HomeMy Public PortalAbout4800 BALDWIN AVE_Building_5/13/1971_ (3)76`6a8A EB03 4/7
APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DMSION BUILDING I D
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or tvoe only)
CROSS ST
EXISTING
UILDING
DISTRICT NO OU YPE / P S
DDRESS I TI NST /
C`
STATISTICA SIFI A ON SE ER MAP
OT NO BLOCKCLASSNODWELLUNITS
RACT U O MAP n /
NO OF BLDGS NO 1 (y'
IZE OF LOT NOW ON LOT SPECIAL
SE OF 1/J
CONDITIONS
BLDG CA
TEL It
OWNER Q j NO
BLDG SETBACK FROM
ADDRESS
FRONT PROP LINEOF STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY 7 HIGHWAY WIDTH FROM C L
ARCHITECT ORAC TEL
ENGINEER b,J NO
BLDG SETBACK FROM
LAPPLICANT
ESS O 1(S aU . SIDEPROP LINEOF TREET)
CONTRACTOR ,(, t3
NOL
HIGHWAY
TYPE OF EXISTING SETBACK
FROM C L
HIGHWAY YARD = TOTAL
pESS4d0j I NO 4 Z V
LIC /
CLASS C CORNER CUTOFF YES NO p
RUCTION LENDER v
AND BRANCH SEE REVERSE SIDE FOR SP &IAL APPROVALS
ESS Z_
1//> NO OF NO OF NEW
STORIES FAMILIES
F ADD
CTURE
ALTER
TURE OF
REPAIR
ICANT DEMOL
TION $
Q
APPROVALS TE NSPECTOR S SIGNATURE
FEE $ ea FEE$ 3 -3 ` rOFORMS I
MATERIAON
ALS
M
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
FRABRACIENFIGRE STOPS
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
s LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKM 0MPEN NSURANCE
LATH EXT
SIGNATU HOUSE NUMBER COR
PERMIT EE RECT AND POSTED
ADDRESS
FINAL 30 y
PLAN CHECK VALIDATIOl M o CASH
r_ JOHN F LEWIS PRINCIPAL STR RAL ENGINEER
PERMIT VALIDATION CK M O CASH
I", 9 1 0 5ti MAR 1 2 2 3 D 1 9'80A
s r1- 0234L MAY 13 1 D 3300~