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HomeMy Public PortalAbout4367 TEMPLE CITY BLVD_Building__ y, . ... .r.o.,... APPLICATION FOR BUILDING PERMIT `- Z COUNTY OF LOS ANGELES BUILD NG DEPARTI�VT OF COUNTY ENGINEER ADDaesB RUEMING AND SAFETY DIVISION LOCALITY Ji JOHN A LAMBIE.COUNTY ENGINEER NEAREST G86ATT D GRIFFIN SUF T OF BUILDING CROSS ST DI6TRI CT NO O UP npE FOR APPLICANT TO IN Z CONST BUILDING STATI6TIGL IFIGTION SEWER MAP ADDRESS BK C ASe NO HLL NIT LOT NO MAP STATH NUMBER HWy YES NO TRACT USEZONE SPECIAL NO OF BL' CONDITIONS SIZE OF LOT NOW ON LOT USE OF BUILDING EXIST /�,,(/ SETBACK YARD HWY STREET NAME WIDTH OWNMAILER Q E • / 0 FRONT L Q; ADDRESS -1/F�^� �I yy SIDE • " L L C / TEL P L NO INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO G� ADDRESS LQ CONTRACTOR GJ TNO E DES ON OF WORK NEW ADD ALTER REPAIR � DEMOLISH SO FT NO OF NO OF Z SIZE STORIES FAMILIES USED CTURE _ `1yL SIGNATURE OF APPROVALS APPLICANT TE INSPE NRS ADDRESS FOUNDATION LOCATION S ^ FORMS MATERIALS L� P C S FRAME FIRESTOPS, /� �L (rV _ FEE BRACING BOLTS VALUATIO 1 �� 6 FURNACE LOCATION FEE OAS VENT DUCTS — I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT• PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE XLATING BUILDING CONSTRUCTION LATH EXT SIGNATURE OFHOUSE NUMBER COR- PERMITTE \ RECTANDPOSTED -S ADDRESS FlNA f y 11 C YDEN DIRLM PRINCIPAL ST RAL ENGINEER V A� CK Y O CI1011 VALIDATION CK Y O CANE jAC04 3 1 1- -FUiR 31 2 3 A 7501 , • m. LAC04980—� r?n14 1 A15.00 F 7aAG38A CEABOS S-64APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST / COLEMAN W JENKINSAUP T OF BUILDING CROSS ST Dlj�lC N OUP TYPE P BY 4n C Ai V FOR APPLICANT TO FILL IN _ CONST BUILDING T e1 STATISTIC C ASSIFICATION SE ER MAP All M CLASS NO DWELL UNITS BK PG- D LOT NO BLOCK USE ZONE I MlkP O TRACT N 9P ECIAI MD DI SEGS• SIZE OF LOT MOW ON LOT USE OP e RLDD SETSACC FROM TEL nO FROMT PROP LIRE OI STARRY) OWN R NO J TYPE Of EXISTING ; [TBACX OHWAY YAP O - TOTAL ADDRESS C L CITY 0 } _ ARCHITECT OR TEL RLDD SE TRAtx IAOM xle ENGINEER NO [IDE PROP LIN[ 01 (STREET) TYPE OF lKl[TINR [[TRACK XISXWAY } YARD = TOTAL ADDRESS HISMWAY IWIDTH I FROM C L Y d TEL } = O CONTRACTOR NO V LIC ADDRESS NO CORNER CUTOFF YES NO O IL SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK H Z NEW ADO REPAIR DEMOLISH SO FT NO OF NO OP SIZE STORIES FAMILIES USE OF STRUCTURE O O SIGNATURE OF APPLICANT VALUATION$ Qa� APPROVALS DATE INSPECTOR'S SIGNATURE P C PMET FOU DATON F ORMSI ON `��- FEE$ FE $ MATERIALS FRAME, PIKE STOPS. / ; I NEREE ACKNOWLEDGE THAT I CORRECT HEAD THIS APPLICATION BRACING BOLT AND GALL TNAT THE DIVA 15 CORRECT AND AWS E EATING FURNACE LOCATION WITH ALL COUNTY ORDINANCE] AND STATE LAWN REGULATING UT IND 0A9 VENT DUCTS SUILDINO CONSTRUCTION CERTIFY THAT IN DOING THE WORK / AUTHORIZED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE STAT[ OF CALIFORNIA RELAY IND TO WORKMEN a COMPENSATION INSURANCE LATH EXT T-1 SIGNATURE OF h /� / AA HOUSE NUMBER COR- I ` - PERMITTEE r /~ 40,4..-_iAl[{ RE N POS v ADDRESS 92� F C /017dOYlZ ! FI NAL JOHN PLAN CHECK VALIDATION CK M D CASH PERM VALIDATION rRClruRM o N CASH R LLo9 3 6 6�- MAR 9 1 D 6.00~ APPLICATION FOR BUILDING PERMIT (� FOR APPLICANT TO FILL IN (P„De 0. +Yoe oDIY) BUILDING G JLW COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ~�C , ZIPBUILDING AND SAFETY DIVISION NO OF BLD BUILDING SIZE OF LOT NOW ON LOTADDRESS cI TRACT BLOCK LOLOCALITYTNEARESTOWNER � y NROSS STASSESSORADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUPTYPE FIRE ESSED BY CITY LE El/ ZIPCONurr ZONE ARCHITECT OR TE '`''"�/TNGINEER NSTATISTICAL UFLCATION SEWS MAP ADDRESS CLASS NO WELL UNITS 8� P�CONTRACTOR 0% TE'40USE ZONE ^/U/ADDRESS NSPECIAL CITY LIONDIIONS C COAD OE PARTMENT APPROVAL REQUIRED YES❑ NOCONSTRUCTION LENDERNAME AND BRANCH LOC SETBACK FROM RONT PROP LINEOFADDRESS CITY SO FT NO OF NO OFHIGHW YARD o TOTAL SETBACK FROM TYPEOFEXISTING IDz FRONT PROP LINE 512E STORIES FAMILIES ONE _ _ O + _ DESCRIPTION OF WORK IV NEW D-1 d �' LE� 4 pOBLDPROP L NEOFSETBACK OM (STREET) Z ALTERAY + YARD TOTAL SETBACK ROM TYPE OF EXISTING REPAIR[-] SIDE PROP LI HIGHWAY WIDTH USE OF + ' EXISTING BLDG EMO APPLICANT TELCORNER CUTOFF YES ❑ NO ❑ (PRI NTI ND BY (SIGNATUREI PEN SPACE YES ❑ NO OASTAL ZONE YES ❑ NO I] VALUATIONS CATEGORICAL EXEMPTION YES[] NO ❑ I HERESY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICAR ONM[NTAL AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING IMPACT REPORT PROCE98E0 (DATE) BT RUCTION ICEA TI FYTHAT IN DOING THE WORK AUTHORHEREBY I WILL NOT EMPLOY ANY PERSON IN VIATOFLASOR COD[ 0! TX! !T T[ OF 44; ELATIN WORKMEN a COMPSNSATI I UA SIGNATURE OF PERMITTEADDRESS TEL �Q (NAL BY CITY G NO �p DAPMT TEt tI 1hE C HL! h Y i1.1 tl1.L 10 FEE 5 FEE b HARVEY T BRANDT. COUNTY ENGINEER G.J\ PLAN CHECK VALIDATION cK M, CASH / $RMIT VALIDATION cH ' .,o CAB. 1 l� 4 44 :.�,K '?.� i o 15.00 A9d TanaaeA cEReDD 12/72 _