HomeMy Public PortalAbout4436 TEMPLE CITY BLVD_Building__ 44
76AO38A CE4803 9 BS APPLICATION FOR BUILDING PERM
COUNTY OF LOS ANGELES BUILDING _i
DEPARTMENT OF COUNTY ENGINEER ADDR E4941,V g
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BUILDING AND SAFETY DIVISION LOCALITY / —
JOHN A LAMBIE COUNTY ENGINEER NEAREST _
COLEMAN W JENKINSSUr T OF BUILDING CROSS ST
DISTRICT NO GROUP I TYPE PRO SED BY
FOR APPLICANT TO FILL IN .d CONST
BUILDING ,/ / _r ra STATISTICAL LASSI FIC A TION SEWS MAP
ADDRESS
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CL A99 NO DWELL UNITS
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SIZE OF LOT MOW ON LOT SP
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TEL V BLDG SETBACK FROM
OWNER CI `L"��I� NOOZ,� FRONT PROP LIN[ OF FEET)
TYPE OF EXISTING SETBACK ITIGHWAY RD _ TOTAL
ADDRESS CI? ION I M C L
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ARCHITECT OR TEL BLDG SETBACK FROM y __
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS t HIGHWAY WIDTH FROM C L
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ADDRESS%O9LU `9ZyNO 1189E CORNER CUTOFF YES NO V
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DESCRIPTION OF WORK
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4 FT NO OF NO OF
SIZE STORIES FAMILIF9
USE OF
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SIGNATURE OF
APPLICANT
VALUATIONS `
APPROVALS DATE INSPECTOR eSIENATURL
P C PMT FOUNDATION,
O I ON
REE$ FEE FORMSMATERIALS
FRAME FIRE STOPS,
HEREBY THAT
THEN ABDV THAT I HAVE READ ANIS ATO COMPLY
BRACING BOLT
AND STATE GNAT THE AGOVE 18 CORRECT AND AGREE E COMING FURNACE LOCATION
WITH ALL COUNTY ORO I CER ♦ND STATE LAWS REGULATING GAS VENT DUCTS
9U MOOR D HEREBY
NOT EMPLOY
GNAT IN DOING THE WORK
AUTHORIZED HEREBY WILL NOT ESTATE ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIF NIA RELAT
TNG TO WORKMEN BCTMPENHATION INSURANCE Ego
SIGNATURE OF -
PEQMITTEE ADDRESS )A
JOHN F LEWIS PRINCIPAL $ URAL ENGINEER
PLAN CHECK VALIDATIONM D DASH 1,S 8;6PE APR 'SAL A IO DK 4 Q AEN