HomeMy Public PortalAbout5016 BALDWIN AVE_Building__ r v h
TEMPLE CITE
,Q.;ACE#803 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ABU I DD EISS.�r0/� t /
DEPARTMENT OF COUNTY ENGINEER 77
BUILDING AND SAFETY DMSION LOCALITY�/�p/7
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST ,P
DISTRICT N GR UP -TYPE PROCESS ABY
FOR APPLICANT TO FILL IN "�a CONST
BUILDING �f STATISTICAL CLASSIFICATION SEWERIMAP
ADDRESS 50 Baldwin / BK ,PG
CLASS NO DWELL UNITS L
LOT NO .,,F f CK WATER NOT REQUIRED RECEIVED ' 4
CERTIFICATE
TRACTE.J• Baldwins Additio No'.1 MAP HI R�E;
an
STAT AJO SECOND LOCAL
a Aniony NO OF BLDGS NO
SIZE OF LOT R 5X 25s15 I NOW ON LOT 1 USL ZONESPECIAL p S
USE OF CONDITIONS
EXISTING BLDG Dwelling
TEL A-1
OWNER Mr. E.N. Tullos NO DI10516BUILDING EXIST
p �..,.1 SETBACK YARD Y STR ET NAME
F �VJWIDTH
ADDRESS 19718 Roscoe-B1vd.CanO a Park FRONT
M /
ARCHITECT OR TEL P L /
ENGINEER none NO SIDE
24
P L I�
ADDRESS INSPECTION RECORD d
CONTRACTOR Santa Anita Const]NoAT797" !' _ u
ADDRESS 8717 E.Las Tunas San Gabriel
10.- G+'I '
DESCRIPTION OF WORK
NEW)a ADD ALTER REPAIR DEMOLISH
SQ FTX10 OF NO OF Z
IZE 1�g STORIES FAMILIES `�g/ r /I �I//nil
USE OF
STRUCTURE
Dwe11 _3ng & Attachod Garage
SIGNATURE O fly
APPLICANT f 'L "
VALUATION$
APPROVALS bopTE INSPECTOR S SIG T RE
PMT --U FOUNDATION LOCATION //pn
FEE $ FEE $ i 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 FJRNACE 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 o GVnL .!
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT
ING TO WO OMPEN�NSURANCE / , � k
LATH EXT lUY`
OUSE NUMBER
PERMITTEE SIGNATURHRECT AND POSTEDR ���
ADDRESS !'7 FINAL
CLYDE N DIRLAM PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cK M o CASH PERNIIT VALIDATION cK m o CASH
° Am 0 3 1 2% JUN 15 2 3 0 2 3251
I LAL�1 1 7 2- JM 5 1 D 4 6.50-
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