HomeMy Public PortalAbout4949AGNES AVE_Building (13) 76A698A CE.#809 7 56APPLICATION FOR BUILDING PERMIT 1
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
Department of County Engineer 6
County of Los Angeles LOCALITY oy,24, e
JOHN A LAMBIE COUNTY ENGINEER NEAREST r �/
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO GR I SEWER MAP
FOR APPLICANT TO FILL IN TYPE -8K c
CONST
BUILDING
ADDRESS � 5/ STAT ISTICALfI.,ASSIFICATION
LOT NO 7 BLOCK CLASS NO DWELL UNITS
MAP STATE YES O
NUMBER HWY
TRACT d USE ZONE SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF _
EXISTING BLDG CS 1 BUILDING EXIST
/ I SETBACK YARD HWY STREET NAME WIDTH
OWNER !rr /- L FRONT e a
MAILQ I P L
B 1 C'
ADDRESS 7-9 4y �6^/6S / l/A I SIDE ff
CITY �,�rilP40- of No/ 7-7777`, P L
INSPECTIOX RECORD
ARCHITECT OR TEL
ENGINEER NO
ADDRESS
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CONTRACTOR ice/ NO
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ADDRESS 1
DESCRIPTION OF WORK y�1
NEW ADD AL-ER REPAIR DEMOLISH I
SQ FT //�� NO OF NO OF
SIZE pC STORIES FAMILIES
USE OF URE f
APPROVALS
SIGNATURE OF
APPLICANT DATE INSPECTOR S SIGNATURE
ADDRESS /C I FOUNDATION LOCATION
FORMS MATERIALS
P C g FRAME FIRE STOPS
FEE BRACING BOLTS Ddk
VALUATION $ { FURNACE LOCATION V
FEE GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS API LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND �q
AGREE TO COMPLY W LL COUN Y O N ES AND LATH EXT
STATE LAWS REG A G BUIL G T CT _ —
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL a Cm s
JOHN A LAMBIE COUNTY ENGINEER CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH j PERMIT VALIDATION CK M o asH
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