HomeMy Public PortalAbout4948AGNES AVE_Building 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
BUILDING DISTRICT NO 'PLAN CK NO PERMIT NO
ADDRESS S '�►� �— //
LOCALITY G/j/� }� CEIVED BY DATE OF APPL DATEISSUED
NEAREBT l
CROSS ST
I/(/,, / 13UILDING
OWNER �/ /� D R y ADDRESS i
MAIL �!e LOCALITY �I
ADDRESS /"'
// • NEAREST
CITY P/1II1B I -d- TENOL G CROSS 9T
FIRE NO OFTYPEt / GROUt%
ARCHITECT OR ND �—/ )O ZONE PLANS {/
ENGINEER
• BLDG // ORD NO
ADD EBS SETBACK LINE
APPROVED
TEL BY DATE
CONTRACTOR NO i
UBE APPROVED
ADDRES6 ZONE BY DATE
LEGAL �j l / CORRECTIONS
DESCRIPTION LOT NO BLOCK �iCJ Go /w /
TRACT / 4 �hA I 1/� "'ge" ' Z7--
S ` NO OF BLDGS
SIZE OF LOT /
O "� I NOW ON LOT /I✓
USE OF NO OFNO OF
CXISTING BLDG / FAMILIES ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION O
REPAIR MOVING DEMOLISH O_
SO FT y NO OF Z
SIZE -/ ROOMS / STORIES / D
WALL ROOF r
COVERING COVERING
USE OF NEW
BUILDING _Q
LL �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
AND STATE L W REGULATING BUILDING CONSTRUCTION
FRAME FIRE STOPS.
SIGNATURE OF �1v BRACING BOLTS
PERMITTEE �/
- LATH, INT
AUTHORIZED AOT LATH EXT
76A639A 3 7 as $ P C PLASTER INT
FEE PLASTER EXT /
VALUATION040 S C/
�
FEE FINAL
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