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HomeMy Public PortalAbout5738AGNES AVE_Building 76.At8A CE #803 12/69 - i / 101-Gr APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS Print ort a only) CROSS ST. (j/�,.�/1<�/�/��V< BUILDINGAA�� DISTRICT NO. GROUP TYPE ESSED BY ADDRESSr ✓1] ES AW"'. -:z- CONST STATISTICAL CLrSIFICATION EWER MAP LOT NO. BLOCK CLASS NO. S DWELL,UNITS BK� PG�r2 TRACT USE ZONE MAP r NO.OF BLDGS. NO. �� SIZE OF LOT i ✓t NOW ON LOT ' ��/ SPECIAL ///��� USE OF CONDITIONS EXISTING BLDG. OWNER (L J�F N0L "7_ BLDG.SETBACK FROM .Izs ADDRESS FRONT PROP.LINE OF�����(STREET) V V TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL Cr /ITY ' 7 ` �4 HIGHWAY WIDTH FROM G.L. ENGINARCHIEERT I1 S TE NOL �CJI� O BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) w EL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR dO• HIGHWAY WIDTH FROM C.L. LIC. y, ADDRESS NO, = a LIC. O CITY CLASS CORNER CUTOFF YES ❑ NO V CONSTRUCTION LEND p NAME AND BRANCH W SEE REVERSE SIDE FOR SPECIAL APPROVALS LLJ ADDRESS e �± C � SQ. FTNO. OF N OF NEW ` 100/` L' .' z_ SIZE 50 STORIES FAMILIES USE OF + a ADD STRUCTURE nnAAn �p _ c v ALTER ❑ ❑ /1 REPAIR SIGNATURE OVff i APPLICANT EMOL / / VALUATION $ 5. �/ �� APPROVALS DATE I N 5 TOR's .NATURE FEE $ � PMT. FOUNDATION: LOCATION �} © FEE $ 6 FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, r I WITH ALL 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 LATH, INT. LABOR CODE OF T E #E�OF •CA IA IN RELATING TO WORKMEN'S COMPE A• URA" LATH, EXTSIGNATURE HOUSE NUMBER CORPERMITTEE iii �t RECT AND POSTED �. l/ . ADDRESS FINAL 7 JOHN F. LEWIS. PRINCIPAL STIR RAL ENGINEER PLAN CHECK VALIDATION K. M.O. F-9 _ PERMIT VALIDATION cK. M.o. CASF' Ar' 6 0 5 p� JUL27 2 3 D 2 , cv !`A ^ 7 ¢ •0 6R OCT29 2 3 D 18.90- ( � �' 7407L OCT29 1 D 69