HomeMy Public PortalAbout4920 BALDWIN AVE_Building__ CITY OF TEMPLE CITY
70,<e3e.CEa809960 ,APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRIC NO GROUP TYPE P OCES BY
FOR APPLICANT TO FILL IN J CONST
��� D^� STATIS ICAL CLASSIFICATION j SEBWKR MAPPG
BUILDING Dc�.L
ADDRESS
J� ,� 01% dwin CLASS NO %DWELL UNITS
LOT NO 49B OCK MAP -NUMBER /V HWYSTATE YES
TRACT E,J• Baldwins Addition No. 1 USEZONE SPECIAL
an a a Q ony rfia OF BLDGS '` CONDITION
SIZE OF LOT NOW ON LOT 2 �G.� -I
USE TI bwe Op & Garage e , 1
EXISTING BLDG b t1 BUILDING YARD Y STfFtE T NAMES EXIST
7� SETBACK WIDTH
OWNER Moore T& Gins - NO`AT 61980 FRONT --r
ADDRESS 9/20 Live Oaks Tule City SIDEul
ARCHITECT OR none TEL
P L
ENGINEER INSPECTION RECORD
}
ADDRESS L,. r7 _ a
CONTRACTOR rSantTa,,An.ita ConstrNO`AT / D � O
ADDRESS"11! ELAS Tvnas,San Gabriel ��"' ® � -7, ' cz
Oc.
DESCRIPTION OF WORK 't® �'�` �° lee
141A) ��ejwtX_ v, -
W
NEW XXADD ALTER REPAIR DEMOLISHZ
SQ F Y
o NO OF NO OF / .i
SIZES STORIES 1 FAMILIES l
USE OF B lf/if ✓�NN'�C� --�
STRUCTURE
Dwelling & Attac-hed Garage
SIGNATURE
APPLICANT J r
VALUATION$
APPROVALS DATE INSPECTOR S SIGNATURE
P C
�-� FOUNDATION LOCATION
FEE $ FEE f
EE FORMS MATERIALS
���///
i 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH TH15 PERMIT 15 ISSUED I SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
70 THE WORKMEN 5 COM NSATION LAWS F CALIFORNIA �
LATH EXT
SIGNA HOUSE NUMBER COR d n f
SIGPERN IA TE RECT AND POSTED 9 lin /,
ADDRESS FINAL v '
CLYDE
PLAN CHECK VALIDATION CK M O CASH p REMIT VALIDATION T CK RENGINEER
M o CASH
LH',022 ,3181-3' SLP 723Q 195 .D IL
,
L�`r,0 2 r? 4 SSEP 22 t ,1 0 3G C' O M