HomeMy Public PortalAbout4949AGNES AVE_Building (9) 7GA638A CE#803260 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING `
DEPARTMENT OF COUNTY ENGINEER ADDRESS (� G
BUILDING AND SAFETY DIVISION LOCALITY l
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DIS5TRICT O. , ROUP TYPE O S` BY
FOR APPLICANT TO FILL IN , (`1 coNsr. V
BUILDING STATISTICAL CLASSION I SE ER MAP
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ADDRESS '/�� % /L�, y l A/ PG
CLASS. NO. DWELL.UNITS-1
LOT NO. R BLOCK NUMAP MBER 0STATE YES �O
TRACT /3 f& ��// USE ZONE SPECIAL
S CONDITIONS
SIZE OF LOT 7J � X�q40 I NOW ON LOT /
USE OF ��+jj /
EXISTING BLDG. Cs.g/Q�'Q/<TT BUILDING YARD HWY STREET NAME EXIST.
r J TEL.A1 �9 f� SETBACK WIDTH
OWNER GlG.C7�/�/ NO./I/:7d 7GIet FRONT `* (_ /
ADDRESS eT/ 4/ /cam • .'96/►/G_S SIDE
ARCHITECT OR TEL. P..L.
ENGINEER NO. INSPECTib CORD
ADDRESS
TEL. a
CONTRACTOR NO. O
ADDRESS V
DESCRIPTION OF WORK rx
O
F
NEW ADD • ALTEIV REPAIR DEMOLISH W
SQ.FT. ,NO.OF NO.OF P4
SIZE ,�`�� STORIES FAMILIES
USE OF J.
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATIONS -t; �t-Z
APPROVALS DATE INSPECTOR'S SIGNATURE
.'.•,� g�f1 FOUNDATION: LOCATION
F E $ FEE $ `/ r �' '• FORMS. MATERIALS
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- 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.
I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT.
WILL NOT EMPLOY 6(pIY PERSON 1 VIOLATION OF THE
WORKMEN'S COMP SATION LAW OF CALIFORNIA. LATH,EXT.
SIGNATURE OF /� HOUSE NUMBER COR-
PERMITTE 3/ RECT AND POSTED
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL ST RU TURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH