HomeMy Public PortalAbout6032 OAK AVE_Building__ City of Temple ROSPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
BUILDING COUNTY OF LOS ANGELES
ADDRESS 0032 No. oqk A3w, DEPARTMENT OF COUNTY ENGINEER
CITY Temple City ZIP 21-7190 "BUILDING AND SAFET DMSION
NO.OF BLDGS. BUILDING '7
SIZE OF LOT NOW ON LOT ADDRESS D13�G r
TRACT BLOCK I LOT NO. LOCALITY
OWNER MrS. SOSO TEL 8 NEAREST
No. 286-o448 CROSS ST.
ASSESSOR
ADDRESS 6 T it Ave, MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE OC SSED Y
CIT y ZIP CONST- ZONE
ARCHIT TOR T L. I,.�;Ug _!
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER
ADDRESS CLASS NO. e2_1 DWELL.UNITS B PG
CONTRACTOR lhamb CNO7982-TEL USE ZONE NO C3
IC
ADDRESS 72 sop MarengoV LO. 2,�1_7,0�CONCIAL
DIT ONS
CITYLIC.
Alhambra Califo $1963CLASS ROofin ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETBACK FROM
FRO PROP.LINE OF (STREET)
ADDRESS CITY HIGHW Y + YARD - 'TOTAL SETBACK FROM TYPE OF I EXISTING
SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAYI WIDTH
SIZE STORIES FAMILIES •ONE
DESCRIPTION OF WORKRe-roof Patio NEW ❑ + C.;ADD ❑ BLDG.SETBACK
jd/ 90# nailed on. SIDE PROP.LINE OF (STREET) C
LTER ❑ HIGHWAY + YARD !SET FROM TYPE OF EXISTING L
[REPAIR® SIDE PROP. LINE HIGHWAY WIDTH LL
USE OFEXISTING BLDG. EMOL ❑ +
Z
APPLICANT TEL CORNER CUTOFF YES ❑, NO ❑
(PRINT) N0.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO E]VALUATION:$100.vV '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
co N
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CON-
STRUCTION WITH ALL ORDCERTIIFY THAT INANCES AND LAWS
DOING LITHE I WORKNG AUTHORIZED
HE
LABORHEREBCODE OF THE STATE No T EMPLOY ANY
0F -CALIFORNIAIN y INLATION OF RELATIINGT TO GRD�i�� ®—+L4•�7S �,.�
WORKMEN'S COMPENSA.,TIan(1_SUVNC
SIOut
GNATURE OF FFCC FF��
PERMITTEE �7
ADDRESS 11 ►Soo eng0Ave e
TEL. FINAL BY
CITY_ Alhambra, calife NO. 282-!958 DATE
MAKE CHECKS PAYABLE TO: Fee $ FEE $ 3e00
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
9.6-6&OCA 2 2 .
76A638A CE#803 5/74 -