HomeMy Public PortalAbout4823 AGNES AVE_Building_9/8/1961_new residence, detached garage ' I
, TEMPLE 'CITY
7"@S@Aeetl8011 16 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
U I LD I N �V
DEPARTMENT OF COUNTY ENGINM
BUILDING AND SAFETY DMSION LOCALITY _
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
FADDRDIST CT N TYpE P S BY
E
OR APPLICANT TO FILL IN Q CONST �i
//� / STATISTICAL CLAS IFICATION a S ER MAP
T yC�¢/ Fr
CLASS NO—/ DWELL UNITS
BLOCK WATER}� CERTIFICATENOT REQUIRED RECEIVED
O �+ / NG K� MAP A HIGHWAYY NO OF BLDGS NO Com/ (CIRCLE) STATE MAJOR SECON7 ?/ I NOW ON LOT ® US- ZONE SPECIAL
USE `-- A
/ CONDITIONS
EXISTING BLDG
TEL
OWNER - D y NO -3UILDING EXIST
YARD HWY STREET NAME
ADDRESS O ?3 G Ad g so l SETBACK I WIDTH
FRONT
ARCHITECTOR TEL P L
ENGINEER NO SIDE
P L
ADDRESSTEL iN--CTION RECORD CL
O
CONTRACTOR NO 0yw
L1
ADDRESS
DESCRIPTION OF WORK O U7-/ /ES UAI T/L t C
eLu
NEW f ADD ALTER REPAIR DEMOLISHv L S r , R�� r ?
SQ FT NO OF NO OF
IZE !I� STORIES FAMILIES '
USE OF
STRUCTURE /%Ae G ti
SIGNATURE OF J5& �s - ^� ♦ /� J' �+
APPLICANT d ..� ,
VALUATIONS 0 ��
APPROVALS DATE INSPECTOR S SIGNATURE
P C /�j) PMT FOUNDATION LOCATION / �✓
FEE $ /. ✓V FEE $ FORMS MATERIALS U�
FRAME FIRE STOPS
I HEREBY ACKNOWLEDG THAT 1 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 LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPEN ATIO INSURANCE LATH EXT / J
SIGNATURE OFQ /r/ HOUSE NUMBER COR /J
PERMITTEEp RECT AND POSTED 'l /I / //
ADDRES / 11
FINAL n
PLAN CHECK VALIDATION cK M o CASH CLYDE NP RIR
VALIDATIONDLAM PRINCIPALTT'URAL
ENGINEER
0 0 2 t%JG 3 0 2 3 D 2 1001
Lr x 2 1 0 8 10 SLP 8 1 D 45 '-)G `