HomeMy Public PortalAbout4833, 4825AGNES AVE_Building (15) ®5-76A638A
CE#803(REV i l/78)
APPLICATION_FOR-BUILDING PERM#IT '-
.. _ COUNTY OF LOS ANGELES :_-BUILDING AND SAFETY
BUILDING /�/J(� /
_ FOR APPLICANT
WING TO FILL IN ADDRESS.•-- XU. w 4110/� �- - •,
ADIDRESS G_4 _ LOCALITY = i
NEAREST ) ;
CITY ZIP CROSS ST j
NO OF BLDGS ASSESSOR I 1
SIZE OF LOT fQ®o NOW ON LOT ev MAP BOOK a PAGE - PARCEL r P
DISTRICT GROUP TYPE s ° FIRE P CES$ED BY r
TRA T 377J BLOCK `S LOT�jNOS'��� CONST"
ZONE h
OWN /7i- m "N �/�. r T ' %dD IV i
,A _ STATISTICAL CLASSIFICATION A SEWER MAP{
ADDRESS v/,W4% / Y CLASS NO 0 DWELL UNITS _ BK _ PG w{
CITY- � �/� ZIP
ARCHITECT OR TEL VALUATION $ 705'6'0
ENGINEER �* NO ^+
ADDRESS BLDG SETBACK FROM
� n FRONT PROP LINE OF ; (STREET) P
CONTRACTO �'��c6Wl�,4 NOYAQ. "" TOTAL SETBACK FROM TYPE OF EXISTING
' LICNO HIGHWAY t YARD =z RONT PROP LINE HIGHWAY WIDTH
ADDRESS L _
LIC' "� t +
CITY•
CONSTRUCT( NDER -CLASS � BLDG SETBACK FROM 1 v
NAME AND �P~ St SIDE PROP LINE OF y (STREET( T
HIGHWAY t YARD __ 'TC rAL SETBACK FROM TYPE OF EXISTING O �-
ADDRESS ! -CITY SIDE PROP LINE HIGHWAY WIDTH
SO FT NO OF NO OF CHECK + _ '- '+ w
SIZE STORIES FAMILIES ` "SONE -
�p'� USE ZONE _ MAP
DESCRIPTION OF WORK Z S//!� NEWS (iLJ ���� NO
SPECIAL O� / Sv rj
ADD ❑ apr� CONDITIONS4 M - - y
I y ALTER 11' FINAL g
REPAIR ❑ DATE If--fl
USE OF DEMOL ❑ ' '' , 1 a""i t
EXISTING BLDG jU�fj// +-- Z O
APPLICANT TEL `, (i Q (�
(PRIN� C�
3 < # `•
BY(SI , .i ti 4A > r _.
I HEREBY ACKNO DGE TH HAVER TH PLICATION AND ATE ; Y��+ Y.� uuY
THAT THE ABOVE IS CORRECT A AGREE CO WITH ALL ORDINANCES l q W
AND LAWS REGULATING BUILDI CONSTRU ION I CERTIFY THAT IN DOING THE 4 S' -19 9 3 2 A�- ,
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF �r13 4 V
THE LABOR CODE O THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM , q t. Z _ # O O O O OPEN1
s w CE
2,- 554,50 - -
SIGNATURE
PERMITT _ t0 e 5 5&5 01ul '
ADDRESS y + Z
'"TEL c 0 4, 6;-8 0
r
CITY NO G Y
PC Fee$ Permit Fee
F x
Issuance Fee (� _ W
�V [/ L Q a 6
• Total Fee ��