HomeMy Public PortalAbout5920 AGNES AVE_Building__ 76A638A DBS 3 12 54 r
APPLICATION FOR BUILDING PERMIT 1�
DIVISION OF BUILDING AND SAFETY BUILDING
Deportment of County Engineer ADDRESS
County of Los Angeles LOCALITY
WM J FOX COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN BKS PG
BUILDING
CONST
ADDRESS MAP GC, STATHWY Yt NO
L NUMBER
LOT NO / BLOCK USE ZONE SPEC AL
/n` CONDITIONS
TRACT
NO OFBLDGS
SIZE OF LOT (/ NOW ON-LOT BUILDING YARD HWY STREET NAME EXIST
USE OF A / SETBACK WIDTH
EXISTI BLUE FRONT �7 _
OWNER l i l SIDE -�
r P L
MAIL ADDRESS
LN
� 3 1 DWELL 1 UNIT 5 INDUSTRIAL
CITY NO
2 DUPLEX UNIT- 6 PUBLIC BLDG
ARCHITECT Oe TEL
ENGINEER NO 3 APT UNITS 7 ADDN ALT ETC
ADDRESS / 4 COMMERCIAL S MISCEL
CONTRACTOR //(/ TNo INSPECTION RECORD
ADDRESS
11 DESCRIPTION OF WORK
NEW(J ADD A ALTER REPAIR DEMOLISH /} `�,.� �lLa3 0/- � s/Rrul
SQ FT NO OF NO OF K S
SIZE STORIES FAMILIES A
US O 5 U URE /' 7�•0 k�/��
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR S SIGNATURE
FOUNDATION LOCATION
S P C $ FORMS MATERIALS
DZ'h FEE FRAME FIRE STOPS
VALUATION $ BRACING BOLTS
7FEE
L-G C FURNACE LOCATION
GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I''HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING B ILDING CONSTRUC
TION ` LATH EXT
SIGNATURE OF / HOUSE NUMBER COR
PERMITTEE '96�z, ✓��+� 1....../// RECT AND POSTED
ADDRESS FINAL
WM J FOX COUNTY ENGINEER VALIDATION
I ILO 3P6 6 5� Wy1'2 1 400 n
DEPUTY DEPUTY
BY BY
® DEPUTY DEPUTY
i
�1 DEPABMNT OF COUNTY ENGIN=
DIVISION OF WELDING AND SAFETY I
COUNTY OF LOS ANGELM Ems' Rum I L D
WILLIAM J FOX COUNTY ENGINEER APPLICATION
CASSATT D GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
�7 DISTRIC�
DREO PLANCK ort REc No PERMIT
AN/OBUI '
ADISS G ff -�^ 1� - !2
LOCALITY /.�� G� n x4ff"Y DA�g-OF APPL DATE ISSUED
NEAR 9T N7 s td —1-,
BUILDING
OWNER _ ADDRESS
MAIL LOCALITY
ADDRESS - NEAREST -7'Z1nv.4
6 NO
CITYTELdCROSS ST
ARCHI ECT ORTEL FIRE NO OF GR
r ENGINEER NO ZONE PLANS
BLDG 'peO 13(^C.
ADDRESS SETBACK LINE
TEL USEAPPROVED
CONTRACTOR_ NO ZONE —1 BY DATE
ADDRESS HOUSE NUMBERING /.���
LEGAL 1rc� .�1J E MAP NUMBER -A-'00 )—NO ASSIGNED BY�L
DESCRIPTION I LOT NO J BLOCK
CORRECTIONS
TRACT
✓ 7
SIZE OF LOT SSD ^ NOW ON LOTS L�
USE OF NO OF -
EXISTING BLDG r wMILIE
DE ON OF WORK o —
NEW I All ALTERATION ADDITION //�� �-p /9 Al TH/-f
REPAIR DEMOLITION I /,�� �p Z
D
So FT �d 1 No f / a(/J S� LYNN
SIZE tet- ROOMS STORIES
EXT ALL Ro6F
COVERINGCOVERING
USE OF STRUCTURE
U12 ir-;-
APPROVALS
INSPECTOR S SIGNATURE DATE
FOUNDATION LOCATION
FORMS MATERIALS t
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS
PLICATION AND STATE THA E NFORMATION GIVEN IS BRACING BOLTS
CORRECT 7
I AGREE TO COMPL WITH CO TY RDINANCES FURNACE LOCATION L
AND STATE LAWS RE LA UILD STRUCTION GAS VENT DUCTS
SIGNATURE OF
LATH INT
PERMITTH
� LATH EXT
ADDRESS - n
PLASTER INT
AUTHORIZED AGT
�''+PFINAL
OUSE NUMBER COR
