HomeMy Public PortalAbout6017 AGNES AVE_Building__ 4 A ROAD 1)1,lT PEP,01T IS R0c Mt:J
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7GAa38A CIE#9089 30 APPLICATION FOR BUILDING PERMITZ D/
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST `
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST _
DISTRICT NO GROUP YPE PRO C S E BY
FOR APPLICANT TO FILL IN , CONST
BUILDING �� AT STATISTICAL CLASSIFICATION _ SEWKR MAPPG
ADDRESS 7, J /
CLASS NO DWELL UNITS
LOT NO a BLOCK MAP ER9007
STATE
NUM
Q HWY YES O
TRACT USWJ)E SPECIAL
NO OF BLDGS x �"'��`" CONDITIONS s�
SIZE OF LO'M1iJ}D)L/Q I NOW ON LOT �7,,
USE OF
EXISTING BLDG BU LDING YARD HWY STREET NAME EXIST
SETBACK WIDTH
OWNER W 0 r FRONT O
MAIL r P L
ADDRESS d� IDE
/ TELiJa P L
CITY NO 77J! INSPECTION RECORD
ARCHITECT 6OR TEL
ENGINEER r NO
ADDRESS r
CONTRACTOR TEL Z� / 8E
NO c
ADDRESS
DESCRIPTION OF WORK 1
(/ADD ALTER REPAIR DEMOLISH-NO OFNO OF
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SIZE D �b S TOR IES FAMILIES
USE OF I722j� Q p* r
STRUCTURE �x Q� /" K
SIGNATURE OF
APPLICANT
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ADDRESS / /y' �C ` v� FOUNDATION
DATE INSPECTOR S SIGNATURE
DATION / 2-2— 6
FORMS MATERIALSRIALS (p (�j
VALUATION $ FRAME FIRE STOPS
BRACING BOLTS
PC PMT FURNACE LOCATION
FEE $ � FEE $ i {� I GAS VENT DUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP / A�
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH INT
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND i
STATE LAWS �GULATIN. G BUILDING CONSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER CORPERMITTERECT AND POSTED !!
ADDRESS j FINAL (3'�
CLYDE N DIRL4M PRINCIPAL STRUCTURAL E
PLAN CHECK VALIDATION CK M O CABFI PERMIT VALIDATION CK M a CASH
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` 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 0303180019
PHONE (626) 285-0488 EXT
CONSTLEGAL ID NO OF I D
TR 6561 LT 59 SO FT STORIES TYPE 6017 AGNES AV
STRUCTURE VN TEMP CA 917801708
ASSESSOR AT R NEAREST CROSS STREET WOODRUFF
5385 027 011 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID USE ZONE R 1 ISSUED ON PROCESSED
EXIST OCC GRP 03/18/03 JK 03/12/04
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
LI, CHUN WEI & CHUN YUNG LEE (626) 286 7919- 2,800 ,
6011 AGNES AVENUE �� 3
TEMPLE CITY 91780 FEES PAID DESCRIPTION
T/0 EXISTING ROOF, INSTALL 30 YR OWEN CORNING
FEE DESCRIPTION QUANTITY UOM AMOUNT
APPLICANT
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 2800 00 VAL 0 50 SPECIAL CONDITION
D2 PERMIT W/O EN HC 2800 00 VAL 99 00
TOTAL FEES 127 25
CONTRACTOR TEL NO - APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO AT ION
LIC NO I i �' __ LAB/UNDER FLOOR
iRAISED FLOOR A
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
150H269 3 01
FLOOR SHEATHING
NO OF FWTL-fET--D6R-LINGAPT/COND STAT CL S `
NO 21 ROOF SHEAH0-11 7ING
SCHOOL W HA J \ SHEARPANELS
'CJ es,
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACKX RE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL INSULATION/WEATHER STRIP
SIDE PL
INTERIOR AT /DRY ALL
EXTERIOR LATH
RATEDFL
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
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