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Home My Public Portal About6053 AGNES AVE_Building__ ` '.'7� Q 76f�638A CE#803 3 68 APPLICATIONw FOR BUILDING PER T COUNTY OF LOS ANGELES BUILDING / DIEPARTMENT OF COUNTY ENGINEER ADDRESS tO o S 3 �(/ - BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING NEAREST / 6,44a / CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE PROCESSED BY Print or type only) S Q'd CON BUILDING / STATISTICAL CLASSIFICATION -- SEWER MAP ADDRESS cop /?/ fIa v,6� CLASS NO SDWELL UNITS _ BK PG LOT NO BLOCK USE ZONE MAP /7 R..1 NO Q J r TRACTSPECIAL NO OF BLDGS CONDITIONS t��II SIZE OF LOT v�/��.�J T aOW ON LOT 12- USE OF EXISTING SLOG G , BLDG SETBACK FROM // 0 TEL FRONT PROP LINE OF -(STREET) OWNER _JV4 TYPE OF EXISTING SETBACK HIGHWAY + YARD' - TOTAL ADDRESS q JK HIGHWAY WIDTH FROM C L ..iT CITY s�s�,. /y,, BLDG SETBACK FROM - ARCHITECT OR TEL SIDEPROP LINEOF (STREET) ENGINEER NO TYPE OF EXISTING SETBACK HIGHW +`� YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL CONTRACTOR NO + d LIC CD ADDRESS NO s CORNER CUTOFF YES ❑ NO_ ❑ v LIC CITYCLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK � NEW A ALTER REPAIR DEMOLISH e SQ FT NF NO OF SIZE �� 'p'G STORIOOES FAMILIES USE OF ' STRUCTURE �,f SIGNATURE OF ' APPLICANT _ I O o O VALUATION $ APPROVALS DATE INSPECTOR S SIGNATURE P C PMT Q� FOUNDATION LOCATION FEE 7ALLCOU FEE $ , FORMS MATERIALS FRAME FIRE STOPS 1 HNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND ST THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH NTY ORDINANCES ANDSTATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF TME LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S PENSATION INSURANCE- LATH LATH EXT SIGNATURE OF � 4tIFl�j HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL Y n JOHN F LEWIS PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATION CK M O CASH 8 1 3 6\0 JN12 4 1 D 9.0 0- 11 _ APPLICATION FOR BUILDING PERMIT COUNTY OF LCIS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS 'ver S BUILDING AND SAFETY DIVISIONLOCALITY �� Ci 0 �, JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROU i TYPE Roc seD i CONST (Print or type only) �� DB BUILDING / C STATISTICAL CLASSIFICATION SEWER MAP ADDRESS �OS,3 /fj� �/� CLASS NO DWELL UNITS BK PG h LOT NO NO BLOC�K-J� � i%E P TRACT �G`/�� SPECIA ONS NO OF SLOGS COND SIZE OF LOT .5b)eld I NOW ON LOT ° USE OF EXISTING BLDG 'cj cwcs, } BLDG SETBACK FROM TEL /� FRONT PROP LINE OF (STREET) OWNER NO _ 1 TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL' ADDRESS! /551G��, HIGHWAY WIDTH FROM ^� t CITYROCK FRO e p r /i+ r •":../ 1 t ARCHITECT OR TEL SIDE P LINEOF M / r TREET) ENGINEER NO TYPE OF 1EXISTING SETBAC HFGHWAI. TOTAL ADDRESS HIGHWAYI WIDTH FROM C TEL , CONTRACTOR NOLIC -( O ADDRESS NO CORNER CUTOFF YES El NO, ❑ U d' CITY LIC SS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a NEW DD ALTER REPAIR DEMOLISH SQ FT __II / NO OF NO OF �� b SIZE T �0 STORIES / FAMILIES "/ 1l� �G USE OF y� �� STRUCTURE et),e, o /y c� h; I SIGNATURE OF //1/ T .