HomeMy Public PortalAbout4932 AGNES AVE_Building_8/12/1964_new addition 748 sq ft garage & utility f xM„
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78A838A-CE#803883 APPLICATION' FOR BUILDING' PERMIT
COUNTY SOF LOS ANGELES BUILDING
DEPARTMENT-OF COUNTY ENGINEER ADDRESS — _
BUILDING AND SAFETY DIVISION LOCALITY / a=
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
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e DIS�TJR CT NO GROUPS TYPE _
ESSED BY r fi
FOR APPLICANT TO FILL IN S U w, CONS'
BUILDING >, ' STATISTICAL CLASSIFICATION 5 WER MAP
ADDRESS ' >< ,MBK ''/
_ CLASS NO DWELL UNITS */ I
LOT NO BLOCK WATER e t r
I CERTIFICATE
NOT REQUIRED ' RECEIVED!
TRACT MAP I HIGHWAY TRACT - r
id' 14 r NO OF BLDGS NO >(CIRCLE) STATE MAJOR SECOND LO AL
SIZE OF'LOT NOW ON LOT USE ZONE SPECIAL
USE OF ' "CON
EXISTING BLDG i�P�SiUG�IrL�b szv(j¢�'r �'��"
TEL
OWNER �- / , NOIlArBUILDING EXIST
t _ _ SETBACK YARD HWY STREET NAME WIDTH
ADDRESS q-5 4 a FRONT
ARCHITECT OR NO SIDE ' t) 9 L
ENGINEER J�r�
ADDRESS
TEL A A A l t Q w
CONTRACTOR Y� ) NO r r']. �� I ll a U
ADDRESSr= -
DESCRIPTION OF WORK,
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EW ADD ALTER REPAIR DEMOLISH /�" I q �Srfat� f {✓.'k'n +r
SQ FT NO OFNO OF
SIZEZ19 STORIES FAMILIES
USE O F r
STRUCTURE
(SIGNATURE OF
APPLICANT i tr
a � �d C'dt,► a +F
VALUATION $
air APPROVALS ;- DATE INSPECTOR S SIGNATURE
a FOUNDATION LOCATION
,FEE
FEE. - +M
' FORMS ATERIALS
FRAME FIRE'STOPS t , + �I
I HEREBY ACKNOWLEDGE aHAT I HAVE READ THIS APPLICATION BRACING BOLTS „ � v�J
AND STATE THATe THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION r /
WITH ALL COUNTY ORDINANCES AND STATE LAW5_REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION e I CERTIFY THAT IN DOING THE WORK —
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT r
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE ' LATH EXT
I.
SIGNATURE°OF S
' / �/ /� 'HOUSE NUMBER COR '
PERMITTEE �� 1�-t��7fltb. RECT AND POSTED .,
ADDRESS r� �' FINAL /I:.-
JOHN
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JOHN F LEWIS PRINCIPAL STRUCTURAL ENG R
PLAN CHECK VALIDATION ' CK M O S CASH PERMIT VALIDATION CK MO
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r U tua 2 5 5 9 W RUG 1 2 e 1 D 1 15 0
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