HomeMy Public PortalAbout4904AGNES AVE_Building (8) a
75A588A CE#808S81APPLICATION FOR BUILDING PERMIT'
COUNTY OF LOS ANGELES ADD BUILDING
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DEPARTMENT OF COUNTY ENGRIEER I
BUILDING AND SAFETY DMSION LOCALITY i _
JOHN A LAMBIE COUNTY ENGINEER i NEAREST
WILLIAM A JENSEN SUP T OP BUILDING CROSS ST i
DIST c IjQ GROUPTYPE + 3—w SED BY I
FOR APPLICANT TO FILL IN Jr(J �.3/ CONST � �
BUILDING ` O STATISTICAL CLASSIFICATION MAP
ADDRESS CLASS NDWELL UNITS
LOT N BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT �--
NO OF BLDGS NOP HIGHWAY
STATE MAJOR SECOND FOGA)
SIZE OF LOT I NOW ON LOT USC ZONE SPECIAL 1 Z
USE OF I CONDITIONS I,zl—
EXISTING BLD I� /
OWNER BUILDING YARD HWY STREET NAME EXIST '
SETBACK WIDTH
ADDRESS FRONT
ARCHITECTOR P, TEL P L
ENGINEER NO SIDE O
ADDRESS I T INSPECTION RECORD
CONTRACTOR /� �— g ,p ,/� �J� ,,,��y �
ADDRESS rt0 •� �!A �b�f �� v 4U i,*4& A*4 19A �r
,y ry win
DESCREPTION OF WO Rg j /1 tI�{� A• ► i N
��yHNT ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
IZE STORIES FAMILIES
SUSE OF
TRUCTURE
457
SIGNATURE OF
APPLICANT (¢ !
VALUATION$ /-,:P—(�' } J � _.
I t APPROVALS AT INSPECTO}t S SIGN U E
PC PMT FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS Z
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION BRACING BOLTSI
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULA GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING�HE O
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON 1 1 A LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFOR
ING TO WORKMEN S COMPENSATIO RANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR f��.�..�.�.... ”-
PERMITTEE RECT AND POSTED �cQ/�//�✓//
ADDRESS FINAL
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. CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN
PLAN C 1ECK VALIDATION cK. M o cAsN PERMIT VALIDATION m w o use
' + - LU9441Q! MAP12 1 D 900
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