HomeMy Public PortalAbout5537TEMPLE CITY BLVD_Building (2) 76A438A CE O&Op 4172
APPLICATION FOR BUILDING PE IT
COUNTY OF LOS ANGELES _ASSESSOR
DEPARTMENT OF COUNTY ENGIIMER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAIABLE 70 ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT FILL IN NEAREST
CROSS ST
TYPE
BUILDING 5337 T.B'I Lr- e� Uvd• DISTRICT NOS Oyu- GRO CONST ✓ Y
ADDRESS n
LOT NO PBA eN o-V- LO / STATISTICAL CLASSIFICATION SEWER MAP
BLOCK
CLASS NO DWELL UNITS SK----FG
TRACT MI 10 I//Fk) "QG—S USE ZONEJ MAP O JI
NO OF BLOCS NO ll
SIZE OF LOT ' /,l CRE.S NOW ON LOT if SPECIAL
USE OF Q I BCA6 S"V ZC•�•.S CONDITIONS
EXISTING BLDG nffvF• p
OWNER y./T/ („ 1,JJ( R¢AI TOL .x86-63
_ I q BLDG SETBACK FROM
ADDRESS �3 �9 � L `. 8�V FRONTPROP LINEOF (STREET)
�L TYPE OF EKISTING SETBACK HIGHWAY } YARD = TOTAL
CITY HIGHWAY WIDTH FROM C L
ARCHITECT O TEL }
ENGINEER NO �.
BLDG SETBACK F
ADDRESS SIDE PROP LINE OF (STREET) S
TEL TYPE OF EKISTING SETBACK HIGHWA YARD = TOTAL CC
CONTRACTOR NO HIGHWAYI WIDTH I FROM C L p
ADDRESS LIC NO + - W
LIC y
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
NAME AND
CONSTRUCTION BRANCH TION LENDER ,+ WP
NAME ,s A_4 SEE REVERSE SIDE FOR SPECIAL APPROVALS
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ADDRESS 7-4^10Zai CK
SO FTNO OF OF ❑ Z_
SIZE D S ORIES AMILIES NEW
USE OF > ADD
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� ALTER
SIGNATURE OF • ftEPA R
APPLICANT DEMOL ❑
VALUATION 5 Z�Q APPROVALS DATE IN cTGR a RIGH.tD RE
P C PMT �J FOUNDATION LOCATION
FEE S FEES ZI, 7,f FORMS MATERIALS 1&414 7
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDIMO COM- GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED-
HEREBY I WILL NOT EMPLOY ANY PERSON IM VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IM RE LATINO TO
WORKMEN'S COMPE TION INS RAMCIS
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESSvY13
7-a-eMoll FINAL ( ]`i
PLAN CHECK VALIDATION GK M o CASH _ PERMIT VALIDATION K�•o uSH
— 083;3 W21 1 0
21.75-