HomeMy Public PortalAbout4846 AGNES AVE_Building_7/24/1975_NEW GARAGE (2) APPLICATION FOR BUILDING PERMIT
FOR P"PPLICANT TO FILL IN (P r o rya 0 IV) t
Bl7I DING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITY ' zlp ' v BUILDING AND SAFETY DIVISION
` NO OF BLDGS BUILDING
SIZE OF LOT 3b NOW ON LOT 2- ADDRESS
Y
TRAC � BLOCK aLOT NO �J LOCALITY M A
TEL NEAREST
OWNER NO CROSS ST
ASSESSOR
ADDRESS Q MAP BOOK PAGE PARCEL
DISTRICT GROUP TYPE FIRE ESSED BY
CITY <� ZIP91 7�v J�.~.a� � CONST zo�
ARCHITECT OR TEL
ENGINEER NO
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO �lDWELL UNITS Bl�i`6 PG
CONTRACTOR " LTEL 3 U ZONE NOP 6.�O�
46
ADDRESS (JNO �0 SPECCIA7L�
CITY LIC
CONDITIONS
CLASS
CONSTRUCTION LENDER r I ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
NAME AND BRANCH BLDG SETBACK FROM
FRONT PROP LINE OF (STREET)
ADDRESS CITY HIGHWAY + YARD TOTA SETBACK FROM TYPE OF EXISTING
SQ FT NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH
SIZE �Qv STORIES FAMILIES ONE
+ C3� O a
DENEW 0 DESCRIPTION OF WORK r C
r ADD ❑ BLDG SETBACK FROM C�
SIDEPROP LINEOF (STREET)
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING V
EPAIR❑ SIDE PROP LINE HIGHWAY WIDTH LLA
USE OF + = N
EXISTING BLDG EMOL ❑ Z_
APPLICq ] TEL ��`` 3 CORNER CUTOFF YES ❑f NO ❑
(PRINT) G. S NO Z?�.�b33
1 IN OPEN SPACE YES ❑ NO ❑ y
BY (SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
{IALUATION$ 2.v O r
d
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION �
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON
STRUCTION IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE " 1
LABOR CODE OF THE STIkTE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION INSURANCE
SIGNATURE OF
PERMITTEE 4 4 •� �� r �/�^
ADDRESS
` TEL FINAL IBY CITY NODATE b 111je
BARE CHECKS PA}ABLE 70 FEE s { r VV FEE t✓—
HARVEY T BRANDT COUNTY ENGINEER jPMT $ 4 6
-
PLAN CHECK VALIDATION t CK M O CASH r PERMIT VALIDATION D mo is SH
_ 9+
44E- Z4 1 D - " 285p ®JO
76A638A CE#603 9/74 I
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