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Home My Public Portal About5311 FARAGO AVE_Building__ S 76A888A CE#80911 a7 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BU1ILDING -31 �1 DEPARTMENT OF COUNTY ENGINEER ADDRESS V BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL IN DISTRICT NO GROUP TYPE SEWER MAP—.5- CONST BUILDING ! e ADDRESS / STATISTICAL CLASSIFICATION CLASS NO DWELL UNITS LOT NO BLOCK MAP STATE NUMBER J V HWY YES O TRACT J iT� i J�` ZONE SPECIAL NO OF BLE)G SIZE OF LOT J d r['Z 12-V NOW ON LOTS Q f / ' / CONDITIONS USE OF � rbco EXISTING BLDG BUILDINGi ' EXIST YARD HWY STREET NAME / SETBACK WIDTH OWNER ' - P� Ld FRONTMAIL ADDRESS-Z -2 y J �Q K ��e SIDE �' � 7OS3I P L CITY �� NO INSPECTION RECORD lfi& ARCHITECT OR TEL ENGINEER NO i A/ ADDRESS rTEL CONTRACTOR Lr e & NO ADDRESS -4 7L Z_ S S4,1 G DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ FT NO OF NO OF / r SIZE D STORIES FAMILIES USE OF STRUCTURE Pci SIGNATURE OF APPROVALS APPLICANT ADDRESS �'�'-� �4' K Q DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION//� FORMS MATERIALS P C FRAME FIRE STOPS r /� e. FEE BRACING BOLTS VALUATION \ d C� $ FURNACE LOCATION e FEE 3 �i-S/ GAS VENT DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT PLICATION AND STATE THAT THE ABOVE IS CORRE AND s AGREE TO COMPLY WITH ALL COUNTY ORDI N AND !� �!/ L�%�^ ✓�/� STATE LAWS REGU DI ST CTION LATH EXT SIGNATURE OF HOUSE NUMBER COR PER ITT RECT AND POSTED ADDRESS r -5t FINAL CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENG EER PLAN CBECS VALIDATION cx. m o CASH PERMIT VALIDATION cK M O CASH }.} 1�C0 3 9 7 1 UG 182 3 A8 38 & n ®, {ACC 3 9 7 9 U AUG 1 g 1 A 3350 ............. �� 'WORKERS COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self insure or a certificate of Workers Compenstion Insurance or APPLICATION FOR BUILDING- PERMIT a certified copy thereof (Sec 3800 Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ssni Company State Compensate ❑ _Certified copy is hereby furnished Insurance Fun FOR APPLICANT TO FILL IN BUILDING ADDRESS C ' Certified copy is filed with the county building inspec BUILDINGQ r tion department f ADDRESS 53t11 N . Fargo LOCALITY NEAREST 'Date 4-1-80 Appltcanflowa_rd L .Rand01 CO CITYTeMple City ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS x NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one , ! USE ZONE MAP �^ L hundred dollars ($100) or less ) TRACT `J BLOCK LOT NO n ` NO TEL 1 SPECIAL d OWNER I certify that in the performance of the work for which this NO CONDITIONS QDISTRICT I GROUP TYPE FIRE PROC SSED BY U permit is issued I shall not employ any person in any manner ADDRESS 3 N11 V �� CONST ZONE,6O so as to become sublect to the Workers Compensation Laws a 133C. Date 11 R2 4--8(4phcant Howard L ,R a n d o 1 C CITY ZIP STATISTICAL CLASSIFICATION APT CONDO U NOTICE TO APPLICANT If after making this Certificate of r ARCHITECT O TEL ^1 / W ENGINEER NO CLASS NO DWELL UNITS d Exemption you should become subject to the Workers N Compensation provisions of the Labor Code you must forth ADDRESS' SEWER MAP z r with comply with such provisions or this permit shall beRa (i deemed revoked _ 7 CONTRALTON TEL BK PG D VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 529 E. V al_1 a B1 . NO 18 6 0 8 6 VALUATION i (commencing with Section 7000)of Division 3 of the Business and tLIC Professions Code and my license