HomeMy Public PortalAbout4835AGNES AVE_Building (6) 76A638A CE #803 3-69 APPLICATION FOR BU I LDI G ERM
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN Dlsrg cr� GRA TYPE ON PR Y
(PRINT OR TYPE ONLY) .2 t
BUILDING $ Ames, Te le Ci STATISTICAL CL'A�SS.IIFICATION SEWER MAP
ADDRESS V CLASS NO. Z LDWELL.UNITS 8K PG
LOT NO. BLOCK USE ZONE MAP j
^ r N0. J
TRACT `(1(`! (/ SPECIAL
N0. OF BLDGS. 7 CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. Residence BLDG. SETBACK FROM
T TEL. FRONT PROP. LINE,OF (STREET)
OWNER W* � Lemons N0. _
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
HIGHWAY WIDTH FROM C.L.
ADDRESS 4845 A=,s
CITY Temple City +
ARCHITECT ORTEL. BLDG.SfYS0,CK FROM (STREET)
ENGINEER NO. SIDE PROP. L
rW
TYPE OF EXISTING SETBACK WAY + YARD = TOTAL'
ADDRESS TE t�` HIGHWAY WIDTH FROM.C.L.
CONTRACTOR Rigid �'i0 N0L26 181 + or
ADDRESS 337 So Woods NO 6 CORNER CUTOFF YES ❑ NO ❑ u
LIC. Ce
CITYE Los An Bl s CLASS C,.39 SEE REVERSE SIDE FOR SPECIAL APPROVALS O
CONSTRUCTION LENDER V
NAME AND"BRANCH w
d
ADDRESS
Z
SQ. FT. NO. OF N0. OF -
SIZE STORIES FAMILIES NEW ❑
USE OF ADD ❑
STRUCTURE geroof
ALTER ❑
REPAIR
SIGNATURE OF).. / /1 DEMOL ❑
APPLICANT
VALUATION S 26o.m APPROVALS DATE INSPECTOR'S SIGNATURE
`R.C. PMT. - .4 LOCATION
FEE $ FEE $" f�Q� . 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 ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE'.LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA N RELATING TO WORKMEN'S COM-
PENSATION INSURANCE. LATH, EXT.
SIGNATURE OF �A HOUSE NUMBER CORRECT
PERMITTEE Rigid jJQf a_ ro (''
--v�- T� A AND POSTED
ADDRESS337 S. wL1odS kmam re'.L• fit• Foifi FINAL
JOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.0.
CASH