HomeMy Public PortalAbout4907 AGNES AVE_Building_4/28/1959_new family dwelling and garage s
76A638ACEN6o3,o-58 APPLICATION FOR BUILDING PERMITrJ
COUNTY OF LOS ANGELES ADDRESSBUILBUILDING
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I TYPE "` a�ROCEsseo BY
CONST':"
BUILDING >r •j l� ('-:{,;';:. j..{ STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS lyi "' fJ r,-'Y1' ( I BK ''']]] �G
LOT NO. o 1C s� CLASS. NO. DWELL. UNITS f _�J
BLOCK MAP 7 J f STATE
NUMBER � " ' HWY. YES
TRACT U�E ZONE
SPECIAL
NO.OF BLDGS. I CONDITIONS
SIZE OF LOT I NOW ON LOT .i
USE OF
EXISTING BLDG. BUILDING EXIST.
���,Y STREET NAME
OWNER !�t !i / _/ 1 SETBACK WIDTH
AMAILDDRESS tA� fir, FP.L. n,
AD r'
SIDE
CITY T NO I
ARCHITECT OR TEL. NSPECTION RECORD
ENGINEER NO.
ADDRESSTELa
---
CONTRACTOR'f ?. NOY-
DESCRIPTION OF WORK
NE4 ADD ALTER REPAIR DEMOLISH
SQ. FT, !y �, NO.OF NO.OF
SIZE /` iSTORIES FAMILIES/
Y. 9tSTRU
� •i �C �' �,V =�-� it i"T C ,f''
SIGNATUREOF - APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS - FOUNDATION: LOCATION �,•,:
$ FORMS,MATERIALS
P.C. S �-.."' FRAME: FIRE STOPS.
4J FEE BRACING, BOLTS
VALUATION t S FURNACE: LOCATION.
FEE GAS VENT.DUCTS
I 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 ' 1
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR- v
PERMITTEE RECT AND POSTED y
ADDRESS FINAL �-
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
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