HomeMy Public PortalAbout4800 BALDWIN AVE_Building_5/17/1971_ (5)76A638A CE #803 4/70 C
APPLICATION FOR BUILDING PERMITj
COUNTY OF LOS ANGELES ASSESSORzs
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DMSION BUILDING
JOHN A LAMBIE ADDRESSCOUNTYENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or type only)
CROSS ST
DISTRICT NO G OUP TYPE PRO S BY
BUILDING
f CONST
ADDRESS 4/(
STATISTICAL CLA IFICA TION SE*ER MAP
LOT NO BLOCK
CLASS NO WELL UNITS BK PG
TRACT USE ZONEPMAPNOOFBLDGS
SIZE OF LOT Ji9/pU OW ON LOT CIALUSEOFNDITIONS
EXISTING BLDG
F L O L
NOTEL
OWNER
BLDG SETBACK FROM
ADDRESS FRONTPROP LINEOF STREET)
19,E/
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY /7iy _ HIGHWAYI WIDTH FROM C L
ARCHITECT OR TEL IENGINEERNO
BLDG SETBACK FRO
ADDRESS SIDEPROP LINEOF STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY + YA = TOTAL
CONTRACTOR S NO HIGHWAY WIDTH FROM C L
ADDRESS R -T1V NO PYIO(O
I
V
r-^ L I C
CITY j CLASS r CORNER CUTOFF YES NO
C)
O
CONS RUCTION LENDER 1""
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS a
ADDRESS Z
SO FT NO OF NO OF
NEW
SIZE STORIES I
FAMILIES
USE OF ADD
STRUCTURE
ALTER
SIGNATURE OF
REPAIR El
APPLICANT DEMOL
VALUATION $ ¢
APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
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 GAS VENT DUCTS
STRUCTION 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 aTATE OF CALIFORNIA IN RELATING TO
WORKMEN S CoN IH E
LATH EXT
SIGNATURE O HOUSE NUMBER COR
PERMITTEE
7
RECT AND POSTED
ADDRESS
I N A L
JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
O ASHPLANCHECKVALIDATIONCKM PERMIT VALIDATION CK M o CASH
r n_0 : V 9c--" r'.nY 7 1 D 6.0 0