HomeMy Public PortalAbout4800 BALDWIN AVE_Building_6/23/1966_ (2)76A638A CE4803 5-65 APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES BUILDINGlDEPARTMENTOFCOUNTYENGINEERADDRESS
BUILDING AND SAFETY DIVISION LOCALIT
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST .
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS S
DIST N GR
7
T
S
PR S B
FOR APPLICANT TO FILL IN C CONST.
BUILDING STATISTICAL CLASSI FICA TION SEWER MAP
ADDRESS
CLASS NO._DW E/L7L UNITS.
BK PG
LOT NO. — BLOCK USE ZONE
NOP C/
TRACT p SPECIAL
NO. OF BLDGS. O C
11
ONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG.BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF STREET)
i. OWNER O. O Oo
TYPE OF EXISTING SETBACK HIGHWAY .- YARD = TOTAL
ADDR ESSEzz
HIGHWAY WIDTH FROM C.L.
CITY
BLD SETBACK FROM /
ARCHITECT OR TE s
ENGINEER NO.
SID ROP. EINE OF fS.T tEET)
TYPE OF EXISTING SETBACK IOHWAY + Y D = TOTAL
ADDRESS-
HIG WAY WIDTH FROM C.L.
TEL. O + CJ d
CONTRACTOR NO
O
ADDRESS NO
LIC COR N'E`R`1 7I(S'ER, r. 1/NO V
LIC v .y•. IxCITYCLASSEREVERSESIDEF014SPLCIALLAIPROVALS' O
DESCRIPTION OF WORK Curb, SU?;.er, wfronslhouldberi,cwa a
NEW ADD ALTER REPAIR DEMOLISH C: CO.
1,,
I
i U
pproach ,
a F -,
mr
Erni C fti;a ;-. '
o L' Pf•, Alfad n 1
SQ.FT. NO. OF NO. OF
i -.
1.
SIZE STORIES FAMILIF_S unlit Permif has b-en 15;LIO
asiclt,work fal'aslfinte and
isonr
fD av id
USE OF d
STRUCTURE 7 't Kvlay free permit at T,.
SIGNATURE.OF f —
APPLICANT
P
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
FOUNDATION,O
FEE$ I FEE$
FORMS,
ON
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILOING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY) WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABO ODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN' C MPENS ION INSURANCG
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE
I
RECT AND POSTED
ADDRESS VA-PN FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION GK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASH
L AC'0 3 0 1. 1 w J lN1 2 3 2 3 D 1 8.O 0 A `a