HomeMy Public PortalAbout4908AGNES AVE_Building (3) 76A6SBA CE#803SBIAPPL[CATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY c
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO + GROUP TYPE PRO ESSE Y
FOR APPLICANT TO FILL IN CONST
BUL NGS STATISTICAL CLASSIFICATION SE ER MAP
AD SS SK
CLASS NO DWELL Uhl ITS `, r
LOT XO --:?1 CK WATER NOT REQUIRED RECEIVED
+ CERTIFICATELi
TRACT MAP HIGHWAY STATE MAJOR SECOND OCA
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SIZE OF LOT/ V JC NOW ON LOT USS ZONE SPECIAL
USEOFr / CONDITION
EXISTING BLDG
S
OWNER i BUILDING YARD umpf STREET NAME EXIST
ADDRESS SETBACK 7 WIDTH
FRONT
ARCHITEC OR TEL P L y.
ENGINEER NO SIDE
IDE 0
ADDRESS 0
CONTRACTOR ® f^ E WSP4C CO
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N
ADDRESS y;\ W
DESCRIPTION OF WO IIL
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N MEV V ADD /ALTER REPAIR
SCr NO OF TNO DEMOLISH Q
IZE V STORIES FAMILIESUSE OP
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SIGNATURE OF 41 I � y tf AUI,� zm
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VALUATION$ �, r
r APPROVALS I wr MY DATE INSPECTOR SSIGNATURE
FEE $ sv FEE $!PMT F
OUNDATION
MATERIALS
N
E FIRE STOPS +
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONCING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING VENT DUCTS
BUILDING CONSTRUCTION CERTIFY THAT IN DOI THE WORK
AUTHORIZED HEREBY I ILL OT E OY ANY PE ON IN LA INT
TION OF THE LABOR OF T E F C ORNI T
INC TO WORKMEN 5 C T ANJ
LATH EXT Wvt /4
SIGNATURE OF H ECT AND POSTED OUSE NUMBER Dw'I �'�'0
PERMITTEE
ADDRESS FINAL I S
CLYDE N DIRLAM PRINCIPAL STRUC RAL ENGINEER
PLAN CHECK VALIDATION cN M o CASH PERM VALIDATION M o CASH
LAFo 8 1� 0 5 % FEB
I t 8239 22501n
L DD U�o8942 - FEB ?8 1 D
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