HomeMy Public PortalAbout8855 HERMOSA DR_Building__ APPLICATION FOR BUILDINd;Ekf4llt - C_( �j
FORIAPISLICANTTOFILL IN (PTim., fYPBGOIV) TEMPLE CITY
B"L"" 8&55 [ter-mora SDK OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
CITY ZIP BUILDING AND SAFETY DIVISION
NO.OF BLC)GS: _ BUILDING
SIZE OF LOT NOW ON LOT 3 ADDRESS
TRACT ZIQ BLOCKft� /_3 LOCALITY ]
NEAREST —0
OWNE�UdOIf Se NO286--5226 CROSS ST.
C L1 ASSESSOR
ADDRESS 8855 He MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE PROCESSED BY
CITY Tomnlo rityZIP r� CONST ZO
ARCHITECT OR TEL. SAO� .� r/;,�
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO._2_j__DWEl_L.UN?TS7 PC 10
CONTRACTO HF� I- D NEO _ USE ZONE MA
NOP 2 O
ADDRESS 521 GA Valle Bl NO`186086 �� 1 SPECIAL
CITY LIQ CONDITIONS
San rabripl CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITU
SOHIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING
. . NO. FRONT PROP. LINE HIGHWAY WIDTH
SIZEFTSTORIES OF NO. OF CHECK FAMILIES ONE
_ Y
DESCRIPTION OF WORKNEW
❑ + O
re-.roof
ADD ❑ SLOG.SETBACK FROM U
ipglhouse onit compo sh SIDE PROP. LINE OF (STREET)
�TER �❑I HIGHWAY } YA Rp = TOTAL SETBACK FROM TYPE OF EXISTING V
REPA19 xl SIDE PROP. LINE HIGHWAY WIDTH W�
USE OF } = H
EXISTING BLDG. DEMOL ❑ - Z
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
IPRINTI H NO.
BY (SIGNATURE)' Y IN OPEN SPACE YES ❑ NO ❑
� IN COASTAL PERMIT ZONE YES c] NO C]
VALUATION•,_ 7
3 / (/q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT,ANO AGREE TO COMPLY
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- NO 11VS 95�_ T1ON G{3yLL"� ,
STRUC TION, I CERTIFY THAT IN DOING THE WORK AUTHORRED
HEREBY WILL NOT'EMPLOY ANY PERSON IN VIOLATION OF THE �/�� r�
LABOR CODE OF THE STATE GF CALIFORNIA IN RELATING TO /T��G�CYJZS �yIE^f.��' 11 Al
WORKMEN'S COMPENSAT ON I ' RANGF�. �^ /�
SIGNATURE OF� – / � _ /G.�, II�_� L=7'V
PERMITTEE
ADDRESS
CITY San Gahri;el , Ca . NO.. 288-404 DIATE NAL BY
v
,HAKE CHECKS PA)ABLE 7'Or FEE'$ FEE $
HARVEY T. BRANDT, COUNTY ENGINEER :9 .00
PLAN"CHECK VALIDA ON CH. M.O. c.sH _ PERMIT VALIDATION «. .,0. CASH
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