HomeMy Public PortalAbout5624-5626TEMPLE CITY BLVD_Building IDF A
OKK
CHJeo /
a LBRV e/9e1
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FADDREMple
PLICANT TO FILL IN BUILDING 626 em
ADDRESS
DNGple Cit Blvd. LOCALITY Temple City
tZIP CN�si Live Oak
NO OFBLDGS ASSESSOR
/ `3 NOW ON LOT MAP BOOK PAGE PARCEL
ISTRICT/ GROUP TVR FIREPRO[ESSED BYBLOCK LOT N 31 o0 ^ „ CON ZONE /J / ,,,��
Erwin Nommensen
TEL '(`(��/ (�
OWNER NO 286-939
STATISTICAL CLASSIFICATION SEW ER MAP
ADDRESS 626 Temple t CLASS NO I DWELL UNITS BK PG
CITYTemple City ZIP lIIIIIIIIIIIIIIIIIE
ARCHITECT OR TEL VALUATION $
ENGINEER NO
ADDRESS BL BACK FROM
FRONT PROP LINE OF ISTREETI
CONTRACTORMontebello Rf • NO 22-6 TOTAL SETBACK FROM 7VR OF E%IST ING
LIC HIGHWAY + YARD FRONT PROP LINE HIGHWAY WIDTH
ADDRESS 868 Truckwa NO248852
CITY MontebelloCLASS — BLDG SETBACK FROM '
CONSTRUCTION LENDER SIDE PROP LINE OF ISTREETI
NAME AND BRANCH
HIGHWAY + YARD TOTAL SETBACK FROM TYPE EXISTING 0
ADDRESS CITU SIDE PROPP LINE HIGHWAY
WIDTH WIDTH O
SO FT NO OF NO OF CHECK + u
SIZE STORIES FAMILIES ONE O
DESCRIPTION OF WORK Reroof existiN,,NEw PC F"S Permit Fee 54,00 rj
bldg. w 7-C built Up ADD Issuame Fee 7.00
rock roof ALTER Z
REPAIR TDtDI Fee 61•00
USE EXISTING BLDG dwelling DEMOL oz
APPLICANT TEL F
WRINTI NO p/L
O= _! T
By ISIGNATUREI ; 2 A
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE T'y
iHAi THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES TI # • • • • 1
AND LAWS REGULATING BUILDING CON5TRLXl7 ] I CERTIFY THAT IN DOING THE Z
WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN SCOM 2 • • 00
PENSATK)NINSURANCE
• • 'S 1. 0
SIGNATURE OF
PERMITTEE
ADDRESS 868 ruckW z 3 7 2 2'3 A
CITY Montebello Nw 722-697, # . . .�. . 1
0
DSE zoNE hLAP a o 0 3 2,• - 6,100
3 NG
SPKIAL 61006
CONDIilONS •I•
FINA4,z
Z3,eo BY /o��79
DATE i `. /
e930 770'"17—q