HomeMy Public PortalAbout5923 AGNES AVE_Building__ 76A638A CEu803 5-65 APPLICATION FOR BUILDI G PERM T
COUNTY OF LOS ANGELES BUILDING C
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY t? L
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DIS T�I.LC T�O. GFj TYPE , P C Y
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL CLASSIFICATION SEWER SAP
ADDRESS E.K [/ P
CLASS NO. DWELL UNITS G
LOT NO. � BLOCK USE ZONE MAP
J
NO.
I
TRACT SPECIAL
N0. OF BLDGS. _
CONDITIONS
SIZE OF LOT NOW ON LOT f•-d
USE OF
EXISTING BLDG. C:f IIIM.� • C�! BLDG. SETBACK FROM
/ T FRONT PROP. LINE OF (STREET)
OWNER S NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS .v '1�(i,j HIGHWAY WIDTH FROM C.L.
_ted U +
C I T Y F' i,py 4_ 01
BLDG. SE BACK FROM
ARCHITECT OP TEL. SIDE PROP. LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
bN }
CONTRACTOR 1l{ �� ..TOE L, I h� + = a
ADDRESS �(� QM Fs�"I NO 4/ CORNER CUTOFF YES NO OV
CITY r CLCAsS - SEE REV ��2 R �, P',�PROVALS 0
DESCRIPTION OF WORK AN v
a rooc6 t u4
Alta o -
pt `Z
NEW ADD ALTER REPAIR DEMOLISH 1. r _i CL 1
Sq.FT. NO. OF NO. OF or curb, =' P"
U—
SIZE STORIES FAMILI ES� td%�'n
USE OF stallations should b.. n •nP`., end is not star{ d
STRUCTURE or > er R11{ a '
Ofiice, u C--' ` tree p
d lsy. Survey sor ar wey
has been
SIGNATURE OF _ Until Permlt I-+
APPLICANT ���/..�-r 1 City - '
VALUATION " APPROVALS DA E INSPECT 'S SIGNATURE
P.C. PMT. $� FOUNDATION, LOCATION /
FEE$� f FEE$� FORMS, MATERIALS
FRAME, FIRE STOPS, r
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK ys
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKM�N'SC MPENSATION INSU RANCE. LATH. EXT.
SIGNATURE OF / -s HOUSE NUM
BER COR- /
PERM ITTE ///999 "' RECT AND POSTED �/�/ x,r
ADDRESS d''f—A FI NAL /J• l/� r
JOHN F. LEWIS. PRINCIPAL RUCTURAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. CASH _ PERMIT VALIDATIO M.O CASH
��i,a 1 7 5 0 MY 3 2 3 D 2 6.75A CK.
LrAL,0 2 10 � 5� JUN21 1 D 53.50-