HomeMy Public PortalAbout9611 OLIVE ST_Building__ APPLICATION FOR CITY OF TEMPLE CITY
BUILDING PERMIT -%-tAX-XX. 5908' Kauff an
DUILLJ
FOR APPLICANT TO FILL IN
ADDRESSBUILDING ell-
ADDRE•SS 9Qq 1 0 e• LOCALITY
CITY Temple 1 e. C t t ZIP 917 8 0L CROSS ST.
t
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
TRACT,'!�t+b_�S� DIS ICT GROUP TYPE FIRE rl7:LESS.E
BY(� BLOCK LOT NOf10 CONST. ZONE
TEL. . � , /
OWNER e B E. N r STATISTICAL CLASSIFICA ION SEWER MA
ADDRESS g6,]•], 0 - e CLASS NO. DWELL.UNITS BK PG
CITY Temple CttltZIP W Z NEI NOP D
ARCHITECT OR TEL. SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTORELt .L . R a n d o 1 C,o.NO. 28.8 r4 Q4 BLDG. ETBACK FROM
LIC. FRONI PROP.LINE OF (STREET)
ADDRESS5 2 9_ E NO HIGH AY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP.LINE HIGHWAY WIDTH
CITY $ n5, te CLASS _
CONSTRUCj'ON LENDER t - a
NAME AND'BRANCH BLDG.SET B 8
ADDRESS CITY SIDE PROP.LINE OF (STREET) 0
SQ.FT. NO.OF NO.OF CHECK HIGHWAY t YARD = TOTAL SETBACK FRO TYPE OF EXISTING U
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N
DESCRIPTION OF WORK Reroof
NEW ❑ t = Z_
ADD ❑ CORNERCUTOFF YES ❑ NO ❑
• RETER IN OPEN SPACE YES ❑ NO 1:1
EUSE
X STOF BLDG. DEMOL [:] IN COASTAL PERMIT ZONE YES ❑ NO ❑
APPLICANT TEL �7 4,r
(PRINT) RanNO. w
ol
BY(SIGNATURV4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY WITH ALL ORDINANCES $
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF A&I
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- j� ,y
PENSATION INSURANCE. %) PI fY�OtiI G rYb 1
. 7 r
SIGNATUREFINAL BY
PERMITTEEpaly� DATE �✓q-, 196rR L Z73
ADDRESS 52'9- E
C
ITY NO.
C�aa.rtel C.a. N0.28'8R40.40. P.C.Fee$ Permit Fee 1.5.00
LOPINTERR
GINEERIssuanceFee ]vu�91v�$ (�j
T *TIG; Total Fee
PLAN"'Ft 19AU MT.11MON.L AVGK: .O. CASH PERMIT VALIDATION CK.' no
GASH
5S 76A636B GE®603B 6/77 -Y�r—y3 S/f._.7r !.
TTENTION 3 . i 0 VIP
APPLICATION FOR - CITY OF TEMPLE CITY
BUILDING PERMIT 5908 Kauffman Temple City
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING
ADDRESS LOCALITY Qi
NEAREST
CITY T Up I e C tt y, ZIP CROSS ST.
NO.OF BLDGS.' - ASSESSOR
SIZE OF LOT / NOW ON LOT MAP BOOK PAGE PARCEL
TRACT 76 Z BLOCK. LOT NO, DISTRICT GROUP TYPECONST ZON PROCESSED BY
°OWNER TEL. e 3 NO.
• STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 161-1. 1 b e. ? CLASS NO. DWELL.UNITS BK PG
CITYZIP SEZONE MAP
ARCHITECT OR TEL. - NO
-r /� SPECIAL
ENGINEER NO.
S
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
TEL.
