HomeMy Public PortalAbout4800 BALDWIN AVE_Building_9/7/1967_ (2)l
78A838A CE9803 8 63APPLICATION FO BUILDPERMIT '
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER
ADDRESS VV
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTTftICTG UP TYPE P CE BY
FOR APPLICANT TO FILL IN S U CONST
BUILDING STATISTICAL CLASS CATION~ ti SEWER PAP
ADDRESS pQ 1`1 /4/49 BK P
CLASS NO DWELL UNITS
LOT NO BLOCK WATER
CERTIFICATE
NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY
NO OF BLDGS NO a (/ (CIRCLE) STATE AJOR CON LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
C
EXISTING BLDG
Y OTEL
OWNER f NO BUILDING EXIST
SETBACK YARD HWY &STREET NAME WIDTH
ADDRESS aQ
FRONTZ, EL
J /
P L
ENGINEER TO SIDE
P L
ADDRESS
TEL p
CONTRACTOR NO /
uADDRESSGJlj,S' G / , ad
O
DESCRIPTION OF WORK
W
CL
NEW Ae ADD ALTER REPAIR DEMOLISH
ZSQFT /J NO OF NO OF
SIZE r STORIES FAMILIES
USE OF
STRUCTURE O/
SIGNATURE OF
APPLICANT
a
VALUATION
APPROVALS DATE INSPECTOR GNATU RE
PC PMT FOUNDATION LOCATION
FEE $ FEE $ D O 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
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS r
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA
LATH INT
TION OF THE LABOR CODE: OF THE STATE OF CALIFORNIA RELAT
ING TO WORKMEN S COMPENSATION INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE 4p Q RECT AND POSTED
ADDRESS-/7/& FINAL
PLAN CHECK VALIDATION CK MO CASH
JOHN F LEWIS PRINCIPAL S RtT'CT 7L ENGINEER
PERMIT VALIDATIO CK JM O CASH
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