Loading...
HomeMy Public PortalAbout5220TEMPLE CITY BLVD_Building t' 76MM deal TOW 11/7e) APPLICATION FOR BUILDING PERMIT = COUNTY OF LOS ANGELES . _ _ BUILDING AND SAFETY— _ FOR PPLICANT TO FILL JkOCA BUILDING ADDRESS -fid U N,BUILDING r �E , ^pADDRESS / I.0 E L6 C/ LOCALITYC-._ _ _ NEAREST —__ _ _CITY r . A.(i"c ZIPCROSS STSIZEOFLOT :!N eQ r 6 N/ NOWONLASSESSORMAP BOOK -- PAGE PARCEL- ypDISTRICT GROUP TV FE FIRE P ESSED BY TRACT J/7p J BLOCK ��B - CONST ZONEOWNER i.y-p/k01R/ 3'd��qq��sESTATISTICAL CLASSSIIyFIC�ATION SEWER MAP ADDRESS yf�aO MoIE C/7D• CLASS NODWELL UNITS BK PG Crtr EM LAs'CPf' (ipARCHITECT OR VALUATION S /�ENGINEER - V V O ADDRESS BLDG SETBACKFROM FRONT PROP LINE OF (STREET( CONTRACTOR pA/E Ek/VNA'DE ZTIio.`185390�t TOTAL SETBACK FROM TYPE OF EXISTING I S MB NCO HIGHWAY + YARD FRONTPROP LINE HIGHWAY WIDTH ADDRESS IC + CITY • CLASS - CONSTRUCTION LENDER - _ - _ BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF Q (STREET) _ HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH _ 50 FT p NO OF NO OF CHECK + SIZE 90 STORIES Of/fir FAMILIES OLv4 ONE _ g U ZONE MAP �D/ DESCRIPTION OF WORK _ NEW — NO O&C At#RpoM ADD SPECIAL .{W CONDITIONS- ' ALTER FINAL /� BY REPAIREl DATE ��,��V �9'7 7 5 USE OF DEMOL EXISTING BLDG _ _ _ s _ - 2 # • •�• • • 1 APPLICANTq/ TEL I�p G (PRINT)6p0/(i" OON HEQNANOI ZNO/03:39 o- ]� Z •i • • 100 - BY(SIGNATURE( _ _ _ _' ; _ ,• •�• • 1 00� "- I HEREBY ACKNOWLEDGE THAT f4VE READ THIS APPUCATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCE _ _ y� I 1 1 3—7 9 AND LAWS REGUATING BULDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OFT6 9 6 A ISATION INSU THE LABOR CODEOF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM _ _ PERANCE - SIGNAT RE OFPERMIT • _ _ _ 2 • •F4200t ADDRESS 2F0f-'AllC/7E LVO - �- • • • 4200 . CITY cE f C9L%F 9/780 No 8S$9 - \• I 1 1 3-79 PC Fee E Permit Fee 36e,66 ��• ' ` Issuance Fee !. 00 T \ Totol Fee _ ,O