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Home My Public Portal About10218 NADINE ST_Building__ APPLICATION FO C O OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING10218 E. Nadine St. ADDRESS LOCALITY CITY Temple City ZIP NEAREST CROSS ST �+y NO OF BLDGS ASSESSOR SIZE OF LOT rX)C IM NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PRO SSED BY TRACT 62 BLOCK LOT NO CONST OWNEITOhri Sampson NDL444-6 2 s 3 p �r STATISTICAL CLASSIFICATION SEWER MA ADDRESSL0218 E. Nadine St- CLASS NO 2 t DWELL UNITS BK G CITY Temple CityZIP USE ZONE MMAP OARCHITECT OR TEL ECIAL ENGINEER NO ONDITIONS ADDRESSROAD DEPARTMENT APPROVAL REQUIRED YES C] NO CONTRACTDX cft:ebello Rfg. TE!j22-6975 BLDG SETBACK FROM p 1�.�' J�p p FRONT PROP LI NE OF (STREET) ADDRESS 868 Truckwa N0�2488 HIGHWAY t YARD TAL SETBACK FROM TYPE OF EXISTING LIC F NT PROP LINE HIGHWAY WIDTH CITY Montebello A CLASSC-39 CONSTRUCTION LENDER + - NAME AND BRANCH BLDG SETBACK FROM ADDRESS CITY SIDEPROP LINEOF (STREET) v SQ FT NO OF NO OF CHECK HIGHWAY + YARD = TOTA BA ORdM TYPE OF EXISTING d' SIZE STORIES 1 FAMILIES ONE SID P OP INE HIGHWAY WIDTH O lj�DESCRIPTION OF WORK nOX EW ❑ + _ 1 H ld with asphalt 139 ❑ CORNER CUTOFF( YES NO ❑ ALTER Cl EPAIR® IN OPEN SPACE YES NO EXISTING BLDG dwellingEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO APPLICANT TEL (PRINT) NO _ Z. BY (SIGNATURE) 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY 9 34 00 WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON 1 STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED 0 HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR WORKMENODE OF THE 3 C MPENSATSTATE Of NSURANCE`IFORNIA IN RELATING TO 1-114-78 SIGNATURE OF FINAL&17 BY// l1��j.v�� PERMITTE ADDRESS u00 TrUe DATE CITY Montebello No` C Fee$ Permit Fee 2 .00 Issuance Fee Q VALUATION$2 G 000.00 Total Fee Joz NqA' FoL4ASH PERMIT VALIDATION CK MO CASH 1. 1 POLICY HOLDER:� ' �--- - -- r ' r 088 i 25M HET9 6-" DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERDW COUNTY OF LOS ANGELES S ® ' WM J FOX OHIEI ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY h� / �� `� DISTRICT NO PLAN OK NO PERMIT NO BUILDING ;( 6 N s_ �S 3 3, ADDRESS ]� LOCALITY � LSE C i RE IV NY DATE OI APPL DATE ISSUED SS 8T p. � i y �' z • BUILDING OWNER /LL/� + ��I�f� p ADDReM L.: AD MAIL REM 14jl.,I oT• ��J vAeIjl ,AIS► LOCALITY G� CITY TEL •3/8 NEAREST NO CROSS BT 014 ARCHITECT bm RINE NO NS TYPE GROUP TEL ZONE PLANS ENGINEER NO BLDG p ORD ND SETBACK LINE / CONTR CTO ` ��ii/�+`�/ �N�I-' 3�g BYPROVED DATE 4�i9J TIKE,/ T c UBE� ./ APPROveD ADDREM J�4 ZON ( BY DATE LEGAL DESCRIPTION I LOT NO /' I BLOCK CORRECTIONS TRACT / (f 2 s -f 4 I� NO OI BLDB SIZE OR LOT �/ 0 I NG OW ON LOT UBE 01 NO OI NO OI EXIBTING BLDG IAMILIM ROOMS DESCR TION OF WORE � v.v w.o;t NEW ALTERATION I ADDITION REPAIR MOVING DEMOLISH B Bq IT / Af ND 01 / SIZE �` eepp��ROOMS STORIES WALLIor COVERING Lgft + COVERING UBE Or NEW BUILDIN AAW v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION, IN PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY O DINANCEB FCRMB, MATERIALB ,�917t AND STATE LAWS REO LATINO BUI NO CO RUOTI FRAME FIRE BTOPB, op SIGNATURE 01 BRACING BOLTS G X47 y OWNER �V LATH, INT AUTHORIZED AMT LATH, EXT a�f S / APO P C O3 PLABTER� INT 6 O FEC .& PLABTERt EXT000, 7 FEE �o VALUATIDN FINAL ,Q� 'J#� 4 78AVDA CE«BOSIS 64 APPLICATION FOR BUILDI PE MIT COUNTY OF LOS ANGELES BUILDING DEPARTNIENNT OF COUNTY ENGINEER ADDRESS I BUILDING AND SAFETY DMSION LOCALITY ` JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DIS T O ORO TYPE BY" FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL A�CIPICATION S MAPADDRESS CLASS NOWELL UNITS B PG L� LOT NO 2 BLOCK USE ZONE MAP No ::2100 TRACT '1 SPECIAL CONDITIONS SI2E OF LOT S ZQ 1 NOW ON LOTS USE OF BLDG SETBACK PR IM TEL FRONT PROP LINE OF (BTREET) OWNER/�/ NO TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL MC ADDRESS _ + CITYBLDG B BACK ROM ARCHITECT OR TE SIDE PROP LINE OF (STREET) ENGINEER NO TYPE OF E%IST ING SETBACK HIGHWAY + YARD = TOTAL ADDRESS NIGHWAY WIOTH FROM C L d TEL + = 0 CONTRACTOR ADDRBSS NO CORNER CUTOFF YES NO O CITY 716 LICOql SEE REVERSE SIDE FOR SPECIAL APPROVALS li W DESCRIPTION OF WORK7. _ z _ NEW AD ALTER REPAIR DEMOLISH SQ PT NO OR NO OR SIZE STORIES FAMILIE USE OF a RA 0 STRUCTURE '� Sit?AO sem-- c.,C4'a SIGNATURE OF ` �ti VO / T O APPLICANT C VALUATION$ SIF -ro �� ADD�O� ,a r APPROVALS DATE INSPECTOR 3SIGNATURE P C PMT FOUNDATION LOCATION r FEE$ FEE$ V�/ FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACINO BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS OUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CDOC OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN B COMPENSATION IN AN CE LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE R AND POSTED ADDRESS Fl NAL JOHN F LEWIS IDRIINC�IPP}AL STR URAL ENGINEER PLAN CINCH VALIDATION CK M 0 CASH PERMIT VALIDATIO CK M 0 CASH . 1Lo44aZ�g AM 500— c