HomeMy Public PortalAbout5803AGNES AVE_Building (5) P' BUILDING
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DEPS-. .....cAPPLICATION FOR BULDI
NT OF BUILDING AND SAFETY RELOCATION
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER FOR OFFICE USE ONLY
DISTRICT NO RECEIVED BY I DATE RECDRECEIPT NO
FOR APPLICANT TO FILL IN I /� �� `7_ ��Z I 6-3,20z
PROPOSED � /
BUILDING ' � '/V F _, BUILDING APPLICATION
ADDRESS n
J LOCALITY T F_/"t P1_F GIT PLAN CK O PERMIT NO
PRESENT
BUILDING ]l 0� Q,q J � T
I ADDRESS VC6Et� I' /� f y v yRECEIVED BY DATE' OF AAIPL DATE ISSUED
1 LOCALITY Tom/ul PLL L/! ! / ya I i/ �'+ c�'� 1c/'•
OWNER �1 (J Q �/ ! L 5 h' {FIRE NO OF TYPE � I GROUP /
. / (ZONE PLANS (�
MAIL C� G'O J I�/ (�/' �C C' /
ADDRESS
Ty 6 (� ///YYY ' l h� G�] 1 BLDG '6'w'4,`'� / ORD NO
` CITY I + �� CITY NO RT 71059 *APPROVED INE �Irj
! BY
I J
I DATE
MOVING TEL
CONTRACTOR NO USEAPPROVED
Q
- ZONE (` / BY r ../ DATE
ADDRESS HOUSE NUMBERING
BUILDING TEL MAP NUMBER • FIELD CHECK BY
CONTRACTOR 19�✓/c��R NO
NO ASSIGNED BY DAT
1 ADDRESS SURETY ��d 0 DATE
PRESENT y BOND$
FILED—_i}-
USE DI NG 09'9(YC 14 UlEHAD G�--aa�s CASH DATE RECD
y BUILDI
t PROPOSED I DEPOSIT$ FILED BY
fk USE OF ,S'7-o R R G-E H d t)JFH OLD 6zgops m. RECEIPT No
BUILDING
FOR CASH DEPOSIT
I w
CORRECTIONS
I SI FT Z ` ' NO OF / / a
I SIZE S ROOM' STORIES ( t• _ _
WALL ROOF
COVERING '7U Crn COVERING
I LEGAL
DESCRIPTION LOT NO 2-7 BLOCK
TRACT j,/,.57-b/ r
/`� �7 NO OF BLDGS '7
SIZE OF LOT J V X 0 NOW ON LOT rG/ �t APPROVALS
No USE OF RES
FAMIOLIES f INSPECTOR S SIGNATURE ATE
EXISTING BLDG J
FOUNDATION LOCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS FORMS MATERIALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FRAME FIRESTOPS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES BRACING BOLTS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION' FURNACE LOCATION
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j GAS VENT DUCTS
SIGNATURE OF ` �,} ,A r _
PERMITTEr' ` 1 „ ��' 1! \v! LATH INT
I ADDRESS v //�1 E LATH EXT
AUTHORIZED AGT PLASTER INT
RELOCATION
I / APPLICATION $1000 PLASTER EXT
I FEE
$ P C $ FINAL
'FEE DISTRICT ENGINEER
FEE $ e -WORK COMPLETED I I" „r SURETY BOND
VALUATION RELEASED
/ 76AL99 DBS 79 10 50
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