HomeMy Public PortalAbout4911ALESSANDRO AVE_Building (2) VVL \
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN BUILDING
ADDRESSBUILDING
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ADDRESS 4911 N ALESSANDRO AVE LOCALITY
NEAREST
CITY TEMPLE CITY ZIP 91780 CROSS ST
" NO OF BLDGS I ASSESSOR
SIZE OF LOT NOW ON LOT onp MAP BOOK PAGE PARCEL
TRACT 16475 BLOCK _ LOT NO 40 DISTRICT GROUP TYPE FIRE PROC ED BY
TEL �0 D CONST,, / ZONE
OWNER 4RTHUR & CHRIS PARKA NO 287-9864 .3 yc
STATISTICAL CLASSIFI/CATION EWER MAP
ADDRESS 4911 N ALESSANDRO AVE CLASS NO � / DWELL UNITS -J—Br3-'7PG
CITY TEMPLE CITY ZIP 91?8o
ARCHITECT OR TEL VALUATION $ Q Q Q
ENGINEER NO
ADDRESS BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
CONTRACTOR NO HICHWAY + YARD - TOTAL SETBACK FROM I TYPE OF EXISTING
LIC FRONT PROP LINE IHIGHWAY WIDTH
ADDRESS NO
LIC A +
CITY CLASS
BLDG SETBACK FROM
CONSTRUCTION LENDER
SIDE PROPrLINE OF (STREET(
NAME AND BRANCH
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH C
SO FT NO OF TiNo OF CHECK + = V
SIZE STORIES One I FAMILIES One ONEIm
1
DESCRIPTION OF WORK Addition ^ NEW C3 C Fee$ �s/�c2 D Permit Fee .23
Breakfast Area Laundry Room ADD ® 3t Q Issuance Fee 7 on
4 bathroom Family Roomy ALTER _
REPAIR ❑ Total Fee a
C"?
USE OF
EXISTING BLDG One Family Residence DEMOL ❑
07/0 z
APPLICANT TEL O
(PRINT) ARPAR PARRA No 287-9864 dt 3 0
BY(SIGNATURE) a 2 8 0 1 2 A
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE r/ _ 9 7 CJ # o o o o 2 3
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES / Icc
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE y 2 O O 3..1.7 O
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z .
PENSATION INSURANCE fo o 0 3 5`/ 0,=
1 + d
SIGNATURE OF 1 130-79
PERMITTEE
ADDRESS 11 N ALESSANDROM AVE 'Z 20801 3 A
O
CITY TEMPLE CITY Na 28709864 a # ° ° ° ° 1
0
USE ZONE NOAP
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SPECIAL t: 2
72 CONDITIONS f -t- 241 0 0 u'
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FINAL BY�l�r (�/�` j V d
DATE
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