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HomeMy Public PortalAbout4910AGNES AVE_Building (12) I I 1 A Y CITY f\-Oxmp ITy , 76AS38A CE#8G9SB,APPLICATION FOR BUILDING PER f COUNTY OF LOS ANGELES BUILDINGQ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION ,i LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT FOR APPLICANT TO FILL IN r (�O G D BY I, conlsr BUILDING 4 1® Agnes Street r STATISTICAL CLAS IFICATION SEWER MAP K ADDRESS 9 g PG L f CLASS NO DWELL UNITS LOT NO 6 ' BLOCK WATER t NOT REQUIRED , RECEIVED CERTIFICATE TRACT 98 H6s MAPHIGHWAY STATE MAJOR SECON LOCAL NO OF BLDGS NO (CIRCLE) SIZE OF LOT x NOW ON LOT USS ZON SPECIAL USE OF t CONDITIONS EXISTING BLDG F OWNER .`j $C e 1 NO'i1 -4992 UIL ING EXIST ADDRESS 5019 Farago T•C• 4 SETBACK YARD HWY STREET NAME WIDTH FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE ? ADDRESS 0 CAITT j-Rnc TEL C INSPECTION RECORD CONTRACTOR NO v O I V ADDRESS 10 523 Lower Azusa R -T,C. DESCRIPTION OF WORK 12y A Z NEW X ADD ALTER REPAIR DEMOLISH SQ FT 1] 3 NO OF NO OF I e ) IZE STORIES FAMILIESUSE OF / A �-> $STR Ci TURE' A single residence 3!/3.42 Af 5?;L I -- nd izarage 1 x20 �'�� M r SIGNATURE OF ,�y�' Argy/ / APPLICANT = VALUATIONS 11, OO.OO APPROVALS DATE INSPECTOR S SIGNATURE PC PMT FEE S iJ� Y FEE 3 FOFORMSION MATERIIALSON FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT fHE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT UCTS BUILDD ING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED,HEREBY I WILLAOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR 006E OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S OMPENSATION INSURANCE F, rS � SIGNATURE O 4 aLATH EXT � Aff NUMBER PERMITTEE '� 4 HOUSE RECT AND POS EDR I ADDRESS p FINAL CLYDE N DIRLAM PRINCIPAL S7Vm RAL ENGINEER PLAN CHECK VALIDATION _eK. 1.O CASH PERNIIT VALIDATION o cABX 3 7 7 1 ,FEB 14-2 3 D 1 © 5 0I �9563 j i1hR14 1 D 3900' 4 f