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HomeMy Public PortalAbout6242 TEMPLE CITY BLVD_Building__ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (P,..t 0, type mIV) BUILDING L COUNTY OF LOS ANGELES ADDR ss DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SAFETY DIVISION Y / NO OF BLDGSBUILDING SIZE OF LO S NON ON LOT ADDRESS G !37 PD+ r 1 TRAC74, B LOT NO LOCALITY TEL NEAREST OWNE O CROSS ST ASSESSOR ADDRESS C t MAP BOOK PAGE PARCEL DISTRICT I GROUP ITYPEFIRE SSED BY CITY '� ZIP LL CONST ZONE ARCHITECT L —5 06 ENGINEER NO STATISTICAL CLASSIFICATION SEWER MA ADD RIESS 6,1 AA CLASS NO DWELL UNITS �— BK2-6PG CONTRACTOR TEL U E ZONE MAP �3 NO LIC ADDRESS NO �3 SPECIAL CITY LIC CONDI TIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SQ FT NO OF NO OF CHECK FRONT PROP LINENeC HIGHWAY WIDTH SIZE STORIES FAMILIES ONE Yy NEW DESCRIPTION OF WORK C> OD BLDG PROP ACK LINE F Ct SIDE PROP LINE OF (STREET( CC ALTER OTAL SETBACK FROM TYPEOF EXIBTI NG FGF- ' HIGHWAY } YARD = C„0 REPAIR SIDE PROP LINE XIGNWAV WIDTX y� _ d USE OFvs EXISTING BLDG ENOL ❑ } Z APPLICANTIf TEL ^�y O� CORNER CUTOFF YES ❑ NO ❑ (PRINT) 0 �(S BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ ( IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION Y 0 2-2 {V I HENLEY THAT THE ABO THAT 1 HAVE, NAND TRIS APPLICATION [� AND STATE TNAT TME ABOVE ID WS RCT AND ADN[[ TO COMPLY Or WITH ALL OI CERTIFY AND LAW! IN REGULATING K AUTHORIZED COM- 7. -'/ N HTRUC TION I CNoTIIY THAT IN DOING THE WORK AVTXOF ZED N[N[eY I WILL NOT EMPLOY ANY PERSON IM VIOLATION 01 THE LABOR CODE OF T [ STAT[ OF CAL+FDN171AjATINO TOL��1WORKMENEOMPEATION SIGNATURE OFPERMITTEE ADDRESSTELO FINAL �� BY CIT NO DATE F- ur t L %IAE CHECK P1)AHLE 70 FEE $ CCCJJJ FEE •S PVT HARVEY T BRANDT COUNTY ENGINEER ` �U !QBD PLAN CHECK ATION j CAR. PERMIT VALIDATION CB> o p.. 958 f2 3 •� ? 252PMt 10 1 U 255.00A%o $. ..� Ce::..:0 2 3 0 1 0.8 0 0� - - - © � C' APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Prl Ot 01 type oDIY) ADDRESS Lom COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CITY _ 22 - ZIP `J(7 U BUILDING 7 AND SAFETY DIVISION NO UP LDING IZE OF LOT O1-30 X� / NOW ON OTS ADDRESS 6Z Z ✓ /ri - 37 D-L p1-407,V E/V 1-1- L T G_ mo BLOCK LOT NO LOCALITY TEL // NEAREST OWNER - NO bGQ CROSS ST S ((QQ 1 ASSESSOR ADDR U L Cf QJ- MAP BOOK PAGE PARCEL /� (STRICT GROUP TYPE FIRE ESSED BY CITY C ZIP (� CONST ZONE ARCHITECT OR TEL Z o- 3 ENGINEER NO 40 STATISTICAL CLASSIFICATION SEWER P ADDRESS CLASS NO _ DWELL UNITS:L Z BKz PG CONTRACTOR NO TEL USE ZONE MAP LIC NO ADDRESS NO �--� SPECIAL CITY LIC CONDI TIONS CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINEOF (STREET) ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING SO FT NO OF ij NO OF �{ CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE GU STORIES LI ES ONE DESCRIPTION OF WORK o EW ❑ + O OD ❑ BLDG SETBACK FROM V SIDE PROP LINE OF (STREET) G [TER HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF 1EXISTING U REPAIR❑ SIDE PROP LINE HIGNWAV WIDTHUSE OF 1 EXISTING BLDG ^S NCI- EMOL + _ APPLICANT ^/�1� J T / CORNER CUTOFF YES ❑ NO (PRINT) LYS BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATIONS eI HEREBY cACKNOWLEDGE THAT I HAVE READ APPLICATION THIO AND [TATE THAT THE ABOVE 0 CORRECT AND AGR[[ TO COMELY WITH ALL OAND LAWS REGULATING ECOM- HTRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZ HC [lY I WILL MO [MFLOY ANY PERSON IM VIOATION OF THE LAA.Ro.[ [ LSTAT[ Of CALL ATI NO a WORKMENfCOM, ATIOX IASURA SIGNATURE OF SI / L -/o-7 s- Y/.(- '/ COo PERMITTEE (11 ADDRESS U CI NO d-�L V 1. G DIATE BY y� ,IA hE CNE'ChS P.1)AULE 10 FEE V FEE-�C-. PLAN T BR�A}[N�DT, COUNTY ENGINEER }�p��[� �}� r LMY\ \I[1GCB VAlYY N CX M O CAIN (AQ[l�1{L VAIMATIO CN Y O CApH 9 1 4 tntl 29 2 5.0 0 0 \,/ 1 76A[39A CIZASOS f/v 9 1 5n tAN Gy "1 U 1 .� 1111 ��