HomeMy Public PortalAbout5329 ZADELL AVE_Building_3/6/1978_ APPLICATION FOR. C Y OF TEMPLE CITY
• BUILDING PERMIT I��X• 5908 Kauffman'
Tem 1 , City, C.a . .91780
FOR APPLICANT TO-FILL IN ADDRESS �V� do'dlt—a _
ADIDRESS 5329 Z d e l l LOCALITY L�
CITY T e l e C w t - ZIP 91780, CROs ST.
NO.OF BL'DGS. - ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
TRACT FOSS BLOCK LOT NO. /. DISTRICT GROUP CONSTT FIRE PRO ZON EssED BY
TEL.' J--0e T
OWNERtnnNO. STATISTICAL CLASSIFICATION SEWER M/A�P
ADDRESS a tiO y e CLASS NO. C`L/ DWELL.UNITS 4I "P
BK G
CITY ZIP USE ZONEMAP q
ARCHITECT OR TEL. '/`�/1 NO. oc.C7 I 0
ENGINEER NO. j SPECIAL
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
TEL.
CONTRACTOR-H L Randnl Cnoo-288. 4040 BLDG.SETBACK FROM
C FRONT PROP.LINE OF ISTREETI
ADDRESS+2 9 .E. Y al I ey B.1 y d NO.1 8 E 0.8 6 TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + YARD = FRONT PROP.LINE HIG WIDTH
CITY ^ CLASS 'C 9 _
CONSTRUCTION LENDER + a
NAME AND BRANCH BLDG.SETBACK FROM 8
ADDRESS CITY SIDE PROP.LINE,OF (STREET) wO
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD TOT L SETBACK FROM TYPE OFEXISTING
SIZE STORIES FAMILIES ONE E PROP.LINE HIGHWAY WIDTH G
DESCRIPTION OF WORK R a r o o f ho u s e NEW ❑ + = Z
-�"� and ADD ❑ CORNER CUTOFF YES ❑ NO ❑
2 34prs. 0-f— ALTER
y REPALK)a IN OPEN SPACE YES ❑ NO ❑
EXISTUSE OING BIIL,,DG. G'�
DE MOL 11IN COASTAL PE IT ZONE YES ❑ NO ❑
APPP INTff. L Randol - 488,4040. jot:;��1�
BY ISIGNAT RE, s
• I HEREBY ACKNO LEDGE THAT I HAVE READ THIS.APPLICATION AND STATE �� /
THAT THE ABOVE'it CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE 11iV '
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF �V
THE LABOR CODE OF THE ST TE OF CALIFORNI RELATI G T WORKMEN'S COM.
PENSATION INSURANCE. / v
SIGNATU F FINAL BY
PERMITTEE DATE r _
ADDRESS
TEL. P.C.Fee$ Permit Fee ' -
CITY NO.
3 890..0"0 Issuance Fee
VALUATION Q I �Sa
Total Fee
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
liJ P -7 S 4,8'v 9 0 9 Lw-'1Rft 5 '1D 3 5.2 5
IDS 76A698B CE/8098 6/76 r