HomeMy Public PortalAbout5342ALESSANDRO AVE_Building (2) APPLICATION FOR CITY OF TEMPLE CITY
5908 Kauffman , Temple City
BUILDING PERMIT CALIFORNIA 91780
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
LDING
ADDRESS . .5342 .N ' A1 es sandro LOCALITY
CITY T e.m 1 e C l ty. ZIP .9-178G CROSS ST.
NO.OF ASSESSOR
SIZE OF LOT 1�9
" NOW ON L TS MAP BOOK PAGE PARCEL
DISTRICTGROUP TYPE J FIRE PROCESSED BY
TRACT BLOCK LOT NO. r 3 CONST.41 ZOIC
TEL
OWNER R'.1 1 ^a D J O n e NO —Q STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. DWELL.UNITS BK PG
CITY ZIP USE ZONEP
O
MA
N .
ARCHITECT OR TEL.
ENGINEER NO. CONDITIONS
ADDRESS LI ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NOTEL ❑
CONTRACTOR -H L a n d O 1 C ONO. 8— BLDG.SETBACK.FROM
2 FRONT PROP.LINEOF, (STREET)
LIC.
ADDRESS NO TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
CITY S a n G a b.r i e 1 Ca . CLASS
CONSTRUCTION LENDER
NAME AND BRANCH O
BLDG.SETBACK FROM U
SIDE PROP.LINE OF (STREET)
ADDRESS CITY 00
SQ.FT. NO.OF NO:OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH a
❑ + Z
DESCRIPTION OF WORK NEW
ADD ❑ CORNERCUTOFF YES ❑ NO ,❑
re-roof hollsp & gar ALTER ❑
N OPEN SPACE YES ❑ NO ❑
REPAIR
USE OFDEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG..
APPLICANTLL�� TEL
(PRINT) '[7 . 'L R a n d e 1 NO. _
BY(SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE / (/' CJP�' tr.P/ ^./L�r
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
REGULATINGAND LAWS D IN DOING
WORK AUTHORIZ DHEREBY IWILL NOT EMPLOY HEMPLOY ANY PERSONINTT
VIOLATION
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM 4V
PENSATION INSURANCE. >7 Jczl
SIGNATURE OF FINAL ✓ ,eBY,—
PERMITTEE DATE
ADDRESS
CITY San Gabriel , Ca . No288-,40.40 P-C. Fee$ Permit Fee
Q Issuance Fee i7, on
VALUATION y 6 5 2 . 0.0,
Total Fee
.SAT..�[®N .cnsw PERMIT VALIDATION cK. nn.o. CASH
7 9 JUN 7 14, u
MICY HOLDER
a%qjfW2?E 76