HomeMy Public PortalAbout5807AGNES AVE_Building (3) DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES B U I L ® I N G
WM J FOX CHIEF ENGINEER
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FCITY �7��-
R APPLICANT TO FILL IN } FOR OFFICE USE ONLY E
�S DISTRICT NO PLANCK NO PERMIT NO '
(j�,,��/} 1 — f
/ � tel% RECEIIVV�p�B/l/� DATE OFAPPL DATE ISSUED
BUILDING
ADDRESS
tc� LOCALITY
NEAREST]TELNO " ���I� CROSB ST
FIRE NO NS TYPE GROUP
ARCHITECT OR ,� TEL ZONE y PLANS
IJ
ENGINEER NO
BLDG -
- y� ORD NO
ADDRESS SETBACK LINE
APPROVED
TEL BY DATE
CONTRACTOR NO
r USEAPPROVED i
ADDRESS ZONE BY } j DATE
LEGAL
DESCRIPTION LOT NO dVppr' BLOCK 1 � CORRECTIONS r
TRACT -Gil: 3 v O
d ��� I NO OF BLDGS I 1
SIZE OF LOT Yrs NOW ON LOT 1�
USE OF NO OFNO OF r
EXISTING BLDG ,rt+��'1�V[+-C� FgMIL1EB ROOMS
DE 'iPTf bfOF WORK i
I
NEW ALTERATION I ADDITION
tbk A
REPAIR MOVING DEMOLISH
Sq FT NO OF ' P
� � V/ 4 Z
SIZE ROOMS STORIES D
WALL /WALL /�J�I ROOF "ROOF r
COVERING // COVERING
USE OF NEW
BUILDING �y- �"�"
I
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATIONt LOCATION INSPECTOR DATE
AND AGREE TO_COMPLY WITH ALLO'COUNTY ORDINANCES FORMS MATERIALS
AND STATE LAWS EGUL`.4TING�BLJILDING>CONSTRUCTION
Y y FRAME FIRE STOPS,
SIGNATURE O `� f�� BRACING BOLTS
PERMITTEE -�"`
LATH INT
AUTHORIZED AGT 1' LATH, EXT
76A48
DBS 3B5 9 sE IS PLASTER INT
DBS 3 SSM SETS � p ['
FEE PLASTER EXT
VALUATION FEE cs2i vV FINAL