HomeMy Public PortalAbout9501 LEMON AVE_Building__ 4 (l
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APPLICATION FOR BUILDING P RNIIT f]
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO. ADDRESS
HARVEY T. BRANDT, ;COUNTY ENGINEER
LOCALITY _ -
FOR APPLICANT TO FILL IN NEAREST 1•
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��^^ DISTRICT NO GROUP T PE R SSE Y
ADD EBUILDISS `J� a� CONST.
STATISTICAL CLASSIFICATION SEWER MAOP
LOT NO BLOCK //��
CLASS NO.�[LDWELL,UNITS BK PG
TRACT - 13 '- ` U ZONEJ MAP
NO.OF BLDGS NO O
SIZE OF LOT NOW ON LOT s� SPECIAL
USE OF CONDITIONS
EXISTING BLDG,
TE
OWNER BLDG.SETBACK FROM
ADDRESS FRONT PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY e
HI HWAY WIDTH FROM C L.
ARCHITECT OR TEL. } _��
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41G.SETBACK NO.
CDG.SE60 TBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)_f U O
l.G(EL. TYPE OF EXISTING SETBACK HIGHWAY } RO = TOTAL- U
CONTRACTOR ,,, <� ('�O LA 06 HIGHWAY WIDTH FROM C.L
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73 Z.� A— 1 } o•Zt =_v W
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CITY 0-( CLASS •S� CORNER CUTOFF YES ❑ NO ❑ Z
CONSTRUCTI LENDER
NAME AND BRANCH SEE REVERSE S DE FOR SP IAL A P OVALS
ADDRESS
SQ, FT. NO OF NO. OF NEW ❑
SIZE STORIES FAMILIES
USE OF ADD ❑
S UCTURE
s� � ALTER ❑
SIGNATURE OF REPAIR❑
APPLICANT Lv DEMOL ❑
VALUATION $ "--'f
APPROVALS DATE INSP TOR'S SIGNATURE
P.0 PMT FOUNDATION: LOCATION
FEE $ ::"Q d FEE $ /S UD FORMS, MATERIALS 4h 1/7-7
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE- LOCATION,
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
ST RUC TION' I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
O '
LABOR CDE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE LATH, EXT,
SIGNATURE OF'-P_ Qe c, �, - �� HOUSE NUMBER COR-
PERMITTEE —V__ �tyJiY RECT AND POSTED-
ADDRESS i�C� <h L7 �.t./C�' iY -�•d--� C• FINAL - _ \ - 13 ft.�
f 7/� , f
PLAN CHECK VALIDATION CK O - CASH _ •'f, l j'1
Al _ /� PERMIT•�VALIJ.J N \C-KJ M O CASH
? Ap.� 0 g 7 F 3 MAY '7 2 3 D I YA_•v,JI�.O V
�� 1 1 5 473- MM 16 5 ,0O-e
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS, 9071 LAS TUNAS DEMOLITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608070018
PHONE: (818)-28510488 EXT:
LEGAL I . OF CONST B. L .ING_AD RESS•
ON FILE SQ. FT STORIES TYPE U9501 LEMON AV- E
STRUCTURE: 0 TEMP C/1 91780
SOR INFORMATION UMBER: NEAREST CROSS STREET:
5382-013-902 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: SCH00 ISSUED ON: PROCESSED B : EXPIRES-ON:
EXIST OCC GRP: 08/07/96 TC 08/07/97'-
OWNER:
8/07/97'-
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL- B C DE:
TEMPLE CITY UNIFIED SCHOOL DIST 4,000
S PAID b��PT 6F WORK
TANK REMOVAL 500 GALLON WASTE OIL TANK
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: `
AMERICAN ENVIROMENTAL (310) 493-6206- AA BLDG PERMIT ISSUANCE 27.75
02 DEMOLITION INSPECTN 163:50• SPECIAL CONDITIONS:
L �TO7�AJL FEES 191.25
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AMERICAN ENVIROMENTAL MANAGEMENT (310) 493-6206-
10900 LOS ALAMITOS BLVD LIC. NO ///l� PEDESTRIAN PROTECTION
LOS ALAMITOS CA 90720 699003A 0 (/
SEWER DISCONNECTION
ARCHITECT OR ENGINEER: TEL. NO: l4 ABANDON S S
LIC. NO: UNDERGRND STRUCT REMOVAL
AND SOIL RECOMPACTION
MAP NO: SEWER MAP BOOK: PAGE: , FIRE ZONE: CMP: p U L�C VV0 �S `
XXXX 23
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: b ��;. Cl
NO 24 '� 1U O Q :4
SCHOOL HAZARDOUS 0
AIR QUALITY: 1000 FEET MATERIALS �, O
NO YES YES
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REPORT ID: DPR261 ROUTE TO: BS0508'