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Home My Public Portal About6135 TEMPLE CITY BLVD_Building__ 'BABBBA'CiBOB•9.60 APPLICATION FOR BUILDING PERMIT , COUNTY OF LOS ANGELES BUILDING / ADDRESS DEPARTMENT OF COUNTY ENGDEM BUILDING AND SAFETY DIVISION . LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST . WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTIRIC NO. GROUP TYPE' PR CESSE Y FOR APPLICANT TO FILL'IN I. ZI coNST. BUILDING '� / STATIS ICALICATION SEWER MAP ADDRES �S �P� CLASS.NO. DWELL.UNITS S LOT N . BLOCK MAP of O p HWY. YES ®O NUMBER O'er TRACT USE ZONE SPECIAL NU.QF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF , EXISTING BLDG. BUILDINGEXIST SETBACK . TEL. YARD STREET NAME OWNERI'�/�, ADDR n A � WIDTH ck A t1VV tsa-� e►'C► Y FS DET , ARCHITECT OR TEL. P.IL. ENGINEER NO. INSPECTION RECORD ADDRESS ��Q O CONTRACTOR,' n�' _"" NO f_ / f��i�p n /jj q Q U AD W_)l. RLf O DESCRA31TION OF WORK � ��1 Y_ i � Lu AJ rr4.1 ! 1A/so 9V- h NEW ADD ALTER .REPAIR DEMOLISH SQ.FT. NO.OF ' NO.OF SIZE STORIES FAMILIES { j ,USE OF _I TRUCTURE ,�' neo SIG ATURE OF ti' J F Gfl7' APPLI VALUATION!$ go PZ I APPROVALS DATE INSPECTOR'S SIGNATURE P C FO•NDATION:LOCATION FEE $ FEE'S ORMS,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 FUNACE:LOCATION, ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS ' BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL,NOT LATH,INT. EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT TO THE WORKMEN'S COMPENSATION LAWS CALIFORNIA. LATH,EXT. N ' SIGATURE OF HOUSE NUMBER COR- le PERM ITTE RECT AND POSTED / ADDRESS J` arh I FINAL .y LYDE N. DIRLAM, PRINCIPAL STRUCTURAL E PLAN CHECK V ATION' cu. M.O. MIT n CABs PERVALIDATION ..cK. M.O. C cn3K. L,�Co 0 3 S ;s' JAIL 1 D .0 0 I. I, TEMPLE CITY r � Ie�asu�s�!eu,.,—sI APPLICATION FOR BUILDING P M COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY t JOHN A. LAMBIE, COUNTY ItKQINEER NEAREST J WILLIAM A.JENSEN SUPT OR.BUILDING CROSS ST. FOR APPLICANT TO FILL IN DIST CT G OU TYPE P SSED BY ' �� CONST BUILDING `` STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 13� _ ,/l `BK 2 � CLASS.NO.�DWELL.UNITS___Z_ oG 6 ' LOT-NO. " ^ ( BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT MAP 3 HIGHWAY STAT MAJO SECOND, LOCAL ,+ Q NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT. Xtg �i I NOW ON LOT USE ZONE SPECIAL USE OF W CONDITIONS (� EXISTING BLDG. TE - OWN ER*&Lwjlfj_jM NO BUILDING YARD HWY TRE T AME WIDTH EXIST. SETBACK ADDRESSlft4ffiFRONT ARCHITECT OR&1 P.L. ENGINEER6LId . NO. S.(DE P:L: �. ADDRESS TEL INSPECTI N RECORD p CONTRACTOR NO. 41 // V ADDRESS —� �. O. DESCRIPTION OF WORK yl �/�rr.• �yL .- �' , � 1 v ,o� h EW ADD ALTER REPAIR DEMOLISH_ J %% ►7 ��/- �' •��Z� NO.OF. .. NO.OF ?� �•,.jT'. GG% N U %i IZE STORIES FAMILIES USE OF, j �7 t STRUCTURE ! i� f I,a✓ � r A A SIGNATURE OF APPLICANT VALUATION'$ 7 I APPROVALS DATE INSPECTOR'S.SIGNATURE P.C. �Q PMT. FOUNDATION:LOCATION FEE FEE $ ^' •FORMS,MATERIALS / I > l/ FRAME:FIRE STOPS, V f t 1 1 3 / l � 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS 1 1 _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE'LOCATION, '/,JJ( WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT fl DUCTS I �f /1/ /// BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK 7r /e/' AUTHORIZED H�EREBY I L NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. /I7/'O�x/ � TION OF THER C OF THE STAT OF CALIFORNIA VIOLA- �/ V/'ING TO WORKC EN TION INS RANCE. LATH,EXT. /I]4 ( {✓ // � J SIGNATURE HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS - FINAL �(/J /' Jp'+• CLYDE N- DIRLAM,-PRINCIPAL STR RAL ENGINER PLAN„ * O ce: CASH PERMIT VALIDATION cK M.O. CASH L rtGo 3 95 0 N?