HomeMy Public PortalAbout5823AGNES AVE_Building 76AS38A CE#803 to-6a APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS ! { /'
BUILDING AND SAFETY DIVISION LOCALITY ''
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN f I CONST.....- �-
BUILDING ? STATISTICAL CLASSIFICATION I SEWER MAP
ADDRESS ( "Lr /: t'.. BK PG✓
CLASS.NO._;` DWELL.UNITS " L.
LOT N0. f BLOCK NUMABER .ti STATE YES FIGO
HWY "
TRACT USE ZONE SPECIAL �
NO.OF.BL CONDITIONS
SIZE OF LOT /J I NOW ON LOT
USE OF
EXISTING BLDG. `f �.....-- BUILDING YARD HWY STREET NAME EXIST.
z SETBACK WIDTH
OWNER f !; FRONT
MAIL w P.L.
ADDRESS i"` , l i �'" J SIDE
P.L.
CITY 'r% .� ~. _L (' NO INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL.
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK
NEW tADD l� ALTERS REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USE OF f
STRUCTURE
SIGNATURE OF f;
APPLICANT
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS G' Lf" L'L_! FOUNDATION: LOCATION
FORMS,MATERIALS
VALUATION$ FRAME: FIRE STOPS,
BRACING,BOLTS
P.C. PMT. FURNACE:LOCATION,
FEE $ F_EE _" �� I GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEF ✓/ E�1 r RECT AND POSTED
ADDRESS CI FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ; CASH
Or