HomeMy Public PortalAbout4846 AGNES AVE_Building_7/24/1975_NEW GARAGE (8)APPLICATION FOR BUILDING PERMIT
FOR P"PPLICANT TO FILL IN (P r o rya 0 IV) t
Bl7I DING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY zlp v BUILDING AND SAFETY DIVISION
NO OF BLDGS BUILDING
SIZE OF LOT 3b NOW ON LOT 2-ADDRESS
Y
TRAC BLOCK aLOT NO J LOCALITY
M A
TEL NEAREST
OWNER NO CROSS ST
ASSESSOR
ADDRESS Q MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE ESSED BY
CITY < ZIP91 7 v
J.~.a CONST zo
ARCHITECT OR TEL
ENGINEER NO
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO lDWELL UNITS Bl i`6 PG
CONTRACTOR
LTEL
3 U ZONE
NOP
6.O 46
ADDRESS JNO 0 SPECCIA7L
CITY
LIC CONDITIONS
CLASS
CONSTRUCTION LENDER
r I
ROAD DEPARTMENT APPROVAL REQUIRED YES NO
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF STREET)
ADDRESS CITY
HIGHWAY + YARD TOTA SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH
SIZE Qv STORIES FAMILIES ONE
C3 O aDENEW0DESCRIPTIONOFWORKrC
r ADD
BLDG SETBACK FROM C
SIDEPROP LINEOF STREET)
ALTER
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING V
EPAIR SIDE PROP LINE HIGHWAY WIDTH
LLA
USE OF N
EXISTING BLDG EMOL Z_
APPLICq TEL
3
CORNER CUTOFF YES f NO
PRINT)G. S NO Z?.b33
1 IN OPEN SPACE YES NO
y
BY (SIGNATURE)
IN COASTAL PERMIT ZONE YES NO
IALUATION$ 2.v O r
d
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRUCTION IC THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE 1
LABOR CODE OF THE STIkTE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE
SIGNATURE OF
PERMITTEE 4 4 • r /^
ADDRESS
TEL
FINAL IBY
CITY NODATE
b
111je
BARE CHECKS PA}ABLE 70 FEE s { r VV
FEE
t—
HARVEY T BRANDT COUNTY ENGINEER
jPMT $ 4 6
PLAN CHECK VALIDATION
t
CK M O CASH r PERMIT VALIDATION D mo is SH
9+
44E- Z4 1 D - " 285p ®JO
76A638A CE#603 9/74 I
t