HomeMy Public PortalAbout6323 AGNES AVE_Building__ _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 0071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT "� TtMPLE CITY CA + BL 0508 9710130004
PHONE (818) 285-0488 EXT I!
LEGAL D NO OF CONSTD ADDRESS
ON FILE SG FT STORIES TYPE 6323 AGNES AV
STRUCTURE 0 VN J EMP CA 917801402
ASSESSOR 0 R 'NEAREST CROSS STREET LONGDEN
5383-021-016 THOMAS PAGE 597 GRID Al LOCALITY TEMPLE CITY
TENANT B D USE S D USE ZONE D ON PROCESSED BY ON
FXIST OCC GRP 10/13/97 UT 10/13/98
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE
TSENG LINDA S,LEE BERNARD Y L � ` Z$� �12� 1 4,500 1Z n
6323 AGNES AV `� ` t � "F
TEMP 917801402 FEES PAID DESCRIPTION OF WORK
FEE DESCRIPTION QUANTITY UOM AMOUNT REMOVE AND COVER WITH OBS PLYWOOD, 25 GAF COMP SHINGLE
APPLICANT TEL NO
A-1 ALL AMERICAN ROOFING (626) 683-9040- AA BLDG PERMIT ISSUANCE 27 75 i
AC STRONG MOTION RESID 4500 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC. X4500 00 VAL 133 05
�FTOVL FEES 161 30
CONTRACTOR TEL NOI APPROVALS / DATE INSPECTOR SIGNATURE
A-1 ALL AMERICAN ROOFING CO (818) 796-7663- ' f
11817 TEXAS AVENUE LIC NO L-6—CATiO SETBACKS
LOS ANGELES, CA 90025 699115/C39
SOILS'tENGIN �PPROVAL
ARCHITECT OR ENGINEER TEL NO TOURN&TION/TRENCH FORMS
LIC NO �' SLAB/TINDER FLOOR
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I r I n ICl UNDERtL00R INSULATION
153H269 3 01 r �c)I
FLS SHEATHING
0 OF FAMILIES DWELLING UNITS APT/COAPT/COND STAT CLA -
NO 21 `
0
ROOF `, ATHING `�
SCHOOL ti
SH PANELS
AIR QUALITY 1000 FEET MATERIALS °+
NO NO NO Il �� FRAME INSPECTIO
QTOTAL SETBACK ROM EX S IIIj �� ')PR ANG RS
SET BACK YARD HWY PROP LINE WIDTH --
FRONT
, �� ( INSULA ION/WEATHER STRIP
SDE PL- INTERAOR LADR
I
X�,OR LATH
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RATED,WALL ASSEMBLIES
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T-BAR CEILINGS
LOT I
DRAINAGE
IIREPORT ID DPR261 ROUTE TO BS0508
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(JMPENSATION DECLARATION {
irate of Worke scertificate
Compensat on ent to Insuran self
APPLICATION FOR BUILDING PERMIT
copy thereof (Sec 3800 Lab C )
Policy No P - 93h Company PRPMnNT COUNTY OF LOS ANGELES f BUILDING AND SAFETY
Cer ified copy is herebBUILDING 1y furnished FOR APPLICANT TO FILL IN ADDRESS
6323 N- AQnps
` Certified copy is filed with the county building inspec BUILDING
tion department 'ADDRESS
Date?/2 7/8 7 Applicant PYRAMID ,BUILDERS CITY ZIP LOCALITY Temple Cit
CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT /1 CROSS ST Longden
(This section need not be completed if the permit is for one TRACT BLOCK LOT NO �r ASSESSOR`
hundred dollars ($100)or less ) MAP BOOK PAGE PARCEL
TEL USE NE MAP
I certify that in the performance of the work for which this OWNER N NO
permit is issued 1 shall not employ any person in any manner SPECIAL
so as to become subject to the Workers Compensation Laws ADDRESS CONDITIONS 0
' U
Date Applicant R CITY ZIP
NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL ENGINEER NO DISTRICT GROUP TYPE FIRE PRO D BY
Exemption you should become subject to the Workers CON�T� ZONE F--
Compensation provisions of the Labor Code you must forth ADDRESS - / W'
with comply with such provisions or this permit shall be _ TEL t / I&NDO,
deemed revoked H STATISTICAL CLASS ION APT (nCONTRALTO O
Z
LICENSED CONTRACTORS DECLARATION LIC CLASS NO _ DWELL UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS16 3 3 2 E. San Bernatibdino 400
SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC
Professions Code and my license is in full force and effect CITY Covina CLASS -B BK PG VALIDATION
SQ FTNO OF / NO OF CHECK
License Number 4 n n 7 R o Lic Class R SIZE 0 STORIES / FAMILIES ONE
N� TION ll11v
ContractorPYRAMTI� RTTTT.T)P� 7 f 97_f R7 DESCRIPTION OF WORK 'y&/ NEW ❑ $s
ADD
I am exempt under Sec ❑
ALTER
B 8P C for this reason c REPAIR ❑ _
Date USE OF EXISTING BLDG J� DEMOL ❑
Signature APPLICANT TEL FINAL
OWNER BUILDER DECLARATION PRINT N DATEtA
1 hereby affirm that I am exempt from the Contractor s License ADDRE55� 6 3 3 2 E. Sari Bernardino COV a
Low for the following reason (Section 7031 5 Business and FIN
Professions Code) ' PRESENT By -
❑ BUILDING
I as owner of the property or my employees with ADDRESS ;07626A
wages as their sole compensation will do the work and
LOCALITY
the structure is not intended or offered for sale(Section # • • • • • 1
-7044, Business and Professions Code) MOVING TEL
j as owner of the property am exclusively contracting CONTRACTOR NO Il -14363
with licensed contractors to construct the project (Sec
tion 7044 Business and Professions Code) ADDRESS • • .1 4 3 6 3 6
CONSTRUCTION LENDING AGENCY ^ REQUIRED YARD HWY TOTAL SETBACK FROM
SET BACK PROP LINE WIDTH
I hereby affirm that there is a construction lending agency for FRONT " fi T 0 W-87
the performance of the work for which this permit is issued P L
(Sec 3097 Civ C ) SIDE
PL `
Lender s Name
m
LDMA Ref q
P C Fee S Permit Fee 3 )
Lender s Address _
I certify that I have read this application and state that theIssuance Fee C O V LDMA P/C#
o above information is correct I agree to comply with all County Investigation Fee / ?�
0 ordinances and State jaws relating to building construction Total Fee 3 b�J LDMA Perm M
and hereby authorize representatives of this County to enter
m upon the above-mentioned property for inspection purposes
7197 18 7 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Applicant or Agent Dote