HomeMy Public PortalAbout4800 BALDWIN AVE_Building_5/17/1971_Sign (2)76A638A CE 980374/70
APPLICATION FOR BUILDIN ,,PERMI
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DMSION - BUILDING rt
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JOHN A LAMBIE COUNTY ENGINEER
ADDRESS
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY VaLv
FOR APPLICANT TO FILL IN NEAREST
CROSS STPrintor1eonly)
BUILDING n
DISTRICT NO GROUP TYPE
CONST
RO SSED BY
ADDRESS f Q u '-I
STATISTICAL CLASSI ATION SEWER MAP
LOT NO BLOCK
CLASS NO 'ZO DWELL UNITS—BK
TRACT USE ZONE MAP 23o/NO OF BLOGS NO
SIZE OF LOT 0 NOW ON LOT U - SPECIAL
USE OF CONDITIONS
EXISTING BLDG —)P I,-1 -c--01 FAL
TEL r
OWNER Swell l NO
BLDG S BACK FROM
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TYPE
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TYPE OF EX G SETBACK HIGHWAY + YARD = TOTAL
CITY,R ' per` ,yZY
HIGHWAY WIDTH OMCL
ARCHITECT
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ENGINEER lel C. Y—w4 NO a
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ADDRESS X71 Q 4 I O(o CL r
TYPE OF EXISTING SETBACK HIGHWAY ' YARD = TOTAL
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S_I/S! HIGHWAY WIDTH FROM C L
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ADDRESS S* NO / S/S U
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CORNER CUTOFF YES NO
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NAME AND BRANCH
ON NDER
SEE REVERSE SIDE FOR SPECIAL APPROVALS w
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ADDRESS
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SIZE •CJ STORIES FAMILIES
NEW ld
USE OFADD
STRUCTURE <:>!221 ALTER v
REPAIR ry
SIGNATURE OF
APPLICANT G! DEMOL )
VALUATION $
APPROVALa DATE INSPECTOR 5 SIGNATURE
P CPMT FOUNDATION LOCATION
FEES '5- 410 FEE $ , FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT DUCTS
STRUCTIO14 I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN SCOMP SATION INSURANCE
LATH EXT
SIGNATURE OFJ HOUSE NUMBER COR
PERMITTEE
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I RECT AND POSTED
ADDRESS J7 1 if 7"S - ' 0^-ci
FINAL 6
PLAN CHECK VALIDATION .. CASH _
JOHN F LEWIS PR NCIP L STRUCTURAL ENGINEER
PERMIT VALIDATION cK M o CASH
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