HomeMy Public PortalAbout4914 BALDWIN AVE_Building__ i
I TEFAPLE CITY
79xe3exce#803 1-61 APPLICATION FOR BUILDING PERMIT �
. �
COUNTY OF LOS ANGELES BUILDING v
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTR CT NQ GROUP TYPE P SED BY
FOR APPLICANT TO FILL IN CONST
BUILDING ,(/ r STATISTICAL CLASSIFICATION S ER MAP
ADDRESS `�//. � � K PG
CLASS NO.Ct"'sDWELL UNITS
LOT NO BLOCK WATER
CERTIFICATE /NOT REQUIRED IVED
TRACT NO OF BLDGS ` NOP G 4 iCGRCLE)HWAY STAT MAJOR COND LOCA
SIZE OF LOT t� I NOW ON LOT / USE ZONE SPECIAL D L
USE OF /35 ry,�/�'f CONDITIONS
EXISTING BLDG i 7 VV v!
TEL
OWNER NO BUILDING EXIST
I SETBACK YARD HWY STREET N E WIDTH
ADDRESS / r FRONT ��yy
ARCHITECT OR TEL P L yt/
ENGINEER I NO SIDE
ADDRESS 3S9 O P LTEL a
INSPECTION
RECORD
r-6,9 O
CONTRACTOR , 1 .� C) NO /A/ti¢lirt� V� .s�i� ..�J �
ADDRESS /Y/ P.V�^' n a=� ice/ F�1 I ri
DESCRIPTION OF WORK -// CL
/.,,��//// W
P`IEW ADD ALTER REPAIR DEMOLISH ' - �' I"v Z
T NO OF N4NACE
IZE STORIES F
USE OF
STRUCTURE D Ld .
SIGNATURE OF
APPLICANT VALUATION$ APPROVALS d6DATE INSPECTOR S SIGNATURE
FE FEEORMSI MATER ALSON ON f1 5�jp AB
ME FG BOLTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THISACING BOLTSAND STATE THAT THE ABOVE IS CORRECT AND AGRELOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS rte_
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 / fe
ING TO WORKMEN 5 C07ENNSATION INSURANCE LATH EXT +�t�
SIGNATURE OF /r, HOUSE NUMBER COR ` C '""��f'
PERMITTEE� RECT AND POSTED
s
ADDRESS —J FINAL
CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK' m o CASH
ti
I
i, Lme 6 3 1.3. : DEC 2 0 1 D 500 .°
y
�S 4
- ��Y�IGr,Y.-✓