HomeMy Public PortalAbout4800 BALDWIN AVE_Building_10/10/1967_t
76A638A CEy8031 67 APPLICATION FOR BUILDING PERMIT LJ
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS SUP T OF BUILDING CROSS ST
DISTRIC N ITYIE P O
FOR APPLICANT TO FILL IN CONST
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS 9 / CLASS NO DWELL UNITS BK B_
LOT NO BLOCK USE ZONE MAP O
TRACT SPECIAL t
NO OF BLOGS
CONDITIONS
SIZE OF LOT OW ON LOT
USE OF
i BLDG.BLDG SETBACK FROM
QC/
NOL FRONT PROP LINE OF STREET)
OWNER
TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS ..
1/
HIGHWAY WIDTHFROM C L
CITY
ARCHITECT TELLy
BLDG SETBACK FROM
E N6INEER NOfGC- Q SIDE PROP LINE OF STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS
HIGHWAY WIDTH FROM C L
TEL
TCONTRACTOR
o CADDRESS
8fNI
2.Z CORNER CUTOFF YES NO -
C
CITY G
LIC G—
ZIF
SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK P.
LD
NEW ADD 4----ALTER REPAIR DEM
c
SQ FT NO OF NO O
SIZE STORIES FAMIL
USE OF
S T R CTURETt/r/
I 0 1-6
f
5 GNAT 4/ S
APPLIC
VALU $ d (
APPROVALS DATE INSPECT SSIG NATURE
FOUNDATION LOCATION
FEE$ FEE$ FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILOI NG CONSTRUCTION I CERTIFY THAT IN DOING WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PE N IN OLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF CA16FORNIA R LAT
ING TO WORKMEN S COMP
LATH EXT
SIGNATU E OF HOUSE NUMBER COR
PERMITTEE RF-CTRF-CT AND POSTED
ADDRFI NAL
PLAN CHECK VALIDATION CK Mo CASH
JOHN F LEWIS PRINCIPAL STRUCT RAL ENGI R
PERMIT VALIDATION CK M o CASH
OCT10 1 D 7 50~