Loading...
HomeMy Public PortalAbout5212 FARAGO AVE_Building__ � 1 - 7 w 3BA CE,0,803 3.69 APPLICATION FOR BU ILDI N PERM s CdUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS - BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING NEAREST CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GR P TYPFr ONST r PR C S BY r (PRINT OR TYPE ONLY) < BUILDING �/� STATISTICAL S IFICATION I ti I� SEWER MAP , 4 ADDRESS C CLASS NO DWELL UNITS BK � PG LOT NO BLOCK USES ZONE NOAP�-`I 7 0�l -I OL TRACT q Z _zz4zA SPECIAL NO OF BLOGS / CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG BLDG SETBACK FROM a' ) Q (I TEL FRONT-PROP LINE OF - - --=--(STREET)- OWNERw NO TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL ADDRESS S ✓ HIGHWAY WIDTH FROM 'L J f CITY E BLDG SETBACK �- ARCHITECT OR TEL Q� SIDE PROP LINE OF (STREET) ENGINEER 4fio v G TYPE OF EXISTWG SETBACK H +� YARD' = TOTAL ADDRESS HIGHWAY WIDTH FROM C l / TEL + CLQ. CONTRACTOR Qd NO Q �'-- C f 'CI/DDRESS r(J/[/�NO Q LCORNER CUTOFF_ YES ❑ r NO ❑ oc CITY X' (o (� CLASS SEE REVERSE SIDE FOR SPECIAL VPROVALS CONSTRUCTION LENDER ) a NAME AND BRANCH �! N \ Z ADDRESS SO F NO OF NO OF SIZE �? STORIES FAMILIES NEW STRUCTURE "� ( / gDOER Q LT Sta s► REPAIR ❑ SIGNAT RE 0 ��� b DEMOL ❑ APPLI11 �1�— VALUATION $ v L . APPROVALS PATE, INS ECTOR 5 I,5NATURE a PMT FOUNDATION LOCATION FEE $ . FEE $ FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT OF THE STATE OF CALIFORNIA IN RELATING WORKMgN S COM PENSATION INSURA E TJlo ` (9 F�4S �(/yATH EXT SIGNATURE 0 / lL �i AV ' �/J HOUSE NUMBER CORRECT PERMITTEE r� Qd AND POSTED ADDRES v v / FINAL 1-2 rY=9JOHN F LEWIS PR NCIPAL STRUCTURAL ENGINEER LAN CHECK VALIDATION CK d CASH - PERMIT VALIDATION CK 'Io CASH �-tLc, ^ -5 5 7 r � 4 2 6,5 3N ' N L�Lo 7 -1 5 iWG 4 1 D 21 .7 5 c" DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY • / DISTRICT NO PLANCK NO PERMIT NO UILDING ADDRESS �-7-&-71 �`� (� �J/��}�p'9 A. � /� LOCALITY / E ((RL f T RECEIVED BY i DATE OF ADPL DAT/E�I/SBUED``,� OR EA BUILD NG OWNER `' I�✓ ADDRIL MAIL EIBB p ADDRESS LOCALITY L/-' � _ 1� L /� / Y NEAREST �� �1Y1��G `-�` 7-/ NO CROSS ST CITY =F--pp�fFIRE NO OF TYROUP ARCHITECT OR TEL' ZONE PLANS��" ENGINEER NO BLDG �� �PIER �] 'R 0 O ADDRES SETBACK LINE ��/ l� r APPROVED CONTRACTOR , NOL. BY i DA USEAPPROV ff� ADDRESS ZONE PJ ' BY DATE LEGALCORRECTIONS DESCRIPTION I LOT NO b Bh)LOCK ,0,ri /I TRACT ��j� `/� l�,/�l'7� SIZE OF LOT / /�~7C s�-.��/ I NOW ON LOTNO S OF EXF /I NO OF ST NO BLDG y jl FAOM�EH ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH O_ S4 FT / / �� NO OF Z SIZE �-f� (+ r� ROOMS STORIES D WALL COVERING //(J�� gTN�j��Q COVEROOFRINIUSE OF r BUILDING S 013A /` AGE / rJ5 ETA?CH-r© . �oR l 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPRO S APPLICATION AND STATE THAT THE ABOVE IS CORRECTINS�ECTO D TE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION _i FORMS MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAME FIRESTOPS SIGNATURE OF (A/ BRACING BOLTS PERMITTE � / -� j '� Yl� LATH, INT AUTHORIZED AOT (V/ LATH EXT 7GA639A 3 7 as $ P C PLASTER INT () /O ® FEE PLASTER ASER EXT VALUATION //V1 r��r FEE S�„� FINAL DLVUION OF BUILDING AND SAFETY ' 1 _ Department of County Engineer County of Los Angeles WM J FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL-IN FOR OFFICE USE ONLY �7 f /d of ICT NO PLAN CK. OR Rea NO PE IT NO�� BUIL NO _ f/ � / /// �r S t 2 ADDRESS f J /7� J�' LOCALITY � �� �-� / EDEN-4-13 BY DATE OFAPPL. DATE ISSUED N;EARKST ROSE BT B ILDINO c_ /� / / . ADDRESS , Z ( -{-A IZ OWNER I�i�fdli�/�vC.P ...;�`d _ MAIL S _l —'j�- ` LOCALITY ADDRES NEAREST TRL- CROSBBT CITY �2�'!