HomeMy Public PortalAbout5819-5819 1/2TEMPLE CITY BLVD_Building (2) 1—� r
76A63BA CE 0803 1/7APPLICATION FOR BUI DING ARMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUDILDIN '? � �° � '1 ,
COLEMAN W. JENKINS, SUPT OF BUILDING• LOCALITY /= G'1 7
FOR APPLICANT TO FILL IN NEAREST {�+
Print ort a only) CROSS
T.
/" J 7 U
DISTRICT NO. GROUP [-TYPE ,"PRO _SSIED B
BUILDNG
ANG
DDRESS 581 Temple City Blvd. O� r CONST.
STATISTICAL CLASSIFICATION SEWER P'
LOT NO. 4y BLOCK CLASS NO. —DWELL.UNITS BFS� PCj/
TRACT % USE ZONE MAP
NO.OF BLDGS. NO. CZ0 0
SIZE OF LOT NOW ON LOT �'Z�/ SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
OWNER X. Hi COOT{ & Co. NOL
BLDG.SETBACK FROM
ADDRESS $819 Temple City Blvd. FRONT PROP.LINE OF, STREET)
TYPE OF EXISTING SETBACK HIGH Y + Y = TOTAL
CITY Tem le City HIGHWAY WIDTH FROM G.L.
ARCHITECT OR TEL. _
ENGINEER NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL.-8 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR O Co NO. 2$ _0 .HIGHWAY WIDTH FROM C.L. CC.'.
ADDRESS600 S. Sari Gabriel No.160650 + _
CITY San Gabriel CLASS 0.-39 CORNER CUTOFF YES ❑ NO ❑ LL
CONSTRUCTION LENDER CL
NAME AND'BRANCHSEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES 2- FAMILIES
USE OF ADD ❑
STRUCTURE ALTER ❑
with hot roof materials REPAIR]
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION$ APPROVALS DATE INSPE R'S SIGN URE
P.C. PMT. FOUNDATION: LOCATION
FEE$ FEE$ 12-00 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 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 BUILDING CON- GAS VENT, DUCTS
STRUCTION. .I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE TATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSA INSURANCE._. LATH, EXT.
SIGNATURE OF r � HOUSE NUMBER COR-.
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL ST7R 'URAL ENGINEER
PLAN CHECK VALIDATION 1K. M.O. CASH PERMIT VALIDATION M.O. CASH