HomeMy Public PortalAbout4410TEMPLE CITY BLVD_Building APPLICATION FOR BUILDING PERMIT
FOR APPLICANT,TOFILL IN I Print or type only)
BUILpINc COUNTY OF LOS ANGELS
ADDRESS 44 0 N Temple CitflN
DEPARTMENT OF COUNTY ENGINEER
CITY em le Ci zip BUILDING AND SAFETY DIVISION
BUILDSIZE OF LOT Irregular NOW ON�OT ADDRESSNG
O
TRACT 12 8 BLOCK LOLOCALITY
TNEAREST
OWNER CROSS STASSESSORADDRESS MAPBOOK PAGE PARCEL
DISTRICT GROUP. TYPE FIREESSED Y
-aTYRoseme d zlv CONS zoNEARCHITECT Opp� T (JENGINEER- W P NSTATISTICAL CLASSIFICAT N SEWER
ADDRESS LA
CSSNO DWELL UNITS Z) SK/�PG
TEL
CONTRACTOR ONE �P dQ
LIC
ADDRESS NO SPECIAL
-LIC CONDITIONS �1
CITU Rosemead, CLASS R ROAD APARTMENT APPROVAL REQUIRED IYES ❑ NO ❑
CONSTRUCTION
NAMEANDBRANCH LENDER First City Bank BLDG SETBACK FROM
ADDR 000 E. Valle Y ROsem@ad FROM PROP LINE OF STREET)
HIGHWAY + YARD TAIL SETBACKFROaHIGH
EXISTING
sL 48 STO10 RIES 2 FAMILIES 4 CHECK FRONT PROP LINE WIDTH
SIZE STH Y
DESCRIPTKDN OF WORK NEW ® +
ADD ❑ BLDG SETBACK FROM s
SI DE PROP LINE OF - ISTREETI O
W/2 car arae ALTER ❑ HIGHWAY + YARD TOTALSE11FROM TYPEOF EXISTING
USE OF
REPAIR ❑ SIDE PROP LINE HIGH AY WIDTH
EXISTING BLDG DEMOL [ED] + 166
-
APPLICANT TEL CORNER CUTOFF YES C] NO ❑
(FIEND P M r N0443-157
IN OPEN SPACE YES ❑ NO ❑
BY SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$ z�f�7S/ N�6 �CK�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APFUCATION AND$TATE
iWBT THE ABOVE AND AGREE TO COMPLY WITH ALL ORDINANCES Z/� `
Aro uws I G CONSTRUCTION I CERTIFY THAT IN DOING THE )iJ -nG�/f T z6z
WORK ALITHORI D HEREBY LL NOT EMPLOY ANY PERSONA IN VIOLATK7N OF
THE TIOA ODDS THESTATE CALIFORNIA IN RELATING TO WORLMEN SCOM ,7� 0K T) ryn n1 011 -rUP, y-MIi4
PEE6A RI � iii((I-Fj AV�J err+
SIGNATURE
PERMITTEE
ADDRESS 60 � e Gv2 do�1-itD Avo,- Da'6 `
TEL FINAL BY
CITY Rosemead. CA - DATE J17—�
MAKE CHECKS PAYABLE TO FEE $ Q FEEPIAT b
NARVEYT BRAN[7T COUNTYENG INEER �Ja0 P S5 • '��
PLAN CHECK VALIDATION L:IC 1,10 G 14 O� PERMR VAUbATION cR r o cww
116nNOV 1423 D _295.20 b
"Aljq 3-8-25
e 6T� C 1 S 2 3 D ;s
671n 13 iD 555.75e O