HomeMy Public PortalAbout5411 BALDWIN AVE_Building__ (2) 76A638A CEu803 8 64 APPLICATION FOR BUILD PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOC A LI TY
JOHN A LAMBIE COUNTY ENGINEER NEAREST 0
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DISTRICS NO GROUP TYPE PR SED BY
FOR APPLICANT TO FILL IN �"'. r CONST_^ L
BUILDING t STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS CLASS NO _DWELL UNITS BK PPG
LOT NO Z BLOCK USE ZONE MAP (Z /{. 1 I a }
N O CSC/!J
TRACT �3— SPECIAL y -'
NO OF BLOGS CONDITIONS
SIZE OF LOT OW ON LOT I
USE OF
'ISTING BLDG SETBACK FROM,
TEL �� FRONT PROP LINE OF (STREET)
OWNER NO TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY FROM C L
o
ADDRES
CITY ,
ARCHI E TEL BLDG SETBACK FROM v
ENGINEER O SIDE PROP LINE OF — (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL
ADDRESS HIGHWAY WIDTH FROM C L d
TEL _p`j +
CONTRA CTO O �t77
LIC �jF9P CORNER CUTOFF YES NO O
ADDRESS NO
CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS w
a
ItSCRIPTIOW OF WORK Z
NEW AD ALTER REPVR DEMOLISH
SQ FT NO O NO OF
SIZE STORIES FAMILIFS
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ /
APPROVALS DATE INSPECTOR 9910 NATURE
FOUNDATION LOCATION
FEE$' FEE$ Q� 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
WITH ALL 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
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENS TION INS ANC E LATH EXT
SIGNATURE OF L�� HOUSE NUMBER COR /
PERMITTEE ����VVV\�� RECT AND POSTED _
ADDRESSf� n FINAL
PLAN CHECK VALIDATION CK Mo cnsH _ JOHN F LEWIS PRINCIPAL ST CT RAL`ENGINEER
PERMIT VALIDATION cK M O CASH
t,� O o 3 SPR 22 r 1 D 6 Gv