HomeMy Public PortalAbout4949AGNES AVE_Building •z--'`DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERM
COUNTY OF LOS ANGELES ` I
WM J FOX CHIEF ENGINEER -
a � � BUILDU
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FOR APPLICANT TO FILL,IN FOR OFFICE USE ONLY
DISTRICT NO PLAN CK NOPERMMIIT No
BUILDING 4 i �_ c p�
ADDRESS CIO �V
+
LOCALITY ° RECEIVED-BY,6 DATE OF AiPL DATEISSUED i
NEAREST la "0
CROSS ST A BUILDING
ADDRESS �` i /y „fJ {s
OWNER
MAIL \ LOCALITY 7,— �� f
ADDRESS �f�,. a 1 )QJF'� NEAREST '
' U TEL '+�^ CROSS ST 1�ti� L / -e f �_
CITY NO T- `U 1=n FIRE I N OF _TYPE GROUP
ARCHITECT dd TEL ZONE PLANS
ENGINEER NO BLDG ORD NO {
SETBACK LINE
ADDRESS APPROVED
TEL BY DATE
CONTRACTOR " NO USE APPROVED
ZONE BY DATE
ADDRESS 1 i OUSE ,NUMBERING i
LEGAL
DESCRIPTION LOT NO BLOCK MAP NUMBER FIELD CHECK BY
e +
TRACT NO ASSIGNED IBY nAT +
` No OF BLDS.
GS I CORRECTION
SIZE OF LOTCp'°�,( l
IND
ON LOT
i
USE OF I NO OF /
EXISTING BLDG FAMILS
IE ' _
� a//S�
DESCRIPTION OF WORK
NEW I I ALTERATION I✓ I ADDITION
REPAIR I I DEMOLITION
SQ FT NO OF 'n
SIZE ROOMS STORIES y Z
EXT WALL ♦u r_C c� I00 f� ROOF \6M?o f'
COVERING COVERING `
s
US OF STRUCTURE
P y
t
r
a
APPROVALS
INSPECTOR S SIGNATURE DATE `
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FOUNDATION LOCATIONCA
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS
CORRECT
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED iFRAME FIRESTOPS
D
HEREON ANWITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULATING BUILDING UCTION iFULOCATION
SIGNATURE OF GASAS VENT DUCTS
+ PERMITTEE ` f
LATH INT
� ADDRESS
LATH EXT
AUTHORIZED AGT
i
PLASTER INT
76A688A DB88 to 6o $ P C $
® FEE ✓ 4 yi
iPLASTER EXT
VALUATION FEE �� FINAL til J✓