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HomeMy Public PortalAbout5032 FARAGO AVE_Building__ 76A638A CE +i8D3 "'APPLICATION FOR BUILDING PERMITI� COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING MAKE CHECKS PAYABLE 70 ADDRESS d 3 2 Cc o HARVEY T BRANDT COUNTY ENGINEER LOCALITY L /� FOR APPLICANT TO FILL IN NEAREST Print r t CROSS ST BUILDING DISTRICT NO GROUP TYPE PROCESSED BY CONST ADDRESS B O b LOT NOSTATISTICAL CLASSIFICATION SEWER MAP BLOCK e� /� � CLASS NO,� DWELL UNITS BK PG TRACT MAP NO OF BLDGS USE ZONE SIZE OF LOT NOW ON LOT SPEC AL USE OF r' CONDITIONS EXISTING BLDG TEL OWNER le NO BLDG SETBACK FROM ADDRESS �/,�� FRONTPROP LINEOF (STREET) TYPE 0 EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY^ r` HIGHWA WIDTH FROM C L ARCHI ECT R TEL + _ ENGINEER NO D� BLDG SETBACK FRO ADDRESS SIDE PROP LINEOF (STREET) TEL TYPE OF EXISTING1 SETBACK HIG + YARD = TOTAL �. CONTRACTOR NO HIGHWAY WIDTH FROM C ADDRESS LI +NO _ LIC Z CITY CLASS CORNER CUTOFF YES ❑ NO CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE E FOR SPECIAL APPROVALS ADDRESS SO FT NO OF NO OF NEW SIZE STORIES FAMILIES USE OF -1 ADD ❑ STRUCTUREZA / ALTER ❑ SIGNATURE REPAIR❑ _ APPLICANT DEMOL ❑ VALUATION �c- APPROVALS DATE INSPECTOR S SIGNATURE P C PMT _ FOUNDATION LOCATION 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 WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS STRUC TI ONI CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT + LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPENSATION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS FINAL PLAN CK VALIDATION CC; o CASH _ PERMIT VALIDATION CK M 0 CASH 1 ,r,- C938?3 NAY 4 2 3 D 1 �0� 76A638A CE ✓3803 472 ` A %T,ION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING ��� �A MAKE CHECKS PAYABLE 70 ADDRESS 6!/L HARVEY T BRANDT COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST Print ort a onl BUILDING DIST CT NO GROUP TYPE PRO SSE Y ADDRESS Q ( ra �� -7,— CONST STATISTICAL CLASSIFICATION SEWER MA LOT NO BLOCK CLASS NO DWELL UNITS BF�--PG/-2� TRACT USE ZONE MAPNO OF SIZE OF LOT 7S c / 0' NOWON BL � OTS NO USE OFCONDITIONS EXISTING BLDG e h TEL 7 OWNER l '` NO ``_2 LOG SETBACK FROM ADDRESS Q r o F ONTPROP LINEOF (STREET) TY OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY '�'� HIG AY WIDTH FROM C L ARCHITECT OR TEL + _ ENGINEER a NO p. BLDG SETBAC � ADDRESS W SIDE PROP LINE OF (STREET) V TEL TYPE OF EXISTING SETBACK HIGHWAY + YAR = TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM C L C _ ADDRESS LIC + NO - W LIC n' CITY CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER - NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS F SQ FT O OF NO OF NEW ❑ 7 SIZE STORIES FAMILIES USE OF //i� ADD STRUCTURE 46 i V `� ALTER ❑ 5-F"" a REPAIR❑ � SIGNATURE O APPLICANT DEMOL ❑ VALUATION APPROVALS DATE INSPECTOR 5 SIGNATURE P C PMT l FOUNDATION LOCATION FEE $ FEE $ 7� FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS STRUC TI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COMPENS ION INSU NCE LATH EXT SIGNATURE Lam,L HOUSE NUMBER COR PERMITTEE RECT AND POSTED ADDRESS 3 C FINAL 4-3 -71/ PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATION CK M oCASH iAf,94Oo75 5 1 875 �2 76A63oA :E a809 4/70 PPL ICATIONi F41BI dINVGRMIT a �� COUNTY' OF LOS ANGELES MAP BOOK PAGE PARCEL DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY L le: C`�w FOR APPLICANT TO FILL IN NEAREST Print ort onl CROSS ST DISTRICT NO GROUP I TYPE PRO SSED BY BUILDING CONST�� ADDRESS STATISTICAL CLgSSIFICATION SEWER MAP LOT NO BLOCK CLASS NO—2-•-1 DWELL UNITS BK PG/Z/ TRACT J ��� ° U NE MAP �D NO OF BLDGS NO SIZE OF LOT NOW ON LOT SPECIAL USE OF 5 ✓�4 CONDITIONS EXISTING BLDG L OWNER /� r A10 G� BLDGSETBACK FROM ADDRESS FRONT LINEOF (STREET) Y TYPE OF EXISTING CK HIGHWAY + YARD = TOTAL CITYHIGHWAY WIDTH FROM ° ARCHITECT OR TEL = ENGINEER • NO BLDG SETBACK FROM ADDRESS SIDEPROP LINEOF (STREET) TEL TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM CL } LIC a ADDRESS NO + = O U LIC CC CITY CLASS CORNER CU OFF YES Q\ N p CONSTRUCTION LENDERc ( N 1�% \ t ) t.::,NAME AND BRANCH O�1 SEE REVERSE SIDE FOR-SPECIAL APPROVALS - cn ADDRESS Z SQ FT NO OF NO OF NEW ❑ F ki 368 4,0 SIZE STORIES FAMILIES USE OF ADD / � ,Z z>e"/ STRUCTURE �'± ^ �` ALTER ,� `.