HomeMy Public PortalAbout4946AGNES AVE_Building (2) r11AG38A CIE#8032/40 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS C
BUILDING AND SAFETY DIVISION LOCALI �G , t
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO I GRO P TYP P CESSED BY
FOR APPLICANT TO FILL IN �0 S CON
BUILDING STATISTICAL CLAS IFI CATION SEWER MAP
ADDRESS B
� CLASS NO DWELL UNITS_/__
LOT NO ULy SLPJ O BLOCK MAPSTATE
NUMBER WY YES NO
TRACT USEZONE SPECIAL �
NO OF LDGS q / CONDITIONS
SIZE OF LOT�yd xA I NOW ONBLOT �(.. 1
USE OF
EXISTING BLDG BUILDING EXIST
TEL SETBACK YARD HWY STREET NAME WtPTH
OWNER J- p // NO FRONT
P L
ADDRESS SIDE
AR HITECTOR No P L
rr INSPECTION RECORD
TEL L
/--7-- �O�` a
CONTRACTO o0 iIxec NO O
ADDRESS �/ V e e)/e P /Ne V
DESCRIPTION OF WORK
U
NMZADD ALTER REPAIR DEMOLISH //yy
SQ FT NO OF NO OF �� a
SIZE STORIES FAMILIES �7 g /� W
USE OF /� S 1, 14'7LL l/
STRUCTURE
7s` /�,
SIGNATURE / /1.�0 ✓"`� ZR
Al
VALU 10 i o
APPROVAS DATE INSPECTA S SIGNATURE
PMT FOUNDATION LOCATION
FEE $ ✓� FEE FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME FIRE STOPS
BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN 3PENSATION LAWS OF CALIFORNIA LATH EXT
SIGNATURE HOUSE NUMBER COR /
PERM ITTE RECT AND POSTED
ADDR s U FINAL
CLYDE N DIRLAM PRINCIPAL STR5 RAL ENGINEER
PLAN CHECK VALIDATION0.-
mo CASH PERMIT VALIDATION CK M o CASH
5 ti iti'0 15- 1 ' '
' ®r
L'L'o S a b 8 1 D 3000 `