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Home My Public Portal About6404 TEMPLE CITY BLVD_Building__ DBPARTN3NT OF BUILDING AND SAFETY APPLICATION FOR PERDOT _C,OUNTY OF LOS ANGELES 3 � � ' � ' • y WM. J. FOX. OHIEr [NOINC[R NG FORAPPLICANT TO FILL IIQ FOR OFFICE USE ONLY DIJBTR1OTJ PLAN CK.N° [ PRMITND ADG°Rte S IJs^ 3 Lf �� LOCALITY ` / RECEIVED BY DAT[°r APPL DAT[IBBU�[o, NGIIEBT 0 zz BUILD I NO awmium ��. {/ ADDRESSMAIL ,p ADDRESS .2.7 2 67 j VXAI� LOCALITY O li L / NEAREST CITY 6/ fir/ ttL L amaze BT rias No or Th[ GROUP AROHITeTOR TEL ZONE PLANS eNO1N[[R No pLpp ADDRESS SETBACK LINE / APPROVED CONTRACTOR TNEaL ` BY DATE Z _ / uee APPROVED AQORKM ` ZOH[k BY DATE DESCRIPTLION LOT N° .�T BLOCK CORRECTIONS TRADT No size OF LOT , jo / D NOW°N LOT D USE Or NO Or. ° or 1 L NI I ROOM" DESCRIPTION OF WORK 4 NEW ALTERATION ADDITION REPAIR MOVIHO DEMOLISH w O `V Q BD rT NO Of Z SIZE ROOMS BTOgICB r WALL pOOF / ��L COVERING COVERING t /,y� DUILDINO 'i-�C) � c7/(PA f rb I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT INBPCCTDR DAT[ FOUNDATION' LOCAT ON nyM� AND ADR[[ A COMPLY WITH ALL COUNTY ORDINANCES FORMIL MATERIAL9 P4 11 /�� '1-'1•��0 AND STATE LAWS REGULATING BUILDING QON UQTION SY&7 FRAME FIRCSTOP& SIGNATURE Or BRACING.BOLTS PCRMITTE LATH, INT. LATH, EXT. '/she -] 7r9 0 L V P C B q O PLASTER. INT L FEC � J� PLASTER.CM 6 VALUATION 6 .7 O S� Y y/ I 1 �� FE � V FINAL (. T^A63SACE*603IG^^ APPLICATION FOR BUILDING PERMIT 1 BUnDING AND SAFETY DIVISION BUILDINo Department of County Fmy1DSn ADDREea County o1 LGA Angel" LOCALITY JOHN A LAMBIE CouNTY ENammm NEAREST CASSATT D GRIFFIN SUP T OP BUILDING CROSS FOR APPLICANT TO M IN DIST T NO I GROUP TYPE SEWLR MAP CONST BUILDING ADDRESS /� � ^ BTATISTIGACLA881 PICATION LOT NO BLOCK CLASH N DWELL UNITS �//yy MAP D 0 _ HWY YES N TRACT V9J.V7A 941/TA L/a. -kP ev NUMBER U EZON! SPECIAL NO OF BLDGS CONDITIONS SIZH OF LOT tSO�7X/OO NOW ON LOT USE OF EXISTING BLDG .!/L(/GaLL//✓ d /Jr BUILDING YARD HWY STREET NAMQ EXIST BHTBACK WIDTH OWN! v �/ .fTa uT J+ FRONT D MAIL 4YI � �Ey�/E �/Tr 64,aa P L ADDRESSSIDE /� CITY ?'4 �E C. /T N� P L IITSPDCTION RECORD ARCHITECT �/ TEL ENGINEER "!/� LEX A�VEie NO /� - 7 / ADDRESS �J BGAf-44Ve A/ ✓� CONTRACTORR ;'V,✓ e U ZW0 0/-&-/� ADDRESHJwO✓ � v/ WC Al DFSC=ON OF WORK EW ADD ALTER REPAIR DEMOLISH FT NO OF NO OF SIZE STORIES FAMI IH8 USE OF �o^�L J APPROVALS SIGNATURE F _ APPLICA DAT E INSPECTOR$SIGNATURE ADDRESS FORMS MATERIALS 4SOUNDATION LOCATION odv P C 8 Zy FRAME FIRE STOPS o FEE BRACING BOLTS FURNACE LOCATION VALUATION - �0 GAS VENT DUCTS FEE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP TH ALL COUNTY ORD]N CHB AND LATH EXT / STAT! LAWB, E T G B LD a CO RU TION 81a NATURE OF HOUGH NUMBER COR- PERMITT /7 off A RECT AND POSTED {Y ADDRESS `� / X401 FINAL JOHN A LAMBIE COUNTY ENGINe CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINRER PLAR CHECL VALMATTOH CK Y O CALH PEBMIS VMMJMON CK Y O CASH 1000085- JULIO 16 425 & D _ m !"'ALo 0 1 2 0 JJL 1 1 �j C) m APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY .,�WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN eIA G I hereby affirm that I have a certificate of consent to sell mum B OO �� (O5`U or a certificate of workers Compensator,Ilnsu�rance or a certified p ,�,� Copy thereof $ec�) J �1P+ ( l GT l...V`� 1 � LOCALITY �� COrTIPamY ^�/ SIZE OF LOT OF BLDGS NOW ON LOT ❑ Certified copy s hereby furnished 1— — 4�14 1 NEAREST CROSS IV Certified copy is filed with the county buldn InspeCtgn TRACT BLOCK LOTNO a.'