•`V O �t ti I w, RE IR❑ , SIGNATURE APPLICAN DEMOL ❑ VALUATION $ O� APPROVALS �?� ` DATEi-? -S51Z CTOR SN IGNATURE P C PMTFOUNDATION LOCATION FEE $ � � FEE$ 2� .5 FORMS MATERIALS I1 ` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME BRAC NIGEBOLOTS 1 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 I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT ` LABOR CODE OF T STATE OF CALIFO NIA RELATING TO WORKMEN S COMPE IONFI S ANCE LATH EXT, SIGNATURE OF _ HOUSE NUMBER COR PERMITTEE RECT:*AND POSTED +\ ADDRESS FINAL JOHN PLAN CHECK VALIDATION CK M o CAs _ =� PERMIT VALIDATION"RCK TEy QM O GASH � Ar_ 9b51N APR1223 D 2295A - � y I r- 9729 r APR16 1 0 2775" 1 E APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only)? " BUILDING -� � i COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY7f / _ ZIP BUILDING AND SAFETY DIVISION _ NO BL BUILDING ��� ✓ SIZE OF LOT � O SNOW ON LOT �� ADDRESS } TRAC / BLOCK L 411-Alt. LOCALITY OWNER /(J /l'�OLr2/ NEAREST CROSS ST ASSESSOR ADDRESSJ-6-3 2 6 MAP BOOK PAGE PARCEL a DISTRICT GROUPS TYPE FIRE ESE B CITY /'0-y4 �e Int/� ZIPr CONST ZONE ARCHITECT OR TEL ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NOC;2 /—DWELL UNITS SK PG CONTRACTOR TEL USE ZONE MAP LIC NO ADDRESS NOSPECIAL LIC CONDITIONS o CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES[_ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM " FRON PROP LINEOF (STREET) ADDRESS CITY SO FT NO OF NO OF CHECK NIGHW Y } YARD = TOTAL SETBACK FROM TYPE OF HIGHWAY EWIDTHG FRONT PROP LINE SIZE STORIES FAMILIES ONE CL DESCRIPTION OF WORK NEW ❑ BLDG SETBACK FROM ` V ♦�i ,� ADD SIDE PROP LINE OF (STREET) = TOTAL SETBACK FROM OF EXISTING O ALTER n ❑ HIGHWAY } YARD � U USEm�Fr��,�� EPAIR❑ p SIDE PROP LINE HIGH WIDTH a EXIST NGCHL^b,G �•f ' , EMOL 1:1 } M N APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ ^ A // IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ 0� 0j I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 019 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND' LAWS REGULATING BUILDINGi CON STRUCTION I CERTIFY MAT IN DOING TH WORK AUTHORIZED HEREBY I WILL NOT E LOY A Y P RSON LATIO OF TME LABOR CODE OF T T41T F IF N S WORKMEN S COM PE 10 U t SIGNATURE OF PERMITTEE ADDRESS~ ~ FINAL CITY NO DATE 77 BY TEL va v/PC PMT/ MAKE CHECKS PIIABLL 70 FEE $ FEE $�-? HARVEY T BRANDT COUNTY ENGINEER _ ,PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH 6 8 51 JUL 28 1 0 300A,:,8 76A638A CE#803 574 ©s 76A638A GE/803(REV 6/76) _ � r APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING Z ADDRESS BUILDING " ADDRESS O Z ✓ LOCALITY �j NEAREST CITY ` ZIP CROSS ST 7S LSA NO OF BLDGS ASSESSOR SIZE OF LOT / NOW ON LOT MAP BOOK PAGE I PARCEL Q DISTRICT GROUP TYPE `FIRE ROC SED BY TRACT ' / BLOCK IOLNO�7� �--D� ��^' CONST /ZONA OWNER /�/� N 7!�-0�l7 der STATISTICAL CLASSIFICATION SEWER MA ADDRES G Z- !