HomeMy Public PortalAbout4837 BALDWIN AVE_Building__ 76A638A CE #803 3 69 ! g� /� vr�/
APPLICATIOIGOR BUILDING P MIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN
DIS
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RICT NO GROUP TYP ONST P SED BY )
(PRINT OR TYPE ONLY) 's"o
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS
�y CLASS NO DWELL UNITS BK4 PG8S
LOT N0 1 BLOCK E ZONE No
I�tl V1 r
r B 1{J�.
TRACT R�3 I CIAL
SPE `
SQx ') NO OF BLDG S �� �Zn� ON
SIZE OF LOTDITIONS
NOW ON LOT
USE OF
EXISTING BLDG ks B K FROM
TEL FRONT PROP (STREET)
OWNER ,v s NO _
TYPE OF EXISTING SETBACK AY f+ YARD - TOTAL
or
ADDRESS .S!/��4 HIGHWAY WIDTH FROM C L
CITY ,C/�
ARCHITECT OR EL TBLDG SETBACK FROM - (STREET)
ENGINEER � s p " SIDE PROP LINE OF (
[HIGHWAY
PE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS WIDTH FROM C L
CONTRACTOR''A( /q /�/(/ -J� ((J� NOLSys 0 + �
ADDRESS pc0t(1� S� �/vNO CORNER CUTOFF YES ❑ NO ❑ L
CITY _5',y �/� CLASS -�I SEE REVERSE SIDE FOR SPECIAL APPROVALS o
CONSTRUCTION LENDER
NAME AND BRANCH ~
L
ADDRESS
V
SQ FT y NO OF NO OF .Z
SIZE /-3Z STORIES FAMILIES NEW
USE OF / /J� DD
STRUCTURE /�' � ALTER ❑ 146
REPAIR ❑
SIGNATUREF -y^ DEMOL ❑
APPLICANT /
VALUATION $ 1174010D O APPROVALS DATE INSPECTOR 5 SIGNATURE
P C PMT / FO NDATIORMS,O LOCAS
T N
FEE $ 5 Q� FEE $ r0
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC GAS VENT DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH INT
OF THE STATE OF CAL P RNIA-,O RELA NG TWORKMEN SO� / / TPENSATION INSURAN
ATH E
SIGNATURE OF� /�� y� ) HOUSE WJMBER CORRECT
PERMITTEE /(/1� /.Z�(1C/L/ AND POSTED
ADDRESS FINAL 3�S
JOHN F LEWIS PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cK M o CASH - PERMIT VALIDATION CK rn 0 CASH
tA �4735R AFR3023 D 500-
4 7 3 6'c: - APR3 0 1 D 6.0 0^
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76A638A CE#8035-61 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING v
DEPARTMENT OF COUNTY ENGINEER ADDRESS L
BUILDING AND SAFETY DIVISION LOCALITY /l
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP YPE P SED BY
FOR APPLICANT TO FILL IN CONST c �l
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS o L, T '�K CC``
CLASS. NO. DWELL. UNITS Z� r3
LOT NO. Py'p A/ ei- 4C7 i.7 BLOCK WATER NOT REQUIRED RECEIVED
ar CERTIFICATE:
TRACTTri MAP �J /� HIGHWAY STATE MAJOR ECOND)LOCAL
NO.OF BLDGS. NO..�L/ (CIRCLE)
SIZE OF LOT (�(�/�%f/" y J IN OW ON LOT USE ZONE SPECIAL
USE OF �p i CONDITIONS - 3
EXISTING BLDG. I=R S r
TEL
OWNER (", .y
I NO. y-yf'Z BUILDING EXIST.
YARD HWY STREET NAME
SETBACK WIDTH
1 ADDRESS�(, FA1e AL'c Al 7-c-, FRONT C �'
,J 1 ARCHITECT OR TEL. P. L. �L r
�l ENGINEER NO. SIDE a
P. L. O
ADDRESS ` / Y TEL. ) n INSPECTION RECORD oe
CONTRACTOR y a L L,ae j/C/t,/ft):/ NO. n&/Jp;�l 0
ADDRESS /l; .9.Z� 1 C L,UQ/l AZU4,4 .�- W
DESCRIPTION OF WORK N
z
NEWS ADD ALTER REPAIR DEMOLISH
T. NO.OF NO,OF
O �IZE I 1 -1 STORIES � FF�AM'L�nIES
USE
!' STRUOCTURE R t3 t-.
J
w
C)
L SIGNATURE OF
APPLICANT-
VALUATION
PPLICANT VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
P.EC. $PMT. FO FORMS, MATERIALS
ON
FE $ FEE
L FRAME: FIRE STOP4;,
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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
O 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 TO WORKMEN'S COMPENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE ,QyRECT AND POSTED
I1 ADDRESS .3�� b /'^ 's�� FINAL
CLYDE N. DIRLAM, PRINCIPAL STfCtYRAL ENGINEER
PLAN CHECK VALIDATION c M.o. CASH PERMIT VALIDATION I CK. J M.O. CASH
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