HomeMy Public PortalAbout6225 TEMPLE CITY BLVD_Building__ 7GA6384S•CE 9803 1/71 , (j[�22r
' APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING 6�,
ADDRESS C
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
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DISTRICT NO. GRO P TYPE — PRO SSED BY
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STATISTICAL CLASSIFICATION SEWER MAP
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CLASS NO.
9 USE ZONE MAP
NO.OF BLDGS. NO. S
T x (S NOW ON LOT _ SPECIAL
3 CONDITIONS
TEL.
OWNER NO. BLDG.SETBACK FROM
ADDRE S / +' FRONT PROP.LINE OF (STREET)
TXPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY ® HI Y WIDTH FROM C.L.
ARCHITECT jbR TEL. + _
ENGINEER NO. BLDG.SETBACK FRO
LAI
SS SIDE PROP.LINE OF (STREET)
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TEL. TYPE OF EXISTING SETBACK HIGHW + YARD = TOTAL
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. v
LIC.
SS NO, + - C7
LIC. 1'
CLASS CORNER CUTOFF YES ❑ NO
RUCTION LENDER
AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ?
ES�Sy
p x z ` STORIES FA NO. OF OLFES NEW
F ��� d � ADDTURE jALTERTURE OFREPAIR❑CANT /An
DEMOL ❑TION S / 0> APPROVALS IDI`TE IN ECTOR'9 I ATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE$ 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 ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE. LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
ADDRESS FINAL /�
JOHN F. LEWIS. PRI CIPAL S CT AL E=CASH PLAN CHECK VALIDATION CK. M.O. cnsH _ PERMIT VALIDAT l� M.O.
7 :?.v My 2 1 D 9.00- Iq
^16A6984 CE0809 9-BB
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT' OF-COUNTY ENGINEER ADDRESS �,1 5 �•n, •% T /I,
BUILDING AND SAFETY DMSION LOCALITY 7-emgkL(f
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. 15-1 C )OL D
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PRO ESSED BY
(Print
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ADDRESS 2� / EMP/-C C/ Qd 11l/ STATISTICAL CLASSIFICATION �' EWER MAP
� 1 CLASS NO. a DWELL.UNITS BK/--- PG�
LOT NO. /Gr Gu/ CeBLOCK USE ZONE MAP
+ NO. 2 c1c,
TRACT 7�7,¢ f� 1 SPECIAL
NO.OF BLDGS. /\ •� CONDITIONS
SIZE OF LOT 57I Y 9O NOW ON LOT
USE OF
EXISTING BLDG. F-fAllt-y BLDG.SETBACK FROM � �/t c
OWNER J IAC K L d PRC. rl NO.
FRONT PROP.LINE OF l !— /STREET)
y�
q TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS X0227 r�tn��p1/�� Q'Irry-44,/P HIGHWAY WIDTH FROMC.L.
CITY •-T'GMP�_1f- �%�1 ` lA LST. .Set-- 0 +
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP,LINEOF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR o No.L6 9 i o t o +
ADDRESS d 26 6 L,,C) 'fO3/9tgCORNER CUTOFF YES ❑ NO ®—_
CITY C�A'Ss R SEE REVERSE SIDE FOR SPECIAL APP OVALS i
CONSTRUCTION LENDER + e
NAME AND.BRANCH b
ADDRESS
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SIZE TCJ TORIES / FAMIOLFIES NEW
USE OF ADD ❑ 26
STRUCTURE gl_ 1,U
ALTER ❑
SIGNATURE OF REPAIR❑
APPLICANT
DEMOL ❑
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LUATION 5 G'�v"'� APPROVALS DAT IN ECTOR' SIGNATURE
PMT. u �7� FOUNDATION: LOCATION 5 i + . O FEES Jam-/ `��• FORMS, MATERIALS
FRAME: FIRE STOPS, // 1"
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION BRACING BOLTS iv—$:cA 4� _'h'7 �-.,-i
AND STATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ''
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS 2 -))-Iej f�,•' r'J:J •,,.:.�
STRUCTION. I CERTIFY THAT IN IIOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATIO; URANCE. LATH, EXT. q r�CJ a`t ty�
SIGNATURE OF
PERMITTEE HOUSE NUMBER COR-
RECT AND POSTED A.r
ADDRESS lbe2$ E #11 ST- ", Aar FINAL '
JOHN F. LEWIS. PRINCIPAL STRCUK,T/URAL ENGINEER
PLAN CHECK VALIDATION cK. M.O. CASH _ PERMIT VALIDATION`/ M.O. CASH
r� 2 .5 0 7 OCT 31 1 D 5 4.0 a- 0 -
76A636A CE#803 3-68 \\"LC/Y�'L
APPLICATION FOR BUILDI G PER
-� COUNTY OF LOS ANGELES BUILDING -�
DEPARTMENT OF COUNTY ENGINEER ADDRESS ;
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUP'T OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DIS cj
C N GR TY ES B
C ST.
Print or type only /J J�
BUILDINGSTATISTICAL CLA SI FICA ON SEWER P
ADDRESS ge� CLASS NO. DWELL IINITS.� BK PG
LOT NO. `�• zd/7/ BLOCK USE ZONEMAP ^ O
p NO. p�
TRACT SPECIAL
NO.OF SLOGS. /L .3 . CONDIT ONS
j
SIZE OF LOTxzu NOW ON LOT /
USE OF
I� EXISTING BLDG, BLDG.SETBACK FROM
TEL. � FRONT PROP.LINE OF —(STREET)
OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
ADDRES HIGHWAY WIDTH FROM G.L.
CITY L + --`�
TEL. 8LOG.SETBACKFROM
ARCHITECT OR
ENGINEER NO. SIDE PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. c
CONTRACTOR NO.LIC. CD
+ a
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ v
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESC TION OF WORK `u
\ W
NEW ADD ALTER REPAIR DEMOLISH
1ZFT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE a�
SIGNATURE OF
APPLICANT V
AL
U
AT
I
ON IS ��OD
V APPROVALS DATE INSPECTOR' SIGNATURE
P.C. PMT. -FOUNDATION: LOCATION
FEE$ J191 FEE$ '9 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IB 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-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE' "�'�a RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION I CK. CASH _ PERMIT VALIDATION CK. M.O. CASH
Q4��1 5 6 9- AUG 2 5 2 3 D 53..3 0 4