�'� I USE ZONE MAP NO Date Applicant -% r I F ASSE5SOR MAP PAGE MRCEL �p SPECIAL CONDMONS CERTIFICATE OF EXEMPTION FROM WORKERS OWNER ,p TEL NO vas Na COMPENSATIONADDRESS INSURANCE �L1J Ci 3 W IN 1000 FT OF SCHOCII reed (ThDISTRICT GROUP CONST FIRE ZONE PROCESSED BY e sedan not be completed II the Permit s for one hundred S ddlet9($T00) Or law) CRY ZIPU I certify that In the performance of the work for which this permit b/ Is issued I shall not employ any person I any manner so as to becore sabbath f0 the Workers Compensation Lowe ARCHITECT OR ENOMEER TEL NO STATISTICAL C��,/�rCgTION APT CONDO Date Applicant ADDRESS CUSS NO • owELL UMTS NOTICE TO APPLCANT It after making this Certificate of REQUIRED TOTAL SETBACK FROM EAST EArnplgn You should become subwA to the workers CONLRACIOR TEL NO _I- SET BACK YARD MY PROP LINE WIDTH BACK pTvnstore tion of the Labor Code YOU must forthwith7k4rA-6 comply with such prprna y o this permit shall be deemed revoked rj FROM LICENSED CONTRACTORS DECLARATION` \, SIDE �� LIC CLAS P L I hereby affirm that 1 am licensed u,derp :wtsgns of Chapter 0 — yyER MAp } (commenoun8 with Section 7000)of DNsgn 3 of the Business and EES Il Professions Code and NO OF STORIES NO OF FAMIO I In full force effect NEW C1 SK PG O License er Lie Class t DESCRIPTION OF YADRK ADD ❑ VALUATION POO. U Contractor Date — — ? � ALTER $ � d7O. 0 W yoo-k` REPAIR 0 O F❑ I am exempt ueSec $ O BAR for the reason DEMOL ❑ Lronn w0, W USE OF EASTING BLDG d Date URM ❑ 1 W SKPWUM NT( ) TEL NO LOW Perm ❑ 1 as owner of the property or my employees with wages as - z Hi.'-T.i thou site compersabon will do the work and the stitches Is SS O r'� not ntefred or offered for sale (Section 7044 Business and FINAL DATE Q 3303 lr i.J, Pfdessgne(Mode) wyL THE ApgSANT pit FUTURE IN PNe OGGU NN'r IYN0.E A MAZAIA S MATERAL 1 ❑ 1 rte owner of Vie property am exclusively coMraCll with On A MATURE CONTARIrO A HAZARDOUS AMTERt EQUAL TO OR GREATER THAN THE `` a 1 ITEyt9c licensed COTITECtos to COMUMt the protect (Section 7044 AMpl.Rle S%E D ON TIE HA2YnDDUS MATEPo YbORWTON GUIDE' FINAL BY > TOTAL 12 1 JC` ES❑ ND❑ Business and Professions Cadet Wil-1- TIE ,,TENDED USE OF THE SUDLNO BY TIE APPLgA1nT off FUTURE BULDNG I_HE, r, 121._` OCCUPANT REcIInE A PERMIT FOR CONSTRUCTgN E OR MODgATION FROM THE SgnH ��'L.� J ,�/r CONSTRUCTION LENDING AGENCY COAsr AIR W UTY Mu1AGEMENT pImTACT ISCAoeol ME PERIATTING CHECXUST FOR �Kk' �� F� AI CHMUE OF, cumELrEs I hereby affirm that thare is construction lending agercy to LLL ,N the pobrsnce issued rtof the work for which this permit s issd(Sec TEs❑ ❑ No O I� a 3087 Civ C) IIWE READ TUE HAZATDOUS MAIERMLslFOrOUTgN GTADE ANO THEeUO,.NPERNTTiNG _ r}(�1l H CTECKUSTCHA MQl ZS1i�cTY REC I10 MEN SUNDER 2 Za Los EE S O wTY C(AE 13000-13001 11/ 9/,i Lan,dBr 9 Nalr18 MATEPo PEPoRTWD AND FOR 08PHlq A PERMIT FROM THE SCAOMO aj Lenders Address ."'.490 1 AM `i:3- a �A w�.T I cartdy that I have read this application and state under penalty g Of perjury that the above information a correct I agree to Gomply PC FEE PERMIT FEE it wllh all county ordinances and State laws relating to building S WMhctm and hereby authorize represantativea of the CWmy ISSUANCE FEE �J ^~i �nt�erthe q4mp11Bd properly for Inspection purposes 1.241 A/ _ m _g_q3 MVESTgAT1pN FEE TOTAL FEE / SEE REVERSE FOR EXPLANATORY LANGUAGE