HomeMy Public PortalAbout5221 FARAGO AVE_Relocation__ APPLICATION FOR RELOCATION BUILDING PERMIT
t� DIVISION OF BUILDING AND SAFETY BUILDING
Depoxtment of County Engmeer ADDRESS
County of Los Angeles
76Ae3e JOHN A LAMBIE COUNTY ENGINEER LOCALITY
Des 7e 11 ss CASSATT D GRIFFIN SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ��PE SEWER MAP
PROPOSED �/ BK PG
BUILDING �� //Q� /r�9�A�a CONSTaNO
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ADDRESS MAP STATE
_LOCALITY TE/rJ/�GE �/T� NUMBER HWY YES
PRESENS BUILDING /`� � //' USE ZONE SPECIAL
ADDRESS /- ?? /''�
F� f CONDITIONS
LOCALITY JO S/�i✓(Tf��2/�G BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER/970,1S FRONT
MAIL Z �7a VkfS /�!/cP L
ADDRESS
T�7" /y SIDE
CITY / LE C_/T P L
�i4 � No �T to 0 36
SURETY DATE ITEC D
MOVING TEL BONDS FILED Y
CONTRACTOR NO
CASH DATE REC D
DE OSIT$ FILED BY
ADDRESS
BUILDING TEL �APPROd,/ALS
CONTRACTOR NO
DATE-SIN ECTOR S SIGNATURE
ADDRESS FOUNDATION L/OCATION X v
PRESENT gyp`
FORMS1MATERIALS/&'
BUSOUELDFNG �C7cvcGL/�G FR4MEIFIRESTOPS/
BRA_0ING BOLTS
PROPOSED
USE OF crz e C L��(/G � FURNACE�O�CATION
BUILDING GAS VENTS DUCTS}} f
LATH INT d I G)JZ4
SIOZET 116 ROOMS STORIES LATH EXT
WALL ROOF �y
_COVERING .Si d!CGCG COVERING C o Ind, HOUSE NUMBER COR-
LEGAL RECT AND POSTED P y
DESCRIPTION I LOT NO r v J I BLOCK �P
i/ FINAL
_ �!
TRACTZ.,
DISTRICT ENGINEER
�C-1 '-"j � -[ NO OF BLDGS WORK COMPLETED
SIZE OF LOT NOW ON LOT
USE OF NO OF SURETY BOND
RELEASED
EXISTING BLDG FAMILIES
1 HEREBY STATE T A T OR O IVEN13 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
CORRECT APPLICATION AND STATE THAT THE ABOVE IS CORRECT
SIGNATU AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
App N AND STATE LAWS REGULATING BUILDING CONSTRUC i
TION
ADDRESS SIGNATURE OF r
PERMITTEE
VALUATION $ p C 5
FEE ADDRESS
FEE S
JOHN A LAMBIE COUNTY ENGINEERATION CLYDE N DIRLAM CHIEF BLDG INSPECTOR
CK MO CASH
L 9610 AHR2025 8 1 r ��