HomeMy Public PortalAbout5708 AGNES AVE_Building_0 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® �
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS � �/ ND ( /'7/J�•�' f �
RECEIVED BY DATE OFAPPL. DATE ISSUED
NEAREST r�
CROSS ST.
e,t a BUILDING
OWNER/VC a I Lam! /r'i�1►t-r'.+ ADDRESS ------------------
MAIL
ADDRESS 1 ,,.�3�j -e 'y&1 9),�, LOCALITY
NEAREST
CITY CROSS ST.
FIRE NO.OF TYPE GROUP
ARCHITECT OR TEL. ZONE I PLANS
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
TEL. APPROVED
CONTRACTOR NO. BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
`EGA`
DESCRIPTION LOT NO. I BLOCK CORRECTIONS
TRACT
NO.OF SLOGS.
SIZE OF LOT (l I NOW ON LOT
USE OF NO.OF NO.OF
EXISTING BLDG. F <' •.• I FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH
Sq.FT. - NO.OF Z
SIZE '` ROOMS STORIES D
r
WALL ROOF
COVERING I COVERING
USE OF NEW /f
BUILDING ( / '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
OWNER LATH,INT.:
AUTHORIZED AGT. LATH,EXT.:
DBS-3 25M SETS 1-47 $ P C. PLASTER. INT.
FEE PLASTER, EXT.
VALUATION FEE FINAL