HomeMy Public PortalAbout5803AGNES AVE_Building 76A638A CE 1803 12/69 710404
APPLICATION FOR BUILG T
DINPER I
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCE
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING
LOCALITY Ag
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe onl CROSS ST
DIST aCT N P TYPE C
BUILDING CONST
ADDRESS 5803 N. ess Temple Cit
STATISTICAL CLA SIFICATION SEWER MAP
LOT NO BLOCK
CLASS NO DWELL UNITS BfE-�Pt;�
TRACT USE ZONE MAP
NO OF BLDGS NO
SIZE OF LOT NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER A. I'4 ell NO287-5704 BLDG SETBACK FROM
ADDRESS 5803 N. AgnessFRONTPROP LINEOF (STREET)
— TYPE OF SETBACK
CITY Temple City HIGHWAYEXISTIWIDTHG FROM C L.
HIGHWAY + YARD = TOTAL
ARCHITECT OR TEL + _
ENGINEER NO
BLDG SETBACK M
F
ADDRESS SIDEPROP LINEO (STREET)
TEL TYPE OF EXISTING SETBACK AY + YA RD = TOTAL
CONTRACTOR Virgin O NO 287-0501- HIGHWAY WIDTH FROM C L I
ADDRESS 600 S. San Gabriel NO 160650 -4
LIC CD
CITY SSII Gabriel CLASS CORNER CUTOFF YES ❑, NO—[] U
CONSTRUCTION LENDER - O
NAME AND BRANCH SEE REVERSE SIDE FORIISPECIAL APPROVALS
LLj
ADDRESS y
SQ FT NO OF NO OF ❑ Z
SIZE STORIES FAMILIES NEW
USE OF ADD ❑
STRUCTURE reroof house and
ALTER ❑ r
arae with comp. shingles REPAIRK] r
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION $ .id' .>�V —52, � I APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE $ 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 I
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GASWENT 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 ST TE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATIO NSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE. RECT AND POSTED /f
ADDRESS FINAL ' f Gle-Z ,7,,
PLAN CHECK VALIDATION CK M o CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PERMIT VALIDATION ( M O CASH
I Ar„ 1 2 5 lc JUL 6 1 D a d
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