HomeMy Public PortalAbout5323 FARAGO AVE_Building__ r
4 �
76A636A CE#yy 603 f0 66 1 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
DISTRI NO GROUP �pE P SSED BY
FOR APPLICANT TO FML IN TypE
ADDRESS �� STATISTICAL CLASSIFICATION I ST SEWER MAP
BUILDLOT NO BLOCK CLASS NO DWELL UNITS
MAP c� �� STATE
NUMBER' HWY YES N
TRACT �S�`7 X�JNE SPECIAL
NO OF SLOGS f� CONDITIONS
SIZE OF LOT I NOW ON LOT vv
USE OF
EXISTIN BLDG i,
BUILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P L
ADDRESS C' � SIDE
TEL P L
CITY A A NO
ARCHITECT OR TEL _ INSPECTION RECORD
ENGINEER le a NO -Qf
DDRESS JZ� � t
! �/ 7 12Y /41
? TEL = ) 7 g 30,-
ONTRACTrO�Rj p /N �+
ADDRESS
DESCRIPTION OF WORK --Z�/" `J`/t/�'
NEWT ADD ALTER REPAIR DEMOLISH 11 c�a _L?� � - " - 6k-d*-
SO FT �� NO OF NO OF / ��A�� /Aft- �7�v- r-All
SIZE STORIES i jFAMILIES
USE OF S UCTURE 7L �✓ /1/��/ '��y/'� �`'�^
SIGNATURE OF_ APPROVALS
APPLICANT
i DATE/ INSPECTOR^S'S NATURE
ADDRESS f Ji FOUNDATION LOCATION
J� FORMS MATERIALS '9
RAME
FT
�- FBRACINGRSOLTOSS
VALUATION FURNACE LOCATION GAS VENT DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WI fj1 ALL COUNTY ORDINANCES ND LATH EXT S /
STATE LAWS GU TING BU DI CONSTRU ON / J
SIGNATURE CSF HOUSE NUMBER RECT AND POSTED �
PERMITTEE: _
1
ADDRESS 1 t `� FINALAV
�
/
LYDE N DIRLAM PRINCIPAL STWClCURAL\E—b7lNEER
PLAN CHECK VALIDATION o II PERMIT VALIDATION ctc, mo cwsH
l ' 5 7 3 89 Af1� 10 t
i,o 7 A 1 G1 Q I ®�
I
To 6 2 1 5 " MM5 31 A
4200 r