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Home My Public Portal About6261 TEMPLE CITY BLVD_Building__ A ROAD DEPT PERMIT IS REQUIRED FOR ANI' MATERIAL STORAGE OR WORK - DONE IN THE ROAD RIGHT OF WA ...�..�.r�. APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE. COUNTY ENGINEER NEARE6T CADSATT O GRIFFIN SUPT lu1Ln G CRO86 6T DISTRICT Typirk _V ROCESSED BY FOR APPLICANT TO FILL IN aT— 1� CONST BUILDING /AIIR / _rFA,p� G/r y .L STATISTICAL C IFICATION SEWER Po Vp CLASS NO WELL UNIT LOT NO P BLOCK MAP NUMBER O HWYE YES NO TRACT USE ZONE SPECIAL NO OF SLOGS CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG O L S` BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH OWNER A. �All. / �F4 (J:R / F!N FRONT 11 ADDRESS 6'Yb/ / C- /may LY O P L SIDE P L CITY e" r'L L� G T / TEL INSPECTION RE06RD ARCHITECT OR TEL ENGINEER NO ADDRESS /' CONTRACTOR W IS S I L R NO $O1-76 ADDRESS 0'1-36 E —ie E/1- DESCRIPTION OF WORK NEW AO ALTER REPAIR DEMOLISH I- 90 FT NO OF NO OF n a IY J A2 opm SIZE -.STORIES FAMILIES USE STRUURE L— PL/¢�L` �I CT lcNwrURE O SNG g GTEn F'T APPLICANT N APPROVALS DATE INSPECTOR !SIGNATURE ADDRESS/OV3 6 FOUNDATION LOCATION r FORMS MATERIALS J VALUATION S Q O� FRAME FIRE STOPS BRACING BOLTS PC PMT 0= FURNACE LOCATION FEE S FEE S GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY,#iITH ALL COUNTY ORDINANCES AND STATE LAWS RE LATINO 'BUI INC CONSTRUCTION LATH EXT SIGNATURE OP ((j HOUSE NUMBER COR- PERMIT TE RECT AND POSTED / ADDRE b - FINAL //_440 l CLYDE N DIRLAM PRINCIPAL ST CT L ENGINEER PLAN CHECK VALIDATION cK N G wH PERMIT VALIDATION cX NO CADH L&O 3 5 3 S MAY 5 1 A 300 m , APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN 1 hereby affirm that I have a certificate of consent to self Insure BUILDING ADORE S A �OoC �61 "l a a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3 0 Lab C) CITY � A ZP LOCA Policy No Comparry SIZ OF LOIfNO OF FLOGS NOW ON LOT ❑ rierbfled Copy Is hereby furnished I I NEAREST CROSS ST I Jill" ZQ'Certdied copy is filed with the county building Inspector TRACT BLOCK LOT NO 7(`_depart n USE DONE MAP NO Date Applicant r ASSESSOR MPP F001( PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS ° s, O,1 TEL No •L YES NO COMPENSATION INSURANCE ADDRSS Iv v4TRIN l000 FT of scHooL� (This section reed not be completed d the permit Is for one hundred E 2 M Cup DISTRICT GROW TY CONST FIRE ZONE PROCESSED By dollars (S 100) a less) crry 1 P I cerhfy that In the performance d the work for which this permit k Is issued I shall not empty any person In any manner so as to Hm"EC OR ENGINEER TEL NO v become subject to the Workers Compensation laws STATISTICAL Cl-�?7ATIONPPT CONDO Date Applicant ADDRESS CLASS NO DV/ELL UNITS NOTICE TO APPLICANT If after making the Certificate of REQUIRED TOTAL SETBACK FROM ExIST Exemption you should become subject t0 the Workers �NCTEL SET BACK YARD MVY PROP UNE VADTH Compensation pmvlsens of the Labor Cade you must forthwith FRONT comply with such prcveens or the permit shall be deemed revokedADDREUti NO P L lag C LICENSED CONTRACTORS DECLARATION ` 2' SIDE c n uc c P L I hereby affirm that I am licensed underprovelons of Chapter 0 �v r — SEWER MAP (commencing With Section 7000)of Drvelon 3 of the Business and S6 FT SIZE NO OF STORIES NO OF FAMILIES Professions Code and my license Is in full face and effect — NEW lyBK PG loop.License Number LIC Clens _ SCRIPT OF WORK ADD VALUATION Contractor Date N/ sh6RK` ALTER ❑ $ (�Q T 0 ❑ I em exempt under Sec �( REPAIR ❑ BBPC for the reason 6 I'r(,D DEMOL ❑V LOMA plc. W Date USE Inn URM ❑ CID 1 Signature ADI ; TEL — -DMA Perm s O FN-�T I T Z ❑ 1 as owner of the property or my employees with wages as l their sole campensatlm will do the work end the structure G E D Ae net Intended or offered for sale (Section 7044 Business and FINAL DATE O { ITEMS 116.x! Professors rode) WLL THE APPA OR FUTURE BuI OCCIPAA'T HN4D A HAZARDOUS MATERIAL � � 1 ITEMS ❑ I as Owner Of the proper am excluarrLty, contract) with OR A MIKTUIE CCNTNNNG A HAZARDOUS MATERIAL EOWL TO OR GREATER TARN THE property ng 13 AMOLPTTS SPEC D ON THE HAZARDOUS MATERIA-i1iORMAT GUDE' FINAL BY �l licensed contractors to construct the protect (Section 7044 YES 11NOW � TOTAL 116 . 85 Business and Professions Code) ((LEI�C OCC THE WTEHDED USE E a n1E CCNST aY THE MPII OR FUTURE EBULDNOSOUTH IAICCY\ 116•V J OO COAST R QUAUTE A PERMIT FOR STRICT UCr10.N m ME PEHMT fl FROM THE SOUTH CONSTRUCTION LENDING AGENCY �UNEso"^fN1��v i^^++Ans^EM o�+�T IscAaMm AEE PERMnnNG cHscKusr FOR C ]E .010 I hereby affirm that there Is a construction lending agency for YES❑ No U' the performance of the work for which the permit a Issued(Sec IHAYEREADTHE w,znrmou9MATERIusWFORMATonawE"D THE scAaMDPERMnnnG m 3087 Civ C) CODE TREE 2 C14XP ER z o SED 11ONS 220E Da THiOUGH 2 W iiMY REQUIRMENTS UNDER THE ocONCERNWo RwARY onus ry Lender s NamIMTERLAL R NO AND F OP( G A PERMIT FRDM Tf 9f:KMe O"LM""—O`^'�T11 + 71 919J Lenders Address 9159 1 AM1O.45 O I certify that I have read this app4g atlon and slate under penalty Of perjury that iut the above information Is Correct I agree to comply PC FEE PERMIT FEE ,r n with all county ordinances �'and State laws relating to building �( Oonstructm and hereby awhonzS representatives of the County ISSUANCE FEE to 1e1 n too ab=ntin IUpBfty fa IR4peLto p( a INVESTIGATION FEE TOTAL FEE v� SEE REVERSE FOR EXPLANATORY LANGUAGE