HomeMy Public PortalAbout6025 MUSCATEL AVE_Grading__ An,TGE.� APPLICATION FOR GRADING PERMIT 1
COUNTY OF LOS ANGELES SITE
DEPARTMENT OF COUNTY ENGINEER
ADDRESS
y
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. Su'T of BUILDING NEARECROSSST. L'
FOR APPLICANT TO FILL IN MAP NO. , / STATE HWY. PRogEssFD DISTRICT No. '
SITE r 7 / YES❑ NO -. BY
ADDRESS 6025 N. Muscatel Avenue USE ZONE SPECIAL
LOT \ CONDITIONS
NUMBERS San Gabriel BLOCK 1
TRACT
umeFR Tr, No. 29922
SET BACK YARD HWY. STREET NAME EXIST.
OWNER John Bur hardt WIDTH
ADDRESS 12 Halsted, Alhambra FRONT P.L.
TEL. SIDE P.L.
CITY NO. 282-7733
STATE O SURETY BOND
ENGINEER Hillcrest En REG. NO. 1032 BOND NO.
SURETY
ADDRESS
30 Santa Clara Arcadia COMPANY
SU P'V'G. GRA D•G. STATE DATE RECD.
ENGINEER Karel H. Ton le�EG. No. 1832 FILED BY
CASH �. - RECD. DATE
ADORESs30 Santa Clara Arcadia DEPOSIT S, BY - ! FILED"
GRADING TEL
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK _ �-
Lot Grading Tract No. 29922
CHECK IF SUPERVISED GRADING Imo; ' -•
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SIGNATURE
OFAPPLICANT
ADDRESS -
NO. OF CUBIC YDS. HANDLED:
2500 FEE 18 ._75 ..-
S
I HEREBY ACKNOWLEDGE THAT iHAVE READ THIS WORK TO BE COMPLETED WITHIN `DAYS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FINAL CONTOUR DATE INSPECTORS SIGNATURE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES MAP FILED
SAND STATE LAWS REGULATING EXCAVATING AND GRAD-
ING. FINAL CFRTI F.
OF ENG'R RECD. -/
SIGNATURE OF �^"oRK T CT
PERMITTEE COMPLETED
SUQETY BOND
'ADDRESS RELEASED
CLYDE N. DIRLAM, PRINCIPAL ST UCTURAL ENGINEER
PLAN CHECK VALIDATI CK. M.O. CASH PERMIT VALIDATION cl M o CASH
70 7 4 'AY r:J a2) 9 9 7-0 U. r A 2 Z UP EIN 23 9 o �
2 9 9 8 ;'N 2 3 4 A 1 8.7 5