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Home My Public Portal About4303 TEMPLE CITY BLVD_Building__ . 6 L r TeaeaeA cEueoa . .. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �J1 DEPARTMENT OF COUNTY ENGINEER ADDRESS ✓G BUILDING AND SAFETY DIVISION LOCALITY t JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING I CROSS ST ✓ If DISCT G P TYPE SSED BY 'i FOR APPLICANT TO FILL IN coNST CG/NO BUILDING n �JO� O/V /J • STATISTICAL CLASSIFICATION SE ER MAP ADDRESS ^F.J r I P cL./ CLASS NO DWELL UNITS �� LOT NO OCK WATER CERTIFICATE NOT REOU I REDEl RECEIVED TRACT MAP Hlarvw.AI STATE MAJOR ECOND LOCAL NO OF BLDGS NO ICIRCL[I SIZE OF LOT x. ! NOW ON LOT a, USE ZONE SPECIAL USE OFC. ✓ O / p I,A/ /VI Z CONDITIONS EXISTING BLDG / TEL C IG OWNER ( S7lr NO L1-SBUILDING EXIST • SETBACK YARD HWY STRE T NAME WIDTH ADDRESS S)L! !c FRONT ARCHITECT OR ti EL P L ENGINEER NO SIDE ADDRESS P L 3 TEL u CONTRACTOR J T 1114 NO u I ADDRESS Q DESCRIPTION OF WORK d NEW ADD ALTER REPAIR DEMOLISH N SO FT NO OF NO OF SIZE OO STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ -Z" APPROVALS jDATE INSPECTOR 5510NIIUW PC PMT FOUNDATION LOCATION y� FEE $ �_ FEE $ FORMS MATERIALS 7 FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HUEBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR COOC OF THE STATE OF CALIFORNIA RCLAT IND TO WORKMEN 8 CO ANBATION INBUR C LATH EXT SIGNATURE OF p / HOUSE NUMBER COR PERMITTEE—1;,— K/ RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION CK No CASH PERMIT VALIDATION GK MO CASH {� 7 1 5 3:— DcC7j0. 2 3 D 7;5'OA v LA;o7 4 6 5—� JAN 12 1 D 15.00- b 7eAe3SA GENl09 Bas APPLICATION FOR BUILDING P MI A COUNTY OF LOS ANGELESf;3 BUILDING RESS B DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVLSIONALITY , JOHN A LAMBIE COUNTY ENGINEER ! REST WILLIAM A JENSEN SUP T OF BUILDINGSS ST T CT NO GROUP TYPE ESSED BY FOR APPLICANT TO FILL IN coNsr BUILDING •� / TISTICAL CLA IFICATION ER MAP ADDRESS Y ~ aLASS NO DWELL UNITS n= BK PG LOT NO OCKER TIFICATE NOT REQUIRED RECEIVED TRACT HIGHWAY NO OF SLOGS ICIRCLEI STATE MAJOR ON LOCAL SIZE OF LOT (../- t• NOW ON LOT ZONE SPECIAL USE OF I CONDITIONS EXISTING BLDG TELOWNER t NO 1 - LDING EXIST /� BACK YARD HWY STR T NAME WIDTH ADDRESSs"j 6i,f� �,_ � EONTARCHITECT OR ELLENGINEER NOIDE L ADDRESS JE -1� YI IA� CGC 5 0 CONTRACTOR f V ADDRESS IdC 09 DFSCRIPTION OF WO /0 NEW x ADD ALTER REPAIR SO FT L NO OF i ZSIZE STORIES ;USE OF STRUCTURESIGNATURE OFAPPLICANT VALUATION S �n-'�I APPROVALSDATE INSPECTOR B SIGNATUPC PMTNDATION LOCATION2FEE $ _ FEE $ ORMS MATERIALS- GS FRAME FIRE STOPS ` 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS 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 y7 AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT (] TION OF THE UBON CODC THE STATE OF CALIIOflNIA�RE T ING TO WORKMEN S COMP THE INSURAryryry��CE / / J LATH EXT SIGNATURE OF (/ G HOUSE NUMBER COR r+ PERMITTEE -cam RECT AND POSTED ADDRESS FINAL ' JOHN F LEWIS PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION GK M o CAB- PERNRT VALIDATION CK MO GASH Uibo 7 1 5:l� DEC 3 0 2 3 0 7.5 04 LA�08 3 9 6G FEB 9 1D 15.00- 4 / �y�7rlN�GI�+✓ ,�t�TY�11rLf�Izl/ 76AO35A CE 480. 