HomeMy Public PortalAbout5935 1/2 AGNES AVE_Building__ � r
78A838A CE#803 8.63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING ^-
DEPARTMENT OF COUNTY ENGINEER ADDRESS t
BUILDING AND SAFETY DIVISION LOCALITY / l
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP I TYPE PROCESSED BY
FRE
OR APPLICANT TO FILL IN CONST. "
G J STATISTICAL CLASSIFICATION SE ER MAP
/ - CLASS. NO. DWELL. UNITS -BK T
L �W Q GpT66. BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE:
MAP HIGHWAY STATE MAJOR SEC D OC L
NO.OF BLDGS. NO. , - (CIRCLE)
OT NOW ON LOT USE ZONE SPECIAL
CONDI ION BLD 11 t'TV BUILDING XIST.
SETBACK YARD HWY STREET NAME WIDTHS: r p FRNT
ARCHITECT OR TEL. P.OL /
ENGINEER NO. SIDE
P. L. }
ADDRESS 6.
TEL. 0
CONTRACTOR NO. V
ADDRESS
DESCRIPTION OF WORK
W
a
ADD ALTER REPAIR DEMOLISH �•
SO, FT. NO. OF NO
d STORIES FAMOF
SIZE ILI
ES •/
USE OF
STRUCTUR r ...�,
` y
SIGNATURE OF
APPLICANT /
VALUATION $ �f� ` '
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. L PMT. FOUNDATION: LOCATION
FEE $ (y FEE 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.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT44 Am
-
ING TO WORKMEN'S COMP TION INSURANCE. LATH. EXT. I `
SIGNATURE �A / HOUSE NUMBER COR 115
-
PERMITTEE ��.- "L� RECT AND POSTED
ADDRESS FINAL c
JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK.
CK. M.O. CASH
Lhi_,o 1 3 4 3 JUL 15 2 18.001cl
LpiLo 2 5 9 5 AUG 13 1 D 3 6.0 0
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