HomeMy Public PortalAbout5812AGNES AVE_Building (2) v
76A638A CE 9803 12/69
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL I
BUILDING AND SAFETY DIVISION BUILDING I )
JOHN A LAMBIE COUNTY ENGINEER ADDRESS 5812 N/ Annpz
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tVDe onl CROSS ST L 07,eMAN
C
DISTRICT NO GROUP TYPE t'PR�
BUILDING ESSED BY
ADDRESS 5812 N Agnes Avenue � ()' � __Z- CONST cp
— STATISTICAL CLASSIFICATION SEWER MAP
LOT NO S BLOCK �� I
CLASS NO DWELL UNITS
TRACT USE ZONE MAP �JOp
NO OF SLOGS NO G
SIZE OF LOT IN W ON LOT SPECIAL
USE OF / CONDITIONS
EXISTING BLDG
OWNER TEL I
n NO BLDG SETBACK FROM
ADDREs5 812 N Anes Av n n u e FRONT PROP LINE OF (STREET)
e"'p e 1 +y TYPE OF TING SETBACK HIGHWAY + YARD = TOTAL
CITY l• HIGHWAY WID FROM C L
ARCHITECT OR TEL + _
ENGINEER NO
BLDG SETBACK FROM
ADDRESS SIDEPROP LINEOF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
CONTRACTOL . NO HIGHWAY WIDTH FROM C L
ADDRESS 529 E VAl l a 61 dnl` 7^8 + _
LIC
CITE' San G a b r i e l CLASS CORNER CUTOFF YES ❑ NO ❑ v
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
LL
ADDRESS 10,
SQ FT NO OF NO OF NEW ❑ Z
SIZE STORIES FAMILIES ❑
USE OF ` ADD
STRUCTURE
ALTER ❑
SIGNATURE O REPAIR❑
APPLICANE,. DEMOL ❑
VALUATION $ 588 OQ 1
APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT ON
FEE $ FEE Sq. rOFORMS I MATERIIALSON
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AHO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE ATE 0 CA RNIA IN RELATING TO
WORKMEN S COMPE A ON IN
NC
LATH EXT
SIGNATOR HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS
FINAL 0
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIONcH M o CASH
IGf' 642S� AUG 21 1 D 900CQ
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