HomeMy Public PortalAbout4832 BALDWIN AVE_Building__ (2) 76A6a8A CE #803 1/711�
APPLICATION FOR BU ILDI N PERM
COUNTY OF LOS ANGELES ASSESSOR -
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or type only) CROSS ST
BUILDING,�4 DISTRICT NO P TYPE ED B
ADDRESS r CONST p
STATISTICAL CL.ASSIFICATION SI&NER MAP
LOT NO BLOCK -ft 7273
CLASS NO DWELL UNITS BK PG
TRACT
USE ZONEI MAP l
NO OP GLDGS NO
SIZE OF LOT NOW ON LOT SPECIA
USE OF CONDITIONS
EXISTING BLDG `
OWNER NOL,;f ��(r
BLDG SETBACK FROM
ADDRESS Q�� �jtq� FRONT PROP LINEOF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITY --- HIGHWAY WIDTH FROM C L
ARCHITECT OR TEL + _
ENGINEER NO
BLDG ETB-AIQZ FROM
ADDRESS SIDE PROP LIN (STREET)
TEL r TYPE OF EXISTING SETBAC WAY } YARD = TOTAL 0
CONTRACTOR (� ` NO J ✓� HIGHWAY WIDTH FROM C L
U
LIC
'54
ADDRESS3(� Ll �, + O
CITY �G4ks>ti.. C ASa92- �/7 CORNER CUTOFF YES ❑ NO ❑ W
CONSTRUCTION LENDER °-
NAME AND BRANCH — SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ FTJ NO OF NO OF i
SIZE CPry STO ALIES NEW ❑
USE OF ADD ❑ r
STRUCTURE
ALTER ❑
Alma REPAIR❑
SIGNATURE OF
APPLICANT DEMOL
I
VALUATION S J i APPROVALS- + DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEES FEE S o FORMS MATERIALS
___4FRAME 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 ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTION I CERTIFY THAT IN DOING T UTHORIZED
HEREBY I WILL NOT EMPLOY hY ATION OF THE LATH INT
LABOR CODE OF THE STA RELATING TO
WORKMEN S COMPENSATI LATH EXT I )
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL
PLAN CHECK VALIDATION cK ) Mo cnsH JOHN F LEWISiPRINCIPAL ST R URAL ENGINEER
_ ' PERMIT VALIDATION CK M o CASH
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. .,. 2 9 2 9 AUG 2 0 1 D 6 00- Q