HomeMy Public PortalAbout4846 AGNES AVE_Building_6/6/1966_REROOF 78A888A CE#803 8 69 APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING �� /
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 72977lj
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BU LDING CROSS ST GOW f7�s
DISTRICT NO GROUP TYPE PROCESSED BY
FOR APPLICANT TO FILL IN � coNsr 3
BUILDINGSTATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 4846 CLASS NO V DWELL UNITS PG7
LOT NO 50 w zo_,& / OCK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE
TRACT ? (P MAP //� / HIGHWAY
NO OF BLDGS NIJ l�U l v (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG TEL 4-1
OWNER Mrs. L. M..Abrams NO BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 4846 N. Agnes, Temple C3.ty FRONTs)
ARCHITECT OR TEL P L Il
ENGINEER NO SIDE
P L .�
ADDRESS d
TEL u
CONTRACTOR Virgin Roof Co. NO 287-0507
ADDRESS 600 So San Gabriel Bld S G. I p
DESCRIPTION OF WORK e Lu
o.
N
NEW ADD ALTER REPAIR DEMOLISH Z
SQ FT N F NO OF '
SIZE STO FAMILIES
USE OF
STRUCTURE Reroof bouse on'-v
I
SIGNATURE OF
APPLICANT
VALUATION $
APPROVALS DATE INSPECTOR S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE FEE S 6 oo FORMS MATERIALS
FRAME FIRE STOPS
I HERE Y ACKNOWLEDGE THAT I HAVE READ HIS PPLICAT ON BRACING BOLTS
AND STATE TH T THE ABOVE IS CORRECT AND AGREE TO COM Y FURNACE LOCATION
WITH LL COUNTY O DINANCES AND ST TE L WS REGUL TING GAS VENT DUCTS
BUILDING CONSTRUCT ON 1 CERTIFY THAT IN DOING THE WO K
AUTHORIZED HEREB W LL NOT EM LO AN PERSON N VIOLA LATH INT
TION OF THE LABOR ClODC OF THE STATE OF CALIFORNIA REL T
ING TO WORKMENS PENSATION INSUR NCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS ent y FINAL
S F LEWIS PRINCIPAL
PLAN CHECK VALIDATION CK MO CASH JOHN PERMIT VALIDATION T U RM o EN CASH
ER
Lt l,o 5 4 0 T by 6 1 D 600-
1