HomeMy Public PortalAbout4958AGNES AVE_Building (3) DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES � � � LD
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WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN ° FOR OFFICE USE ONLY
DISTRICT NO PLANCK NO PERMIT NO
BUILDING //� 1'
ADDRESS �+ I was Vs
LOCALITY A (_,l ! y, RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST
CROSS ST S R. `
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�p /��SON BUILDING �/u en r
OADDRESS WNER L'/� Y. f- ,6 1� d OFY ��`• J I
MAIL C -w -'�uu � 1 LOCALITY / �/�/ /�L�
ADDRESS L [9/4' _
/�'�r /�/ �} •
rITY / Lf �.� �� NO CR0889T
FIRE NO OF _TYPE GROUP
ARCHITECT OR TEL ZONE' PLANS
ENGINEER NO
BLDG
ADDRESS SE BACK'LINE ` /�j, XA) OR�NO
1J y ' 'f-
APPROVED
,, TEL BY ,FjLA�nln,,?/,l/� DATE
CONTRACTOR I /�(,GJ'- v�--��L/ NO /
..r USE u APPROVED '
ADDRESS ZONE -� BYi I DATE
LEGALSo/ J^A CORRECTIONS j
DESCRIPTION LO .T NO Q aV BLOCK /' I
� TRACT R '
J J.OO NO OF BLDGS
SIZE OF LOT NOW ON LOT
UBE 13F NO OF
-EXISTING
FANG BLDD FAMILIESVP ROOMS W `,
DESCRIPTION OF WORK 1/09 WS l�-Tp Cd v-k Ma R-r H t4
NEW ALTERATION ADDITION n j
�. ..per�2 O
REPAIR MOVING /'f DEMOLISH At/* v 13�/ /7- Al'o-r A'F_4 v p
34 FT ` D NO OF l l
SIZE S�•//yCf ROOMS ,,,_f STOO�RIE�S1,�" '�'V////�.��j��,"R R p ��" /�h
WALL P l All'Fit I COVOERING Col.- 1 �l.�aIC)1I A?/ of A) RAta��12 �
COVERING UBEOFNEW
BUILDING p. t o lvep � 6tl
-rS001,
�iPsT��� Il
L.._1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPRO
APPLICATION AND STATE THAT THE ABOVE IS CORRECT TION! LOCATION INSPECTOR DATE
FORMS UNDA MATERIALS
AND AGREE TO COMPLY WITH ALL COUNTY OFOUNDA
RDINANCES
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME FIRESTOPS
SIGNATURE OFBRACING BOLTS
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PERMITTEE
1 r
� LATH, INT
AUTHORIZED AOT
LATH EXT
76AS38A 9 48 trt�
DSS 3 SOM SETS $ 'Y p C PLASTER INT
FEE PLASTER EXT
VALUATION FINAL
FEE