PLASTER EXT
/ RECT AND POSTED
FECVALUATION FEE ffil9'/ �� �� t5�(
76AS38A 0863 9 52 I `�
I
f`
DEPARTbOW OF COUNTY ENQMM215"WILDING
DMSION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELM
WILLIAM J FOX COUNTY ENGINEER APPLICATION
CASSATT D GRIFFIN SUP T OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTR CT NO PLANCK OR REC No PERMIT NO
ADDRESS 4ce -3 F °lS6 6
lc
Ir
EIVED BY DATE OF APPL DATE ISSUED
LOCALITY `)
NEAREST .�- "A NS / �� J
CROSS ST. limit.' 3 JGlib
BUILDING �y Q
'A
OWNER �If Vf/ ADDRESS /�T/ v�P s
I/
MAIL LOCALITY .— J0W h /�
ADDRESS O NEAREST
CITY / Tp � 3 CROSS ST S
ARCH IfECT
OR NEL ZONE PLANS__--
PLANS�I FIRE NO OF TYPE / �I GROUP
ADDRESS BLDG �y V/ ORD VO
SETBACK LINE Va•--
TEL USE APPROVED
CONTRACTORN ZONE BY DATE
ADDRESS �1 HOUSE NUMBERING
LEGAL vlo ,SQ MAP NUMBER [�® ! NO ASSIGNED BY
DESCRIPTION LOT NO BLOCK
CORRECTIONS
TRACT f
NO OF BLDGS
SIZE OF LOT L5-0 � NOW ON LOT
USE OF NO OF
EXISTING BLDG FAMILIES
DESQRIPTION OF WORK / 'T n/ / o -
NEW ALTERATION ADDITION O
REPAIR_�qDEMOLITION I I� �/,� '/rll? / ," "" - D
SQ FT NO OF '//m l I J L V I`:J�l r
SIZE � � ROOMS / STOALL ROOFRIES i
AIP
COERING /f/ I COVERING L�D��� CF/J
USE OF STRUCTURE
d
APPROVALS
INSPECTOR S SIGNATURE DATE
FOUNDATION LOCATION
FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP FRAME FIRE STOPS
PLICATION AND STATE THAT INFORMATION GIVEN IS BRACING BOLTS
CORRECT
IAGREE TO COMPLY ITH COUNTY DINANCES FURNACE LOCATION
AND STATE LAW REG T UILDI BTRUCTION GAS VENT DUCTS
SIGNATURE OF LATH INT
PERMITTE
LATH EXT
ADDRESS
PLASTER INT
AUTHORIZED AGT
PLASTER EXT
$ V P C S
FEE HOUSE NUMBER COR
RECT AND POSTED
VALUATION FEE FINAL
76AG38A OW 3 8.82 I
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
r COUNTY OF LOS ANGELES 1 1
WM J FOX CHIEF ENGINEER BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN CK NO PERMIT NO
AODREee ,
LOCALITY RECEIVED BY DATE OF APPL /DATE ISSUED 7�
NEAREST
C 09B ST
BUILDING �/ y ►�/b' Fa
OWNER i i ADDRESS
AMAIL dV d�7 f//1�t
/
DDRE89
NEAREST
(�
CITY � CROBBBT L ig-
FIRE NO OF TYPE GROUP,
ARCHITECT OR NOEL , ZONE _'_PLANB '
ENGINEER
/ BLDG �l / / ORD NO
SETBACKLINE �� �� /-y/M PL., /zz,*
ADORES
APPROVED F
TEL BY DATE
CONTRACTOR NO
� USE APPROVED
ADDRE139 ZONE BY DATE
LEGAL S o ►/Z,, CORRECTIONS
DESCRIPTION LOT NO BLOCK -Alto
TRACT 4,c-�
NO OF
SIZE OF LOT �� rgyl NOW ON LOTBLDGS
USE OF NO OF NO
EXISTING BLDG FAMILISB R OMOF
DESCRIPTION OF WORK
6
NEW ALTERATION ADDITION O
A
REPAIR MOVING DEMOLISH
Sq FT t NO OF
SIZE I ROOMB ® STORIES D
WALL ROOF
r
COVERING nCOVERING '.....
USE OF NEW
BUILDING
/PnT fit-
y
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION, LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME FIRESTOPS,
BOLTS
SIGNATURE OF BRACING BOLTS
PERMITTE LATH, INT
AUTHORIZED AMT LATH EXT
76AS38A 3 Z 50 $ .tea P C S PLASTER,INT
V FEE PLASTER,EXT
VALUATION
FEE IS 0 FINALMAXIMUM ACCOIIIPLISHED 8 15 51