1/7I APPLICATION FO II BUIL , NG PERI IT JCCCVVVA///S COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BU BUILDING AND SAFETY DIVISION ILDING D� ADDRESS COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY 1 R APPLICANT TO FILL IN ' - NEAREST IID n CROSS ST BUILDTYPE 11/ ING O TC yyp EurY /IDLY• DIS' CTN Upi DONS P O BY ADDR EES �,i LOT NO BLOCK / STATISTICAL CLASSIFICATION SEWER MA CLASS NO OWEIL UNITE_ PG TRACT USE ZONE MAP11 , SIZE OF LOT �. ( NO OF SLOGS NO NOW ON LOT L SPECIAL USE OF Co TIONS EXISTING BLDG04 4 T TEL 65 OWNERJ5. rI- Y NO050 BLDG SETBACK FROM ADDRESS ✓ I FRONT PROP LINE OF (STREET) TVPE OF EKIETIlIG SETBACK HIGHWAY } YARO = TOTAL CITY HIGHWA WIDTH FROM C L I ARCH( ECT O TEL } _ ENGINEER NO BLDG SETBACKFROM ADDRESS • SIDE PROP LIN (STREET) yy TEL TYPE OF EKISTING SE K HIGHWAY } YARD = TOTAL S CONTRACTOR NO HIGHWAY WIDTH FROM C L C�.l ADDRESS NO } _ ❑ ¢ LIC CITY CLASS CORNER CUTOFF YES NO ly CONSTRUCTION LENDER d NAME AND BRANCH SEE REVERSE SIDE FOR SPE6 IALkPPROVALS ADDRESS SO FT NO OF G NO OF NEN, ❑ SIZE STORIES FAMILIES L OF ADD UCTURE tREPAIR❑ATURE LICAT OEMOLA�TII S APPROVALS PATEPCPMT IKeP Ton•• axA Tu nE FEE �V FEES oD FOFORMSI MATERIIALSON FRAME FIRE STOPS HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORUINANCKS AND LAWS REGULATING BUILDING CON- RN VENT DUCTS STRUC TION I CERTIFY THAT IN DOING THC WORK AUTHORISED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE f EOI CAL( ORNIA IM LAT(MO TO _ WORKMEN 8 CO MPf XRA INS ANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL STRUCTURAL E (NEER PLAN CHE VALIDATION CASH PERMIT VALIDATION CK MO cAfH PLAN Ci�LrIGo d L 5 N MhR 13 2 3 D 5.4 0 � LACO A 9 5 01. KIR 16 1 D 9.00- Q 70�lBA CSE 9603 12/59 FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL W BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE, COUNTY ENGINEER ADDRESS T ui COLEMAN W JENKINS. 9u1 T Or BUILDING LOCALITY R APPLICANT TO FILL IN NEAREST 0 (IG, Dt or type I CROSS ST Z BUILDING DISTRICT NO OU TYPE P S B CONST UU ADDRESS L • ~a O Z LOT NO STATISTICAL CLASSIFICATION SEWER MAP a BLOCKI aL CLASS NO DWELL UNITS_ BK/P[. 4 TRACT a USE ZONEI MAP / 512E OF LOT NO COSLOGS NO V • pO NOW ON LOT ^/ SPECIAL w USE OF O� CONDITIONS EXISTING BLDG 00 ♦ [vrAt Ep 3 /� TEL OWNER - CO NO BLDG SETBACK FROM Q ADDRESS , 6FRONTPROP LINEOF (STREET) a TYPE OF EXISTING1 SETBACK I HIGHWAY } YARD = TOTAL CITYG HI HWAY WIDTH FROMCL zll ARCHITECT OR- TELAV } — Z ENGINEER NO 8 O—a BLDG SETBACK FROM ADDRESS - SIDEPROP LINEOF (STREET) TEL _ TYPE OF EXISTING SETBACK HIGHWAY- i YARD = TOTAL CONTRACTOR "� NO HIGHWAY WIDTH FROM C L LIC ADDRESS/,,, L - NO ZO -6 'H - d LIC CITYTRUCCLASS C- 1" CORNER CUTOFF ,YES El NO ElCONSTION L DER O NAME AND BRANCH — SEE REVERSE SIDE FOR SPECIAL APPROVALS �, W ADDRESS 1... _ N SO FT Q NO OF NO OF NEW, e, � ' • Z SIZE STORIES FAMILIES USE OF _ ADD ❑ - STRUCTURE O FO /Y VC-V G OO DEN PAtc F_ ALTER ❑ Q SIGNATURE OF REPAIR❑ _ \s Zf/A Aelff APPLICANT a., EMOL ❑ , S VALUATION SBEd , �� _APPROVALS DATE INS P[c roe•s SIGNATURE P CD / • PMT FOUNDATION LOCATION FEES {( 7[� FEES 5� FORMS MATERIALS 9-2-9`2 FRAMEFIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION \ BRACING BOLTS AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION �� t WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON lGAS VENT DUCTS` ST RUC TI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LHOUSE H INT LABOR CODE OP THE STAT[ OF CALIFORNIA IN RE ATING TO WORKMEN S COMPENSATION IN ANCE H EXT-d SIGNATURE OF ^ \ NUMBER COR-PERMITTEE ECT AND POSTED ` •�+/ , ADDRESS , AL �- ) JOHN F LEWIS PRIM (PAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK M o cAeH� PERMIT VALIDATION CK, .0 ABH I Ar 6 33 5�R AW17 2 3 D _ 6 6 6 9R SEP10.