HomeMy Public PortalAbout5730-5730 1/2 NOEL DR_Building__ 1 `
DI1�SIZ�AMENT �II.A� i BUILDING
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CASSATT D SRIFFIN SUP T OF BMLDINO
FOR �ANUCAM TO FILL IN FOR OFFICE USE ONLY
ADD 910 II e/gk � DIB NO Z76
R Rac � PERMIT NO
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FIRE NO OF UP
ENGINEER O l
NO, ZONE PLANS O
ADDRESS BLDGORD NO
SETBACK LINE "h o"d.-
1490LUSE C- APPROVED
CONT ZONE BY DATE
ADDRESS 4
HOUR NUMBERING
LEGAL MAP NUMBER O ASSIGNED BY
DESCRIPTION I UA& 6y BLOCK
COSSECTIONS
TRACT
SIZE OF LOT i lt.i NOOW olrmuLLODTO �v
USE OF NO OF
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D�CH>P'MN OF WORE O -
NEWALTI RATI N ADDITION Q
REPAIR DEMOLITION Z
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SQ FT No OF
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USE OF STRUCTURE
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INSPECT R 8 SIGNATURB DATE
i
J FOUNDATION LOCATION
FORS MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 BRACING BOLTS
CORRECT
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE
DUCTS N 7 y
AND STATE LAWS RSULATINS BUI G NSTRUCTiON
LATH INT
SIGNA'RIRg OF� Gr/r'i
Joe-
PERM
LATH EXT
ADDR
PLASTER INT
AUTHORIZED AST
PLASTER EXT
IN$ RAS sl HOUSE NUMBER COR
RECT AND POSTED
VALu IONFgg i ,°,� FINAL
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7"686A =8 8 w .
FOR APPLICANTOTO FPILLrI�+t O e only)
LDI NG PERMIT
BUILDING - COUNTY OF LOS ANGELES
ADDRESS 9Z7 qn DEPARTMENT OF COUNTY ENGINEER
CITY TempleCity ZIP / 80 BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LJpTiC1Wx NOW ON LOT ADDRESS
V30 N- Noel Th--
-IFRAWg!�� rK J LOT h LOCALITY Tonle Cilly
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OWNER Re Norton NOLLE -8 6 CROSS ST
ASSESSOR
ADDRESS 5730 N. Noal Dr. MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRErPCE SED BY
CITY ZIP CONSTrI ZQNEX
ARCHITECT OR TEL ��- 3
ENGINEER NO
STATISTICAL CLASSIFICATION WEIR M
ADDRESS CLASS NO Z t DWELL UNITS BK rPPG
CONTRACTOR pa TEL Ej
MAP /�
NO V
ADDRESS NLIC
O SPECIAL
CITY LIC CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING O
O
SQ FT NO OF NO OF CHECK HIGHWAY t YARD _- HIGHWAY WIDTH �
SIZE STORIES FRONT PROP LINE FAMILIES ONE O
DE CRIPTION OF WORK NEW C3t `�`)
DD BLDG SETBACK FROMAi ti
SIDEPROP LINEOF (STREET)Lf 4L Z
�LTER HIGHWAY t YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
EPAIR❑ SIDE PROP LINE HIGHWAY WIDTH
USE OF EXISTING BLDG EMOL 1:1t
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO
IN OPEN SPACE YES ❑ NO
BY (SIGNATURE) ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATION60 CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPEN AT10 INSUR N E
SIGNATURE OF
PERMITTEE
ADDRESS
FINAL Y
CITY NOL DATE
%S IRE C HL(KS Y 11ABLL 10 FEE $ FEE $
HARVEY T BRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M o CASH
349;!" 5 1ID T4 9.00 ,498
76AG38A CE#803 12/72