HomeMy Public PortalAbout5817AGNES AVE_Building (3) 78A898A CE#809 B87 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
fTRACT
SSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO GROU TYPE SE ER MAP
OR APPLICANT TO FILL IN B
CONST
STATISTICAL LASSIFICATION
5817 Anes Temple Ct
CLASS NO�DWELL UNITS 1!
BLOCK MAP STATE
NUMBER 0 HWY YES NO
USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
NOW ON LOT
USE OF Residence & Garage
EXISTING BLDG g BUIL ING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL 5817 A es P L
ADDRESS SIDE
CITY Temple City, Cal i f.TNOL 287:7 P L
ARCHITECTOR TEL INSPECTION RECORD
ENGINEER NO
I
ADDRESS
TE
CONTRACTOR TN
ADDRESS P.O. BOX 5327, Pasadena
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTU24� S s 425# compo
L o
shingles
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION
FORMS MATERIALS
$ P C $ FRAME FIRE STOPS
910.00
10•00 FEE BRACING BOLTS
VALUATION $ 15.00 FURNACE
VENTDUCTS
LOCATION
FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS TI BU LDING CONS RUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTE RECT AND POSTED J n
ADDRESS FINAL
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUV URAL ENGINEER
PLAN CHECK VALIDATION CK mo CASH PERMIT VALIDATION cK M o CASH
i 1 6'6---' JLC 7 1 D 15 00- '5 ' ®�
a,