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HomeMy Public PortalAbout5219 FARAGO AVE_Building__ A APPLICATION FOR BUILDING PERMIT 3 `,,, PR APPLICANT TO FILL IN (Print or type only) 1 ' r COUNTY OF LOS ANGELES BUILDING ADDRESS 1/ �I JV DEPARTMENT OF COUNTY ENGINEER CITY �q, ZIP `/ / c BUILDING AND SAFETY DIVISIONBULDING , SIZE OF LOT X ZV NOW ON LOT ADIDRESS 6 !// TRACT " 71BLOCK LOT NO LOCALITYTEL NEAREST OWNER NO `� /1� CROSS ST �+ _ ASSESSOR ADDRESSV it.I c/ jV MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE ROCESSED B CITY .�iy. (t T ZIP / �d CONST T ZON ARCHITECT OR 1 TEL ENGINEER NO STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO / DWELL UNITS (f"/a/PG TEL CONTRACTOR NO /7 4 USE ZONE NMALC - ADDRESSJ 7— C NO / SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APP VAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINEOF (STREET) ADDRESS - CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ FT O OF NO OF CHECK HIGHWAY + YARD = FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE } DESCRIPTION OF WORK NEW ❑ + O S ADD ❑ BLDG SETBACK FROM ovc SIDE PROP LINE OF 34 (STREET) O ALTER = TOTAL SETS K FROM TYPE OF EXISTING w G HIGHWAY + YARD SIDE PROP INE HIGHWAY WIDTH N USE OF REPAIR ❑ Z EXISTING BLDG DEMOL ❑ + APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ 1 (PRINTI NO C� -�J/ IN OPEN SPACE YES E] NO BY(SIGNATURE( IN COASTAL PERMIT ZONE YES ❑ NO QQ ❑ VALUATION �P ]NG I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICASTATE THAT THE ABOVE IS CORRECT AND AGREE CT COMPLY WITH NCES � Z/V7 ;700 /M AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THTHE � WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON N OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WOM UV PENSATION INSURANCE SIGNATURE OF PERMITTEE !�L/ ADDRESS FINAL BY CITY ~— NO TELDATEMAKE CHECKS PAYABLE TOFE FET $ LLHARVEY T BRANDT COUNTY ENGI PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o Zp + 7 2 3i-DEC 3 b 1 D 3 0 0 Az3o ®f 76A638A CE#803 3 75 i 76AGSBACRA0365. APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST DISTRICT O jGRbUP I TYPEI PROCESSED BY FOR APPLICANT TO FILL IN CONST BUILDING SEWER MAP ADDRESS STATISTICALOSSIFICATION f� SK PG ,�[, CLASS NO— DWELL UNITS_LL LOT NO / / BLOCK NUMBER per/© / HWATE YES O TRACT / "/' / USE ZONE SPECIAL NO OF BLDGS _ CONDITIONS SIZE OF LOT NOW ON LOT USE OY.&2.1 D0� EXIST,NG BLD BUILDINGEXIST SETBACK YARD HWY STREET NAME WIDTH OWNER MAILp ��J Jam' FRONT al ADDRESS %' /L d IrCL/LG� SIDE TEL-r L CITY NO +� - INSPECTION RECORD ARCHITECT QOft TEL n +� ENGINEER NO f% � ©`(G.//, DDRE S ( g TEL CONTRACTOR NO (� DESC TION OF WORKZVI'r7_4 NEW ADD ALTER REPAIR DEMOLISH SQ FT I.� Q� NO OF NO OF ryl�4 //��// i,. „ /Yjx SIZE -! �D STORIES FAMILIES - J USE OF STRUCTURE ! }�/rjg G� ( e IAOSP– Q F fv SIGNATURE OF APPROVALS APPLICANT AT /INSPECTORS IGNATURE ADDRESS FOUNDATION LOCATION JPD FORMS MATERIALS t _ .I P $ FRAME FIRE STOPS p/ EE BRACING BOLTS VALUATION4V 47 FLOCATION FEE $� GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH EXT STATE LAWS REGULATING BUILDING CONSTRUCTION SIGNATURE OF HOUSE NUMBER COR PERMITTE RECT AND POSTED ADDRESS C� FINAL y CLYDE N DIRLAM PRINCIPAL STRUCTURAL EN E PLAN CMCS VALIDATION CK mo CASH PERMIT VALIDATION CK mo CASH `L ACO 5 8 1 0 U OCT 15 1 A 5 0 0 Of, r s 76A"8A CR#608008 APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS • BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST III FOR APPLICANT TO FILL IN DISTRICT NO I GQQl IE TYPE,1 I PROCESSED BY CONS BUILDING �>C1 1 Q STATISTICASSIFICATION �I SEWER MAP ADDRESS 1 1 BK PG CLASS NO DWELL UNITS LOT NO 4 BLOCK MAP STATE o YES NUMBER HY WO TRAM' 1 USE ZONE SPECIAL NO OF BLDGSa — CONDITIONS SIZE OF LOT j NOW ON L T �Gep USEOF EX STN BLDG 1 ✓ ULD NG EXIST L SETBACK YARD HWY STREET NAME WIDTH OWNER 1-J 1. FRONT / /D MAIL _i-f 1 P L (� ADDRf,gS i SIDE clrY (61 No ARCHITECT OR TEL 10 L INSPECTION RECORD �f ENGINEER NO ADDRESS TEL ` /F D P / / U Y" ONTRACTOR NO