HomeMy Public PortalAbout5034 & 5036 FARAGO AVE_Building__ r APPLICATION FORCOUNTY OF LOS ANGELES
It BUILDING PERMIT K DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
I FOR APPLICANT TO FILL IN ADIPRESS LDING ,�v3:Z-3,6 V'�-•
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ADDRESS ,-, ,o
SO 3 G ✓' LOCALITY
NEAREST 117
CITY �� /e &VEX ZIP 5,—,l 7 U CROSS ST
NO OF BLDGS ASSESSOR
SIZE OF LOT S -Iz G NOW ON LOT MAP BOOK PAGE PARCEL
TRACT // BLOCK LOT NO -i- DISTRICT G P TYPE FIRE ESSED BY
23 1
CONST ZONE
V A
/ �7 TEL
OWNER("' / e•'�'! LA Pll_(l g NO 7f---'I
F STATISTICALCLASSIFICATION o SEWER M
ADDRESSv 3 Z �l DWELL UNITS �� BK`d
,5 CLASS NO
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CITY / al NT-Z ZIP Ji - 4) USE ZONE MAP
ARCHITECT OR TEL SPOECIAL \f w
ENGINEEp NO Q" 1CONDITIONS
ADDRESS T I1 Q ROAD DEPARTMENT APPROVAL REQUIRED YES E] NO ❑
CONTRACTOR 1ilb e'•�-/ /�P e�JQ -Jf-,6e7 BLDG SETBACK FROM
ADDRESS�C>3 2-10 LICNO �'� FRONT PROP LINE OF -(STREET)
�7s HIGHWAY + YARD >r= TOTAL SCK FROM TYPE OF EXISTING
/� FRONT PROP LINE HIGHWAY WIDTH
CITY C L CLLIC ASS _
CONSTRUCTION LENDER + cL
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NAME AND BRANCH -.e, BLDG SETBACK FROM V
ADDRESS CITY SIDE PROP LINE OF (STREET) p
SQ FT NO OF __FOOF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SIZE OD STORIES ILIES �� ONE SIDE PROP LINE HIGHWAY WIDTH N
+ = Z
DESCRIPTIO F W K NEW
ADD ❑ CORNER CUTOFF YES ❑ NO ❑
ALTER ❑ IN OPEN SPACE YES ❑ NO ❑
USE OF REPAIR ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ ��
EXISTING BLDG DEMOL ❑ y per/ �� /, 1 /� e 1/1
APP PR N)T4TEL
NO�� 1�.� l
BY)SIGNATURE) - � Vl
t
I HEPEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM
PENSATION INSURANCE
SIGNATURE OF FINAL �/ �J � BY
PERMITTEE DATE / /
ADDRESS n
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CITY • TEL PC Fee$ �/D Permit Fee
Q _`�� t Issuance Fee oo
VALUATION$
0 O of o N ToxoI Fee
PLAN CHECK VALIDATION K M o CASH PERMIT�VALIDATION No CK M o CASH
0 2 o CD
9 E_�Ut;s 1 2 3 D j J 7..,. 0 E3 0' o- o Cn '
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®S 78A838A CE,i8a3A 8/77 � � a ay CH