HomeMy Public PortalAbout5009 AGNES AVE_Building_2/13/1963_add 348 sq ft bedroom & bath 76AS3 CE 1-62 AT
BA #BD3 APPLIC ION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /��
DEPARTMENT OF COUNTY ENGINEER ADDRESS 1. 1(
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. Qi
DISTRIC N TY E �PRBY
FOR APPLICANT TO FILL IN �� CONST. G/-
BUILDING ,�/ STATISTICAL CLA (CATION S ER MAP
ADDRESS ��(�O /V• atl ,r KS
CLASS. NO. DWELL. UNITS &-B
LOT NO. / ,. BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT 6 MAP ^ HIGHWAY STATE MAJOR SECON LOCAL
y NO.OF SLOGS.
NO., (., (CIRCLE)
SIZE OF LOT O U X SAY• X79 NOW ON LOT y USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. L/ EQ
OWNER I(,JF/C/yA U NO�y�y 36
BUILDING EXIST.
�- ^ SETBACK YARD HWY STREET NAME W DTH I
ADDRESS S'Ud5 4/ 46 tias FRONT �r �
ARCHITECT OR TEL. P. L. ozoC
ENGINEER NO. SIDE
P. L. d
ADDRESS
TELOK
CONTRACTOR CAo-r NO.d-01V1 C7
ADDRESS aYJ y P--.- FO
DESCRIPTION OF WORK W
Lu
CAI
NEW ADD ALTER REPAIR DEMOLISH Z
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES/
USE OF
STRUCTURE V_
SIGNATURE OF
APPLICANT
v
VALUATION S kC)d
APPROVALS DATE INSPECTOR'S SIGNATURE
I' FOUNDATION: LOCATION -
FEE FEES FORMS, MATERIALS -
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S TESON IN RANGE
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS, PRINCIPAL SaCKT
URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION M.O. CASH
t_I iso 0 6 5 8 i=E 31 � 0 15-00-