HomeMy Public PortalAbout4958AGNES AVE_Building (4) EffARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER B mum 1 L RD 1 ONE GI
FOR APPLICANT TO FILL IN7�1 FOR OFFICE USE ONLY
- DISTRICT NO PLANCK NO PERMIT NO
BUILDING "4d�7.-����`""
ADDRESS (�[ � 5
LOCALITY / � RECEIVED BY DATE OF APPL DATEj 1-8Q9UEDl,,,/J�
NEARESTll� f°'C�✓ `/
CROSS ST .p�,G?.r
c
0 BUILDING �A�
OWNER (� �y�,aiae"',1o�+,_'y ADDRESS �jj �?j i
MAIL /I LOCALITY - t
ADDRESSNEARETELtt j� c
_CITYI � -GENO ��QZ� CROS95T d5A
FIRENO OF TYPE / GROUP
ARCHITELT OR �` TEL ZONE � PLANSf \f
ENGINEER NO
BLDG a ORD NO
ADDRESS SETBACK LINE
APPROVED
TEL BY DATE
CONTRACTOR �j/�f/a/ G�NO
U"EAPPROVED
ADDRESS ZONE / BY DATE
LEGAL
DESCRIPTION LOT NO Z. BLOCK CORRECTIONS
TRACT
O OF BLDGS
N �yy9
SIZE OF LOT "� V NOW ON LOT
USE OF OF
/
_EXISTING BLDG FO OF S I ROOMS �7
DESCRIPTION OF WORK
NEW ALTERATIONADDITION
O
A
REPAIR MOVING 7DEMOLISH O
94 FT NO OF Z
SIZE 72 � ROOMS 7` STORIES y
WALL
ROOF
COVERING S/ /ff/Q I COVERING 0_ 0.l1lol� r
USE OF NEW
BUILDING
Y
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION
FORMS MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
FRAME FIRE STOPS
SIGNATURE OF BRACING,BOLTS
PERMITTEE
LATH INT I (/
AUTHORIZED AOT
LATH, EXT
L7GA63aA 49 $ P C 6 PLASTER,INT
FEE STER,EXT
III O
FEE � FINAL