HomeMy Public PortalAbout5807AGNES AVE_Building 76A638A CE#8031 67 APPLICATION FOR BUILDINd PERMIT
COUNTY OF LOS ANGELES BUILDING 5�/')
DEPARTMENT OF COUNTY ENGINEER ADDRESS L
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DIST CT N G TYPE PR BY
FRE
APPLICANT TO FILL IN �'� 0
CONST
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STATISTICAL CJ.,gS51FICATION SEWER/MAP
0 CLASS NO DWELL UNITS BK
3iO BLOCK USE ZONE MAP /1 [� G
/ -NO G' L/
J / SPECIAL
NO OF BLDGS CONDI I N
NOW ON LOT
E'IST,NG BLDG. BLDGSETBACK FROM
//�� TEL FRONT PROP LINE OF (STREET)
V NO If TYPE OF E%ISTI NOSETBACK HIGHWAY YARD = TOTAL
ADDRESS D s, HIGHWAYTH FROM C L
CITY t BLDG SETBACK FROM
ARCHITECT OR EL
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
O �y� TEL +
T NO
ADDRESS (, I 8� CORNER CUTOFF YES NO C
1
'LICCLA SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
4
NEW ADD ALTER REPAIR DEMOLISH r Cl
Z
SQ FT NO OF NO OF
SIZE STORIES FAMILIFS
USE OF '
STRUCTURE
SIGNATURE OF
APPLICANT a
VALUATION$ 00 APPROVALS DATE INSPECTOR 3SIGNATURE
P C PMTFOUNDATION LOCATION
FEE$ FEE$ 9" '00 FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT
SIGNATURE OF ` HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS Fl NAL
PLAN CHECK VALIDATION CK M O CASH _
JOHN
PERMTP VALIDATION RINCIPAL T CK URM 0EN c SMER
2dam 0 7 9 6 sEP 2 2 2 0 9.G 0 N d