HomeMy Public PortalAbout4800 BALDWIN AVE_Building_5/17/1971_ (6)b 6 V76A638AGE9803 ^"
APPLICATION FOR BU ILDI N PERM!
COUNTY OF LOS ANGELES ASSESSOR a
DEPARTMENT OF COUNTY ENGINEER MAP BOOK (t PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING t
JOHN A LAMBIE, COUNTY ENGINEER
ADDRESS 4 J
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST'pp
Print r t only) CROSS ST 0
ADDREIS GW
OIST 5JCT NGROU
CONSTYPET
PR S BY
STATISTICAL C ASSIFI ATION SEWER MAP
LOT NO LG
J
BLOCK
CLASS NO0 DWELL UNITS BF PG
TRACT USEN MAP — y 0NOOFSLOGSIOdNOC7L
SIZE OF LOT NOW ON LOT 4 SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL /
OWNER NO '
BLDG SETBACK FROM -
ADDRESS ,
FRONTPROP LINEOF STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CIT Y O,{ 3V 4,,.G f HIGHWAY IWIDTH FROM G L
ARCHITECT OR TEL
ENGINEER NO
BLDG SETBACK F
ADDRESS SIDEPROP LINEOF STREET)
TEL TYPE OF EXISTING SETBACK H AY } YARD = TOTAL
CONTRACTO p HIGHWAY 'WIDTH FROM C L
LIC
ADDRESS 7Q C)NO 4 t OU
LIC
CITY j/ CLASS/ IrCORNER CUTOFF`-- YES NO
CONSTRUCTION LENDER I 1_4 i f v
NAME AND BRANCH SEE REVERSE SIDE FOR SPE PPR VALS ar
to
ADDRESS
SQ FT NO OF NO OF
SIZE STORIES FAMILIES
NEW Az
s
I
USE OF ADD
STRUCTURE
ALTER
REPAIR
SIGNATURE
APPLICANT DEMOL
VALUATION
APPROVALS DATE INs oR s sle ATU RE
P C 7 PMT FOUNDATION LOCATION y
FEE $ 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 GASIVENT DUCTS
STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
y`HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH +INT
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S CO SA ION NCE
LATH EXT
SIGNATURE O HOUSE NUMBER COR
PERMITTE RECT AND POSTED
ADDRESS FINAL d 2
PLAN CHECK VALIDTION CK M o CASH _
JOHN F LEWIS P CIPAL STR T RAL ENGINEER
PERMIT VALIDATION CK M O CASH
C-: PWI 17 1 D 2.5
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