-25-3 9�—.6130 Q - .W..� OP, S9 10 ,1 D 43.50- 7BA638A CE08035-651APPLICATION FOR BUILD)N' PE IT LJ COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALIT f JOHN A LAMBIE COUNTY ENGINEER NEARS S 1 COLEMAN W JENKINS,SUP T OF BUILDING CROSS - 11 DIST CT GROUP TYPE P C [� BY ' FOR APPLICANT TO FILL IN D y coN3r B UILDINO / STATISTICA CLASSIFICATION SEWER MAP ADDRESS 363 T I ✓ CLASS NO WELL UNI T9 BK LOT N LOCK USE ZONE MA - ^ NO TRACT SPECIAL NOF SLOGS CONDITIONS SIZE OF LOT NOW OK LOT USE OF 'XISTING BLDG, BLDG SETBACK FROM TEL FRONT PROP LINE OF (STREET) OWNER • NO TYPE OF I EXISTING I SETBACK HIGHWAY YARD = TOTAL ADDRESS S?L a a FROM C L CITY . (Q l 4 a �• SLOG SETISACK FROM ARCHITECT R TEL BID[ PROP LINE OF (STREET) ENGINEER NO TYPE 0• fY19TIM0 SETBACK HIGHWAY }_ YARD = TOTAL ADDRESS XIOXW AY WIDTH FROM C L TE CONTRACTOR Y NOL } _ ADDRESS AJ / �• NO CORNER CUTOFF YESEl ' NO u he CITY �- • FL { LI` SEE REVERSE SIDE FOR SPECIAL APPROVALS ' O DItSCRIPTIO14 OF WORK �j s-s z-cFs. uD L. a NEW ADD ALTER REPAIR DEMOLISH �J I w SO FT NO OF NO OF Lwao Z SIZE CSV STORIES FAM)LIES USE 01 R - STRUCTURE 6IF46,a dSk,,-A ,0 '/ F u 4 10d S'GAT URE OP 1,51 APP LIC AN VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE P C T FOUNDATION LOCATION FE ES FORMS MATERIALS y FRAME FIRE STOPS 7 I HEREBY ACKNOWLEOGf TH T HAVE READ THIS APPLICATION BRACING BOLT ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT DUCTS SUILOING CO NBTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT ` TION OF THE LAB OK COD�yyy THE STATE OF CALIFORNIA RELwT ING TO WORKMEN 8 COI RlfSATION INS ANC LATH EXT SIGNATURE OF F-- HOUSE NUMBER CDR - PERMITTL^ RE AN POSTED ADDRESS f7ZJY ' FINAL JOHN PLAN CHECK VALIIDATIO,N� CKK ' MO CASH _ I PERbIIT VALIDATION TR KCTURMLEN OCASH � // r-rR..a�J�C�?J �f t o d 3 6 7� IZ 2 rJ 1 D 7.55 0- o # 7/5"51- So , t eAe,: CE0. ^°APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING QQ DEPARYbEM OF COUNTY ENGINEER ADDRESS d C • BUILDING AND SAFETY DIVISION' ocnurY JOHN A LAMBIE• COUNTY ENGINEER COLEMAN W. JENK INS SUP T Or BUILDING NEAREST 1 CROSS ST /C / FOR APPLICANT TO FILL IN DISTRICT NO GROU TYPE. P OCESSED BY c• �/ CONS Pnnt ort a onl k1 ��p r"—.L, /C BUILDING STATISTICALCLLASSIFICATION SEWER p ADDRESS r. I B CLASS NO_I�3—DWELL UNITS-1NPG LOT NO BLOCK USE ZONE MAP n NO �J TRACT SPECIAL / NO OF BLDGS CONDITIONS SIZE OF LOT NOW ON LOT E OF EXISTING BLDG 4ejev « 54~FjBLDG SETBACK FROM II poj� TEL FRONTPROP LINE OF (STREET) OWNER SYe. (� w NO /O 3 TWE OF E%I STING SETBACKHIGHWAY } YARD = TOTAL M ADDRESS Q �•,„ C/r HIGHWAY WIDTH FROC L Q Lvu&f_ 40 1440 O + U = U CITY ` ARCHITECT R T L BLDG SETBACK FROM ENGINEER NO SIDE PROP LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } V - TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL _ CONTRACTOR