The URL can be used to link to this page

Home My Public Portal About5024 FARAGO AVE_Building__ J I 1,w TEMPLE COTY 70AG38A CH1103 '," APPLICATION APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS�O DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY, JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST / DISTDO GROUP TYPE PR CESS BY FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS PG �p r. CLASS NO DWELL UNITS LOT NO yam"' BLOCK WATER 1 CERTIFICATE NOT REQUIRED RECEIVED TRACHWAY T d NO OF BLDGS NO Q / HCGRCLE) L STATE MAJOR SECOND OCAL SIZE OF LOT ?8'�(�7 d I NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG �cs�c�eNCP_ A_ I / TEL OWNER / NO BUILDING YARD HWY STREET NAME EXIST SETBACK WIDTH ADDRES ^ t FRONT /1 ARCHITE T OR TEL P L V ENGINEER NO SIDE P ADDRESS a �7' LE INSPECTION RECORD 0 CONTRACTOR NO G�.9- ADDRESS p O DESCRIPTION OF WORK G W CL V) NEW ADD ALTER REPAIR DEMOLISH 3 Z SQ FT NO OF IZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION S APPROVALS DATE INSPECTOR S Sl'GNATURE P C PMT _-FOUNDATION LOCATION / I FEE S FEE S FORMS MATERIALS FRAME FIRE STOPS 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 BUILDING CONSTRUCTION ICERTIFY THAT IN DOING THE WORK I / AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN 5 COMPENSATI INSURANCE LATH EXT i SIGNATURE O HOUSE NUMBER COR PERMITTEERECT AND POSTED ADDRESS/40 lZ FINAL 4, CLYDE N DIRLAM P INCAPAL STRUCTURAL E PLAN CHECK VALIDATION CK. M O CASH PERMIT VALIDATION CK M -CASH 2 2 4 9bf JUL27 1 4,00N a i TEMPLE CITE 7US38A CH#11032/Bo_ APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS O DEPARTMENT OF COUNTY ENGINEER , BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENBEN SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICTCN,O GROUP TYPE P SED BY _ U r� CONST' , [ADDRESS UILDING r STATISTICAL CLASSIFICATION SEWER MAP q 69"a �` BK PG ++ CLASS NO___?DWELL UNITS `�OT NO � BLOCK MAP TATTE NUMBER s YES RACTX1 q9 7 5t USEIZONE SPECIAL NO OFBLDGS 1 A, CONDITIONS ZE OF LOT NOW ON LOT USE OF EXISTING BLDG BUILDING +L L, t SETBACK YARD HWY STREET NAME OWNER O FRONT �. P L ADDRESS > SIDE ARCHITECT OR TEL P L ENGINEER NO g INSPECTION RECORD i ADDRESS i TEL 9-2 CONTRACTOROM" s' NO O ADDRESS s 1 ! U DESCRIPTION OF WORE ' (� c t ; y�k� b' a SQ FT NEW ADD �ALIi NO REPAIR DEMOLISH � IvLY3 t�Ia 8 SIZE TORIES FAMILIES 1 � USE OF � �r STRUCT I + t SIGNATURE OF d/eP APPLICANT - R t a" 4 ` VALUATION$ B APPROVALS ��1`3DATE/ IN/SPECTORSSIGGNATURE PC FEE $ FEE $ �� FOON LOCATION FORMSIMATERIIALS A �/-f � / �I��'�/J�•'f FRAME BRACING BOLTS 0 /oar C HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP � 9� PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE ON/e AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENTDUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION LATH INTJrA �� 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE f y WORKMEN S COMPEN TION LAWS OF CALIFORNIA LATH EXT ° SIGNATURE OF HOUSE NUMBER COR FERMITTE RECT AND POSTED ADDR SF I N A Ll PLAN CHECS VALIDATION CK MO CASH r CLYDE p ° ERM VALIDATIONIRLAM PRINCIPAL T77 cK RAL ENGINEER ER H Pf'65g3 TP, 1 D 3 � t`° ®P i�rf%2�,7r'✓ LI 16A638A CE#803561 APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO TYPE P SED BY OUP FOR