HomeMy Public PortalAbout5424 BALDWIN AVE_Building__ (2) �1
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7BAE3EA Cr.#809960 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
?DDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY '
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP TYPE P ESSED BY
FOR APPLICANT TO FILL IN , , -5/ CONST
STATISTICAL CLASSIFICATION, SEWER MAP
BUILDING LD I ./ V� �K Pj.+
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CLASS NO DWELL UNITS
LOT NO i MAP ,Q STATE
BLOCK NUMBER f' - HWY YES NO
TRACT USEZONE SPECIAL
NO OF SIZE OF LOT 7a X 0 d I NOW ON LOTS 4/ CONDITIONS
USE OF
EXISTING BLDG BUILDING YARD HWY STREET NAME EXIST
T , SETBACK WIDTH
OWNER L. - L S o/ve Nohr FRONT ol
P L J
ADDRESS96�-tJC DRo40wA6 /7r,, e. SIDE
ARCHITECT OR ' TEL P L
ENGINEER NO INSPECTION RECORD > >.
ADDRESS 0 / C
TEL ��s/'C �� coi- .Qa O
V
CONTRACTOR NO j
I—A OADDRESS
DESCRIPTION OF WORK �"d 15
N
NE IL
ADD ALTER REPAIR DEMOLISH Z
FT NO OF NO OF �•� �%
SIZE STORI
USE O �611
ES FAMILIES
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STRUCTURE
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SIGNATURE OF t2 -or-Lc.'
APPLICANT C.�"
VALUATION$ ,SCI d I
APPROVALS RATF4 INSPECTINSPECTgg S SIGNATURE
FOUNDATION LOCATIO
N
FEE $ r
FEE PMT $ i FORMS MATERIALS 9
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, I FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING BOLTS-44;'r.,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIALATH EXT
SIGNATURE OF HOUSE NUMBER COR ,
PERMITTE RECT AND POSTED \
ADDRESS w-+yj FINAL
PLAN CHECK VALIDATION M O CASH CLYDE PERMIT VALIDATIONTR cK URM O ENGINE
NO 31 DJ 0 V 0 51 � Cs,
LAAO 7 3 7 9 ",I,i t 1 D 6 0 tD �b