HomeMy Public PortalAbout5542ALESSANDRO AVE_Building (3) 4611-Dr!"i
PPLIGATION FOR UNTYOFLOSA"//PERMIT '. D UILD NG AND SAFETY DIVISIONBUILDING
R
FOR APPLICANT TO FILL IN 4 - ADDRESS plca
BUILDING
ADDRESS 5542 Alessandro LOCALITY
EA
CITY Temple City Zlp 91780 CROOSSST
NO OF BLDGS ASSESSOR
SIZE OF LOT NOW ON LOT 2 MAP BOOK PAGE C
DISTRICT GROUP TYPE FIRE
TRACT BLOCK LOT NO CO
OWNER Anthony J Gialich
TEL - t'
STATISTICAL CLASSIF T N SEWER P
ADDRESS 5542 Alessandro CLASS NO � DWELL UNITS B���G
CITY Temple City ZIP 91780 USEZOT NOP �D
ARCHITECT OR none TEL SPECIAL
ENGINEEP NO
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ HO ❑
c701t`
CONTRA Builders No287- 744 BLDG SETBACK FROM
p FRONTPROP LINEOF (STREET) y
ADDRESS 58192 Temple City
LI HIGHWAY + YARD = TOTALSETBACKFROM TYPE OF EXISTING J
LIC FRONT PROP LINE HIGHWAY WIDTH
CITY Temple City CLASS — + _ }
CONSTRUCTION LENDER a
NAME AND BRANCH BLDG SETBACK FROM OU
SIDE PROP LINE OF (STREET( oc
ADDRESS CITY 0
SO FT/ `T NO OF 1 NO OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
aw
SIZE {fe�✓ STORIES FAMILIES 1 ONE SIDE PROP LINE HIGH WAV WIDTH
= Z
DESCRIPTION OF WORK NEW El +
2nd Story 3 Bedrooms and ADD ® L CORNER CUTOFF YES ❑ NO ❑ i
Bath ALTER IN OPEN SPACE YES ❑ NOUSE
❑
REPAIR ❑
EXISTING BLDG DWe l l ing DEMOL 1:1IN COASTAL PERMIT ZONE YES E] NO ❑
Y / 6, 1A 7 '
APP(PRI NT)AmeriC Builde E 287-974
0.o ° ° Cb
BY(SIGNATURE) z o o 1 4-4u
1 HEREBY ACKNOWLEDGE THAT AVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES q o 0 1 4 4 U Z3AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE f
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 Lt 4 t5 U
PENSATION INSURAA can $ll s t �' '
SIGNATURE OF FINAL Z BY
PERMITTEE DATE
ADDRESS 58TWk T.Ze (;ity Blvd �7
CITY Temple Clty No287-9744 PC Fee$ , Permit Fee i
Ag/W Ag/WIssuance Fee
VALUATION
Total Fee 01 E 1
PLAN CHfIC VALI TION CK M o CASH PERMIT VALIDATION G 01 FASH
1-7-?-X0
If 76A638A CE/803A 8/77 7� ��