HomeMy Public PortalAbout5010 FARAGO AVE_Building__ fe r' A ROAD DEPT PEF IT IS REQUIRED
VOR ANY MATEGJ,L Sf,' 0,; WORK
DONE IN THE ROAD RIGtlT OF WAY.
76AG30A�ao,eao APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS , �d "J
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST f
DISTRICT NO GROUP TYPE PR SSED BY
FOR APPLICANT TO FILL IN 'r CONST ��
BUILDING 6STATISTICAL CLASSIFICATION ��''77�� SEWER MAP PG/
ADDRESS ' _CLASS NO f DWELL UNITS_ �_
LOT NO BLOCK MAP STATE
NUMBER HWY YES O
TRACT USE ZONE SPECIAL
�f NO OF BLDGS / CONDITIONS
SIZE OF LOT 4' I NOW ON LOT 01-
USE
USE OF 000 Z
EXISTING BLDG -"L« i BUILDING EXIST /
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRROL T
MAIL
ADDRESS I —�� SIDE
P L
CITY 1 ti
TEL
INSPECTION RECORD
ARCHITECT OR TEL
ENGINEER O
ADDRESS
S�TEL
CONTRACTOR GCL//'tdO ,. ✓✓ y 7 i 6"
ADDRESS AWG
_ v /
DESCRIPTION OF WORE '` � L '
NEW ADD ALTER REPAIRNO OF DEMOLISH
DEMOLISH
SFT /� °7� STORIE f FO
MIOLIESV�
SIZE cY /
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT APPROVALS DATE INSPECTOR S SIGNATURE
ADDRESS (7� + FOUNDATION LOCATION
• �D , FORMS MATERIALS K
VALUATION $ ��� I FRAME FIRE STOPS,
BRACING BOLTS
P CPMT FURNACE LOCATION,
FEE S I FEE $ ( 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 LATH EXT
STATE LAWS REGU NG B IL ING Ott T UCTjON
SIGNATURE OF (j HOUSE NUMBER COR-
PERMITTEF �/ RECT AND POSTED -
/� S CJ
ADDRESS A 6-11 3 1 FINAL Awo
CK M o CASH CLYDE N DIRLAM PRINCIPAL STRUCTURAL Fcases E
PLAN CHECK VALIDATION PERMIT VALIDATION
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1
76A638A CE #8,n;433-69
APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESSV.
/�
BUILDING AND SAFETY DIVISION LOCALITY C„:
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DIsJc�r No GROUP rYoNsr p EsseO BY
(PRINT OR TYPE ONLY) 55 —f—
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
1 4V
ADDRESS CLASS NO 2� DWELL UNITS _ / BKC PG/?—/L
LOT NO4F7 BLOCK USE ZONE NO
OAP -2-051
TRACT SPECIAL
NO OF SLOGS CONDTIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG BLDG SETBACK FROM
TEL '/ F - LINE OF - _(STREET)
OrrW NER NO ( TYPE OF EXISTING BACK HIGHWAY + YARD - TOTAL
HIGHWAY WIDTH I FRO L
ADDRESS
CITY
ARCHITECT OR TEL BLDG SETBACK FROM (STREET)
ENGINEER NO SIDE PROP LINE OF
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
TEL + = a
CONTRACTOR NO C
ADDRESS �2 LI / 6 8 CORNER CUTOFF YES ❑ 0 ❑
oe
CITY Class SEE REVERSE SIDE FOR SPECIAL APPR VALS
H
U
CONSTRUCTION LENDER wa
NAME AND BRANCH _
N
Z
ADDRESS
SO F NO OF NO OF ❑
S I Z STORIES FAMILIES NEW
USE OF ADD ❑
STRUCTURE ❑
ALTER
oolf REPAIR
SIGNATURE OF DEMOL
APPLICANT
VALUATION $ V� APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FE75TATE
FEE $ �. �O FORMS MATERIALS
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS,
HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS
INANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE LOCATION,
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOLIOk THE LABOR CODE LATH, INT
OF THE STATE OF CALIFORNIA I RELAT 0 WORKMEN'S COM-
PENSATION INSURA LATH, EXT
SIGNATURSIF HOUSE NUMBER CORRECT
PER MITTE AND POSTED 7 ,/
ADDRESS FINAL 3-zs- 7DGGs}•yr
JOHN F LEWIS, PRINCIPAL ST TURAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION �CK�) M oCASH
AP,. 3 y9 1� MA 9 1 D 6.0 0 ti
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