HomeMy Public PortalAbout4849AGNES AVE_Building (8) I
r e c APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER f DDRESS
BUILDING AND SAFETY DMSION LOCALITY 2'� C17'Y c
JOHN A LAMBIE COUNTY ENGINLER NEAREST �,y j/
WILLIAM A JENSEN S P T OF BUILD NG CROSS S O� L�yfR Ut /�
DISTRICT N GR P TYPE P S D
FOR APPLICANT TO FILL IN `.', coNsr
BUILDING a Q) _ pL� STATISTICAL CLAS IFICATION S WER_MAP
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ADDRESS CLASS NO DWELL UNITS K f
LOT NO ,*k_r r, Z BLOCK WATER r---J/
CERTIFICATE
NOT REQUIRED I/T RECEIVED >a
TRACT A OC HIGHWAY
STATE MAJOR SECOND LOCAL
NO OF BLDGS
SIZE OF LOT sX �p NOW ON LOT USE ZONE SPECIAL
USE-EXISTING BLDG E 6 J�L 6 t^ CONDITIONS
OWNER %� T �j/ NO T BJJJJJJILDING EXIST
YARD HWY STREET NAME
SETBACK WIDTH
ADDRESS JOE/C V -RROLT '30 /
ARCHITECT OR TEL
ENGINEER NO SIDE
P L VAf
ADDRESS 0
CONTRACTOR D � > A.t ^%m��y /� * NO> (o I
AA � /
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ADRESS � � B V
DESCRIPTION OF WO S / Oil � y
E�pr, ADD A TER REPAIR DEMOLISH / � i-
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF / 1
STRUCTURE CL ,4 T
VaLi ft2 '
SIGNATUR
APPLICA y "'
VALUATION $ 1 > 1
APPROVALS JDATE INSPECTOR 5 SIGNATURE
FORMSMATERIALSON f ja►�,p ' '
P C PMTFOUNDATION (}
FEE $ FEE $ �
FRAME FIRE STOPS °Y/
1 HEREB C NOWLEDGE TH T H VE RE D TH PP C TON BRACING BOLTS \ / i•a
AND S ATE THA HE ABOVE S CO ECT ND AGREE TO COM LY FURNACE LOCATION /
WITH LL COUNTY ORD NANC ES D ST TE LAWS REGULATING GAS VENT DUCTS
BU DI G CONS RUCTION I CE TIFY THAT N DO NG T E WORK /
AUTHORIZED HEREBY I WILL NOY EMPLOY A Y PERSON IN VIOLA LATH INT
. TION OF THE L BO COD O THE STAT OF CALIFORNI RELAY f
ING TO WO C PE S I NCE LATH EXT
SIGNATUR /� H� HOUSE NUMBER COR
PERMITT RECT AND POSTED I _
ADDRESS n 7TJ�lE S U 1�, FINAL AN Ik—
PLAN CHECK VALIDATION CK MO cnsH _ JOHN F LEWIS PRINCIPAL STRUCTURAL EN
PERMIT VALIDATION CK M O CASH
Limo 4 1 5 4%. JAiJ 7 1 D 4 00-
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