�C APPLICANT rter, VALUATION $ Ofl ,&Z APPROVAL DAZE INSPECTOR S SIGNATURE P C PMT OO FOUNDATION LOCATION ' FEE $ FEE S FORMS MATERIALS r FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS L AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IGAS VENT DUCTS , t BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT LATH INT ING TO WORKMEN S COMPENSATION INSURANCE ' LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEEb RECT AND POSTED � ADDRESS t FINAL d w.nra-rJ JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK Mo CASH _ PERMIT VALIDATION CK M o CASH ' - LALO 6 5 2 5�8 OCT 1�4 � � 4 0 0, ,1 I h C,/a 3.5' _ APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING N ADDRESS !oU J 3 DEPARTMENT OF COUNTY ENGINEER CITY / ZIP BUILDING AND SAFETY DIVISION NO OF BLDGS BUILDING SIZE OF LOT NOW ON LOT ADDRESS O5 TRACT BLOCK LOT NO LOCALITY TEL NEAREST / OWNER xLt�� NO CROSS ST ASSESSOR i7 ADDRESS Vpg�y�� MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P ESSED BY CITY ZIP �^ CONS ZONE ARCHITECT OR TEL 08 � ENGINEER > NO STATISTICAL CLASSIFICATION SEWEERR�//AP ADDRESS CLASS NO DWELL UNITS BK/- PG TE CONTRACTOR N -06-- E ZONE NO LICp G k—J ADDRESS /(7 NO /�� SPECIAL q � CONDITIONS CITY CLASS C 3 / ROA PARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLD4 SETBACK FROM FROIT PROP LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SO FT NO OF NO OF CHECK HIGH AY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW ❑ + O I J ADD �� I ❑ BLDG SETBACK FROM 0 d SIDE PROP LINE OF (STREET( O ALTER El SIDE SETBACK FROM NYPEOF EXISTING HIGHWAY + YARD = SIDE PROP LINE HI WAY WIDTH N USE OF - REPAIR ❑ EXISTING BLDG �DEMOL 1:1 + APPLICANT TEL CORNER CUTOFF YES NO (PRINT) NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ Q VALUATION p S60 -?1/g y7 - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE fj`` THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE A-1071�3 (7Z> WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OFT E STATE OF CALIFORNI EATING TO WORKMEN S COM �yr �' _'(�( 7-5� PENSATION INSURA d � SIGNATURE OF PERMITTEE / ADDRESS U TEL FINAL B DATE CITY NO MAKE CHECKS PAYABLE TO FEE FET HARVEY BRANDT COUNTY ENGINEER PLAN CHECK VALIDATION CK M o CASH ) PERMIT VALIDATION cK MID CASH 18 1200 ®� ®s 76A63BA CE#803 3 75 ^ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDIN ADDRE l�_ (��J or a certificate of Workers' Compensation Insurance,or a ertified �' ✓ copy there f ( 3 00„dab.C.) t ZIP /'► 1p 6 0 LOCALITY Policy No. COmpa SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnis d. NEAREST CRO Certified copy is filed with th ounty building inspection TRACT BLOCK LOT NO. !1E ar�� AUSE ZONE MAP NO. Dat }. Appy ASSESSOR MAP BOOK PAGE PARCEL 4 SPECIAL CONDITIONS _t O ER/ TEL NO.RTIFI E O O, ROM WORT ERS WITHIN 1000 FT.OF SCHOOL? YES NO COM NSATI INSURANCE (This section need not be completed if the permit is for one hundred 6ACIDKESS dollars ($100) or less.) &b 6-3 DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CITY ZIP 5 I certify that in the performance of the work for which this permit 0 2 is issued, I shall not employ any person in any manner so as to / 790 become subject to the Workers'Compensation Laws. ARCHITECT R ENGINEER TEL NO. STATISTICAL CLASSIFICATION API 6KDO Date Applicant ADDRESS CLASS NO. DWELL UNITS - [ r NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONIRACAR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. DESS / . LIC.NO. P L LICENSED CONTRACTORS DECLARATION Clry ♦�/ SIDE LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP } (commencing with Section 7000)of Division 3 of the Business and So. SI No. F STORIES No.of FA ILIES 4. Professions Code,and my license is in full force an ffect. NEW ❑ BK PG , V License Nu er LiC.Class DESC TION OF WOROIAIaK ADD / VALUATION Contr for Date f''3 ^�'S ALTER $ O� O exe nil C. ~ REPAIR ❑ $ ~ &P.C.for this r�'ason „�° �� 'a� DEMOL ❑ W W LOMA P/C# CL Date: - USE O(yEY}831tt BLDG. URM ❑ Z Signature APPLICAN `PRI TEL NO. LDMA Perm# - sR/e�l ❑ I, as owner of the property, or my employees with