HomeMy Public PortalAbout4824 1/2 BALDWIN AVE_Building__ I
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76A638A CE'b8.,. APPLICATION FOR BUILDING .PERMIT,
COUNTY OF LOS ANGELES BUILDING 1
DEPARTMENT OF COUNTY ENGINEER ADDRESS
$2 N. Baldwin Ave:
BUILDING AND SAFETY DIVISION LOCALITY TImple City
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. Lower Azusa
DISTRICT NO. ' GROUP TYPE PR CE EDBY
FOR APPLICANT TO FILL IN' 03
CONST. V
BUILDING STATISTICAL CLA991FICATION SEWER AP
ADDRESS 1 N. B41dwin Ave �( K PG
�,I �} CLASS. NO:"V DWELL..UNITS r- f•
LOT NO. _ �'+y - P .� BLOCK WATER
CERTIFICATE: NOT REQUIRED ® RECEIVED ❑
TRACT MAP ^ HIGHWAY
_ NO. OF BLDGS. NO. (� (/ (CIRCLE) STAT MAJO SECOND, LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG. residence
OWNER 0 .Edwards -NE 'i 2 BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH,
ADDRESS FRONT r .� BALI)
PII VJ ,�
ARCHITECT OR TEL.- PRO
L d L,(J I'i/W
ENGINEER NO. SIDE -P. L. }
ADDRESS �-
TELO
CONTRACTOR a i InstallemS o .. 2-1234 - - V
. W
ADDRESSADDREsS10220 E Grand - .. p
DESCRIPTION OF WORK W
a
NEW ADD x ALTER REPAIR DEMOLISH Z
SQ'. FT. NO. OF _. NO. OF —_
SIZE STORIES - FAMILIES -
USE OF
STRUCTURE install wall heater
SIGNATURE OF
APPLICANT
VALUATION $ .120 00 .
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. _ FOUNDATION: LOCATION
FEE $ FEE $ )1.00FORMS, 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, Q/�//�
WITH ALL COUNTY ORDINANCES. AND STATE LAWS REGULATING GAS VENT. DUCTS / 7
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
ELAT ING TO WORKMEN'S COMPENSA ION'''INSURAN E. � LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED P--
ADDRESS FINAL
JOHN. F. LEWIS, PRINCIPAL STURAL ENGINEER'
PLAN CHECK VALIDATION cK. M.o.. CASH _ PERMIT VALIDATION K. M.O. CASH
LAL0.9 5 3 6"'a. AUG 2 8 1 D 4-GO
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