CONTRACTOR a n n NO 4 0 BLDG.SETBACK FROM
LIC. FRONT PROP.LINE OF (STREET)
ADDRESS rj NO. _ TOTAL SETBACK FROM TYPE OF EXISTING
LIC. HIGHWAY +' YARD - FRONT PROP.LINE HIGHWAY WIDTH
CITY SAn 5afttalCLASS- _
CONSTRUCTION LENDER + O
NAME AND BRANCH BLDG.SETBACK FROM U
ADDRESS CITY SIDE PROP.LINE OF ISTREETI mO
SQ.FT. NO.OF . NO.OF. CHECK HIGHWAY + YARD = TOTAL SETBACK FROM I TYPE OF EXISTING U
SIZE STORIES FAMILIES I ONE SIDE PROP.LINE HIGHWAY WIDTH N
G + = Z
DESCRIPTION OF WORK P„C�°O f 6.O LI S e. NEW 11
& garage us-trIg compo ADD ❑ CORNER CUTOFF YES ❑ NO ❑
S�,\ ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
REPAIR
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. IDEMOL
APPLICANTPR NT)'E[o .L, . 'R nd•o 1 No•288 r4 Q4 Q.
BY(SIGNATURE)
• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH.ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
SIGNATUREOFA FINAL BY
PERMITTEE DATE
ADDRESS 5 2 1
CITY San -�a Etr le 1 s Ca EL 2 8'8-4 0•.4 0. P.C.Fee$ Permit Fee r�$e-
7.00
G Issuance Fee
VALUATION$ 6.43,0..0- Total Fee '@' 2 2�110
�,P�CAN F;IE K�V' k rbtNSp ff.GASH _ PERMIT VALIDATION GK. M.O. CASH
DLICY'HOLMRAt6" 1
®s 76A638A , t
GE/803(REV.6/78)
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
bUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING ,/ ,�� ST `�
ADDRESS [e7 �•/ LOCALIT
f` NEAREST
Y
CIT (. C� ZIP CROSS ST.
40.OF BLDGS. ASSESSOR
SIZE OF LOT 7. ny do NOW ON LOT 3 MAP BOOK PAGE PARCEL
DI,VAICT GROUP TYPE FIRE ;PPR:�O�CE�,ED BY
TRAA L-/S BLOCK I LOT NOOK��' Q CONST ZONE
yy��
OWNER 4-AI466'1 UOU0 Z-NO.
//�+I Y. /'T/iyy��fG.15o IZ STATISTICAL CLASSIFICATION SEWER M
ADDRESS/ CLASS NO / DWELL.UNITS B PG
CITY i-7 R-A ZIP //PO
ARCHITECT OR TEL. VALUATION $ U0
ENGINEER NO. I i
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTOR NO. HIGHWAY + YARDTOTAL SETBACK FROM TYPE OF EXISTING
LIC. - FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO. _
LIC. +
CITY L CLASS
CONSTRUC N LENDER BLDG.SETBACK FROM
NAME AND BRANCH SIDE PROP.LINE OF (STREET(
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING �
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH
SO.FT. NO.OF NO.OF CHECK + _ �A
SIZE ISTORIES t� FAMILIES ONE
DESCRIPTION OF WORK /ffv��I 1.iC �l V/WC, NEW ❑ P.C.Fee$ Permit Fee P 7 t3!N T I _4c(�/_OO Boy ABli� ADD a.
❑ Issuance Fee us
ALTER
:JC REPAIR ❑ Total Fee
USE OF DEMOL ❑
EXISTING BLDG. Z
APPLICANTTEL C
(PRINT) 1+106a
► Uii1YJZ NO.Z6'7 /iT7
BY(SIGNATURE) �
I HEREBY ACKNOWLEDGE T A I HAVE READ TNI UCATION STATE Y
THAT THE ABOVE IS CORRECT AGREE TO COMPLY WITH AL DINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THA ING THE _ 2 3 4 2 U A
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z
PENSATION INSURANCE. # 0 0 0 0 0 1
d
SIGNATURE OF 2 ° - 34,00
PERMITTEE
ADDRESSZ o o o 34,006
TEL. 0 0327-79
CITY NO.
D
7guzo MAP NO.71 7
SPECIAL
CONDITIONS ME
FINAL ,./1 j? `?j BY �d�
DATE S I ! 6�0�lp?