HomeMy Public PortalAbout5234AGNES AVE_Building (4) 76, #8D31 71'\PPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL._,
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W JENKINS SUP T OF BUILDINGt
LOCALITY
FOR APPLICANT TO FILL'IN ! 'Al, JCROSS STz
Print ort a onl
[EXISTING
LDING r - *--^-� -- - DISTRICT N GRO TYPE S BYt
RESS��j�� All-
#4
G- CONST
STATISTICAL C ASSIFICATION SEWER MAP
NO lr�
BLOCK -� - r r
,CLASS NO Ck /DWELL UNITS BK�PG
CT L -USE ZONEIND
P
OF BLDGS CoE OF LOT, ON LOTS !Q "i t ECIAL
OF ITIONS 1
I
BLDG . y� ^� )�j � `
OWNER i K.iV�Sr/� !� NO L��/�7j i D G � _ .t I s
BLDG SETBACK FROM
�/ FRONTPROP LINEOF (STREET)
ADDRESS Z3y �V� ��
'TYPE EXISTING 4SETBACK HIGHWAY -� YARD = TOTAL
� HIGHWAA Y WIDTH tFROM C L
CITY ti- i~ _ �
ARCHITECT OR TEL "evd I ( I } � _ ^ V
ENGINEER NO I BLDG SETBACK FROM z_ a
ADDRESS NSIDEPROP LINEOF
'T (STREET)
CONTRACTOR r,f r A7 `N�C�NOL /~v �'J �YPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL
1=
)HIGHWAY WIDTH FROM C L
Ic
ADDRESS C,j2- NO t+(J t { + +LIC
F 15/ CORNER F
CITY (�/I'��GE � 7V. CLASS / I M1t CORNER CUTOFF YES ❑ NO ❑ I
CONSTRUCTION LENDERT i ^
NAME AND BRANCH ,6,of A,t �T'/�!>w T SEE REVERSE SIDE FOR SPECIAL APPROVALS,
ADDRESS t
SQ FT / G / NO OF NO OF NEN, '❑ ? _ F _
SIZE G / / .STTORIE y ./FAMILIES
STRUUSE OCTURE L'N tJ�l/� �IIADLIxER ❑hM ~
REPAIR[:]
SIGNATURE OF +
APPLICANT DEMOL ❑ x ; r r +
VALUATION $ (� 40./ t APPROVALS I- ' DATE INS CTOR 5 I ATURE
I P C �1 .'"�''�s PMT6-9� 1,1�— FOUNDATION LOCATION =
FEE � FEE$ FORMS MATERIALS
G FRAME `FIRE STOPS
'h I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS `4.,-
I^ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION {
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
i LABOR CODE OF THE ATE OF CALIFORNIA IN RELATING TO LATH INT t I
WORKMEN S COMPE T I SU ANCE LATH EXT �-� ..�,, J�A/ ur�.ry
SIGNATURE OF .� (�..(T'-I'1✓ HOUSE NUMBER COR
PERMITTEE f RECT AND POSTED '
ADDRESS FINAL Ubu
JOHN F LEWIS PRI CIPAL STRU,C AL ENGINEER
PLAN CHECK VALIDATION cIy M o CASH _ PERMIT VALIDATION 1 O CASH
I t^ u 7 j- 3 D 5 5 5 A
1 P r 1 0 3 4vz Jit"2 1 D 5