HomeMy Public PortalAbout5921 RENO AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES
OF COUNTY
BUILDING PERMIT DEPARTMENT
BUILDING
AND SAFETY DIVISION ENGINEER
FOR APPLICANT TO FILL IN ADDRIENSSGC
BUILDING
ADDRESS 5921 Reno LOCALITY—
REST
OCALITY L
CITY Temple City ZIP CNROOSS ST
�l �s 2 .
SIZE OF LOT J SCJ NOW ON LOT MAP BOOK PAGE PARCEL
�'* DISTRICT GR P TYPE FIRE SED
5G Y
TRACT O BLOCK LOf r 3 CONST. ZON
OWNER Robert Bryce NO285-2861 u
STATISTICAL CLASSIFICAT ON SEWER)AP
ADDRESS 5921 Reno CLASS NO. DWELL.UNITS BK ?ZPG
CITYTemple City ZIP EZONE MAAP
ARCHITECT OR TEL. /I �) SPECIAL V
ENGINEER. NO. ���///��` CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR MOntebello Roo "NO'... 722-697 BLDG.SETBACK FROM
pp LIC. FRONT PROP.LINE OF (STREET)
ADDRESS868 68 Truc kwaV NO• 2488 52 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
CITY Montebello cASS C-39 FRONT PROP.LINE HIGHWAY WIDTH
CONSTRUCTION LENDER + O
NAME AND BRANCH BLDG.SETBACK FROM U
ADDRESS CITY SIDE PROP.+INE OF (STREET) 0
SQ.FT. NO.OF NO.OF CHECK HIGHW/A`F + YARD = TOTAL SETBACK FROM TYPE OF EXISTINGtj
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH h
DESCRIPTION OF WORK Reroof existin
NEW ❑ + = Z_
Bldg. with 3-1 asphalt _ ADD ❑ :CORNER CUTOFF YES ❑ NO ❑
S lT1P'1 Ps 240LALTER77❑�-�� IN OPEN SPACE YES El NO [:1USE OF REPAIR U IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTINGBLDG. Dwelling IDEMOL ❑
APPLICANT TEL
(PRINT) NO.
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.
SIGNATURE OF INA -,27-71
PERMITTEE DATE
ADDRESS
CITY TEL NO. 722-697. P.C.Fee$ Permit Fee $ 1 n
mUU
!E' no Issuance Fee
VALUATION 7 � UQ
r Total Fee 25.00
PLAN.-CHECK VALIdMIdN0Afo PEtNSAMON _ PERMIT VALIDATION CK. M.O. CASH
1"10LICY HOLDER:--,
.�.v7V .608
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