HomeMy Public PortalAbout5224 FARAGO AVE_Building__ 76A638A CEu803 5 65 APPLICATION FOR BU ILDI GPERMIT
COUNTY OF LOS ANGELES BUILDINGt
DEMRTMENT OF COUNTY ENGINEER ADDRE
BUILDING AND SAFETY DIVISION L0CALfT�
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
MEN DIST CT GROUP TYPE P C B
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FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION /� I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS /
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR COD C OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN 5COMPENSATION INSURANCE LATH EXT
SIGNATURE OF �� Lw HORECT ANDE
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79AG20A Ci#003 161 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALI42 ,z /
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN BUP T OP BUILDING CROSS ST
DIST ICT NO GROUP -n.PE CESS Y
FOR APPLICANT TO FILL IN CONST
S A 1 ICA CLASS FICATION SEWER MAP
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ADDRESS
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CERTIFICATE NOT REQUIRED RECEIVED
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PC J FOUNDATION LOCATION
FEE FEE 1j - FORMS MATERIALS u �G
FRAME FIRE STOPS >)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I W T EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR HE STATE OF LI NIA RELAT {��7 / //�/„�
ING TO WORKMEN C ATION IN R LA H EXT I II
P RMITTE SIGNATURE OF D
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4 76A638ACE4803263 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS , - &-o
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMSIE COUNTY ENGINEER NEAREST ��mf
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST �IPfir
DISTRICT NO GROUP TYPE CESSED BY
FOR APPLICANT TO FILL IN S o $ ]TYPE
BUILDING ,p STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS A- a SK PG
CLASS NO DWELL UNITS
LOT NO , Q F BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED ❑
TRACT MAP HIGHWAY STATE MAJOR SECOND LOCAL
NO OF BLDGS NO (CIRCLE)
SIZE OF LOT X �/ NOW ON LOT / USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG /� p,)../�+
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OWNER �`d BIJ BUILDING YARD HWY STREET NAME EXIST
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DESCRIPTION OF WORR ''- �
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STRUCTURE G rpU /( .7 -
SIGNATURE OF
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VALUATION d d
APPROVALS DATE INSPECTO R_S SIGNATU E
FOUNDATION LOCATION
FEE S FEE S �_r•_ FORMS MATERIALS _ r
(� FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK e
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT ao
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN 5 COMPENSATION INSURANCE LATH EXT
SIGNATURE OF //��// /�/./,/7 HOUSE NUMBER COR
PERMITTEEG_� /7( RECT AND POSTED
ADDRESS FINAL r:3
I JOHN F LEWIS PRINCIPAL STRUCTURAL E
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PERMIT VALIDATION CK M O CABH
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