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5033 FARAGO AVE_Building__
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U R E P 7 S T A T E P M T ^ F O U N D A T I O N + L O C A T I Q N a F F E E $ ��7 p ��p F O R M S M A T E R I A L S " 0 F R A M E A F I R E S T O P S Q , J A C K N O W L E D G E T H A T I H A V E R E A D T H I S A P P L I C A T I O N B R A C I N G - , B O L \ T S r ��" �� ��I I ��> I / 1 2 ' ��. a . l _ , H A T T H E A B O V E I S C O R R E C T A N D A G R E E T O C O M P L Y F U R N A C E L O C A T I O N W I T H A L L O R D I N A N C E S A N D L A W S R E G U L A T I N G B U I L D I N G C O N G A S V E N T D U C T S e S T R U C T I O N I C E R T I F Y T H A T I N D O I N G T H E W O R K A U T H O R I Z E D t _ J H E R E B Y I W I L L N O T E M P L O Y A N Y P E R S O N I N V I O L A T I O N O F T H E L A T H I N T L A B O R C O D E O F T H E S T A T E O F C A L I F O R N I A I N R E L A T I N G T O W O R K M E N S C O M P E N S A T I O N I N S U R A N C E L A T H E X T S I G N A T U R E O F V 0 H O U S E N U M B E R C O R P E R M I T T E E R E C T A N D P O S T E D A D D R E S S 0 . 3 3 2 7 F I N A L J O H N F L E W I S P R I C I P A L ` S T R R A L E N G I N E E R ; P L A N C H E C K V A L I D A T I O N C K M 0 C A S H _ P E R M I T V A L I D A T I O N C H 1 1 0 C A S H I A r 6 0 4 3 J U L 2 4 1 D 5 4 0 0 - _ ��' �� p WORMRS COMPENSATION DECLARATION ,,ereb r d ter that I have a certificate of consent r self- APPLICATION FOR 'BUILDING' P E 811111 T nyure or d certificate of Workers Compensation Insurance or a certified ropy thereof (Sec 3800 lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company + BUILDING ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Nit ❑ Certified copy is filed with the county building mspec BUILDINGJ r�f tion department ADDRESS / • , Date Applicant CITY / 'ooZIP /to LOCALITY IF CERTIFICATE OF EXEMPTION FROM WORKERSNO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT 21--X�tlo NOW ON LOT CROSS ST (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less ) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TEL ' OWNER �f�0 y ?y� USE Z E MAP c I certify that in the performance of the work for which this NO permit is issued I shall not employ any person in any manner //�� � SPECIAL so as to become subject to the Wor am s ows ADDRESS Q Jit/ CONDITIONS /i ., CITY / ZIP Date Appli a t ARCHITECT OR TEL NOTICE TO APPLICANT If r mating this Cert ficate of ENGINEER NO DISTRICT GROUP TYPE FIRE PRO D BY Exemption you should become subject to the Workers CONST ZO�JE Compensation provisions of the Labor Code you must forth ADDRESS UU( %✓� ` with comply with such provisions or this permit shall be TEL STATISTICAL CIASSIFI ATION APT NDO deemed revoked r CONTRACTOR NO LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS kNO (commencing with Section 7000)of Division 3 of the Business and y LIC - SEWER MAP Professions Code and my license is in full force and effect CITY CLASS BK PG VALIDATION y. SQ FT NO OF NO OF CHECK y a License Number Lic Class SIZE OQ STORIES FAMILIES ONE Q VALVA ON (� DESCRIPTION OF WORK NEW � Contractor Date ADD $ } O � i 1 I am exempt under Sec ALTER Lu B 8P C for this reason .4 REPAIR ❑ $ �� 0 0'v USE OF " Date EXISTING BLD/G1 /N �_ DEMOL ❑ Z Signature APPLICANT C� j No S/y,J7 j FINAL OWNER BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor s License ' Law for the following reason (Section 7031 5 Business and ADDRESS.5:410-7 /¢L D FIN a u��r ��C t0 Professions Code) r PRESENT B BUILDINGI ITEMS I `as owner of the property or my employees with ADDRESS �- wages as their sole compensation will do the work and TI 0 AL 265 ® e the structure is not intended or offered for sale(Section LOCALITY c c_ 7044 Business and Professions Code) MOVING TEL tHECp 2b t tl} ❑ I as owner of the property am exclusively contracting CONTRACTOR NO �HANGE 130 with licensed contractors to construct the project (Sec r tt1IV l 7Y tion 7044 Business and Professions Code) ADDRESS REQUIRED YARD HWY TOTAL SETBACKr+Fr CONSTRUCTION LENDING AGENCY SET BACK PROP LINE W'IDTH' i/ 3Iv I hereby affirm that there is a construction lending agency for FRONT ` the performance of the work for which this permit is issued P L `� _ 1 AM 10.'47 (Sec 3097 Civ C ) SIDE Lender s Name - LDMA Ref # ' ' Lender s Address PC Fee§ Permit Fae t ` z i s .< I certify that I have read this application and state that the Issuance Fee LDMA P/C# at 4 e above information is correct I agree to comply with all County Investigation Fee o ordinances and State laws relating to building construction Total Fee LDMA Perm # t 1 o and hereby authorize representatives of this County to enter upon th above mentioned pro erty for inspection purposesr /` T SEE REVERSE FOR EXPLANATORY LANGUAGE — - (J(J _ `��Signature of Applicant or Agent Applicant or Agent Date _ y .S 0 . 76,638A CE,18033 66 APPLICATION FOR BUILDIPERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS, BUILDING AND SAFETY DMSION L O C A L I T Y JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINS SUP T OF BUILDING CROSS ST DIST CT GRO TYPE PRO ES E Y FOR APPLICANT TO FILL IN CONST STATISTICAL S,ISASSIFICATION SEWER AP L BUILDING —(Q/— ADDRESS CLASS NO DWELL UNITS B PG LOT NO BLOC USE ZONE MAP Q�/ TRACTf�z l\ SP /f—'} � SPECIAL NO OF BLDOS CONDI TIO SIZE OF LOT NOW ON LOT USE OF BLOG SETBACK FROM EL FRONT PROP LINE OF (STREET) OWNER NO TYPE OF EXISTING ETBACK HIGHWAY + YARD = TOTAL ADDR S HIGHWAY F M C L CITY4Vt�AA 01 BLDG SETBACK ARCHI ECT OR TEL ROM ENGINEER NO SIDE PROP LIW OF EET) TYPE OF E ISTINO SETBACK HIGHWAY +_ YARD = TOTAL ADDRESS HIGHWAY DTH FROM C L _ TEL � + CONTRACTORopO y. IC NO O CORNER CUTOFF YES NO ADDRESS V CI Y LIQ SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORK Lu CL Cn NEW ADD ALTER REPAI DEMOLISH Z SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE44 1 r SIGNATURE OF APPLICANT VALUATION$ 00 APPROVALS DATE INSPECTOR SSIGNATURE P C PMT (/Z> FOUNDATION LOCATION FEE$ FEE$ �� FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT 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 CONSTRUCTIO I CERTIFY THAT GING THE WORK AUTHORIZED HEREBY 1 I L NOT EMPLOY NY P RSON IN VIOLA LATH INT TION OF THE LABOR OD OF THE STATE OF C IFORNIA RELAT ING TO WORKMEN M NSAT INSUR NCE ` LATH