HomeMy Public PortalAbout4800 BALDWIN AVE_Building_4/25/1962_ (16)TEMPLE COTY
76A638A CIE#8 03 1-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING /i O Q
DEPARTMENT OF COUNTY ENGINEER
ADDRESS / p
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST 1-dwo,
DISTRICT NO GROUP TYPE [)PROCESSED BY
FOR APPLICANT TO FILL IN S o s,CONST.?
BUILDING A
STATISTICAL C'ASSIFICATION MWER MAFf
ADDRESS / C F
CLASS NO23-DWELL UNITS ---
BK PG
LOT NO /i Q BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT Q MAP HIGHWAY
NO OF BLDGS NO CIRCLE)
STAT AJOR ECOND LOCAL
SIZE OF LOT I NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER O BUILDING EXIST
SETBACK YARD H STREET NAME WIDTH
ADDRESS FRONT JJ
ARCHITECT OR v TEL P L ted GfJ/M S'
ENGINEER NO SIDE
ADDRESS
TEL INSPECTION RECORD
CL
O
CONTRACTOR NO j
A /146, A/ , imLARESSi
O
DESCRIPTION OF WORK
ol
a
ADD ALTER REPAIR DEMOLISH
yf/
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a;
NO OF NO OF Gp rP f" P/ (J
STORIES FAMILIES
F
TURE
TURE OF
ICANTATION DI
APPROVALS DATiE INSPECTOR S SIGNATURE
FEE $ lqo ` FEE $
FOUNDATION LOCATION
L 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS I
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
PERMITTE RECT AND POSTED
ADDRESS FINAL ",-PN
CLYDE N /DIRLAM PRINCIPAL ST AL ENGINEER
PLAN CHECK VALIDATION 91V-67H/ PERMIT VALIDATION CIL m o CASH
t{ o 9 7 a APR 1 4 4 a r
L ,1 6 5 APR ?5 1 a 800