HomeMy Public PortalAbout4916 BALDWIN AVE_Building__ (2) TEMPLE CITY
YGA938A cEeos ,-6, ATI N FOR BUILDING� APPLIC DIN P O O U L G ERMI T
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER F DDRESS f
B=ING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST �V
DISTRICT NO PE ESSED Y
FOR APPLICANT TO FILL IN CONST
-ON /� STATISTICAL CLASSIFICATION EWER MAP
ADDU'LRESS �6 / �+t�i+ BK P
CLASS NO DWELL UNITS
LOT NO BLOCK WATER NOT REQUIREDRECEIVED
CERTIFICATE
TRACT MAP HIGHWAY `
NO OF BLDGS NO (CIRCLE) STATE AJOR SECOND LOCAL
SIZE OF LOT X NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG TEL A/ vv
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OWNER L N o S O.T v NO BUILDING f EXIST
SETBACK YARD HWY STREE N E WIDTH
ADDRESS FRONT
ARCH ITECTOR TEL P L .r
ENGINEER NO SIDE
P L
ADDRESS CL
TEL IN, PJECTION RECORP O
CONTRACTOR NO V
OC
ADDRESS O
DESCRIPTION OF WORK
W
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I ;PP'. N
NEW ADD ALTER REPAIR DEMOLISH �y Z
iS T / NO OF NO OF 1 dam fS C7 (�
IZE ./ STORIES FAMILIES
USE OF 7 �/- / A
STRUCTURE `-' /� G��ti � C� �1�� •e.r� Lam �11.C.�1 �r� .�/.✓1�
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SIGNATURE /`��ct�'I�� y�
APPLICANT /.b?6 �/�(m.,,i �i (L,r2'/
VALUATION$ 3 //'
APPROVALS 1® ,61f) ID,A/TE� INSPECTOR SS SIGNATURE
PC -Tel PMT
FEE FEE $ dD FOUNDATION
MATERIALS LOCATION
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FRAME FIRE STOPS /l
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS JP LI J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION ® V
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK ®////((
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT �/'
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT �
ING TO WORKMEN S NSINSU LATH EXT
SIGNATURE OF HOUSE R
PERMITTEE— RECT AND POSTED
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ADDRESS FINAL *1d Al2— �
PLAN CHECK VALIDATION CK M O CASH CLYDE p REM VALIDATIONTR cw RMAo ENrC"H ER
5 9 6 6 1 DEC-11-2 -3 D 2-2, 0 A
_DEC-1
Y 6 3 1 24 DEC 20 1 D 45-00