wages as - Z their sole compensation, will do the work and the structure is ADDRESS 0 not intended or offered for sale (Section 7044, Business and Grp v FINAL DATE Q Vii', 1,4 Professions Code.) D WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE �” �� J 2 ., ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFI D ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? Q licensed contractors to construct the project {Section 7044, FINAL iV�lG > )f aI` -7 Business and Professions Code.) YES❑ O // WILL THE INTE DED USE OF THE,BUIDLING BY THE APPLICANT OR FUTURE BUILDING 'NECK OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION.FROM THE SOUTH - CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR }rp GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ N w the performance of the work for which this permit is issued(Sec. rn IHAVE READ THPG DOUS MATERIALS INFORMATION GUIDE AND THE SCAOM PERMITTING N 3097,CIV.C.) CHECKLIST, AND MY REQUIREMENTS UNDER THE LOS ANGELESC UNTY CODE, _I�) ��f'Ij • f-TITLE 2,C PSECTIONS 2.20.1L) ROUGH 2.20.140 CONC RNIN HAZARDOUS -- - 'Lender's Name MATERIALS A O ( ERMIT FRO HE C �-o Lenders Address # AN i a - O .- OWNER OR AGENT o I certify that I have read this application and state under penalty 3 O ofperjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE _ 0� - wi all county ordinances and State laws relating to building 2-7 �!'X Al m c nst uct�nr,,and hereby authorize repres tatives of this County SSUANCE FEE ^er u the a entioned propertyorinsp ction purposes. 15 Q•SO 2 INVESTIGATION FEE TOTAL FEE or Agem oa�e3 SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION /°`insNgre boraafl�rtif cathat te lbf Workers' Com ,Insurancof consent to e` APPLICATION FOR BUILDING PERMIT or a-certified ropy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.1119833CompanyStatP- T+lInC3 ❑ BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 60 N. Agnes ® Certified copy is filed with th unty build' BUILDING tion department. ADDRESS Temple City , -� CITY Temple 'City ZIP 91780 Dat —1-91 pli LOCALITY ' NO. OF BLDGS. NEAREST CERTIFICATE F EMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT 2 cRoss sr. Las Tunas C NSATION INSURANCE ASSESSOR (This section nee not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL nnp hundred dollars ($100)or less.) TEL OWNER Linda Steuer N�87-8460 USE ZONE MAP I certify that in the performance of the work for which this / NO. permit is issued, I shall not employ any person in any manner ADDRESS 6053 N. A nes SPECIAL d so as to become subject to the Workers'Compensation Laws. CONDITIONS O CITY Tem-pl e City ZIP O V Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making This Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY h CONST. E H Exemption, you should become subject to the Workers' �v� �Q � V Compensation provisions of the Labor Code, you must forth- ADDRESS ;JJ a with comply with such provisions.or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. CONTRACTOR r NO. — CLASS NO. DWELL. UNITS LICENSED CONTRACTORS DECLARATION ADDRESS 7 NO I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business Temple e City LIC.. and Professions Code,and my license is in full force and effect. CITY p CLASS B BK PG VALIDATION SQ:FT. NO. OF NO. OF, CHECK License Number_562071 Lic. Class B' SIZE I STORIES l FAMILIES 1 ONE L•D.H• COn St• DESCRIPTION OF WORK NEW 1:1 VALUATION Contractor Date 4-1-91 Roof Errect ❑ $ 11 - 500-00 , E:1 I am exempt under Sec. � 4-12 Gable ADD ALTER LTJ BAP.C. for this re w/ compRoofing REPAIR ❑ $ USE OF EXISTING BLDG. DEMOL ❑ Sign e APPLICANT TEL. FINAL "-16WNER-BUILDER DECLA ATION (PRINT) CQn SitNO. DATE I hereby affirm that I am exempt from the Contractor's License ADDRESS 9634 Olive St. Te C. Law for the following reason (Section 7031.5, Business and FINAL Professions Code): PRESENT By �i/�G � BUILDING 'ri El 1, as owner of the property, or my employees with ADDRESS — _ wages as their sole compensation,will do the'work and ;'!r( _ the structure is not intended or offered for sale(Section LOCALITY , =?' 