HomeMy Public PortalAbout5931 AGNES AVE_Building__ 1
APPLICATION' FOR BUILDING PERMIT
FOR APPJ ICANT TO FILL IN (Print or type only) I a
BUILCOUNTY OF LOS ANGELES
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ADD ESS DEPARTMENT OF COUNTY ENGINEER
CIT ZIP J o BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LOT NOW ON LOT ADDRESS
r
TRACT BLOCK LOT NO LOCALITY
EL NEAREST
OWNE NO CROSS ST
ASSESSOR
ADDRESS - ` MAP BOOK n PAGE PARCEL
DISTRICT GROUP TYPE FIRE PR SED BY
CITY
ZIP-912e JOS CONST ZO,t
ARCHITECT OR/, TEL
ENGINEER At NO STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO DWELL UNITS B/� PG
TEL
CONTRACTOR to 14 1 jq e leNO USE ZONE NO
LIC ,
ADDRESS NO SPECIAL -
LIC CONDITIONS
CITY _ CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION LENDE !,
NAME AND BRANCH Lm BLDG SETBACK FROM
FRONT PROP LINEOF (STREET)
ADDRESS CITY A
HIGHWAY + YARD __ TOTAL SETBACK FROM TYPE EXISTING
SQFT NO OF NO OF CHECK FRONT PROP LINE HI AY WIDTH
SIZE O ISTORIES FAMILIES ONE
DESCRIPTION OF WORK NEW ❑ + OU
ADD BLDG SETBACK FROM cx
SIDE PROP LINE OF (STREET) O
ALTER ❑ TOTA ETBACK FROM TYPE OF EXISTING w
HIGHWAY + YARD = E PROP LINE HIGHWAY WIDTH N
USE OF REPAIR ❑ Z
EXISTING BLDG DEMOL ❑ +
APPLICANT TEL O CORNER CUTOFF YES ❑ NO ❑
(PRINT(
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE(
- IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION$
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAJINGHE
ATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH CES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THTHE
WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IOF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WOM F
PENSATION INSURANCE ^
,
SIGNATURE OF
PERMITTEE
ADDRESS
FINAL l BY
/ TELDATE
CITY NO
PC MAKE CHEC PAYABLE TOF E $ FET $HARVEYT BRANDT COUNTY ENGI9"::2 l
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK MO CASH
634,wOCT 14 gl 8925 ® 0
®s 76A638A CE 0803 3 75
1
.. COUNTY OF LOS ANGELES TEMPLE rj TY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9611120007
PHONE (818) 285 0488 EXT
LEGAL ID NO OF CONSTIL G ADDRESS
TR 6561 LT 66 SQ FT STORIES TYPE 5931 AGNES AV
STRUCTURE 1677 V TEMP CA 917802218
ASSESSOR INFORA NEAREST CROSS STREET LAS TUNAS
8587 026 007 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID USE ZONE R 2 ISSUED ON PROCESSED BY EXPIRES 0
EXIST OCC GRP 11/12/96 TC 11/12/97
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
DIEP, NHA W (818) 572 9931 1 750 Al5931 AGNES AVE A
TEMPLE CITY, CA FEES PAID DESCRIPTI01 WOR
MOVE DOOR TO THE SECOND RIGHT W NDOW AND MOVE WINDOW TO
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT TEL NO
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 750 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/0 EN,HC- r,750 00 VAL 65 25 ll= TOTAL F�E�ES� 93 50
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO C LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH
LIC NO t� SLAB/UNDER FLOOR
9
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP p U L�c vv 0� UNDERFLOOR INSULATION
150H269 3 01 _
NO OF FAMILIESDWELLING UNITS APT/COND STAT APT/CCLASS � OO � �� � J � FLOORS E I
ffg-
NO 21 ROOFISHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS 0 F
NO NO NO O� C,\N FRAME INSPECTION Z �
REQUIRED TOTAL SETBACK FROM EXIST
SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH o
FRONT PL �G 1 (ra I SULATION/u ATHER STRIP
SIDE PL �a
INTERIOR LATH/DRYWALL �31
EXTERIOR LATH ��9G
RATED FLOOR CE
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508