� 9 Z 3 D S.J� O q I L.rivO 5 4 4 1:o Ik AY 3. 1 D 5 7.00- V ' re116e811Ce#6G&I-61 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGRIEER ADDRESS BUILDING AND SAFETY DMSION• LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NSA. GROUP TYPE TYPE ESSED BY FOR APPLICANT TO FILL IN CO/ CONsT. BUILDING / P STATISTICAL CLASSIFICATION S WER MAP ADDRESS !B f CLASS.NO. DWELL.UNITS LOT NOS BLOCK WATER NOT REQUIRED1:1RECEIVED CERTIFICATE: TRACT MAPHIGHWAY STATE MAJOR ECON , LOCAL '� NO. F BLDGS. /'�' NO. J (CIRCLE) SIZE OF LOT V I NOW ON LOT- J USE ZONESPECIAL L USE OF CONDITIONS ^* EXISTING BLDQ/9.11 �^J TE V 4 L. OWNER LN BUILDING YARD HWY ETRE NAME EXIST ADDRESS .ft- . SETBACK WIDTH' -FRONT ARCHITECT OR TEL. P.L. L ? ENGINEER) NO. SIDE 5/ P:L. ADDRES T L �� INS,PECTION RECORD p CONTRACTOR O. S. v f!,,yy •� � �/f?_.� U`�"`;(l!`i '�-��'yir� ��'11S RY rl '� .• /; U ADDRESS//) DESCRIPTI OF WORg W a NEW ADD ALTER REPAIR EMOLISH h I SQ.FT. NO.OF ' IZE' STORIES FAMILIES USE OF STRUCTUR I: SIGNATURE OF APPLICANT i1 VALUATION$ APPROVALS. DATE INSPECTOR'S SIGNATURE FEE $ FEE PMT.,S FOUNDATION:LOCATION FORMS,MATERIALS FRAME:FIRE STOPS, 1 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 I 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 OF11P HOUSE NUMBER COR- PERM RECT AND POSTED ADDRES FINAL 67 CLYDE N. DIRLAV./PRINCIPAL ST URAL ENGINEER. PLAN CE= VALIDATION cK. M.o. CASH PERMNALIDATION cK. M.O. CASH `L jAUo 4 2 4 8 '.AY 3 1 D 6.0 0 APPLICATION FOR COUNTY OF LOS ANGELES feBUILDING PERMIT ; D BUILDING AND SAFETY DIVISION EPARTMENT OF COUNTY ER BUILDING FOR APPLICANT TO FILL IN ADDRESS / BUILDING :.s T� j /n ADDRES / f V LOCALITY ` Ip NEAREST CITY CROSS ST. :7NO.10F BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PA CEL (� DISTRICT GROUP TYPE FIRE SSED BY TRA6jjasvt-- kK�e! .S J V /,, ST. Z-E TEL . I V� OWNER G NO STAITISTICAL CLASSIFICATION \ SEWER MAP ADDRESS /y • CLASS NO,�DWELL,UNITSBlf�a�PG 'USEIZONE MAP a CITY ZIP . I NO. A o 0 J ARCHITECT OR NES. SPECIAL NGINEER i� CONDIT ONS E ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRA CTO ®j e,d6j/If)A4 T L, 3 BLDG.SETBACK FROM LI �7 a FRONT PROP.LI NE OF (STREET) ADDRESS �V'1 NO..:- .d HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY /'_� /�1,� LIC. ` `. FRONT PROP. LINE HIGHWAY WIDTH v C LASS F CONSTRUCTION LENDER { _ NAME AND BRANCH BLDIG.SETBA�KFROM Q ADDRESS CITY SIDE PROP.LINEOF (STREET) C7 SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTRACK FROM TYPE OF EXISTING ex SIZE STORIES FAMILIES ONE SI PROP. LINE HIGHWAY WIDTH W + DESCRIPTION OF WORK NEW ❑ y l J ADD ❑ CORNER CUTOFF ES ❑ NO ❑ n 0 ALTER ❑ REPAIR[] IN OPEN SPACE YES ❑' .NO ❑ USE OF �� J� EMOL ❑ IN COASTAL PERMI ONE YES❑ NO El EXISTING BLDG. J rte. APPLICANT TEL .� �JS�' iJC)� (PRINT) Dne /�'jr�•lry ty- BY (SIGNATURE 4 1 HEREBY ACKNOWL GE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. 11�� BY SIGNATURE OF Al4 FINAL �J ��{ PERMITTEE DATE (( U f ADDRESS \ [�� NO. CITY P.W Fee$ Permit Fee $ Issuance Fee VALUATION$ Total Fee. PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. • CASH J13I� 2 '1 .2 1.17 5 A,- i- 716 5 L _ -. 76AG38A CHOS038 12/75