Loading...
HomeMy Public PortalAbout5106 FARAGO AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES "BUILDING PERMIT DEPARTMENT BUILDING AND SAFETY DIVISIONER • BUILDING FOR APP CANT TO FILL IN ADDRESS-5/e V� BUILDING ADDRESS � U LOCALITY NEAREST CITY ( (T%/ ZIP s CROSS ST r ?08 NO OF BLDGS ASSESSOR SIZE OF LOT J NOW ON LOT MAP BOOK PAGE PARCEL It 41?-7 BLOCK � LOT NO 1 r DISTRICT GROUP TYPE FIRE ESSED BY TRACT r U � CONST �_ �E OWNER A� E yL� NO STATISTICAL CLASSIFICATION—1 �G.ai p /7 /q EWER MAP ADDRESS �Z FA�j� CLASS NO-01 DWELL UNITS � BK/-LPG CITY L� jT ZIP J 8a USE ZONE NOPaa.��" � ARCHITECT OR '` TEL �3 SPECIAL ENGINEER l A/ NO NOV#Y 3770 CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR & AgiZ�EEL BLDG SETBACK FROM LIC FRONT PROP LINE OF (STREET) ADDRESS NO HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC FRONT PROP LINE HIGHWAY WIDTH CLASS J CONSTRUCTION LENDER } a NAME AND BRANCH BLDG SETBACK FROM O ADDRESS CITY SIDE PROP LINEOF (STREET) G> SQ FT NO OF / NO OF CHECK HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING SIZE ��� STORIES ( FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH o DESCRIPTION OF WORK LU NEW + / �nM/LL ADD CORNER CUTOFF YES ❑ NO ❑ �'f�•1 ALTER ❑ -REPAIR IN IN OPEN SPACE YES ❑ NO ❑ USE OF \ IN COASTAL PERMIT ZONE YES C] NO ❑ EXISTING BLDG S/A/&j jj FjV4)j,y/b..6" DEMOL ❑ APPLICANTEL //[JjJ 7770 (PRINT) 4SA GAf _ NO (77 J BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S CO MP ENSSA^TIION INSURANCE SIGNATURE OF1. • FINAL .. BYY- PERMITTEE Pd'C.(J1/+� DATE ADDRESS ���^ F41Z A&qo CITY`I[Nt/�� C 1� T N o TEL qql —377 PC Fee$ ,3— Permit Fee ' Issuance Fee VALUATION$ -3 ���/// - Total Fee PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK Mo CASH r�, 1,9 4� 22 1 © - X 22 5.0 0 -,�5�,,59'. M �3 2 13500 _ r 76A638ArC6#803B 12/73 ,air t --