HomeMy Public PortalAbout5076 SULTANA AVE_Building__ , TEMPLE CITY
...o..at.EP ., APPLICATION FOR BUILDING PE
COUNTY OF LOS ANGELES B(IILDING
DEPARVAENT OF COUNTY ENGIIVEER ADDRESS
BURDING AND SAFETY D=ON LOCALITY c
JOHN A LAMBIE. COUNTY ENGIN[[R NEAREST
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FOR APPLICANT TO FILL IN DISTRICT NO I GROUP I TYPE PSSED BY
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BUI LDINO L
STATISTICALCASB IFICATION SEWER MAP
ADDRlBS U
CLASS NO WELL UNITE
LOT NO a20BLOCK WATER NOT REQUIRED fX RECEIVED
CERTIFICATE
TRACT MAP HIGHWAY
NO OF BLDGB NO IclncLEl STATE MAJOR SECOND OCAL
SIZE OF LOT 7 k/ J k, NOW ON LOT U9E ZONE 'SPECIALn
USE OF / CONDITIONSVtyOC.
EXISTING BLDG
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OWNER G NO BUILDING YARD HWY o STREET AME EXIST
ADDRESS V / SETBACK WIDTH
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ENGINEER N I SID!
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ADDRESS TEL INSPECTION RECORD _ O
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DESCRIPTION OF WORK " 7 % n I
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NEW ADD ALTER REPAIR
tFTE NO OF NO OF
STORIES FAMILIES
USE OF
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SIGNATURE OF L
APPLICANT V// Y {�
VALUATIONS lJ U /( � 14 -eOb 1/� V l—t v Q
w / APPROVAL ATE/ INSPECTOR 9 SIGNATURE
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dFRAME FIRE STOPS /
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION tt BRACING BOLTS
AND RATE THAT THE ALOVE IS CORRECT AND AGREE TO COMPLY IPURNAC! LOCATION
WITH ALL COUNTY ORDINANCES AND RATE LAWS nLO ULATINO 11 GAS VINT DUCTH
BUILD No
COXSTiUCTIOX I CERTIFY THAT IN DOING THE WORN /
AUTHORIZED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR OF THE RATE OF CALIFORNIA RKLAT
IND TO W011KMEM QNSATION INS ANCA LATH EXT /I l / / lIl
SIGNATURE O G I (HOUSE NUMBER CO - -/11 / /^r/ `(((
PERM Fr_ Y RECT AND P08T D II /I
ADDRE6 2 iL� I /f ✓ 2 V (FINAL, f I 1/ I
CLYDE N DIRLAMY PRINCIPAL ST RAL ENGINEER ('
PLAN CHECK VALIDATION Oro CASH PERM VALIDATION aL r o eAEH (^
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M7 1 9 9 'A JAN 18 2 13 D 1 6 5 0 A r - ~
/ ( 'b8196�. FEB g 1 D 3?? 3..000 0