HomeMy Public PortalAbout5330 BALDWIN AVE_Building__ DIVISION OF BUILDING AND SAFETY
BUILDING
Department of County Engineer
County of Los Angeles APPLICATION
WM. J. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
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�( DISTRICT NO. PLAN CK. OR REC.No. PERMIT NO.
BDDRESS �(UILDING .� N. 'o�1 AZ) YYl Y fx
A
RECEIVED BY DATE OF APPL. D fiE IBSUED
LOCALITY I YC11 �s ;z
NEAREST
CR06SST. 60 1 1- 1 v h BUILDING
1 ADDRESS
OWNER__ 6- c)
MAIL D /�yamw' LOCALITY
ADDRESS , 4 O Y�+ ^ vYV`+� NEAREST
CROBS ST. '16 _
CITY (/V et NO. O FIRE NO.OF I TYPE GROUP
ARCHITECT Old /� TEL ZONE PLANS
ENGINEER (J/ (/�-� NO. ti
BLDG. 1 11 0 � 4 � ORD. NO.
ADDRESS
S dt � BETBACK LINE
USE APPROVED y �•
TLL ZONE BY DATE
CONTRACTOR �� NO. HOUSE NUMBERING
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ADDRESS 9 ' MAP NUMBER_—.ASSIGNED BY
LcoAL CORREC IONS
DESCRIPTION LOT NO. BLOCK -
TRACT
"6NCL OF BLDG
SIZE OF LOT X 1 SAO I NOW ON LOT Y.
USE OF ._ I NO. OF
EXISTING BLDG. FAMILIES ti
DESCRIPTION OF WORK 00
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NEW ALTERATION ADDITION Z
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REPAIR DEMOLITION r
I NO.93F
GIL
BIZROOMS'� ROOMS STORIES
EXT.WALL I ROOF
COVEWNO COVERING
USE OF STRUCTURE
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INSPECTION FOR APPROVALS
OCCUPANCY AS I NSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAMEI FIRESTOPS,
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS O LATING BUILDING CONSTRUCTION. OAS VENT, DUCTS
BIONATURE OF LATH, INT.
PERMITTE
ADDRESS /7 d LI� /+� 1 LATH, EXT.
AUTHORIZED AOT. PLASTER, INT.
PLASTER, EXT.
HOUSE NUMBER COR-
900 ` FEE � RECT AND POSTED F
VALUATION
FI[ FINAL
76AG38A DBS 3 1-52