HomeMy Public PortalAbout5807AGNES AVE_Building (2) DBS 3 23M BETS 646 f, ,
DEPARTMENT OF BUILDING AND, SAFETY APPLICATION FOR PERMIT
S�COUNTY OF LOS ANGELES � � ' � ® a
WM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN CK NO PERMIT NO
ADDRESS 1:5^ 1 �( Aal* +j
I CJ / �
LOCALITY t RECEIVED i BY <�DATE OF APPL. 'DATE ISSUE�D/
NEAREST r/ ��-� � �"4B
CROSS ST
BUILDING j�frr c�a9//
OWNER ADDRESS /f' ° 4:1--
MAIL /
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ADDRESS �" LOCALITY
NEAREST
CITY NAL ' CR OSS ST ���/✓✓t ��
_ FIRE NO OFTYPE GROUP
ARCHITECT OR s o+a ZONE' PLANS 4 '
ENGINEER NO
° BLDG J -` tORD NO
ADDRESS SETBACK LINE
TEL APPROVED ,
CONTRACTOR NO BY DATE `
az USE APPROVED ,
ADDRESS YMAZONE/ BY rDATE
LEGAL T CORRECTIONS
DESCRIPTION �I yLDT NO� U I BLOCK G
TRACT
a
f _ yv2
NO OF LDGS
SIZE OF LOTS tax i qa I NOW ONBLOT
r t
USE OFNO OF I NO OF w 5
EXISTING BLDG FAMILIES ROOMS a t
DESCRIPTION OF WORK
NEW ALTERATION ADDITION S ' i I J ryA�
O
REPAIR MOVING DEMOLISH F r O
Sq FT /, ��// NOOF _
SIZE /"� p ROOMS STORIES r=
WALL / T— ROOF �;�!
COVERING 1722 4 �COVERING
USE OF NEW / I/ �lJ�
BUILDING °
Li Ll
1 a
I HEREBY ACKNOWLEDGE THAT I HAVE(READ THIS APPROVALS;
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION, INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS t �� —
AND STATVLAWS REGULATING BUILDING CONSTRUCTION > T
+ FRAME FIRE STOPS,
SIGNATURE OF BRACING, BOLTS
0
OWNER a LATH, INT el
AUTHORIZED AOT LATH EXT
ti
P C 6 PLASTER, INT a
FEE PLASTER, EXT .
+
VALUATION o- FEE FINAL