HomeMy Public PortalAbout4946AGNES AVE_Building (3) 'ZU430ACE$8032/SO APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUIL DING /
DEPARTMENT OF COUNTY ENGINEER ADDRESS (7
B=ING AND SAFETY DMSION LOC4LI
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISI RICT NO GR UP TYPES P OCESSED BY
FOR APPLICANT TO FILL IN I 0 ? CONS
BUILDING ` / �G��� STATISTICAL CLASSIFICATION Q SEWER MAP
ADDRESS 4f-b /7 P
CLASS NO-9—DWELL UNITS
LOT NO V v�((JL 4'pl 3 BLOCK NUMAPMBER (� b STATE YES NO
TRACT Cf 8 USE ZONE SPECIAL
SIZE OF LOT ZJ.Ii)e�b I NO OF BLDGS r CONDITIONS
NOW ON LOT /
USE OF
EXISTING BLDG BUILDING EXIST
T # TEL SETBACK YARD HWY STREET NAME WIPTH
OWNER I-+�J� 15 t,P.0911VA y
c� NO FRONT
ADDRESS 9-9-- 8 irJeS J - P L
SIDE
ARCHITECT OR TEL P L -
ENGINEER NO INSPECTION RECORD
ADDRESS
TEL /l -a��� c-�I . '. J;,-- .O Om 4i"e Too
W
CONTRACTOR NO i O
ADDRESS ��� V
DESCRIPTION OF WORE O
TlF
NEW ADD ALTER REPAIR DEMOLISH W
SO FT NO OF NO OF a
SIZE STORIES FAMILIES
USE OF
STRUCTURE �A IQ O
SIGNATURE OF
APPLICANT
VALUATION$ a
APPROVALS DATE INSPECTOR S SIGNATURE
PC _ PMT /Q-Q FOUNDATION LOCATION �,
FEE $ FEE $ ^-mss _ FORMS MATERIALS I/4"/ , C /L 4.
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS
EIRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FLRNACE LOCATION
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS /
STATE LAWS REGULATING BUILDING CONSTRUCTION
I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH)NT 4 Cay - fJr
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE -
WORKMEN S COMPEN TION LAWS OF LIFOR IA LETH EXT ( ` it
SIGNATURE HOUSE NUMBER COR /
PERMITTE RECT AND POSTED
ADDRESS FINAL
CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M D CASH
500 A _ ®P
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