HomeMy Public PortalAbout4801 RIO HONDO AVE_Building__ F AoBe.e APPLICATION FOR- BUILDING PERMIT
DIVISION OF BUMDING AND SAFETY BUILDING
Deportment of County Engineer ADDRESS
County of Los Angeles LOCALITY /, c
JOHN A:LAMBIE.COUNTY ENGINEER NEAREST,
CASSATT D.GRIFFIN.SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DIST NO. GRo;�P TYPE SEWER. MAP
PG
`vJ CONST,
BUILDING
w MAP STATE
ADDRESSel� NUMBER HWY YES N
LOT NO. BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT
o
a.
NS.
+ O.OF BLDG
SIZE OF LOT l h--4 /� D �� NOW ON LOT BUILDING EXIST.YARD HWY STREET NAME•
USE OF
SETBACK WIDTH
FRONT
EXISTING BLDG. 0-, /�„ / FP.L.
I OWNER PIDE j Ito �.O
MAIL e p4 aW/�
2v—
ADDRESS +�°/J ��° �Jd" ryryI� �I{dC�'I° J�bl/`.- O 'TRACT DWELL. 1 UNIT
CITY .� j�j^ TEL.NO. °�, 1 'DWELL. 1 UNIT 5 INDUSTRIAL
6- PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 2 UNITS
ENGINEER NO. 3 APT. 7 ADDN.,,ALT., ETC.
UNITS -
ADDRESS 4 COMMERCIAL
CONTRACTOR NOL
.' INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW AD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OAK-
or
APPLICANT ! �`� ° APPROVALS
ADDRESS h/r /` r �, '� Qj DATE INSPECTORA.SIGNATUIF
$
FOUNDATION:LOCATION. �r.� FEE• $ FORMS.MATERIALS
FRAME: FIRE STOPS.
VALUATION $ / BRACING.BOLTS ��/ :• ' IJ,�
REE FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT:
AND STATE LAWS REGULATING. BUILDING CONSTRUC-
TION. LATH. EXT.
SIGNATURE OF / HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
' ADDREs FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR
GK MO• /CASH)-AGO 6 5 9 U° J1Jlm 1 1 2.0 .0 to
APPLICATION FOR COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
i �E Q I L D I N G PERMIT BUILDING AND SAFETY DIVISION
BUILDING
FOR APPLICANT TO FILL IN ADDRESS 8
ADD EISS 4801 Rio Hondo _
LOCALITY
CITY Temple City ZIP 91780 NEARESTCROSS ST. L
NO.OF BLDGS. ASSESSOR
SIZE
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PA EL
DISTRICT I GROUP ITYPE FIRE P O E SED BY
TRAC� .� -� BLOCK LOT NO. 0 �� 0 p 3 CONST.v ZpLIE
OWNEAalph K. Wise I TEL286-726i U x.77
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 4801 Rio Hondo CLASS NO.�DWELL.UNITS j7-8z G
CITY Temple City ZIP 91780 Ub %ONIP
NOA O
ARCHITECT OR TEL. SPECIAL a�
ENGI NEER NO.
Z. I)N DI TI ONS
ADDRESScanLey ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CON4%P19 35 ru .S No 287-9744 BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRES 3- TemAleCit NO 104325 HIGHWAY + YARD - TOTAL SETBACK FROM TYPE OF EXISTING
CITY FRONT PROP. LINE HIGHWAY WIDTH
Te le Cit " °CLASS B-1
CONSTRUCTION LENDER + ,"v = .2--<9 L'
NAME AND BRANCH BLDG.SETBACK FROM C
ADDRESS CITY SIDE PROP.LINE OF (STREET) C
SQ. FT/ NO. OF NO OF CHECK HIGHWAY F YARD 7- TO TAL SETBACK FROM TYPE OF EXISTING O
SIZE / STORIES 1 FAMILIES 1 ONE u f1 SIDE PROP. LINE HIGHWAY WIDTH
DESCRIPTION OF WORK NEW ❑ r + �v 14
GJ O
co
Bedroom Addition ADD :9 CORNER CUTOFF YES ❑ NO ❑
ALTER ❑
REPAIR❑ IN OPEN SPACE YES 13N0 ❑
USE OF IN COASTAL PERMIT ZONE YES C] NO ❑
EXISTING BLDG. Dwelling DEMOL ❑
AP PRIN)"Amer'c nBuil�' rsN& 87-9744
BY (SIGNATU E
1 HEREBY CKNOWLEDGE THAT I HAVE READ APPLICATION
AND STATE T T THE ABOVE IS CORRECT AND AGREE TO COMPLY /
WITH ALL OR INANCEB AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE 0 THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COM NSATION,I NSURANC XBYM4,a_f
SIGNATURE p I erlcan builders FINAL 0 �
PERMITTEE �v' DATE
ADDRESS 58 9 Te 1e Cit Blvd.
CITY Temple City rTioL`Z87-974 P.C. Fee$/ � Per it Fee 0
@ �y Issuance Fee
VALUATION$jj f 70. 8�
V Total Fee
PLAN CHECK VALIDATION CK. M.O. CASH ® PERMIT VALIDATION CK. M.O. CASH
z 5 6 JUN 28 1. 0 -9 7.0 0 ,&,k
3b
76AG38A CE#803B 12/75