HomeMy Public PortalAbout4901AGNES AVE_Building (9) r ,
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEERI L
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDSS
LOCALITY j RECEIVED BY DATE OFF APPL. /DATE ISSUED
A t
NEAREST (J
,
CROSS ST, %C a WA A7 7,V Z- � BUILDING
OWNER
/ ADDRESS_ •1-1,90
�. �.�. •�®Lad � N
MAIL LOCALITY �i C
ADDRESS ,:rl3m NEAREST
TEL. CROSS ST.
CITY TE FIRE I PLANS Z__I TYPE-,176 I GROUP -E
ARCHITECT OR TEL. ZONE
ENGINEER NO. BLDG.
SETBACK LINE
ADDRESS O�C/ L�
APPROVED - b
TEL BY DATE
CONTRACTOR �dY.l�/I NO. USE APPROVED
ZONE BY DATE
ADDRESS .L., HOUSE NUMBERING
LEGAL
DESCRIPTION .I oy0 / FIELD CHECK BY
LOT NO. I BLOCK MAP NUMBER
TRACT f3 f NO. ASSIGNED BY -_-_'_ DATE
NO. OF BLDGS. / CORRECTIONS
SIZE OF LOT��®�3 A� I NOW ON LOT
USB OF NO. O
EXISTING BLDG. P W,5A4),va FAM I LIE. —
DESCRIPTION OF WORK
NEW I ALTERATION I I ADDITION
-
REPAIR I I DEMOLITION 0 I �
SQ. F'I'. NO. OF -
SIZE : PA ROOMS STORIES ® Z
EXT.,WALL ROOF (#M ,/ ` w r
COVERING ,�/��to� COVERING dJEf/!fit S
USE OF STRUCTURE
APPROVALS
INSPEG OR'S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION �'
PLICATION AND STATE THAT THE INt )�FORMATION GIVEN IS FORMS, MATERIALS
CORf �'
RECT.
1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WI H ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS RE(ULATI G BUILDING CONSTRUCTION. FURNACE: LOCATION,
SIGNATURE OF GAS VENT, DUCTS
PERMITTER -
LATH, INT. y-,
�I.
ADDRESS
�� LATH;,EXT.
AUTHORIZED AGT I
PLASTER,4NT, v
78AO38A I D9IIII 10-II0 $ .p, C. $ -
® ® FEE PLASTER, EXT..
/may
VALUATIO two ���' $ �Q'r1 ,. '''
FEE �a o-, i.,FINAL