HomeMy Public PortalAbout5249 BALDWIN AVE_Building__ (2) 78A838A+CE#803883 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDREISS ✓ e
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST /
DISTR�iT HO !?P TYPE SSED BY
FOR APPLICANT TO FILL INJ Ln, (4/ CONST
BUILDING STATISTICAL CLASSIFICATION S WER MAP
ADDRESS
� �,�� CLASS NO-/—ODW ELL UNITS —_-13K _5-PG
LOT NO "7 t GG BLOCK WATER NOT REQUIRED IXI RECEIVED,a.J❑
TRACT �L,/`...J MAP
CERTIFICATE HIGHWAY 1'V
SIZE OF LOT J 0 NO OF S NO �/ IcIRCLE) STAT AJO SECOND LOCAL
NOW ON LOT
USE ZONE SPECIAL
USE OF (f�I CONDITIONS
EXISTING BLDG
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OWNER NO BUILDING YARD HWY STR T AME EXIST
SETBACK WIDTH
ADDRESS FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
ADDRESS
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CONTRACTOR //''
ADDRESS Z,6_
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DESCRIPTION OF WORE G
W
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NEW ADD ALTER REPAIRD MOLISH W
SQ FT NO OF
SIZE STORIES A ILIES
USE STRUOCTURE 4 z Q 0'd
SIGNATURE OF
APPLICANT
VALUATION C�
APPROVALS DATE ,per INSPECTORS SIGNATURE
PC PMTFOUNDATION LOCATION
FEE $ FEE $ ( �—' FORMS MATERIALS I
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS `
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK ' y
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CALIFOR IA RELAT f
ING TO WORKMEN S COMP TION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR ! ��
PERMITTEE RECT AND POSTED ` R
ADDRESS Y � r �j FINAL
JOHN F LEWIS PRINCIPAL SOCK
RAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATIONM OCASH
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