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HomeMy Public PortalAbout5849 TEMPLE CITY BLVD_Building__ TEMPLE CITE' ►.A.ea,cehas.t APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINMR ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENC;INEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING. CROSS ST. DISTRICT N O.UP TYPE P Y FOR APPLICANT TO FILL IN � CONST. BUILDINGp7 A STATISTICAL C FICATION S ER MAP ADDRESS f/C..,.,IBK 4p—CLASS.NO. DWELL.UNIT LOT NO, p BLOCK WATER f.NOT REQUIRED RECEIVED TRACT MAP -/o - HGHWAY APHGHWAY STATE MAJO SECOND LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT. NOW ON LOT USE ZONE SPECIAL USE OFn CONDITIONS EXISTING BLDG. U ,,,jjff� TEL. OWNER O/�'1 - -cAmtrz> NO. BUILDING YARD HWY STREET NAME EXIST. b�4 �`O- df,eLhos� A4� SETBACK WIDTH ADDR S FRONT ARCHITECT OR TEL. P.L. ENGINEER NO. SIDE P.L. ADDRESS TEL. pp INSPECTION RECORD O CONTRACTOR ADDRESS C9 y O DESCB PTI N OF WOAK W CL NEW 4ADD ALTER REPAIR DEMOLISH N Z SQ.F NO.OF NO.OF IZE STORIES FAMILIES USE UJC � li- STRTURE�-- SL1�ib�7upL'p /JA'iT V-5 13 T V• SIGNATURE OF ,p APPLICANT VALUATION$ 0 I APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION FEE $ FEE $ O V FORMS,MATERIALS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I 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 HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.INT. TION OF THE LABOR CODE OF THE STATE OF-CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH,EXT. ' SIGNATURE O HOUSE NUMBER /1 COR- PERMITTEE- RECT AND POSTED � J ADDRESS E I FINAL ! ' -6 441 CLYDE N. DIRLAM, PRINCIPAL ST RAL ENGINEER PLAN CH= VALIDATION CK. m.c. CASH PERMIT VALIDATION CK. M.O. CASH Ao 3 4 7 1 APR 1 7 1 D L ,Q QN