/ CLASS NO DWELL UNITS G BK JVPG CITY �/ ZIP 15;11710 ARC ITEOR TEL VALUATION $ ENGINEERR NO ADDRESS BLDG SETBACK F M TEL FRONT PROP LIN OF (STREET) ✓« CONTRACTOR �� N ,e°y� HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO LIC + CITY CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH C SQ FT w NO OF NO OF CHECK + = 4J SIZE _ STORIES FAMILIES ONE im d DESCRIPTION OF WORK NEW PC Fee$ Permit Fee � 0 ADD ❑ Issuance Fee y ALTER ❑ REPAIR ❑ Total Fee USE OF DEMOL EXISTING BLDG 2 APPLICANT TEL G (PRINT) NO Q O J BY(SIGNATURE) Q Y IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE u THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE U WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF 050 1 A THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z PENSATION INSURANCE 0 0 0 0 0 1 SIGNATURE OF _ PERMITTEE 2 e o34,00 G ADDRESS Z 00 _ oo e 034,0030: y TEL H CITY NO 0927-78 927_78 US ONE MAP NO J} SPECIAL J f r CONDITIO S // F ox FINAL BY u' DATE 1 WORKERS' COMPENSATION DECLARATION hereby affirm that I have certificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No: 1046140 Lompany STATE FUND BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS 3c2_ �' BUILDING 503 FARAGO `Certified copy is filed with the county building inspec- 2 -i1bn department. ADDRESS Date 11-1-92 Applicant RANDOL ROOFING CITY TEMPLE CITY CA zip 91780 LOCALITY NO. OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT - CROSS SL COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. OWNER P R TEIN NO. 793-1385 USE ZONE MAP 1 certify that in the performance of the work for which this NO, permit is issued, I shall not employ any person in any manner ADDRESS P.O. BOX 5127 SPECIAL d CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY PASADENA, CA zip 91117 Date Applicant ARCHITECT OR TEL. 0 NOTICE TO APPLICANT: If, after. makingthis Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE '�'CE/5�S/�D BY CONST. ZONE '/ `7 Ou Exemption;, you should become subject to the Workers' (� � , Compensation provisions of the Labor Code, you must forth- ADDRESS Y t. CL with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. deemed revoked. CONTRACTOR RANDOL ROOFING NO 288-4040 Z LICENSED CONTRACTORS DECLARATION LIC. CLASS No. 2— DWELL. UNITS ADDRESS 529 E. VALLEY B.VD NO. 451937 I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY SAN GABRIEL, CA CLASS C-39 BK PG VALIDATION SQ: FT. FN-0-0 F NO. OF CHECK License Number 451937 Lic. Class C-39 SIZE STORIES FAMILIES ONE REROOF HOUSE ONL VALUATION Contractor Randol Roof in;Date 1-31-94' DESCRIPTION OF WORK NEW ❑ $ 3,000.00 ❑1 am exempt under Sec. WITH 25 YEAR CLASS A DIMENSION LADD ❑ ► B.&P.C. for this reason FIBERGLAS SHINGLES. ALTER ❑ $ REPAIR Date: USE OF EXISTING BLDG. SFD DEMOL ❑ Signature APPLICANT RANDOL ROOFING 'No 288 -4040 FINAL OWNER-BUILDER DECLARATION (PRINT) DATE�r) I hereby affirm that I am exempt from the Contractor's License 529 E. VALLEY BLVD. SAN GABRIE -- .t Law for the'following reason (Section 7031.5, Business and ADDRESS FINA, L`_j,LM' Nu Professions Code): PRESENT. By ! ' t t ❑. I, as owner of the property, or my employees with BUILDINGADDRESS wages as their sole compensation,will do the work andvl (� .;; 7 �f` / _�.� L> __ - y r, the structureLOCALITY 14 is not intended or offered for sale(Section �- 7044, Business and Professions Code:) MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. .Y.1;.,•.,. � ,xs__: with licensed contractors to construct the project (Sec- a_-ems ADDRESS - tion 7044, Business and Professions Code.) ;;C r•,r REQUIRED TOTAL SETBACK FROM EXIST. '•.t-r`• F t$ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT 1 ` i ti''.3r the performance of the work for which this permit is'issued P.L. (Sec. 3097, Civ. C.). SIDE . P.L. Lender's Name !i'ti t• `t"i;§> -t ° 9769 LDMA Ref. # tri".' . r { , P.C. Fee$ Permit Fee `^`' Lender's Address , 0 1 certify that I have read this application and state that the Issuance Fee 24.75 LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee 122.44 LDMA Perm. # a and hereby au t or" e.repres ntatives of this Count to nter upon the d ov tion d ro ty for inspeVDat s S. ZSEE REVERSE FOR EXPLANATORY LANGUAGE gna o Ap cant or Agen - -