HomeMy Public PortalAbout5123AGNES AVE_Building (2) DEPARTMENT OF BUILDING AND SAF&7 19WPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ' L ® �
WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING / Sa jl^� /C DISTRICT NO PLANCK NO eeae�yygPEERRMIT N,,,OO
ADDRESS 7 P- /�/y� ��-7 � 2 3PJ67
LOCALITY dS 4� (�/T}/ �jVI RECEIVED BY DATE-OOFFL/AP�PPLL(�- DATEISSUED
NEAREST q' `1 - 7- 3 P�
C R
NEAREST
9T, �"
OWNER �/0�//J� /moi'/�W/�]f7 /�, ��� ADD EISS C cid lT/V 1
Su
MAIL Ildf {�t Y'��r/ �JV�i LOCALITY P L I T Y
ADDRESS �+ M /1-0 ,9/v/v
A{��/, �j/'�///��
CIT�d /���e4�s CROS39T / / /1-0 ,f/" /►'
TEL
NO
FIREN❑ OF TYPE GROUP
ARCHITECT OR TEL ` ZONE PLANS
ENGINEER NO / 0 --2— +>
BLDG � ORD NO
ADDRESS / SETBACK LINE /�/�/ F--PL
CONTRACTOR ri.v/<_G r& NO/ `103�' BYPROVED DATE /
�j .J. �° [,per USE APPROVED
ADDRESS G/�G � �-'/ r���1ce r '�'C'i ZONE BY�� DATE
LEGAL
DESCRIPTION I LOT NO BLOCK Z CORRECTIONS
o ��s�t
TRACT y
NO OF BLDE3
SIZE OF LOT f7/1J /RL• (fi-I NOW ON LOTS
3 C-�
USE OF NO OF NO OF
EXISTING BLDG FAMILIES ROOMS ,�
DEy/SCRIPTION OF WORK
NEW / ALTERATION ADDITION �Q 5 / /
0
REPAIR I I MOVING DEMOLISH _ le5r 7- � G GI FT /�� NO OF / 3
SIZE y''' ROOMS (S_TTOORIESWALL
COVERIND5/&�C¢'_d f� I COVVER]NUSE OF
BUILDING
W /GG �.(/ , / G egr. Al'o'ne a
r e s�-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVAL&
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE�HW_l
O PLY WITH ALL COUNTY ORDINANCES FOUNDATIONS LOCATION / N5i��kT/ /; E
FORMS MATERIALS /`
AND STATE R GULATINj3 BUILDING CONSTRUCTION _
FRAME FIRE STOPS
SIGNATURE OF BRACING BOLTS
pE� TE _ !/
LATH INT
AUTHOREE D'A �- SCJ/�'r�
/ LATH EXT
76A63BA 9 48
OBS 3 SOM SETS $ 70
p C PLASTER, INT �f
FEE ! �}(�J PLASTER,EXT I�
VALUATION (�{,[
�� FEE �� -1 ?'�' FINAL