HomeMy Public PortalAbout5126 FARAGO AVE_Building__ s -
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EPLE CITY
MGM CE#803 a60 APPLICATION FOR BUILDING PERMIT"
~ COUNTY OF LOS ANGELES BUILDING �^
DEPARTMENT OF COUNTY ENGINEER ADDRESS LJ
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
FOR APPLICANT TO FDISTRICT-NO ROUP TYPE P C S
ILL IN �Qf CONST
BUILDINGr ! - STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS ✓/ �J C'
CLASS NO DWELL UNITS
LOT NO r `BLOCK MAP r� p STATE YES NO
NUMBER OW HWYY
TRACTp.' SPECIAL
NO OF BLDGS //�� USE Z/ONE CON"TIONS
SIZE OF LOT / GS� NOW ON LOT Vim/
USE OF
EXISTING BLDG `— BUILDING YARD HWY STREET NAME EXIST
/ 14 EJB SETBACK WIDTH
OWNER /U 5 — FRONT
P L
ADDRESS J SIDE
ARCHITECT OR TEL P L
ENGINEER NO INSPECTION RECORD
ADDRESS >y
CONTRALTOO ^� Q
lcl� y
ADDRESS / .d Y -5 V
DESCRIPTION OF WORK �^�S♦o ----� 0
ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NO OF G/� r _.._Q ✓ i QI
SIZE e,? TORIES
FAMILIES
USE OF `� ry L f\ L I WOO
STRUCTURE
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SIGNATURE OF L.L 6ti f�1[�rx6nw0 " �J-fG cr��J. Y
APPLICANT A
VALUATIO
APPROVALS DATE INSPE94OR SSIGNATURE
PCPMTFOUNDATION LOCATION
FEE 00 FEE $ ��� FORMS MATERIALS A/c,I ILI . t
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME FIRE STOPS
BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS n
STATE LAWS REGULATING BUILDING CONSTRUCTION /
I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
WORKMEN S CO N ION-LAWS OF CALIFORNIA LATH EXT ♦ tL
SIGNATURE OF HOUSE NUMBER COR
PERMITTEERECT AND POSTED 49.U6alt� JL4e.—*
ADDRESS INAL .J3 �� C
t � -' CLYDE N DIRLAM PRINCIPAL STR AL ENGINEER
PLAN CHECK VALIDATION l:� M O CASH t PERNIIT VALIDATION CK MO CASH
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