HomeMy Public PortalAbout4943 BALDWIN AVE_Building__ 76A638A CE#803 6-62 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
SS 4943 N. Baldwin A4®.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY Temple Cit
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. Rosa
DISTRICT NG UP TYPE P O S BY
FOR APPLICANT TO FILL IN ,7 CONST. K
BUILDING STATISTICAL CLA SIFICATION / SEWER M
ADDRESS 4943 N. Baldwin lem le Cit CLASS. NO.�DWELL. UNITS BK
LOTNO.Eaterly170 of Lot # 23 BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED ❑
TRACT 9848 MAP HIGHWAY STATE MAJOR(SECOND, LOCAL
NO. OF BLOGS. NO. 2016 (CIRCLE)
SIZE OF LOT100 X 170 NOW ON LOT 1 USE ZONE SPECIAL
EUSE
X STO NG BLDG. A 1 CONDITIONS P.P. # 370
T��� TEt1� 5945 N. Baldwin s T.C.
OWNER Dee Invest. Co• NO0i.46751 BUILDING EXIST.
p�
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS 11706 E. Romona III El Monte FRONT Baldwin .S
ARCHITECT OR TEL. P. L.
ENGINEER NO. SIDE
P. L. a
ADDRESS 0
j�����
TEL
CONTRACTOR Lun Dee Invest. NO.Gi. 4675 N
ADDRESS 11706 E. Romona El Monte p
DESCRIPTION OF WORK W
a.
NEW X ADD ALTER REPAIR DEMOLISH H
Z
SIZE 1450 STORIES 1 FAMILIES 1
USE OF
STRUCTURE SFamily
attached 400 Sq, Ft.
SIGNATURE OF
APPLICANT 7 �y��
VALUATION $ 16#®00 `� O
APPROVALS DATE INSPECTOR'S SIGNATURE
PC. $ •�0^9
PMT. FOUNDATION: LOCATION
FEE .
L
� FEE FORMS. 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, d
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 4A
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK f
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- � H
T7 INT.
TION OF THE LABOR CODE- OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN'S COM NSATION INSURAN
LATH, EXT.
SIGNATURE OF
HOUSE NUMBER COR-
PERMITTEE \�\��1111VV1111VV RECT AND POSTED
ADDRESS 11706 E. Romona , El I;wt— FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATIONc� M.O. CASH _ PERMIT VALIDATION cK. M.G. CASH
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78A838A CE0803 B 63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISTRI3 N GhlatIfTYPE D
FOR APPLICANT TO FILL IN CONS
BUILDING //� f STATISTICAL CLAS FICATION SEWER MAP
ADDRESS G BK
�� LL � I CLASS NO DWELL UNITS -a
LOT NO BLOCK WATER
CERTIFICATE NOT REQUIRED ❑ RECEIVED
TRACT MAPHIGHWAY
NO OF LDGS NO20 ) (CIRCLE) STATE MAJOR SECOND LOCAL
SIZE OF LOT NOW OBN LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTI LD i
TEL
OWNER > NO BUIL ING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRES .' FRONT
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L }
ADDRESS O.
/ TEL V
CONTRAG_ NO
A D D R E S
DESCRIPTION OF WORK �l� G
W
NEW ADD ALTER REPAIR DEMOLISH (//C//,(� i� �/,
SO FT
NOF NO OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR S SIGNATURE
P C PMT FOUNDATION LOCATION
FEE $ FEE } FORMS MATERIALS
FRAME
- 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 DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODC OF THE STATE OF C LIFORNIA RELAT
ING TO WORKMEN S COMPENSATIO INSURAN ' LATH EXT
SIGNATURE OF �i HOUSE NUMBER COR
PERMITTEE �`�c..�- RECT AND POSTED
ADDRES FINAL
PLAN CHECK VALIDATION CK M O CASH JOHN
PERMIT VALIDATION RCK URENGINEER
M OCASH
1 8 d 9_4- JJN'�-5- 1 D 1725-
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