HomeMy Public PortalAbout4913AGNES AVE_Building (2) DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® � � .
WM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLANCK NO PERMIT NO
ADDREISS gL/��i
GGG J V
LOCALITY RECEI ED BY DATE OF APPL DATEISSUED
CROSS ST '
BUILDING
OWNER ADDRESS % `r'/ a,, l�
MAIL LOCALITY
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ADDRESS
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I TE .t c ! CROSB ST
CITY NO NEAREST
L TJ V FIRE NO OF TYPE GROUP3:�
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO
BLDG I I f ORD NO
ADDRESS SETBACK LINE
TEL APPROVED i
CONTRACTOR BY DATE
CJ_ _ USE B,� APPROVED
ADDRESS "-V Ev ZONE/1 BY DATE
" LEGAL I
DESCRIPTION I LOT NO ' BLOCK I p CORRECTIONS
TRACT r co
NO OF SLOG
SIZE OF LOT 6/ , ,'w 0 I NOW ON LOTS ® AR..+
UBE OF I NO OFI NO OF
EXISTING BLDG FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH A
0 FT /�� or
GI
S ZE /� ROOMS STORIES / Z
D
WALL &+m I ROOF
COVERING .lw/(.Kd7 COVERING
USE OF NEW +
BUILDING
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I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION V Q J-3-F'>
FRAME FIRE STOPS 10 Y
SIGNATURE OF BRACING BOLTS J
PERMITTE
� LATH INT
AUTHORIZED AGT LATH EXT `
oes 3 50M sera 7 47 $ PCS . �.eet PLASTER INT
I'��/jC��/��O� FEE P�,ASTER,EXT
7(/(/ • IS
VALUATIOCN -
FEE i FINAL I �'y—��