HomeMy Public PortalAbout5941 AGNES AVE_Building__ Temple City
76A638A CE#8033 66, APPLICATION FOR BUILDING PERMIT
-COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTMENT OF COUNTY ENGINEER 4
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST _
COLEMAN-W JENKINS SUP T OF BUILDING CROSS ST
DISTRI T y,Q_ GRQ�.LP TYPE P CES E BY,
FOR APPLICANT TO FILL IN 1V O(/ Z CONST,
BUILDING pp �� �• per_ �+ STATISTICAL CLASSIFICATION r SEWER MAP
ADDRESS 1 C\ nes S 9vt T C CLASS NO DWELL UNITS BK L PG
a
LOT NO BLOCK USE ZONE MAP
d NO
TRACT �j S SPECIAL
NO OF BLDGS CONDITIONS ° I
SIZE OF LOT NOW ON LOT
USE OF
BLDG SETBACK FROM
D TEL FRONT PROP LINE OF (STREET)
OWNER Geo. Roe NO TYPE OF EXISTING SETBA HIGHWAY + YARD TOTAL
ADDRESS l A nes St. HIGHWAY FROM C L
CITY
ARCHITECT R TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD- _ _ TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL +
CONTRACT O -4040 1
ADDRESS 2 E.Valle NO 1 CORNER CUTOFF YES NO C
CITY LICAss SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
LL
a
NEW ADD ALTERREPAI DEMOLISH z
SO FT NO NO OF r
SIZE STORIES FAMILIES I s
USE OF 7
STRUCTURE r '
SIGNATURE OF
APPLfCANT
VALUATION$ 00 APPROVALS DATE INSPECTOR SSIGNATURE
P CPMT nFOUNDATION LOCATION
FEE$ FEE$ 6 JDFORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDt NG CONSTRUCTION 1 CERTIFY THAT IN ING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY A P SON IN VIOLA LATH INT
TION OF THE LABOR CO TH ATE F C IFORNIA REL
ING TO WORKMEN S Cn E ATI NSU NCE LATH EXT
SIGNATOR _ HOUSE NUMBER COR
PEStMITTEE RE AND POSTED
ADDRESS____52TE� San ('_abni- INAL co-59
JOHN F LEWIS PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH _ PERMIT VALIDATION cK M D CASH
9 9 1-0 APR 10 1 D600-
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