HomeMy Public PortalAbout5803AGNES AVE_Building (2) 7GA638A CE#803 8137 APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING �y� r
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE SEWER MAP
CONST
FOR APPLICANT TO FILL IN B K PG
BUILD'
ADDRESS NG STATISTICALrSSIFICATION
LOT NO Z BLOCK CLASS NO DWELL UNIT
MAPSTATE YES
NO
NUMBER HWY
TRACT USE ZONE SPECIAL
NO OF BLOGS -o / CONDITIONS
SIZE OF LOT D D NOW ON LOT !/ s(/�
USE OF
EXISTING BLDG S P Ld BUILDING YARD HWY STREET NAME EXIST
SETBACK WIDTH
OWNER A 7 FRONT
MAIL P L
ADDRESS D eS SIDE /
P L
CITY / "o INSPECTION RECORD
ARCHITECT Olk TEL
ENGINEER NO
Aa Iy
ADDRESS
CONTRACTOR Q NO
ADDRESS de
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
USE OF STRUCTURE
it o e
SIGNATUR OF APPROVALS
APPLICANT
DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION
$ P C S FORMS MATERIALS
FRAME FIRE STOPS
FEE BRACING BOLTS G
VALUATION / v 0 O $ FURNACE LOCATION
FEE GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT -4-
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND �,/ iv---%,,k
AGREE TO COMPLY W�H ALL COUNTY ORDINANCES AND LATH EXT �21''Sb
STATE LAWS REGU ATING BU LDING CONSTRUCTION
SIGNATURE OF HOUSE NUMBER COR
PERMITTFF,
' /^• �� �� �f �/ RECT AND POSTED
ADDRESS 7` ` '►X 'ttVC�.�K/ FINAL
JOHN A LAMBIE COUNTY ENGINEER / CLYDE N DIRLAM PRINCIPAL STRUURALE!NQfNeER
PLAN CHECK VALIDATION CK m O CASH PERMIT VALIDATION CK M o CASH
LACO 0737u, JAN 28 1 A 600
®P