NO p.7 } ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ U LIC C CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a H z EW ADD ALTER REPAIR DEMOLISH FT NO OF NOOF SIZE Q STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATIONS o o APPROVALS DATE IKsv CT OR•s ucNA TU Rc FEE S / Q FEES 7 FOFORMS I MATERIALS LOCATION G Y FRAME FIRE STOPS I NCRCeY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO CONPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CCRTIFY THAT IN DOING THE WORK AUTHORIZED HERE Sr I WILL NOT EMPLOY ANY PCRwN IN VIOLA LATH INT TION OF THE LABOR CODE THE STATE OF CALIFORNIA RCLAT IM6 TO WORKMEN S COMBON INSUIIANCC /`/C//J- LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS i / FINAL j JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION cK .0 CASH PERMIT VALIDATION cK CASH o eH LACO 692OV OCT 18 3D 5.40 4: X712 313 tau 4 0 900- Q I / Y % r TO`EDdA,O F.I EOS B•ST ti1ILJllI APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �L O 3 DEPARTMENT OF COUNTY ENGINEER ADDRESS T 3 BUILDING AND SAFETY DIMION LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEAREST /7 COLEMAN W. JENKINS, SUP r of BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE P ESSED BY PDDt ort B ml U T 0 K'_/� CONST-.Q` C _ / [ADD,R DING /' STATISTICAL CLASSIFICATION $EWE GR-R MA/� ESS (i{ N�1c"R21;' CLASS NO Z DWELL UNITS NO BLOCK USEZONE OPT M•� SPECIAL NO OF BLDGS 3 CONDITIONS SIZE OF LOT t'KBOu NOW ON LOT USE OF EXISTING BLDG U* BLDG SETBACK FROM r TEL y FRONT PROP LINE OF t (STREET) OWNER .C. `, / �/� NO 'YIcj^2/03 TWE OF E%ISTING SETBACK HIGHWAY } VAR = TOTAL /� HIGHWAY WIDTH FROM C L ADDRESS �3CS e, a PE U �� O + U G CITY FN- f ` ` / ARCHITECT OR TEL BLDG SET BACK FROM ENGINEER NO SIDE PROP LINE OF (BTR TWE OF EXISTING SETBACK HIGHWAY ? = TOTAL ADDRESS HIGHWAY WIDTH FROM C L CONTRACTOR [.yt NOLV 1/oj +LIC O ADDRESS NO CORNER CUTOFF VES ❑ NO ❑ 1"T CITY CLASS SEE REVERSE SIDE FOR SPECIAL APOROVALS DESCRIPTION OF WORK ,v 1 i NEW ADD ALTER REPAIR DEMOLISH Q FT NO OF NO OF SIZE RTZ O STORIES FAMILIES \ USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION S DO �a APPROVALS DATE INSPE C.-ISIS Tun[ FEE$ FEES FOUNDATION MATERIALT,SION FRAME FIRE STOPS / 1 H[RCHY ACKNOWLEDDEITHAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STAT[ CHAT THE ABOVE Is CORNS cr AND ADR[[ TO cornu FURNACE LOCATION WITH ALL COUNTY ORDINANCE[ AHD STATE LAWS REGULATING GAS VENT DUCTS BUILDING c0"STRUCTION I CERTIFY THAT IN Domo rH[ woRK AUTHORIZED HERCw 1 WILL NOT EMPLOY Anv PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STAT[ OF CALIFORNIA R[LAT IND TO WCORMEN E COY NMTION INSURANCC LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS P FINAL PLAN CHECK VALIDATION cK ro CASH PERMIT JOH NFLEWIS PRINCIPAL $TRUCTURAL ENGINEER VALIDATIO CK 1 MO CASH Lp6 9 2 IG OCT]_$ 2 3 D 720 ee (f[,,7"i 2 4ta NOV 4 Z D 1 2.00~ vo -o • 7BAS38A CE RBOS I2V09 APPLICATION FO BUILDING PERMIT fl COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL - BUILDING AND SAFETY DIVISION Is JOHN A LAMBIE, COUNTY ENGINEER ADOR E55 O COLEMAN W. JENKINS, SUPT of BUILDING LOCALITY FOR APPLICANT FILL IN NEAREST nl CROSS ST LIV BUILDING DISTRICT NO GROUP TYPE I PROCESSE BV ADDRESS /�� CONS le- STATISTICAL