//d6C � �fi`N0. �/��•� FIRE I N0.OF TYPE GROUP AROHITHCT OR /� TEL ZONE PLANS d } ENGINEER NO. BLDG ORD NO r SETBACK LINE 2V T P i :ADDRCES§"' � A _ USE I BHOUSE NUMBERING APPROVED � CONTRACTOR ' ZONE A Y DATE �,,����0 �{� Tom' N) ) MAP NUMBER ��( ADDR EBB _5_11,,((`_JNO NO ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION I LOT NO BLOCK s� TRACT 7 —3 ��Z 7--)—A `y� f'/2NO DP BLDOB.,�y_� 6 1 T J /1 SIZE OF LOT / q}AX/ ,I�/ I�j NOW �ON LOTUSEOF EXIST NO BLDG //�/� (> //II�Q/1� P tela •M•_•a— U DESCRIPTION OF WORK NEW ALTERATION ADDITION � j Q� p'v 5 -�, Com. REPAIR DEMOLITION �r 7" d 2 C. SQ.FIT N O OF SIZE �LL c RR''OOMS ;2__ STOn,KS EXT COVERING )� D��J,t'V I COVERING L✓y/� USE OF STRUCTURE . ) ' �-a as 71y--%,,s- R6,eelv 4d INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTQM S SIJGNATURE DATE FOUNDATION LOCATION I/ FORME, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB FRAME FIRE STOPS CORRECT BRACING, BOLTS I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAS VENT DUCTS SIGNATURE or • iA `/�o� �l � LATH INT `- PERMITTEE. �'6^8�/ i'"'�-! {Q../ � _tam , / LATH EXT ADDREHB i01Z `BTER, INT 12., =I AUTHORIZED AGT PLASTER, EXT FEE HOUSE NUMBER COR L/ RECT AND POSTED �" Rn VALUATION loll 11 FEEFINAL i FINAL 7GA638A DBS 3 7 S2 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER CIT; ZIP BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS ✓/ r� �, ;c_ TRACT BLOCK LOT NO. LOCALITY7.r TEL. NEAREST OWNER NO, CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROCESSED BY CITY ZIP CONST. ZONE ARCHITECT OR TEL ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ` ADDRESS TEL CLASS NO. '" DWELL.UNITS BK / PG CONTRACTOR NO. USE ZONE MAP LIC. NO. ADDRESS NO. SPECIAL LIC. CONDITIONS CITY CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF _(STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING SO.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ + ADD ❑ BLDG.SETBACK FROM SIDE PROP.LINE OF — (STREET] ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARD = SIDE PRdr-LINE HIGHWAY WIDTH USE OF REPAIR El EXISTING BLDG. DEMOL ❑ i APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE } THAT THE ABOVE 15CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATIO NG BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE U WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF w THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM" PENSATION INSURANCE. } SIGNATURE OF Q PERMITTEE K O ADDRESS w FINAL BY TEL, DATE CITY NO. MAKE CHECKS PAYABLE TO: P.C. PMT. FEE FEE HARVEY T.BRANDT,COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ®f 76A638A CE#803 3-75 WORKERS$COMPENSATION DECLARATION Ik hereby affirm that I have a certificates of conor APPLICATION FOR BUILDING PERMIT insure or n Insu certificate of Workers Compenstion Insurancc e or i a cert fled copy thereof (Sec 3800 Lab C'r�, /��j y �/ Policy