HomeMy Public PortalAbout5020AGNES AVE_Building (8) c rro G9 4/72
APPLICATION FOR BUILDING PERMIT
' COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE / PARCEL
BUILDING AND SAFETY DIVISION BUILDING
SS
11A
ARE CHEC&S PA l A BLL TO ADDREV
HARVEY T BRANDT COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tVDe on CROSS ST V ul
DISTR CT NO G U TYPE �--� PRO SS D Bye
ADORE -1dD ' i �Lff Ll
CONST ` J
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO / LOCK 8 f
CLASS NO fLDWELL UNITS BK/7� PG )l
TRACT USE ZONE MAP /
NO OF BLDGS j NO /
SIZE OF LOT D NOW ON LOT Y �l� SPECIAL
USE OF t �7 CONDITIONS
EXISTING BLDG 5 ( G
OWNER14 �/
No
/F)2() /
BLDG SETBACK FROM (STREET)
ADDRESS FRONT PROP LINE OF
r TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM C L
ARCHITECT O TEL h'bN D y� 1p + p)6 =
ENGINEER O BLDG SETBACK FROM _
ADDRESS SIDE PROP LINEOF _ (STREET)
r— TEL TYPE OF EXISTING SETBACK HIGHWAY +' YARD = TOTAL V
CONTRACTOR L, t , NO HIGHWAY WIDTH FROM C L 0
ADDRESS 7 (� Np ��� + = U
j ` W
CITY /j� /e CL SS CORNER CUTOFF YES ❑ NO ❑ h
Z
CONSTRUCTION'LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR ECIA APPROVALS
101
ADORES
SO FT NO OF NO OF NEW ❑
SIZE STORIES FAMILIES
USE OF e ADD 2S
STRUCTURE - L-e—
-ALTER ❑ d
SIGNATURE OF REPAIR❑
APPLICANT DEMOL ❑
VALUATIONS as �b APPROVALS DATE IN Ec oR S 31 GNA TU RE
P C "i r PMTr FOUNDATION LOCATION-
FEE
OCATION FEE $ ✓ FEE S 07— �J FORMS MATERIALS 7
FRAME FIRE STOPS { 7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ✓ /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
ST RUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT -`
LABOR CODE 0 THE TATE OF CAL FORNIA IN RELATING TO
WORKMEN S CO P S I N INS NCE LATH EXT
SIGNATURE O HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION cK M O CASH _ PERMIT VA ATIONcK M o s CASH
+` E �f`r, 1C96r FE61623 D 3735A
/"/ j F-9 4 4 173 MAR 7 16 62 15 r