HomeMy Public PortalAbout5004AGNES AVE_Building u
DIVISION OF BUILDING AND SAFETY 1
Department of County Engineer
County of Los Angeles
It WM J FOX, COUNTY ENGINEER APPLICATION
MMMM�FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DIBTRICT O. PLAN CK OR Rea No PERMIT NO
f _AD RISS 5004 North Agnes Street � "—'--
R IV B DATE OFAPPL. DA71M IBBU
LOCALITY �� r�
NEAREST
RO898T BUILDIN O
ADDRESS
_OWNER Phyllis Irene Eldridge
MAIL LOCALITY
ADDRE89 5004 North AgnesStreet NEAR EBT �,,� �y
TEL. d L`ROS9 BT G�0C
CITY mole NO. At 6- SS FIRE NO.OF TYPE GROUP
I �
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO. BLDG / ORD NO
SETBACK LINE L
ADDREBB USE _ APPROVED
CONTRACTOR 188 ZONE BY HOUSE N MBER DATE
ADDRESS MAP NUMBERS NO ASSIGNED BY
LEGAL
DESCRIPTION LOT N0. ] BLOCK CORRECTIONS
TRACT 9848
NO OF BLOMML 4!:: '.4 Ga V
SIZE OF LOT I NOW ON LOT 1 �• N ��
USE OF NO. OF
EXISTING BLDG residence FAMILIC 1
DESCRIPTION OF WORE: A
0
NEW ALTERATION ADDITION $ Z
D
r
REPAIR DEMOLITION
BD.FT n/ NO OR
HIZE J�jO ROOMS / STORIES
EXT WALL OCIF
COVERING StUCCO I OROVEMN13 COMPO
USE OF STRUCTURE
181 x 201 garaae attached
to existing house by 6' breezeway.
INSPECTION FOR APPROV
OCCUPANCYAS INSPECTO GNATURE D A.TE
FOUNDATION LOCATION
FORME, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRESTOPB,
PLICATION AND STATE THAT THE INFORMATION GIVEN IB
CORRECT BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANOEB FURNACE LOCATION
AND 13TATE LAWS REGULATING BUILDING CONSTRUCTION
GAS VENT DUCTS
13IONATURE OF LATH, INT
PERMITTEE
ADDRESS 82 East Garvey Avenue E1 Monte LATH, EXT
PLASTER INT
AUTHORIZED AOT
PLASTER, EXT
O FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATIO FEE G FINAL
7GA63EIA DBS 3 1 52