3= r 14 7044, Business and Professions Code.) MOVING TEL. CONTRACTOR }_- ❑ I, as owner of the property, am exclusively contracting NO. ;-'F' ='" with licensed contractors to construct the project (Sec- % HA (_ ,t_ ADDRESS tion 7044, Business and Professions Code.) CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. SET BACK. PROP. LINE WIDTH I hereby affirm.that there is a construction lending agency for FRONT _y ;> j:=° a the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE 'j =il _ %_. ;•_ P.L. Lender's Name �yn P-r1 r'r'L-n qgvi n g cz Lender's Address TPS].P CJ -hy P.C. Fee$ Permit Fee 1,741134 LDMA Ref. # 0 1 certify that I have read this application and state that the Issuance Fee LDMA P/C# 0 8 above informatio orrect. I agree to comply with all County Investigation Fee ",v/ R ordinances ate laws relati o building construction, Total Fee • �/ LDMA Perm. # a and uthc rize repres a ' es o County to enter upon above-mentione e r inspection purposes. a 1 l SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Applicant or Agent Date 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 1310280002 PHONE (626) 285 0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 6561 LT 55 UN 002 SQ FT STORIES TYPE 1 N1 ISTRUCTURE 5 V B TEMP CA917801708 1 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 15385 027 002 THOMAS PAGE 597 GRID A2 LOCALITY TEMPLE CITY CAI I ITENANT (EXIST BLDG USE GARAG USE ZONE R 1 JISSUED ON PROCESSED BY 1 (EXIST OCC GRP 110/28/13 SR 1 10WNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FI AL BY CODE 1 ISTEUER LINDA M (626) 423 2397 1 1 600 16053 AGNES AV I I r a �7 1 ITEMP 917801708 1 FEES PAID 1D SCR PTION OF WORK I I IRE ROOF GARAGE ONLY TEAR OFF CLASS A COMP I IFEE DESCRIPTION QUANTITY UOM AMOUNT 1 (APPLICANT TEL NO I IMUSULMAN FRED (626) 339 0394 IAA BLDG PERMIT ISSUANCE 27 80 1 1 11066 E EDNA PLACE IAB STATE GREEN BLDG FEE 1600 00 VAT 1 00 1SPE�IAL CONDITIONS 1 ICOVINA CA 91724 IAC STRONG MOTION RESID 1600 00 VAL 0 50 1 ID2 PERMIT W/0 EN HC 1600 00 VAL 82 20 1 1 TOTAL FEES 111 50 1 1 ICONTRACTOR TEL NO 1APPPOVALS DATE INSPECTOR SIGNATURE 1 IMUSULMAN ROOFING CO INC (626) 339 0394 1- 11066 E EDNA PL LIC NO 1 * I LOCATION AND SETBACKS COVINA CA 91724 420356 1 1 (SOILS ENGINEER APPROVAL I 1 I ARCHITECT OR ENGINEER TEL NO IFOUNDATION/TRENCH FORMS I II LIC NO i 1SLAB/UNDER FLOORI I 1 I I 1 1 1RAIaED FLOOR FRAMING � I I I 11 1MAP NO SEWER NAP BOOK PAGE FIRE ZONE CMP 1 1UNDERFLOOR INSULATION 1 I 1 1 I 3 OOi 1 11 FLOOR SHEATHING INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I NO 21 1 IROOF SHEATHING I 1 SCHOOL WITHIN HAZARDOUS (SHE 42 PANELS (AIR QUALITY 1000 FEET MATERIALS NO NO NO i IFRAMF INSPECTION I I I IFIRE SPRINKLER HANGERS I 1 INSULATION/WEATHER STRIPI I 1 IINTFRIOR LATH/DRYWALL I I I 1 (EXTERIOR LATH I I RATED FLOOR/CEIL ASSEM I I 1 I IRATED WALL ASSEMBLIES I I 1 I I I I 1 IRATFD SHAFTS/OPENINGS 1 1 IT BAR CEILINGS 1 I* ADDITIONAL DATA ON FILE I 1 ILOT DRAINAGE I I 1 I I I REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I