APPLICANT TO FILL IN CONST BUILDING STATISTICAL CLASSIFICATION SE RMA: J ADDRESS 97 CLASS NO DWELL UNITS I OC LOT NO BLOCK WATER CERTIFICATE NOT REQUIRED RECEIVED / MAP HIGHWAY TRACT STATE MAJOR SECOND LOCAL O OF BLDGS NO• CIRCLE) SIZE OF LOT NOW ON LOT USC ZONE SPECIAL USE OF �— I CONDITIONS EXISTING BLDG T Aj OWNERgel N / BO BUILDING EXIST SETBACK YARD HWY S EET NAME IDTH ADDRESS J FRONT ARCHITECT OR TEL P L I } ENGINEER NO PDE 0 ADDRESS TEINSPECTION RECORD n l �/ ,/ qL rt CONTRALTO �� ®i/(�i'�i/4 F�J G.i , LIJ�rIG(' O ADDRESS f7 .�/� V DESCRIPTION OF ORS / ��U'-� a- '�/ �� Z4,0 0. NEW A—ADD ALTER REPAIR DEMOLISH If'y t�/�� j''� f fp � ' A A4 ._ .-. — S ZEl IT STORIES FAMINO OF LIES/ 31 JA/ / b USE OF STRUCTURE SIGNATURE APPLICANTgQ ' VALUATION$ APPROVALS DATE Y INSPECTOR S SIGNATURE FOUNDATION LOCATION P C PMT FEE FEE O FORMS MATERIALS $ `. _ FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS irn AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION 2) /K Y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS / / BUILDING CONSTRUCTION ICERTIFY THAT IN DOING THE WORK /G AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE I /� LATH EXT SIGNATURE Qa:</ HOUSE NUMBER COR PERMITTEE/ RECT AND POSTED ADDRESS & i FINAL h CLYDE PDIIT T R� ENGINEER PLAN CHECK VALIDATION c CASH RNVALIDATIONo C" LACo 7 6 6'5 Jtl{d j1 2 3 D 19 50A J&1 7 9,2D 46.50- 7,6A45538A CE 0803 1/71 e__-, APPLICATION FOR BUILDIN PERMIT '+ WUNA OF LOS ANGELES ' ASSESSOR DEPARTM,NT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION ; BUILDING /� ADDRESS �! t r If COLEMAN W JENKINS SUP T of BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Pri—ort a onl CROSS ST _ _ BUILDING ii /� j./ DISTRICT NO�j/ G P Ty RE P C 4aD ADDRESS' ✓�✓� / �� D if ]CONST / LOT NO STATISTICAL CLASSIFICATION SEWER MAP BLOCK CLASS NO DWELL UNITS BK PG TRACT I USE ZONE MAPNO SIZE OF LOT 75'X a' D NOW OON LOTS SPECIALD� USE OF CONDITIONS EXISTING BLDG pp p qq y, �` �'fj OWNERCV�ENr' /1 GfjLV/rtjoTEL -''T� o+� - BLDG SETBACK FROM ADDRESS S-4):2,Al FRONT PROP LI NE OF -—-- (STREET) TYPE OF EXISTING SETBACK HIGHWAY t YARD = TOTAL CITY HIGHWAY WIDTH FROM C L _ ARCHITECT OR V TEL t = ENGINEER ° NO -- - .T BLDG SETBACK F ADDRESS SIDEPROP LINEOF W (STREET) TEL TYPE OF EXISTING SETBACK HIG t YARD = TOTAL a CONTRACTOR NO HIGHWAY WIDTH FROM C L V ADDRESS NO t LIC U CITY CLASS CORNER CUTOFF _ YES ❑ _ _NO ❑ LJ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR'SPECIAL APPROVALS Z ADDRESS SO FT NO OF NO OF NEW JEJ SIZE STORIES FAMILIESUSE OF ALTER ADDSTRUCTURE�� C.� REPAIRSIG ATURE OF APPLICANT DEMOL VALUATION $ / APPROVALS DATE y INSPECTOR S SIGNATURE P C PMT FOUNDATION LOCATION FEE $ FEES 6G FORMS MATERIALS FRAME FIRE STOPS 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 ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS ` STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPEN TION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS b�' FINAL P _ JOHN F LEWIS PRINCIPA ST UCTURAL ENGIjLFER PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALMATI CK mo CASH t ' r 6 6 9 1 H JUN 28 1 D J f ` °`. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DRESS I hereby affirm that I.have a certificate of consent to self insure, BUILDING ADD ESS o.