HomeMy Public PortalAbout4949AGNES AVE_Building (12) I
DtPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES �{G
WM J FOX CHIEF ENGINEER Li _-
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FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING
ADDRESS (�a „n DISTRICTO PLANCK NO PERMIT
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LOCALITY RECEIVED BY DATE OFAPPL DATE ISSUED(
NEAREST
CROSS ST ��,) Q/J� BUILDING
o V r ADDRESS
OWNER
MAIL `Q � LOCALITY Cr
ADDRESS lv NEAREST �
CITY ,QM/l` NO .�RU� �3 FIRE
ST NO OF TYP GROUP
ARCHITECT OR TEL ZONE I PLAN
ENGINEER NO BLDG e" RD O
+ SETBACK LINE �jjj /L�
ADDRESS 4.I<+-- APPROVED J
+ ,...m•�-m--i. TEL BY DATE t
CONTRACTOR NO USEAPPROVED
�,.,...�.,. ZONE ,el BY DATE
ADDRESS
HOUSE NUMBERING
LEGAL
DESCRIPTION LOT NO -- BLOCK MAP NUMBER FIELD CHECK BY
TRACT -_ NO ASSIGNED BY DATE t
I I NO OF BLDGS CORRECTIONS
SIZE OF LOT NOW ON LOT
USE ' n I I OF
' EXISTITI NG BLDG y�,YM FAM
DESCRIPTIONS 617 WORE
NEW r I I ALTERATION I - I ADDITION IV/
REPAIR I DEMOLITION
SQ FT 2NO OF_ _/ Q
SIZE -sic ROOMS STORIES Z
EXT WALL ROOF r
COVERING �- I COVERING
USE OF STRUCTURE U
r r �
APPROVALS
INSPECTOR S SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FOUNDATION LOCATION
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS MATERIALS
CORRECT
1 AGREETO COMPLY WITH THE CORRECTIONS LISTED FRAME FIRE STOPS
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING BOLTS
LAWS REGULAT G BUILDING CON TRU( ION FURNACE LOCATION / L
SIGNATURE OF GAS VENT DUCTS !O
P6RMI(�TTE�p 1
LATH INT
ADDRESS
LATH EXT
AUTHORIZED AGT
PLASTER INT
70ASSaA DBSB 10 80 P C $
Qr FEE -- PLASTER EXT ,
VALUATION I FEE Is FINAL
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