CLASSIFICATION SEWER MAP LOT NO Bl K CLASS NO DWELL UNITS�� IbL--_pS� TRACT USE ZONEMAP A NO OF BLOOS NO SIZE OF LOT 4c- K NOW ON LOT SPEC L USE OF CONDITIONS EXISTING BLDG ce J TEL OWNER t NO Z BLDG SETBACK FROM ADDRESS 'FRONTPROP LINEOF (STREET) TYPE OF IST( _SETBACK HIGNWAY } YARD = TOTAL CITY ` {✓ NIGH WA WIDTH FRdN C L ARCH( ECT O Tc L1 } _ ENGINEER NO BLDG SETBACK FROM ADDRESS SIDE PROP LINE OF (STREET) TEL TYPE OF 1"ISTING1 SETBACK I HIGHWAY i YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM C L AOORESS NO + _ LIC � CITY CLASS CORNER CUTOFF YES ❑ NO ❑ U CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS W ADDRESS ti SO FT NO OF NO OF NEW ❑ ? SIZE evo STORIES FAMILIES USE OF ADD ❑ STRUCTURE - ALTER Cl SIGNATURE OF REPAIR❑ APPLICANT ,l DEMOL ` VALUATION S dt APPROVALS GATE INSPECTOR'S SIGNATURE P CT OL FOUNDATION LOCATION FEE S FEE S FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT,THE ABOVE If CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION I CENTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE -LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION 1 ANCE \ LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADOREss - FINAL JOHN F LEWIS PRINICIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CR NO caeN PERMIT VALIDATION DN N o AEN � a(`„6671R S&j0 1 D 4.00- 1eA63eA CE RBDS "'APPLICATION• FOR BUILD( G PERM& � CbUNTY OF LOS ANGELES ASSESSOR L DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING ADDRESS 4303 T121PLE CITY BLVD. COLEMAN W JENKINS, SUP T OI BUILDING LOCALITY R APPLICANT TO FIL C N NEAREST m ' ROSS ST DIS TRIC TDN i P CON T P Y IDDREss 43m Temple City Blvd. S r STATISTICAL CLASSIFICATION SWER MAP LOT NO BLOCK CLASS NO DWELL UNITS BK TRACT USE ZONE MAP NO OF BLDGS NO SIZE OF LOT NOW ON LOTECIAL SP USE OF ONDITIONS EXISTING BLDG I1111'' OWNERSQ (iLPR>, FT(' R P NO Y+y — I O BLDG SETBACK FROM .L' b Eft FRONTPROP LINEOF (STREET) ADDRESS TYPEOFJE%ISTINKij SETBACK HIGHWAY } YARD = TOTAL CITY Temole City Cali-fornia. HIGHWA WIDTH I FROM C L ARCHITECT ORTEL } _ ENGINEER T Ti' TELJP -O BLDG SETBACK F ADDRESS TekpCrranir SIDEPROP LINEOF (STREET( TEL TYPE OF 1"ISTING1 SETBACK HIG11W } YARD = TOTAL C CONTRACTOR R W p (` NO _ 7 HIGHWAY WIDTH FROM C L U LIC ADDRESS�8115 Wstr,pe+ NO } — O CITY So. El Monte. Cal. cuss(' 'i CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER H NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SO FT NO OF NO OF NEN, SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE Ti T (` T T7(' IJ A ALTER ❑ SIGNATURE OF REPAIR❑ APPLICAIII DEMOL ❑ VALUATI H ,100.1& APPROVALS DATEINS ON a eI ♦TUN[ P C PMTFOUNDATION LOCATION 7G FEE S A3O FEES oN SO FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE I[ CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL OROINANCEB AND WS REGULATING BUILDING CON GAS VENT DUCTS STRUC TION C[RTIIY T DOING WORK HORIZlD HEREBY I WILL NOT E OY Y PER VIO T N OF THE LATH INT - LABOR COD[ OF TN S F C I A L ]NO TO WORKMEN ' COMPS T N A LATH EXT A SIGNATURE O HOUSE NUMBER COR- ADDRESS AND POSTED ADDRESS FINAL JOHN F LEWIS PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATIONA3D CASH _ PERMTf VALIDATION(j MO CASH ir�od 1 2 3� x+ 26 24301 �;p4 4 1 4w FEB15 1 D 4 0.'550" a