Loading...
HomeMy Public PortalAbout5417TEMPLE CITY BLVD_Building APPLICATION FOR BUILDING PERMIT,. _4fo �I FOR APPLICANT TO FILL IN (P, DI o, IYP• GDIY) 78-891 RIS IJ BUILDING 111 Tem le Cit Blvd COUNTY OF LOS ANGELES ADDREss DEPARTMENT OF COUNTY ENGINEER CITY Temple Cit - ZIP BUILDING AND SAFETY DIVISION NO OF SLOGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT BLOCK - LOT NO 1. LOCALITY ,�...//, ' NEAREST OWNER CBarbara Daniels NE�8 -41 CROSS ST C��✓� SSOR ADDRESS 5 `17 Temple City BlVd MAPBOOK - PAGE- PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY CITY Templet City ZIP r ' �L, CONST._ ZONE �,(//w/ ARCHITECT OR TEL S-� T /�S _// ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS BK Z, PG CONTRACTOR Rigid MP • Co. TEL 26 - 181 U E ONE MAP rJ o^ `` V NO 20 C � ADDRESS P O•BOx 682 No Z CONDII TIONS CITY LOB Angeles C ASS LICC-39 _ ROAD OE PARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONS AUCB N LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF ISTREETI ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY } YARD - SI FT ST OF NO OF CHECK FRONT PROP LINE HIGHWAY wIpTH FFCCtlF--11�� SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK IRE W ❑Ri 1d 01800 „CnviD ❑ SIDEPROP LNEOF_UG SETBACK OM ISTREETI meterieel TER ❑ HIGHWAY } yApp - TOTAL SETBACK FROM TYPE OF EXISTING PAIR SIDEPROP LINE HIGHWAY WIDTH P C: USE OF _ }EXISTING BLDG Residence MOL ❑APPLICANT TELCORNER CUTOFF YES ❑ NO(PRINT) NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NOIN COASTAL ZONE , YES ❑ NOVALUATIONY CATEGORICAL EXEMPTION YES❑ NO ❑1 NER ACR WLEGE THAT I HAVE READ TICATIOM EHYIRONM ENTAL 1MD THAT E AIOVC I! CORRECT AMD ACOMPLY IMPACT fXfMPTION pECLARATION lIGNEp (pATEI WITALL ORDI MI CC! AND LAW! REOULATIMO HO CON- ST CTION t C[ IITTHAT IN DOING THE WHORI2Ep IMPACT REPORT PROCESSEp (DATE) HE E!TL T EMPLAMT PERION 1 VIOI TNfLA OR CODE OF THE !TATE OFCALII 1 TING TO✓�L 9ENH LEP�SaYlSIG TUREPERMADD S Woods Ave FINALQB /� �!ITY TOOPTE 4 � OV KL/92Z- MAKF CHECKS PAYABLE TFEE JM FEE HARVEY T BRANDT COUNTY EER `/� W D� cv- 00 `PLAN CHECK VALIDATION _ CK MO CASH PERMIT VALIDATION CK M 0 CASH I ' v u o o 1 O N N • 0' 7GA638A CEN803 7/73 0 61111 • N J O O • R DO O O DD Cil