HomeMy Public PortalAbout5022 FARAGO AVE_Building__ 78A898A CE#5035 61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS e
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST L�
DISTRICT O GROUP PE SSED BY
FOR APPLICANT TO FILL INCONST
BUILDING S ATISTICALCLASSIFICATION W RMAP
PCi
ADDRESS 0 CLASS'NO DWELL UNITS
LOT NO J BLOCK WATER NOT REQUIRED RECEIVED
p CERTIFICATE
TRACT 7 MAP l HIGHWAY
NO OF BLDGS NO (CIRCLE) STATE MAJOR SECOND OCA
SIZE OF LOT NOW ON LOT US= ZONE SPECIAL
USE OF OFCONDITIONS
EXISTING BLDG
T
OWNER OHO BUILDING YARD HWY TREET NAME EXIST
SE 'BACK SWIDTH
ADDRESS FRONT
ARCHITECT OR TEL P L }
ENGINEER NO SIDE O
ADDRESS INSPECTION RECORD
CONTRACT m
L j / /. 7, 09
7i
ADDRESS ' ) h) 4A i1, AIr t i'. sT1�9 n-ds � I (-
DESCRIPTION OF WORK N� �P ^-A- �Lu
fe
NEW [HADD ALTER REPAIR DEMOLISH 7 j
SQ FT NO OF NO OFIZE
USE OF 111
STORIES FAMIILIES ) /&Aai
/ v��y-y��w ��� Jw
STRUCTURE ?Aid Sl k 2d /y7�d4 W, �i++. �a-,Jroe Ae"ov �L&; lf�66Pj
SIGNATURE OF
APPLICANT
VALUATION$ / t
APPROVALS ATE INSPECTOR S SIGNATURE
PC PMT FOUNDATION LOCATION
FEE $ a!yv FEE FORMS MATERIALS
FRAME FIRE STOPS f
I 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
BUILDINGCONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT I.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT /4
SIGNATURE OF /i HOUSE NUMBER COR IA !�
PERMITTEE K RECT AND POSTED P4
ADDRESS � 7G FINAL P-
m
p_ .
W-PkINCIPAL
PLAN MCK VALIDATION IZ /,_¢j M O CASH CLYDE RMT VALIDATIONT K, RNALG ENGINEER
DCO 7.6 6 4 % J 2 3 0 19 5 01
LA(a1791Qj I:lf lb, 46.50- �
sn
r� .,v