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HomeMy Public PortalAbout5819-5819 1/2 TEMPLE CITY BLVD_Building__ Q., _ •76A63BA CF,#809,2-69.•APP-LICATION:=FO'R' 'B.U'l-li �DIN.G'-PERMI-T-• COUNTY•OF`,LOS•-ANGELES:.' e' BUILDIN.G:._ --•tE�; A � ' DEPARTMENT OF.•COUNTY.ENGINEER' •;41'. ADDRESS • „ I�A -BUILDING AND-SAFETY,..DIVISION LocALIT i' JOHN A. LAMB.IE, COUNTY'ENGINEE.R NEAREST 1.4VILLIAM'A;,JENSEN, SUPT OF BUILDING:- - CROSS ST..';. DISTRICT NO.. O.UP_ SYPE PRO E5 BY -FOR.APPLICANT TO FILL'4N••'•• o 2. coNsr. BUILDING•,' //�' STATISTICAL,CLASSIFICAT]ON� .SEgWKER MAP .- rADDRESS', 1:�`1` •.OLASS..IVO.. DWELL.UNITS '} L LOT NO: .• �, ;:BLOCK•• , " , .WATER ` CERT.IFICAF:EI NOT REQUIRED; RECEIVED x, •TRACT r • I � . ?: ..}' •• � ;; Mi4P', - HI.GHwgy::•STATE MA.10 EC ,LOCAL • . ��••77��''�•-•' -y. .� NO.OF.BLD_GS.- ,• -•NO.� .IciRC�E.I - SIZE OF-LOSG�X( !'� NOW ON L T USE ZONE "'SPECIAL USE OF - �' CONDITIONS. EXISTIkG BLDG. �t,�:. � .` � ' %vr� •+�, L. IE .. p OWNS NO. BUILDING EXIST {�,,,�� , =•'SETBACK- 'YARD HWY'.• `. .. STREET NAME WIDTH ADDRESS •, T -II.,�L. .�'�/.�...' QCADJ y FRONT. O.. . ARCHITECT•OR + 'TEL. . -P•-L•" 'ago 8 ENGINEER NO:'• SIpE T P. L. d ADDRESS.: = O^ CONTRACTOR aigi TEL. ADDRESS DESCRIPTION OF WORK' +,,+::-�' . . .f $:' rr�: 'p. ' ,,�'►. r W . a NEW y ' DD_ ALTER-','•• , REPAIR' • DEMOLISH A Z SQ.FT. NO'.OF' . NO. OF € tt'GPi"'_-.6-4&9L . ✓p9�vi SIZE_ STORIES qq q — U S E O F . . '' 'a?'T� � ✓ .rn.1 STR.0 RE SIGNATURE OF ~ APPLICANT ,• VALUATION $ .� e =' � APPROVALS. tDATE IN6PECTOR'S SIGN'TURE ' P:C. PMT. .FOUNDATION---. IO .�/g �'# FEE - FEE $,- ;• FORMS; MATERIAL$ f YT F FRAME: FiLt3S'TOIS HI HEREB�`�dKNOWLEDGE-'T'AT I' HAVE READ THIS APPLICATION..,• "BRACING .BQLTS.Y:'�J�.. ! J /L�"� w�.•':�".'L^yYA'"P° r�4 _ AND STATE THAT.THE.ABOVE*IS•CORRECT,AND•AGREE.TO COMPLY,', FU RNAC,Ei.LOCATIOI.� WITH ALL. COUNTY,ORDINANCES AND STATE,,LAWS REGULATING" ""�..e tas.�.•+�^?� ""^=""-y"""'^"'�"p"' GAS'VENT;DUCTS BUILDING'CONSTRUCTION. 1 CERTIFY THAT IN DOING•THE'WORK "' �.�,•, AUTHORIZED'HEREBY I WILL NOT.EMPLOY,ANV PERSON IN VIOLA-- :..,- TION'.OF-THEALAI� ,ETHE STATE. F`•CAL•IFORNIA RELAT •LATH•,-INT.,I.NG TO WORKI IVU CE.t .>,' LATH,.EXT. SIGNATURE l'-HOUSE NUMBER COR- PERMITTEE RECT AND POSTED. ADDRESS FINAL. P77 JOHN F. LEWIS:"PItIN.C,,.PAL.SYltUCTURAL'Ei G R' PLAN`CHECK VALID" MI TION �(��� SIS_:;`_ : .•PERT VALIDATION , CK., M.O. • •CASH 5:.•7:-6' 2 fl' f-0 20 4 4"D. `w 6 .8 9 t�9tiR' N i.,Io, °'.' �1 D 6.Q 0