HomeMy Public PortalAbout5130 FARAGO AVE_Building__ TEMPLE CHTY c
pp
76A636A Ce#6012/60 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING �-
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION- LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OR BUILDING CROSS ST
DISTRICT NO G P TYPE P BY
FOR APPLICANT TO FILL IN Q8' CONST
BUILDING ,�. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS
,p LASS NO" DWELL UNITS
LOT NO BLOC P AP STATE YES N
-BER ♦� HWY
TRACT A, g, � USE ZON SPECIAL
NO F LDGS �I V CONDITIONS
NOW
SIZE OF LOT I ON LOT D
USE OF
EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST
EL
OWNER O/d SETBACK WIDTH
O i FRONT
P L
ADDRESS 0kS LINA SIDE
ARCHITECT OR TEL P DL
F_
NO
INSPECTION RECORD
r
ADDRESS �
CONTRACTOR O LIO �'(, 0
ADDRESS V
D CRIPTION OF WORK �-- �� 0
0
NEW ADD ALTER REPAIR DEMOLISH meq..L V
SZ—FTNO OF NO OF �^' ♦ CM� pW,t
SIZE STORIES FAMILIES
USEOP 4 _�(
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPEC'66R S SIGNATURE
CPMT FOUNDATION LOCATION n
FEE $ OD FEE S 0C FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP FRAME FIRE STOPS / n
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND BRACING BOLTS
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE LOCATION
GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH INT
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE -
WORKMENS E ON LAWS OF CALIFORNI LATH EXT _ /9
SIGNATURE F HOUSE NUMBER COR A.
PERMITTE RECT AND POSTEDP
ADDRE i�WINAL
�' CLYDE N DIRLAM PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION cK mo CASH PERMIT VALIDATION cK M o cwsH
®�
ild�c7 6 L D Z-1 (`