HomeMy Public PortalAbout5450 PARMERTON AVE_Building__ 76A636A CEABDBB-6B
#66616 •APPLICATION FOR BUILDI G PERMMI79' p
COUNTY OF LOS ANGELES BUILDISS rton
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONi
JOHN A LAMBIE COUNTY ENGINEER LOCALITY
COLEMAN W JENKINS SUPT OF.BUILOING NEAREST _
CROSS ST-
FOR APPLICANT TO FILL IN DISTRICT(NO GR TYP6_C AST PR SE Y_
(PRINT OR TYPE ONLY) I
BUILDING STATISTICAL'CLA ICATION SEWER MAPS
ADDRESS p rton CLASS-NO` `DWELL UNITS -BK_ �5G'
LOT NO - BLOCK USE-ZONE- MAP-2-1
1NO , I
TRACT /Y SPECIAL^
NO OF SLOGS " CONDITIONS
SIZE OF LOT NOW ON LOT
OP d
USE OF
EXISTING BLDG rhjplling BLDG SETBACK FROM
TEL FRONT PROP LINE OF � (STREET)i
OWNERTprlinprNO 57Q-3832 TYPE OFE%ISTIN6 SETBACK N16HWAY '+ �" YARD '= NOTAL
HIGHWAY WIDTH FRpM C L
ADDRESS 54 50 Parmprton
CITY Temple Cit
ARCHITECT OR TEL BLDG SETBACK F
ENGINEER NO SIDE PROP LINE OF - (STREET)
TYPE OF E 6TWG 'SETBACK" HIGH - + �'YARD� = TOTAL I
ADDRESS HIGHWAY WIDTH FROM C L
TEL z Y
CONTRACTOR NO a
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A OO RE SS NO LIC I CORNER CUTOFF YES _Q_ NO _�
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CITY San Gabriel 91776 CLASS C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS 0
CONSTRUCTION LENDER ri
NAME AND BRANCH awa
ADDRESS N
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SO FT NO OF NO OF ❑ -
SIZE STORIES FAMILIES NUSE OF
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STRUCTURE Nelling
ADO
ALTER C]
REPAIR
SIGNATURE OF DEMOL
APPLICANT
VALUATION § -APPROVALS DATE INSPECTOR'$ SIGNATURE
P C PMT FOUNDATION LOCATION
FEES FEE § 9.00 FORMS, AT RIALS
FRAME FIRE STOPS
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRA ING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY N,
FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC V T DUCTS
IO
TION I CERTIFY THAT IN DO NG THE WORK AUTHORIZED HEREBY I —OAS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM-
PENSATION INSURANCE LATH EXT
SIGNATURE OF
PERMITTEE HOUSE AND•POSTEOfl CORRECT
ADDRESS FINAL
JOHN F LEWIS PRINCIPALS RAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH - PERMIT VALIDATION cK N o CASH
SEP18 1 0 9.00
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