No �/ Compan t"C' l 11►0 t ��YV r K COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING El Certified copy is hereby furnishedb FOR APPLICANT TO FILL IN ADDRESS ,Certified copy is filed with the county building inspec BUILDING —2 ` 'tion department ° ADDRESS (i LOCALITY 9 NEAREST Date �Applicant V �Sj� CITY C fin CROSS ST I i CERT FICATE OF EXEMPTIOW FROM WORKERSNil OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT ,1- NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE ° MAP TRACT BLOCK LOT NO NO O hundred dollars ($100) or less ) r � TEL SPECIAL 0 certify that in the performance of the work for which this OWNER �` 'VNO CONDITIONS r DISTRICT I GROUP TYPE FIRE PRO SSED BY U permit is issued I shall not employ any person in any manner ADDRESS 1� CONST ZONE pe so as to become subject to the Workers Compensation Lawsf/ O Date Applicant CITY ' l _ P STATISTICAL CLASSIFICATION I APT CONDO U NOTICE TO APPLICANT If after making making this Certificate of ARCHITECT OR TEL NO 9L Exemption you should become subject to the Workers ENGINEER ; CLASS NO DWELL UNITS Compensation provisions of the Labor Code you must forth t ADDRESS r SEWER MAP z with comply with such provisions or this permit shall be deemed revoked _ ' CONTRACTOR ilirL k E BK j�—PG �-Z� VALIDATION LICENSED CONTRACTORS DECLARATION j�-7 LI I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS/;7 NO VALUATION (commencing with Section 7000)of Division 3 of the Business and t LIC Professions Code and my license is in full force and effect CITY CLASS ' $ F ` /, SQ NO OF NO OF CHECK License Number f�� ��/73 Lic Class SIZE STORIES FAMILIES ONE t/��lf NEW $ f Contractor ��L L�S�ate DE CRI TIO OF WORK ❑ , I om exempt from the licensing requirements as I am a V ADD licensed architect or a registered professional engineer ALTER ❑ FINAL ,,F DATE m acting my professional capacity (Section 7051 !, REPAIR ❑ Business and Professions Code) USE OF i DEMO/ FINAL //^^ EXISTING BLDG ❑ Lic or Reg No µ Date APPLICANT TEL By - Y OWNER BUILDER DECLARATION (PRINT) NO 8� ✓ 11 40 Y0y I hereby affirm that I am exempt from the Contractor s License �1 Law for the following reason (Section 7031 5 Business and ADDRESS Professions Code) PRESENT i i BUILDING - I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and f the structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING - r TEL - 239 1 8 A I as owner of the property am exclusively contracting CONTRACTOR NO 1 with licensed contractors to construct the protect (Sec 0 0 0 0 0ADDRESS _ r 1. tion 7044 Business and Professions Code) REQUIRED 'TOTAL SETBACK FROM EXIST 2 0`1 69 0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH r_ I hereby affirm that there is a construction lending agency for FRONT c / / • 1 6 9 0 0 v the performance of the work for which this permit is issued PL /Jr d �J �Q (Sec 3097 Civ C ) - SIDE 0507-82 Lender s`Name r m \ P C Fee$ Permit Fee i Lenders Address r W I certif at )have S tion and state that the Y f1 r� L Issuance Fee i above n rm ion is comply with all County Investigation Feedin ce d tbuilding constructionTotal Feean er ou (iz of this County to enter a u n bo e enor inspection purposesa / _ SEE REVERSE FOR EXPLANATORY LANGUAGE a gnature of plic r Agent r Dote ° _ r ©s r �