��' or a certificate of Workers' Compensation Insurance,or a certified SUIS ArR U copy thereof (Sec.3800,Lab.C.) CITY.— VA J� �`I ZIP y.1.780 LOCALIT Policy NO. Company _ SIZE OF LOT l rI NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. I NEAREST CROSS S ElCertified copy is filed with the county building inspection TRA5,3/ Q BLOCK LOT NO. department. JrJ/ USE ZONE MAP NO. Date Applicant ASSE S MAP BOOK PAGE PARC L ' 7 00q q D SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow (e f TEL NO. WITHIN 1000 FT.OF SCHOOL? COMPENSATION INSURANCE e �! T hi e� oges �l 2S�- Z7 YES NO This section need not be completed if the permit is for one hundred AD KESS/"� ( p P v �� DISTRICT •. GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100) or less.) I certify that in the performance of the work for which this permit CITY j ZIP is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS N0.,L / DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR- TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith e G-e� FRONT comply with such provisions Or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 ' SEWER MAP (commencing with Section 7000)of Division 3�of the Business and SQ.FT SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. ® NEW ❑ BK PG , a License Number Lic. Class DES IPTION OF WORK r ADD ❑ VALUATION Q Contractor Date ep,dV� « / Ce ALTER ❑ $ 0 ❑ I am exempt under Sec. {" ! i er! REPAIR ,� $ 0 BAP.C. for this reason DEMOL ❑ LDMA P/C# W Date: USE OF�ISJING BLD Aqk �/ - .URM ElCL Signature APPLICANT( INT) TEL NO. LDMA Perm# �' Z I, as owner of the property, or'my employees with wages as ZO °,_`:1 e r their sole compensation, will do the work and the structure is -ADDRESS H _ s___ not intended Or Offered for sale (Section 7044, Business and FINAL DATE Q00. r.�3_I 10_a4` Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner Of theproperty, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE �_� a f L_ Y 9 AMOUNTS SPECIFI ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY J i licensed contractors to construct the project (Section 7044, j E_I}A ,m P� e Business and Professions Code.) Yes❑ No ^ WILL THE INTE D USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING f'=1 {'''' 70—". OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK ; 'S`• ~}'S CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR p, Is GUIDELINES 1 hereby affirm that there is a construction lending agency for YES❑ No N the performance Of the work for Which this permit IS Issued(Sec. IHAVE READ THE ARDOUSMATV1E1M.."T1S1R`OUGH S"FORMTON GUIDE AND THE SCAQMD PERMITTING _ 3097, CIV.C.) CHEC#ST. NDERSTAND MY RETDER THE LOS ANGELES COUNTY CODE, :;iTITLE ER 2 0 SECTION 2.20.140 CONCERNING HAZARDOUS Lender's Name MATEORTIG AND FORINING A PERMIT FROM THE SCAQMD. _ a �s 3 tiM 117 `',. 0- Lender's Address ' S�'J O OWNER AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct. I agree to comply P.C.FEE PERMIT FEE / /— oN with all county ordinances and State laws relating to building < construction, and hereby authorize representatives of this County ISSUANCE FEEco to ggter upon the above�nned operty for inspection purposes. !�• `� . INVESTIGATION FEE TOTAL FEE r gnaNre of Appll of.,Agent D.y SEE REVERSE FOR EXPLANATORY LANGUAGE