HomeMy Public PortalAbout4938 BALDWIN AVE_Building__ (2) r V`11;==i'I` "GPERM,;��76A638A CE#803 8 64 APPLICATION FOR BU ILD
COUNTY OF LOS ANGELES BUILDING /1
DEPARTMENT OF COUNTY ENGINEER ADDRESS `� cr
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DIST T GRO P TYPE PR C B
FOR APPLICANT TO FILL IN CONST ^�
BUILDING STATISTICAL C SSIFICATION SEWER MAP
ADDRESS CLASS NO DWELL UNITS BKk PG 137/
LOT NO BLOCK USE.ZOAEI MAP !7 n
NO
TRACT SPECIAL ,1 (�
NO OP BLDGS CONDI IONSI P
SIZE OF LOT o NOW ON LOT `,ter_' �(,[.i
USE O F
E IS ING D BLD TBACK FROM
TEL FRONT PROP LINE OF (STREE
OWNER ^ NO _ TYPE OF EXISTING ETBACK I HIGHWAY YARD = TOTAL
!NCV%4,4-J6HIGHWAY WIDTH OM C L
ADDRESS--A,-16. VVV
CITY
R ail .� 1 1 --Z,-) + Z) = )
ARCHITECT OR TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C L d
TEL + = O
CONTRACTOR NO U
LIC CORN R CUTOFF YES NO F 0
ADDRESS NO
CITY Llc SEE REVS E SIDE FOR SPECIAL APPROVALS V
DESCRIPTION OF WORK jai)
Z_
NEW ADD ALTER REPAIR DEMOLISH
SQ FT NO QF NO OF
ItSIZE STORIES FAMILIES
USE OF r
STRUCTURE
SIGNATURE O
APPLICANT
VALUATION$ APPROVALS DATE INSPEC Op
_2 SIGNATURE
P C PMTFOUNDATION LOCATION
FEE FEE$ / 5-
0 FORMS MATERIALS
^ FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT AvP
TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE LATH EXT
446
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS F1 N A L
JOHN F LEWIS PRINCIPAL STRAL ENGINEER
PLAN CHECK VALIDATION (:::o M O CASH PERMCK
IT VALIDATION M O CASH
LALD 0 1 7O o MAR 2 2 3 D 3 7 2 5
+ ' LAGO0935 IN 31 1 0 74,.50