HomeMy Public PortalAbout4343TEMPLE CITY BLVD_Building *-1 744681
II/78) ' r - _17 ��
APPLICATION FOR _BUILDING PERMIT
COUNTY OF LOS ANGELES _ BUILDING AND SAFETY
FOR APPLICANT TO FILL IN- _ BUILDING
- J ADDRESS e
ADIDRELDIN .J r L ,C..
LOCALITY
CITY NEAREST
ZIP ' CROSSST
NO OF BLDGSA55ESSCR
SIZEOFLOT NOW ON LOT Z MAP BOOK' - PA PARCEL
DISTRICT GROUP TYPE FIRE ' PROCESSED BY
TRACT BLOCK LOT NO -- CONST ZONE -
EO L _
OWN D!/
��/ _ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS �L�" CLASSNO &-JZ12 DWELL UNITS BK312JG' _
CITYAR
nQj(/'G//Zy� � p /�
ENGHNEEV C 1 ����� /�^-Ao q VALUATION $- �J soo 1S
l/r
ADDRESS y /i/C! - _ A� BLDG SETBACK FROM
CONT �R'�/ �Q�! Tp12 ,tet^/ FRONT PROP LINE OF - ISTREEG
n s/� HIGHWAY + YARD . TOTAL SETBACKFROM TYPEOF EXISTING
ADDRE ` �6� IC FRONT PROP LINE HIGHWAY WIDTH
LIC
CITY /O� CLAS$ C//,/, + _
CONSTRU =LENDER - ` BLDG SETBACKFROM-
NAME AND BRANCH >. '� SIDE PROP LINE OF ISTREETI `
_. HIGHWAY + YARD TOTALSETBACKFROM TYPEOF EXISTING s
ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH V
SO FT NO OF NO OF CHECK + W
SIZE STORIES ' FAMILIES ' ' ONE ❑ USE ZONE MAP
DESCRIPTI NOF WORK _ __ -. NEW y� NO 0 �j
ADD ❑ "r 'a SPECIAL
Js -
LTER FINAL CONDITIOBY
REPAIR DATE ait
USE OF
EXISTING BLDG DE - Z
APPLICANT ��T O/J�7�yZPC- �(�J_V __ _ Q T.^
IPRINTI f;/ 6L /P/ Fpp
BY ISIGNATUREI _ -;
READ 7;15 APRICATION AND STATE 7 3t
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
I HEREBY ACKNOWLEDGERHAT I HAV / � O
AND LAWS REGULATING BUILDING CONSTRL ION I CERTIFY THAT IN DOING THE S
WORK AUTHORIZED HEREBY I WILL NOT EMROY ANY PE6 IN VIOLg g 6 6 AATION OF U
THE LABOR CODEOF THE STATEOF CALIFORNIA IN RELATING TO WORKMEN SCOM /y FJy y
PENSATK)N INSURANCE #
A /�V 4 , * 0 0 0
SIGNATURE OF Q • 1 0600 Y
PERMITTEE �L
ADDRESS r Ae 1; _ • O � O C R6
CITY
P C Fee E p. Permit Fee , L j
Issuance Fee L
Total Fee