HomeMy Public PortalAbout6011 AGNES AVE_Building__ 76A638ACE#8038-64 APPLICATION FOR BUILDING P RMIT
a :f+WUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF-BUILDING CROSS ST.
DISTRI T NO. GROUP TYPE. . O ESSED BY
FOR APPLICANT TO FILL IN �_ � CONS
BUILDING, 1 1 STATISTICAL CL SSIFICATION SE ER MAP
ADDRESS 11 No. Agnes St.Templeo'ty CLASS NO. DWELL UNITS BK't�G
LOT NO. BLOCK USE ZONE MAP /�' �I_/( -
TRACT /�R� SPECIAL
NO. OF BLDGS, CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF residence
EXISTING BLDG. BLDG. SETBACK FROM
D TEL. o` pp FRONT PROP. LINE OF (STREET)
OWNER G• R. 11den NO. 256-88 TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 6011 N.A nes St HI HWAY IWIDTH 'FROM C.L.
rtf ry p + _
CITY 1 m le C�t Calil . BLDG. 5 TBACK FROM
ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO..
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. a
CONTRACTOR Y.H.M.Inc. NOL 288-4220 + - 0
ADD ESS an• J. NOL 549 CORNER CUTOFF YES NO _ O
CITY San GabrielA., Calif. CLAss020 SEE REVERSE SIDE FOR SPECIAL PROVALS 'u
DESCRIPTION OF WORK a
Sl<a rz
NEW ADD X- ALTER REPAIR DEMOLISH s�f
SQ.FT. NO. OF NO. OF '• �! A
SIZE STORIES FAMILIES
USE OFI.
STRUCTURE residence ®' _ �.
SIGNATURE OF
APPLICANT f
VALUATIONS 24CI6.00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ 15x00 FORMS,_MATERIA LS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA.- LATH. INT.
TION OF THE LABOR C DE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S PENSATION INSURANCE. LATH. EXT. _
SIGNATURE OFILHO HOUSE NUMBER COR-
PERMITTEE = +N14, RECT.AND POSTED � J
ADDRESS 172 S. an Wbriel Blvd• F1 NAL 11-12-441b
JOHN F. LEWIS. PRINCIPAL STR G'-Tk1RAL ENGIN R
PLAN CHECK VALIDATION CK, M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH
4 5 4 7:n iii' 1 2 1 D � (' C..�
76A888A CE»8098-68 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE -�� - I PROCESSED BY
FOR APPLICANT TO FILL IN
CONST. '-%-
BUILDING STATISTICAL CLASSIFICATION I SEWER MAP
ADDRESS
S / j gK PG
LOT NO,:.;:� CLASS. NO.--/—DWELL. UNITS -- -
J BLOCK MAPSTATE
_, NUMBER _ ( HWY. YES NO
TRACT USEZONE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE O T y SI NOW ON LOT
USE OFe�fr 4. )
EXISTII�(�13LbG. BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER -
�- � FRONT
MAIL P. L.
ADDRESS SIDE
TEL. P.L.
CI /e ' "Q ' . I
ARCHITECT OR TEL. NSPECTION RECORD
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW—/,--- ADD ALTER REPAIR DEMOLISH
SQ.FT, t NO.OF NO.OF
SIZE /`+� STORIES f FAMILIES
USE OF S RUCTURE
SIGNATURE OF <. APPROVALS
APPLICANT "
- DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS.MATERIALS
P.C. $ FRAME: FIRE STOPS,
FEE BRACING, BOLTS 2 n2
VALUATION $ FURNACE: LOCATION.
FEE GAS VENT,DUCTS
P
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. r 1
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH, EXT. Z' {
STATE LAWS REGULATING BUILDING CONSTRUCTION.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE i :^' RECT AND POSTED
ADDRESS FINAL PPf +
CLYDE N.DIRLAM, FlfiINCIPAL STRUCTURAL ENGINEER
�! PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1109280081
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 6561 IT: 59 - SQ. FT STORIES TYPE 6011 AGNES AV
I (STRUCTURE: 22 V-B TEMP CA 917801708
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I
15385-027-011 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: 1
EXIST OCC GRP: 109/28/11 SR
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: JFI - E FIN BY: CODE:
1HUI (626) 286-7919- 1 4,000
16011 AGNES AVE.
TEMPLE CITY CA 91780 FEES PAID IDES RIPTI N OF WORK
(INSTALL CLASS A COMP (30 YR) SHINGLE ON TOP OF EXISTING ROOF
1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I (NOW ONLY 1 LAYER SHIGLE)
APPLICANT: TEL. NO: I I
ALFRED LAU (626) 285-9016- 1AA BLDG PERMIT ISSUANCE 27.80 I
14533 SHIRLEY AVE. IAB STATE GREEN BLDG FEE 4000.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IEL MONTE CA 91731 - IAC STRONG MOTION RESID 4000.00 VAL 0.50 1
ID2 PERMIT W/0 EN-HC 4000.00 VAL 116.00 -
TOTAL FEES 145.30
(CONTRACTOR: TEL. NO: I _ IAPPROVALS DATE INSPECTOR SIGNATURE I
(GOLDEN KEY INC. (626) 285-9016- I 1 I
14533 SHIRLEY AVE LIC. NO 1 1LOCATION AND SETBACKS 1 I I
1EL MONTE, CA 91731 775115039 I I I
(SOILS ENGINEER APPROVAL I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I
I LIC. NO: I 1SLAB/UNDER FLOOR I I I
1RAISED FLOOR FRAMING I
I I I I I I
1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 (UNDERFLOOR INSULATION I I I
115OH269 3 001 I 11 I
I I (FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
1 0 NO 21 I 1ROFF SHEATHING I I I
SCHOOL WITHIN HAZARDOUS I 1SHEAR PANELS I I I
IAIR QUALITY: 1000 FEET MATERIALS I 11 I
NO NO NO I (FRAME INSPECTION
I I I
I IFIRE SPRINKLER HANGERS
I I I I I I
(INSULATION/WEATHER STRIPI I I
I (INTERIOR LATH/DRYWALL I
I I I I I I
(EXTERIOR LATH I
I I I I I I
I I 1RATED FLOOR/CEIL ASSEM.
I I I
(RATED WALL ASSEMBLIES I I
1 (RATED SHAFTS/OPENINGS I I
I I I I I I
I IT-BAR CEILINGS I
I 1LOT DRAINAGE I I
1 I I I I I
1REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I