HomeMy Public PortalAbout5817AGNES AVE_Building (2) 76A6e9A CL#803 8 64 APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESSAizms Avenue
BUILDING AND SAFETY DIVISION LOCALITY
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JOHN A LAMBIE COUNTY ENGINEER NEAREST ~
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST Lag rte ion $
DISTRICTONO OU TYPE 'P B
FOR APPLICANT TO FILL IN U O IGEI /
BUILDING STATISTICAL CLASSIF CATION SEWER MAP
ADDRESS 5817 Ames Avenue CLASS NO ../—DWELL UNtTS BKPG //3
LOT NO L32 BLOCK USE ZONE MAP �1
J NO (/
TRACT / SPECIAL
NO OF BLDGS ` CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG SETBACK FROM
TEL FRONT PROP LINE OF (STREET)
OWNER J. Amoda i NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 8 A p HIGHWAY I F OMC L
CITY Temple Citg;
ARCHITECT OR TEL SSETBACK FROM
ENGINEER Chas. A SIDE
DE PROP LINE OF - (STREET)
TYPE OF EXISTING SETBACK_ HIGHWA YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C L d
TEL + - O
CONTRACTOR NO V
LIC
ADDRESS NO I CORNER CUTOFF YES E] NO O
_
CITY San Gabriel C I.-CA,S S 5 SEE REVERSE S19E FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
L z
NEW yX ADD ALTER REPAIR DEMOLISH I
SQ FT `` NO OF NO OF
6
SIZE 1 STORIES FAMILIFS
USE OF U 101 1 I
STRUCTURE
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SIGNATURE;F
APPLICA
VALUATI 3560.0 APPROVALS 12 A TjE IN CTOR SI NATURE
p FOUNDATION LOCATION /
FEE$ H•33 1 FEE$ 2f.75♦Z FORMSMATERIALS
FRAME FIRE STOPS (p
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAW REGULATING GAS VENT DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT IN ING THE WORK
AUTHORIZED HEREBY yWILL NOT EMPLOY AN PERSON IN VIOLA LATH INT
TION OF THE L CODC OF THE STATI! LIFORNIA RELAT
ING TO WORK N OMAENSATION N R C LATH EXT
A
SIGNATU E NUMBER COR ` /
PEftMIT REC AND POSTED /1 I A �
ADDR S FI NAL
JOHN F LEWIS PRINCIPAL STR U AL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK M O CASH
( itr8719�o ,„,� 10 1 D 2775 -