HomeMy Public PortalAbout4958AGNES AVE_Building (7) DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ® �®
WM J FOX CHIEF ENGINEER ' L
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING 2
DISTRICT O PLAN CK NO PERMIT NO
ADDRESS Q I
LOCALITY t✓� RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST
CROSS ST
OWNER
MAIL u LOCALITY d./
ADDRESS �.
TEL NEAREST +/ _ ' )�
CITY NO CROSS ST („(f4,11 (/
FIRE --- NO OF TYPE // GROUP /
ARCHITECT OR if TEL ZONE PLANS/ f
ENGINEER NO
BLDG R O
ADDRESS SETBACK LINE !/v ✓ / /
APPROVED v
CONTRACTOR // (fes NO BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL 'Z� (� CORRECTIONS
DESCRIPTION LOT NO Z BLOCK
TRACT '
NO OF SLOGS +
SIZE OF LOT�D a--6NOW ON LOT �1
USE OF NO OF NO OF
EXISTING BLDG FAMILIES ROOMS -
DESCRI TION OF WORK
f NEW ALTERATION I ADDITION D
REPAIR MOVING DEMOLISH �
SO FT NO OF Z
SIZE ROOMS STORIES D
WALL ROOF
r
' COVERING COVERING
USE DF NEW
BUILDING
V
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS MATERIALS
AND STATE LAWS REGULATI�G BUILDING CONSTRUCTION
FRAME FIRE STOPS
SIGNATURE OF � V BRACING BOLTS
PERM ITTE \
LATH INT
AUTHORIZED AOT
LATH EXT
76A638A 9 4S
CBS 3 SCIM SETS $ O' P C III-T PLASTER INT
FEE PLASTER EXT
�J'O
VALUATION FINAL
FEE