HomeMy Public PortalAbout4938AGNES AVE_Building (5) DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF L03 ANGELES rmh @u m � LD� �° �I
WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLANCK NO PERMIT NO
ADDRESS 911 Z f, _s �-- C!55 . �jzg
LOCALITY
RECEIVED BY DATE OF APPL DATE ISSUED
T
NEAREST i S-D -" =T GrLi�
CROSS ST BUILDING
ADDRESS 3 CJ
OWNER ST
MAIL LOCALITY i C , O
ADDRESSNEAREST
/ TEL CROSS ST L,� 's p `
CITYS NO FIRE NO OF _I-TYPE I GROUP
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO BLDG R p
SETBACK LINE
ADDRESS APPROVED -
h TEL BY DATE
CONTRACTOR d g /` NO USE APPROVED
ZONE BY DATE
ADDRESS r HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO BLOCK MAP NUMBER FIELD CHECK BY
TRACT qO NO ASSIGNED BY'__'-______DATE
NO OF BLDGS / CORRECTIONS `
SIZE OF LOT �� ��� NOW ON LOT
USEOF NOOF
EXISTING BLDG S FAMILIES 1
,DESCRIPTION OF WORV
r
NEW I r l ALTERATION I ADDITION l y
REPAIR I DEMOLITION
SQ FT NO OF 'n
SIZE ROOMS STORIES y Z
EXT WALL ROOF r
COVERING COVERING
USE OF STRUCTURE
5 / `
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APPROVALS
I INSPECTOR S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS ,
CORRECT
I AGREETO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULATING BUI ING CONSTRUCTION FURNACE LOCATION
SIGNATURE OF GAS VENT DUCTS
PERMITTE
LATH INT
ADDRESS
LATH EXT
AUTHORIZED AGT
PLASTER INT
76AE3SA DBas 10 80 $ J P C ,
FEE PLASTER EXT /
VALUATION f�
FEE FINAL
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