HomeMy Public PortalAbout5708AGNES AVE_Building 76A638A GE 9803 12/89
APPLICATION FOR BUILDING PERMI 7 f1
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DMSION BUILDING s
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING
LOCALITY ���
FOR APPLICANT TO FILL IN NEAREST
Print or type only) CROSS ST _
BUILDING 1 DISTRICT NO�/ GR TYPE P ES B
ADDRESS 5708 Agnes —`.1 0 V CONST
LOT NO 12— BLOCK
STATISTICALCLA SIFICATION S WER MAP
CLASS NO C=2 DWELL UNITS BK
TRACT —2! USE ZONE MAP jb
NO OF BLDGS ! NO (�
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER Irene M Sewall NO ,BLDG SETBACK FROM
ADDRESS5706 nes iFRONTPROP LINEOF (STREET)
'TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY Temple City HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL i I + _
ENGINEER NO
BLDG SETBACK FROM
I
ADDRESS SIDEPROP LINEOF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD =� TOTAL
CONTRACTO Co. NO 287-0507 HIGHWAY WIDTH FROM C L
AIIDRESS600 S, SanGabriel Bl No 160650 i + _ >13,
LIU
CITY San Gabriel 91776 CLASS C-39 CORNER CUTOFF YES ❑ NO ❑ fit
LENDER C
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
LL
ADDRESS v
SQ FT NO OF NO OFEl ;2SIZE STORIES 1 FAMILIES NEW
USE OF ADD ❑
STRUCTURE Reroof with medium
shakes ALTER ❑
SIGNATURE OF REPAIR
APPLICANT DEMOL ❑ I
s
I
VALUATION S 968.00 ( APPROVALS DATE INSPECTOR S SIGNATURE `
'
P C PMT FOUNDATION LOCATION k
FEE $ FEES 1200 FORMS MATERIALS
(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 ORDINANCES AND LAWS REGULATING BUILDING CON 1 GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATIO INSURANCE
LATH EXT
SIGNATURE OF � HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS IFINAL /� -7
JOHN F LEWIS PRI CIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION M D CASH
11 2-,4 C---' IIAR15 1 D 12 00-
\�Je