION Of THE LABOR CODE OF THE STATE OF CALIFORNI LAT
ING TO WORKMEN S COMPENSATION SUWNgA, LATH EXT
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PERMI RED HOUSE NUMBER COR
PERMI ( RECT AND POSTED rB
ADOREss FINAL d-p �-
JOHN F LEWIS PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK .0 CASH _ PERMIT VALIDATION UM D CASH
VW5 9 8 9� FFB27 1 D 4.00
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