HomeMy Public PortalAbout5021 FARAGO AVE_Building__ Q)S 79AI63eA
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W APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDIN ND SAFETY
FOR APPLICANT TO FILL IN ADIDRESS60zelcu
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ADDRESS LOCALITY
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NO OF BLDGS ASSESSOR
SIZE OF LOT D NOW ON LOT MAP BOOK PAGE PARCEL
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OWNER tSO NO Z.
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ARCHITEC L VALUATION
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NGINEE
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FRONT PROP LINE OF (STREET)
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ADDRESS —95 CITY SIDE PROP LINE HIGHWAY WIDTH 0
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HEREBY ACKNOW EDGE T AT I HAVE REA THIS A (CATION AND STATE uY
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N LAWS REGU G BUILD( CONSTRUCTION CERTIFY THAT IN DOING THE V /
ALITH D HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOL ON OF
TH E OF THE STATE OF CALIFORNIA IN RELATING TO WORKM COM Z
PENSATION IN CE 1 $q ;14492A
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_APPLICATION FOR BUILDING PRMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINM ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO I GROUP TYPE P ED BY
FOR APPLICANT TO FILL INCONST
BUILDIN STATISTICAL CLASSIFICATION SE KRMAP�
ADDRESS Fara O
CLASS NO DWELL UNITS
LOT NO -14 BLOCK A MAP STATE YES NO
NUMBER HWY
TRACT 1149!ey USEZONE SPECIAL
NO OF BLDGS /f CONDITIONS
SIZE OF LOT 75X3-5,0,-_Y I NOW ON LOT 1 ,/YID`
EXISUSE TING BLDG Dwellmn & Attached Gara BUILDING EXIST
TEL SETBACK YARD HWY _,STREET NAME WIDTH
OWNER Charles J Sachell NO GI 4992 FRONT ap
ADDRESS 5019 Farago, Temple City SIDE
ARCHITECT OR TEL P L
ENGINEER none NO INSPECTION RECORD
ADDRESS / 0''
CONTRACTOR v LC f
ADDRESS 8717 r E Ias Tunas San Gabriel O
DESCRIPTION OF WORK 7-.$-,"f G
NEWXX ADD T REPAIR DEMOLISH h
Z
SCI FTI l STORIES - FANO OF NoMIOLI
SIZE OES
USE OF
STRUCTURE
SIGNATU I �l
APPLICANT
VALUATION'
APPROVALS 'DATE INSPECTOR SSIGNATURE
P C Q PMT FOUNDATION LOCATION a
FEE $ FEE $ FORMS MATERIALS
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 1 SHALL NOT LATH INT f
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT >
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA LATH EXT
SIGNATUR HOUSE NUMBER COR /` �//
PERMITTE "^'� �� , RECT AND POSTED s (I
ADDRESS L 161-FINAL
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CLYDE N DIRLAM PRINCIPAL STR RAL ENGIIJEER
PLAN CHECK VALIDATION cK M o CASH PERM VALIDATION CK
M o CASH
L� X399-0 G iR15 c 3 D IT
7 3 4,o "FR j 1 D CJ- c ) w
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0809100031
PHONE (626) 285 0488 EXT
LEGAL ID NO OF CONST
BUILDING ADDRESS
ITR 11497 LT 14 BL A I SQ FT STORIES TYPE
I 1STRUCTURE V B 5021 CA 917AR917 A
TEMP C8033
526
ASSESSOR INFORMATION NUMBER
18574 008 033 NEAREST CROSS STREET
1 1 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY Cl
TENANT 1EXIST BLDG USE RESID USE ZONE R 2 JISSUED ON PROCESSED BY EXPIRES ON
1EXIST OCC GRP 109/10/08 SR 03/09/09 1
OWNER TEL NO JBLDGS NOW ON LOT VALUATION IFINAL DATE Y CODE
ISALAS RUBEN (213) 792 6158 6 960 EXPIRED
15021 FARAGO AV
TEMP 917803526 FEES PAID IDESCRIPTION OF WORK
I IREPLACE (10) WINDOWS AND (1) SLIDING DOOR SAME SIZE SAME
FEE DESCRIPTION QUANTITY UOM AMOUNT LOCATION
APPLICANT TEL NO
IBATIOFF (626) 614 7059 JAA BLDG PERMIT ISSUANCE 27 75 11
JAC STRONG MOTION RESID 6960 00 VAL 0 70 ISPECIAL CONDITIONS
ID2 PERMIT W/O EN HC 6960 00 VAL 166 20
1 1 TOTAL FEES 194 65
CONTRACTOR TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
IT H D AT HOME SERVICES (562) 981 1600
12774 E FLORENCE AVE LIC NO ILOCATION AND SETBACKS
SANTA FE SPRINGS CA 836021 B
1 SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO JFOLNDATION/TRENCH FORMS
1 LIC NO JSLAB/UNDER FLOOR
1 1 iRAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP
1UNDERFLOOR INSULATION
1147H277 3 Oil
I I IFLOOR SHEATHING
INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
1 NO 21 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR. PANELS
AIR QUALITY 1000 FEET MATERIALS
1 NO NO NO 1 FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST
FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL IINSJLATION/WEATHER STRIP
SIDE PL
1 1 11NTERIOR LATH/DRYWALL
EXTERIOR LATH
1 1 1RATED FLOOR/CEIL ASSEM
1 1 1RATED WALL ASSEMBLIES
1 1 1RATED SHAFTS/OPENINGS
IT BAR CEILINGS
1 1 1LOT DRAINAGE
1 1REPORT ID DPR261 ROUTE TO BS0508