C —ADDRESS DESCRIPTION OF WORK —� —011 1 1 s NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF "�� , {� f? / �j7,3 SIZE STORIES FAMILIES USE OF STRUCT REg� e pr pyo. o SIGNATURE OF I�;, APPROVALS ��,�jjyy� f�' 4{✓fid�/Ls,q APPLICANT ADDRESSATE INSPECTOR S SI ATURE FOUNDATION LOCATION $ Q FORMS MATERIALS P C S FRAME FIRE STOPS O FEE BRACING BOLTS VALUATION $ FURNACE LOCATION FEE GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT /< L<' S PLICATION AND STATE THAT TH ABOVE IS CORRECT AND AGREE TO COMPLY WIT ALL UNTY ORDINANCES AND STATE LAWS R U T NG B ILDING CONSTRUCTION LATH EXT I—rzLZ SIGNATURE OF HOUSE NUMBER COR PERM] PE I RECT AND POSTED r ADDRESSVQVAMKh FINAL CLYDE N DIRLAM PRINCIPAL SISOertl6RAL ENGINEER PLAN CHECK VALIDATION CK mo CASH PERMIT VALIDATION CK O CASH s Iz LACO5051UcO� SEP 22 1 A 400 WORKERS COMPENSATION DECLARATION nhereby affirm that t have a certificate of consent selfFl ! APPLICATION FOR BUILDING PERMIT sure or a certificate of Workers Compenstion Insurance e or a certified copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDINGV ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building`m spec BUILDING i" tion department ADDRESS c� LOCALITY NEAREDate Applicant CITY 71 ZIP ( /7 96 CROSS SST CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS ASSESSOR COMPENSATION INSURANCE { SIZE OF LOT (per y NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP K LOT NO NO / >- IL hundred dollars ($100)or less ) TRACT BLOC TEL �� SPECIAL � I certify that in the performance of the work for which this OWNER u� NO � Ste/ CONDITIONS 0 permit is issued I shall not employ an person in an manner DISTRICT GROUP TYPE FIRE PROC SSEQ_BY V p p y r p y ADDRESS�--1 �- CONST ZONE so as come subject to the Workers Compensation Laws 0� 3 0 ate A p scant CITY ZIP / a STATISTICAL CLASSIFICATION APT CONDO V NOT CE TO APPLICANT If after making this Certificate of ARCHITECT OR TEL W� Exemption you should become subject to the Workers ENGINEER NO CLASS NODWELL UNITS Z Compensation provisions of the Labor Code you must forth ADDRESS SEWER MAP _ with comply with such provisions or this permit shall beTEL �/ deemed revoked CONTRACTOR NO BK VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed'under provisions of Chapter 9 J ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC n / Professions Code and my license is in full force and effect CITY CLASS $ V _ SQ FTNO OF NO OF CHECK License Number Lic Class SIZE STORIES FAMILIES ONE ` Contractor Date � DESCRIPTION OF WORK NEW ❑ $ ❑ I am exempt from the licensing requirements as I am a ADD licensed architect or a registered professional engineer _ ALTER ❑ FINAL r acting in my professional capacity (Section 7051 �j ❑ DATE REPAIR (� Business and Professions Code) USE OF FINAL EXISTING BLDG DEMOL ❑ By t r �Lic or Reg No _Date APPLICANT TEL OWNER BUILDER DECLARATION PRINT NO I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS Professions Code) PRESENT ❑ BUILDING n I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and ` the structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING TEL t �I as owner of the property am exclusively contracting CONTRACTOR NO 2033 1 A ( with licensed contractors to construct the project (Sec ADDRESS # a o o e o 1 tion 7044 Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST 2 e o 2 2 0 0 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH , j hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L 1 c o o 2 2 0 0 (Sec 3097 Civ C ) SIDE i PL 071 4-81 Lender s Name � Lender s Address P C Fee$ Permit Fee w I certify that I have read this application and state that the Issuance Fee - above information is correct I agree to comply with all County Investigation Fee ' 00 ordinances and State jaws relating to building construction Total Fee �'2'2i C7� and hereby authorize representatives of this County to enter a -upon the above mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE t ©s Signature of Applicant or Agent Date