HomeMy Public PortalAbout5117AGNES AVE_Building (2) DEI3`'1{14ifiGiENT OF BUILDING AND SAFETY IT APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES NOV � �� �
WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLAN CK NO - PERMITNO_
BUILDING � � 75 ZZ-0
ADDRESS
LOCALITY , RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST
CR09S 9T � � �p__5 All ` v✓t sd �� lrc�
BUILDING
OWNER ADDRESS
MAIL
i -�•
ADDRESS LOCALITY /r /
/
ST
CROSS
I
CITY _ _ �t � NE�' � CROSS ST
A FIRENO OF / TYPE GROUP/
ARCHITECT OR TEL ZONE&O PLANS � '� l
FNCI NEER NO
BLDG _ OR
ADDRESS �� SETBACK LINE Q
` APPRDV
CONTRALTO !' �j BY / ,,..— ' — ' DATE
U iE �.� APPROVED
AD RES J OZONE J BY } DATE
LEGAL - � CORRECTIONS
DESCRIPTION LOT NO BLOCK
TRACT9 y
/ to O Q
E OF LOT(yGJ��`7�S_I NO OF BLDQ9
SIZE:
- NOW ON LOT LQ �
USE OFJ
EXISTING BLDG FD O ES I ROOMS ,a v — -P`,,.wl�+►-
DESCRIPTION OF WORK j�yJ /� �!
NEW ALTERATION ADDITION �'� DTD (7N N1, C� /Iv FR 5 Pa-W:7
REPAIR MOVING DEMOLISH Al L I )?M, LoLo
SQ FT /O NO OF �j
SIZE ROOMS STORIES k o nlUS�r lrl� 1�/tt�'ll� ,f�,�✓1'7' r
WALL
UOVERIN� �' ROOF � / t-
_n.....r/ COVERING � ^,A �p 1 ISI +c) A/A9p r,!
USE OF NEW V l
BUILDING
i
/2 -2,-UQ SCK"
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT IN P CTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION
FORMS MATERIALS
AND STATE LAWS REDULATIN UI DP4S CONSTRUCTION / 1
FRAME F3 BOLT PB
G
SIGNATURE OF � BRACINBOLTS
PERMITTE
LATH INT
AUTHORIZED ADT
LATH EXT
76A636A 3 7 49 $ P C $ `/Z PLASTER INT
v _FEE / ✓ PLASTER EXT
VALUATION
FEE �� FINAL �,.r