EXT SIGNATURE OF HOUSE NUMBER COR PERMITTEE RE AND POSTED ADDRESS Fl NAL JOHN F LEWIS PRINCIPAL ST T PLAN CHECK VALIDATION CK Mo CASH AL ENGINEER _ PERMIT VALIDATION CKl MO CASH _ LALo,6, 1 6 6�s DEC 2 V��- 1 D $.0 0" q � r 70ASSBA=#803E 59 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES ADD EISNs O DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT NO OUP TYPE OCESSED Y FOR APPLICANT TO FILL IN _TCONST BUILDING SEWER A ADDRESS QIV, STATISTICAL SSIFICATION I ,K PG CLASS NO DWELL UNITS� (/�''�T� LOT NO BLOCK NUMAP MBER Q -, STATE YES HWY SEZONE SPECIAL TRACT NO OF BLDGS -- CONDITIONS SIZE OF LOT NOW ON LOT USE OF DU d EXISTING BLDG BUILDING EXIST _ SETBACK YARD HWY STREET NAME WIDTH OWNER V O 1 d l FRONT / tT f MAIL l' P L '1 ALL ADDRESS O k _ SIDE CITY Ti;_: G, 1 T NO P L ARCHITECTOR TEL INSPECTION RECORD ENGINEER NO ADDRESS } TEL .I CONTRACTOR NO // c ADDRESS v i DESCRIPTION OF WORK C_ EW ADD ALTE REPAIR DEMOLISH NStrlFT NO OF NO OF SIZE STORIES F (LIES SE OF TRUC E SIGNATURE OF APPROVALS APPLICANT i DATE INSPECTOR S SIGNATURE ADDRESS FOUNDATION LOCATION FORMS MATERIALS F,© Q P C $ FRAME FIRESTOPS V FEE BRACING BOLTS VALUATION S 6FURNACE LOCATION FEE GAS VENT DUCTS 1 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 STATE LAWS REGULATING BUILDING CONSTRUCTION LATH EXT SIGNATUREQ�- r�J ( HOUSE NUMBER COR PERMITTI� 1���L_A_ S, blT��-` s RECT AND POSTED l " ADDRESS33 )10 r r FINAL � L j/`-t+�- CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENG R PLAN CHECK VALIDATION CK mo CASH PERMIT VALIDATION CK M o cnsH a u LAC-"1 9 3 5,A JAN 19 l A 600 � C r TEMPLE CITY 79AG30A C6 ,2/60 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADD BUILDING��L'� DEPARTMENT OF COUNTY ENGU41M BUILDING AND SAFETY DIVISION LOCALI JOHN A LAMBIE COUNTY ENGINEER NEAREST or WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT NO GROUP Type--77, PR ESSED BY FOR APPLICANT TO FILL IN ry-� coNsr BUILDING ''').� j /� J� `/ STATISTICALTCSSIFICATION WER MAP ADDRESS VJa A K r (1� BK PG /LOT NO / CLASS NDWELL UNITS / BLOCKMAP r STATE YES NO NUMBER J HWY TRACT "/' USE ZONE SPECIAL r� NO OF BLDGS ` CONDITIONS SIZE OF LOT 75"( s / 6 NOW ON LOT / USE OF EXISTING BLDG 5 7A/� BUILDING EXIST LL..�� // / [ YARD HWY STREET NAME OWNER LL 1 l " NO`S/ P�Fi� SETBACK � WIDTH ADDRESS J� g3 rr-4 l �L/ SIDE C� ARCHITECT OR TEL P L ENGINEER Alei NO INSPECTION RECORD A ADDRESS CONTRACTOR 1 TELT` L/n '� ��i , v l . //�� `Il/Y�C�J/ NOl®7 lli O ADDRESS IV 0 F�Ic ls� Y V DESCRIPTION OF WORK aG O w~ NEW ADD ALTER REPAIR DEMOLISH SQ FT ��0 NO OF NO OF Q1 SIZE STORI FAMILIES USE OFEM f7 RUCTURE SIGNATUREI / APPLICANT VALUATION$ .�� APPROVALS ATE INSPEC RSSIGNATURE FOUNDATION LOCATIONPC PMT FEE $ FEE $ ,��-�' FORMS MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME FIRE STOPS BRACING BOLTS /I PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION y AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN S MPENSATI S OF CALIFORNIA LATH EXT ` SIGNATURE // r HOUSE NUMBER COR / PERMITTE RECT AND POSTED ADDRESS FINAL i G✓' CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK. M o CASH PERNIIT VALIDATION CK Mo CASH i4', t ®v I r