HomeMy Public PortalAbout5326 FARAGO AVE_Building__ 7GA 38A CE6031137 TI N FOR BUILDING PERMIT 1
� APPLICA O F
COUNTY OF LOS ANGELES ADDRESS
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY M4i
JOHN A LAMBIE COUNTY ENGINEER NEAREST
CASSATT D GRIFFIN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE ' SEWER MAP
FOR APPLICANT TO FILL IN coNsr 7
BUILDING C^"s
ADDRESS STATISTICAL CLASSIFICATION
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LOT NO (/ BLOCK CLASS NO DWELL UNITS
3 � MAP may, STATE YES
NUMBER J V HWY
TRACT ! ZONE SPECIAL
�fJ / ( NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF G
EXISTING BLDG B ILDING YARD HWY STREET NAME EXIST
SETBACK - WIDTH
OWNER FRONT
MAIL P L I
ADDRES Z �Y r4m i SIDE
P L
clr / Trlo i 3 INSPECTION RECORD
ARC ITECT OR TEL
ENGINEER NO
ADDRESS
® TEL
CONTRACTOR b O I �_
ADDRESS
DESCRIPTION OF WORE
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO OF NOOF
SIZE STORIES FAMILIES
USE OF S RUCTURE n -
WV a a
n
SIGNATURE O Il APPROVALS
APPLICANT 111777
DATE INSPECTOR S SIGNATURE
ADDRESS �y FOUNDATION LOCATION -
FORMS MATERIALS
P C FRAME FIRE STOPS
FEE BRACING BOLTS
VALUATION ` `'C FEE $ bOO FGNAS VENTLDUCTS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LATH INT �J
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND /I
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS EGULA NG 1 ING CONSTRUCTION LATH EXT fr�6N/
SIGNATURE O HOUSE NUMBER COR
PERMITTE ✓ O RECT AND POSTED II s-6-
1
ADDRESS—/, � " I FINAL
CLYDE N DIRLAM PRINCIPAL STRUCURAL ENGINEER
PIAN CHECK VALIDATION tV b o cAsH PERMIT VALIDATION (6.) mo CASH
LT0 3 9 7 4 AUG1 8 2 3 A 9 0 0 d M ®.
LAC03976co AUG 18 1 A 3600 M
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