HomeMy Public PortalAbout4800 BALDWIN AVE_Building_4/25/1962 (10)IS
TEMPLE CITY
79AS3EA CC#003 1- 1 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES
AUDI
BUILDING
T G d
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY Te e G f
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRICT NO GROUP
I TYPE PROCESSED BY
FOR APPLICANT TO FILL IN p S`' CONS 1grlf
BUILDING
STATISTICAL CLASS (CATION WERMA
ADDRESS q B
CLASS NOo._DWELL UNITS---!fl--
LOT NO ?Ayl BLOCK WATER
CERTIFICATE
NOT REQUIRED L!- RECEIVED
TRACT Q MAP HIGHWAY
NO O I b CIRCLE)NO OF BLDGS
STATE AJOR ECOND LOCAL
SIZE OF LOT C/t Ls( NOW ON LOT USE ZONE SPECIAL
USE CONDITIONS
EXISTING BLDG
g y.pp
I _ J
OWNER T
TEL
BUILDING YARD HWY STREET NAME
EXIST
l
SETBACK WIDTH
ADDRESS Zeu FRONT 7j—
ARCHITECTARCHITET OR TEL P L 301 GG!(.$1 J
r
ENGINEER NO SIDE
P L D (^ G14 G
ADDRESS
TEL INSPECTION RECORD 0-
CONTRACTOR CONTRACTOR NO 8
ADDRESS w
DESCRIPTION OF WORK
WCL
N ADD ALTER REPAIR DEMOLISH ZSQFTNOOFNOOF
IZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
y
VALUATION XC/
APPROVALS DATE i INSPECTOR S SIGNATURE
F E $ C) '.Qui
FPMT
PC
EE $ -
FOUNDATION
MATERIIALSON
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 J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION ICERTIFY 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 RECT AND POSTED A / •s '
A, '
ADDRESS FINAL
CLYDE N DIRLAM PRINCIPAL ST CT RAL ENGINEER
PLAN CHECK VALIDATION PERMIT VALIDATION m O CASH
0 9 7 4 hf l 124 4 D t
U'o1652 ApR rj 1 D 800