HomeMy Public PortalAbout5812AGNES AVE_Building 76A62wADias
,3bAPPLICATION FOR BUILDING PERMIT
DIVISION OF BUILDING AND SAFETY BUILDING %5
ADDRESS v
Department of County Engineer ��rn��� �!
County of Los Angeles LOCALITY
WM J FOX COUNTY ENGINEER NEAREST It/O2K M A�I
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST V�
DISTRICT NO GROUPSEWER MAP
TYPEFOR APPLICANT TO FILL IN .� I CONSNG MAP T
ADD E188 4q Puj,, 7 NUMBER S TATE YES NO
LOT NO �O J O� O tO � SBLOCK USE ZONE SPECIAL
//'" CONDITIONS
/
TRACT GO 5-6 I le_l
NO OF SLOGSEXIST
SIZE OF LOT 0 NOW ON LOT BUILDING YARD HWY STREET NAME WIDTH
SETBACK
USE OFq
EXISTING BLDG /�/ � FP L
OWNER /.F SPI L _
MAIL
ADDREBV O TRACT DWELL f UNIT
5 INDUSTRIAL
` : TEL 1 DWELL 1 U;;6ADDN
CITY / NO PUBLIC BLDG
ARCHITECT OR TEL 2 DUPLEX IU ALT ETC
ENGINEER NO 3 APT UNITS
6 MISCEL
ADDRESS / 4 COMMERCIAL
Q(_A TEL INSPECTION RECORD
CONTRACTOR
ADDRESS �+
DESCRIPTION OF WORK
NEW ADD ALTER REPAIR DEMOLISH
C! !J O ST OF / OF
S /
SIZEFT _7 STORIES FAMILIES
USE OF STRUCTURE
SIGNATURE OF fOYo�
APPLICANT APPROVALS
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ADDRESS / s( Ir(�A / DATE NSP CTOR S SIGNATURE
FOUNDATION LOCATION
PJ P C $ FORMS MATERIALS zI o sS C}
FEE FRAME FIRE STOPS I
VALUATION >$ Q O BRACING BOLTS
FEE FLIRNACE LOCATION
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT
AND STATE LAWS REGULATING BUILDING CONSTRUC
TION LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE ` RECT AND POSTED
ADDRESS
P FINAL
WM J FOX COUNTY ENGINEER VALIDATION C N DIRLAM CHIEF BLDG INSPECTOR
_; 04<34S 1030 l 800 M