HomeMy Public PortalAbout4800 BALDWIN AVE_Building_4/25/1962 (3)76A638A CE 4803 4/70
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APPLICATION FOR BU I LDI N, - PERM I
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK
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PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRES
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
NEARESTOf
CROSS STPrintortaonly)
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DISTRICTNO G TYPE PRO ES
ADDREISS
BUILDNG
op/0_1p ,1
CONST
STATISTICAL CLASSIFICATION _SEWER MAP
LOT NO BLOCK
CLASS NO WELL UNITS BK x G
TRACT USE ZONE MAP
NO OF BLOGS NO0 nV
SIZE OF LOT NOW ON LOT i SPECIAL
USE OF li CONDITIONS
EXISTING BLDG
TEL
OWNER NO
BLDG SETBACK FROM
ADDRESS je
FRONTPROP LINEOF STREET)
TYPE OF XISTING SETBACK HIGHWAY } YARD = TOTAL
CITYHIGHWAY DTH FROM C L
ARCHITEC OR 1 EL
ENGINEER NO
BLDG SETBACK FROM
ADDRESS SIDEPROP LINEOF STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY YARD = `TOTAL
RCONTRACTONO HIGHWAY WIDTH FROM C L
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LIC
ADDRESS 3j!F1 r/ It NO
U
LIC
CITY CLASSCORNER CUTOFF YES NO O
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS a
h
ADDRESS Z
SQ FT NO OF NO OF NEW
SIZE STORIES FAMILIES ti
USE OF ADD
STRUCTURE
ALTER
REPAIR
SIGNATURE OF
APPLICANT DEMOL
VALUATION $ :
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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 r
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 STATE OF CALIFORNIA IN RELATING TO
WORKMEN S C AT NS E
LATH EXT
SIGNATURE O i HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS FINAL 7l
PLAN C CS
VAC
O"NCK M 0
CASHJOHN
F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PERMIT VALIDATION M 0 CASH
I h 0 7 A(171 D 600-Y _