HomeMy Public PortalAbout5312 TEMPLE CITY BLVD_Building__ 51 APPLICATI&I" BIJIL"UING PERMIT
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BUR. Nc COUNTY OF LOS ANGELES
ADDRESS 532 re C,�T V0 DEPARTMENT OF COUNTY ENGINEER
CITr L�/ Ci ZIP BUILDING AND SAFETY DIVISION
NO OF SIZEOFLOT��L a 7 z NOW ON OT � ADDRIBUILDE55
TRA g" 2'I BLOCK LOi O LOCALITY
TEL '1p. (� NEAREST
OWNER K D . NO}.W,-01O CROSSST
ADDRESS S� TGAVJ Ce C,T B 1-V.0 MAP BOOK _ E PARCgh
v—Fem % ZIP 7 LO DISTRICT GROUP TTY FIRE E P ED BY
ENGINEER ITECT O . 1 NO 6'4 iO 7 S Q CON
ADDRESS s31a T C j t (� STATISTICS CLASSIFICATI N SEWER MAP
"�L�V CLASS NO =DWELL UNITS � BI/�-{G
CONTRACTO c u � Oa � �ys�j E NO PE
LIC
ADDRESS -5o)
C.• NO AL
/` LIC DI TIONS
CITU 'NC ` CLASSCONROAD DEPARTMENT APPROVAL REQUIRED YES NO
STAUCTFON LENDER
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY
HIGHWAY + YARD TOTAL SETBACK FROM TVPEOF EXISTING
SO FT NO OF NO OF CHECK FRONT PROP LINE HIGH Y WIDTH
SIZE STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ + O
BLDG SETBACK FROM n
rr( ADD pp�I SIDEPROP LINE OF ISTREETI O.
ALTER py TO SETBACK FROM TYPEOF EXISTING
USE OF REPAIR
❑ HIGHWAY + YARD = IDE PROP LINE HIGHWAY WIDTH H
L Z
EXISTING BLDG �0• L�• DEMOL ❑ +
APPLICA . TEL CORNER CUTOFF YES NO ❑
WR INTI 0 N
IN OPEN SPACE YES O ❑
BY ISIGNATUR
IN COASTAL PERMIT ZONE Y ❑ NO
VALUA .rw ,.,r AI' `,
HEREBY ACKNOWLEDGE THAT I HAVE READ NIS APPLICATION AND STATE Z y ar` /V �D �� I � 4�,,
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCE
AND LAWS REGUTATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WOII K ALT HOOZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN SWM
PENSATION INSURA /
SIGNATURE O
PERMITTEE
ADDR L I I
TEL /O FINAL BY
CI N DATE
MAKE
RANDI S PAYABLE E PC
MARVEYT BRANDY COUNTY ENGINEER FEE
PLAN CHECK VALIDATION cm M o cwaH VALIDATION cH o a H
1 6 4JUL1 1 ® 3 52 5 •%
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