is in full force and effect CITY =S a n1� a b CLASS —39 , $ 1712 00 P SQ FT r NO OF NO OF CHECK \ License Number 186086 Lic Class A SIZE STORIES FAMILIES ONE y $ Coniractokloward L . Randoda,,Co, 11_24-80 DESCRIPTION OF WO RK – NEW El ❑ I am exempt from the licensing requirements as I am a and a r a ADD ❑ licensed architect or a registered professional engineer ALTER ❑ FINAL I s , acting in my professional capacity (Section 7051 $h i n 1 e$ DATE REPAIR Business and Professions Code) USE OF FINAL ❑ EXISTING BLDG � DEMOL B Lic or Reg No _Date APPLICANTj.J T€L Y OWNER BUILDER DECLARATION I PRINTS oward L . Ra ndol CI(1b. 288-4040 I hereby affirm that I am exempt from the Contractor s License Law for the following reason (Section 7031 5 Business and ADDRESS 529 E.Valle B1 . San G a b r l e Professions Code) I PRESENT f 1 Elr BUILDING s I as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and 2 3 2 S 5 A the structure is not intended or offered for sale(Section 1 i LOCALITY 7044 Business and Professions Code) MOVING TEL o 0 0 • 0 1 ❑ CONTRACTOR NO'- with licensed contractors to construct the project (Sec 2 • - 34,0 0 `tion 7044 Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST _ CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH Dao 0 3 k 0 0 v I hereby affirm that there is a construction lending agency for FRONT r r 4 the performance of the work for which this permit is issued P L - 1 2 0 11-8 0 (Sec 3097 Civ C ) SIDE PL Lender s Name ` P C Fee$ Permit Fee $27 . 00 Lender s Address ' w I certify that I have read this application and state that theI Issuance Fee 7 . 00 above information is correct I agree to comply with all County Investigation Fee a ordinances and State laws relating to building construction Total Fee and hereby y1 orize representatives of this County to enter 34 00 < upo the 6v ed rop for inspection purpos s r a — d SEE REVERSE FOR EXPLANATORY LANGUAGE flt -Signature of Applica or Agent bate tt y � 1 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0508010013 PHONE (626) 285 0488 EXT I LEGAL ID NO OF CONST NEW c BUILDING ADDRESS TR 24389 LT 1 SQ FT STORIES TYPE OCCUP GROUP 53111 FARAGO AV STRUCTURE 720 1 VN R3 TEMPI CA 917803532 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET FREER 8573 035 001 OTHER THOMAS PAGE 597 GRID D3 LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 10/12/05 JK 10/07/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FIN BY CODE RAMBEAU OSDEL L MARK K (626) 453 0709 78 620 5311 FARAGO AV '7f _ �- TEMP 917803532 FEES PAID DESCRIPTION OF WORK ROOM ADDITION W/FMLY ROOM BEDROOM BATHROOM & REMODELING FEE DESCRIPTION QUANTITY UOM AMOUNT KITCHEN 720 S F APPLICANT TEL NO SAME AS OWNER B1 PLANCHECK W/ENERGY 78620 00 VAL 1 017 23 AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS AC STRONG MOTION RESID 78620 00 VAL 7 86 B2 PERMIT W/ENERGY 78620 00 VAL 1 196 75 TOTAL FEES 2 249 59 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC NO �� LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS LIC NO SLAB/UNDER FLOOR l/ RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY 1000 FEET MATERIALS NO NO NO FIRE DEPT FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT FRAME INSPECT SET BACK YARD HWY PROP LINE WIDTH FRONT PL SHEAR PANELS SIDE PL INSULATION/WEATHER STRIP / INTERIOR LATH/DRYWALL `— EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID DPR261 ROUTE TO BS0508 � \ 1