HomeMy Public PortalAbout4910AGNES AVE_Building -�- L
176A638A CE 9803 1/71 ��
` APPLICATION FOR BUILDI G PERMIT _
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING `
ADDRESS •0 _ <
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print ort a onl CROSS ST
BUILDING DIST Nq "CRO P OPE CESSED BY
ADDRESS /�/� G 4 ONST
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STATISTICAL CLASSIFICATION SEWER MAP
LOT NOr BLOCK r
CLASS NO DWELL UNITS
TRACT USE ZONE MAPy
NO OF BLDGS NO (/✓
SIZE OF LOT NOW ON'LOT I _/ SPECIAL
USE OFEXISTING BLDG U W It �^L> N 6'Jr = CONDITIONS _
OWNER W fp�Il!//�7�/y v SEN
NOL �7 z� f BLDG SETBACK FROM
ADDRESS / /0 N/ A 4i/NjIfs FRONTPROP LINEOP - L(STREET)
t pw r TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
j� /iI
CITY / /Z lol- IG C �y HIG IDTH FROM C L _ -
ARCHITECT OR TEL y + -
ENGINEER I NO BLDG SETBACK FROM
ADDRESS I /� Sd SIDE PROP LINE OF d - -� (STREET)
TYPEOFIh CONTRACTOR So H�gsr�ir`�d,�rrL�T� �j HIGHWAY EW WIDTH FROM CCL HIGHWAY YARDS = TOTAL
ADDRESSl/0217f. WeAVff LIC //O?v9' + = Ir
LIC
CITY SD /Pi L 140NT� CLASS G 'z 9 CORNER CUTOFF YES ❑ f NO W
CONSTRUCTION LENDER "
NAME AND BRANCH I ` SEE REVERSE SIDE FOR SPECIAL APPROVALS z
ADDRESS e�V
SQ FT OF OF NEW
SIZE STT FAORIES 1�� FAMILIES
STRUUSE O TURE 1 40CR Iv ,4-4 e— ADD ❑ �
ALTER ❑ r
SIGNATURE O
REPAIR❑
APPLICANT DEMO
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APPROVALS AT Ns eroR s ATU RE
PIAT
FFEE let j9d FORMS FOUNDATION MATERIA SIGN y
FRAME FIRE STOPS !�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION IC
THAT IN DOING THE WORK AUTHORIZED -
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE I LATH EXT
SIGNATURE OF y�/// l�J HOUSE NUMBER COR
PERMITTEE� �y I,,r �/x p RECT AND POSTED
ADDRESS /'V9 7 �i WIA F kf Vd 1,11fLM/1Y FINALA _
JOHN F LEWIS PRINCI A STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDA N CK M O CASH
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