HomeMy Public PortalAbout5414 BALDWIN AVE_Building__ 74AE78A Cr,#6u,8 BD APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALI
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING I CROSS ST
DISTRICTr,NO GROUP TYPE;
P CESSED BY
FOR APPLICANT TO FILL IN d CONST Y
STATISTICAL CLASSIFICATION SEWER MAP
BUILDING r' BK PG
ADDRESS ,'"J K �'! CLASS NO� DWELL UNITS v I
LOT NO C4,Cf _ JAG( MAP STATE YES
NUMBER HWY N
TRACT _ USEZONE SPECIAL
L NO OF BLDGS CONDITIONS r
SIZE OF LOT Z / �7 y I NOW ON LOT
USE OF
EXISTING BLDG BUILDINGEXIST
/� TEL SETBACK YARD HWY STREET NAME WIDTH
OWNER l tl /Yri NO FRONT -0
P L `7
ADDRESS ^N f SIDE r
ARCHITECT OR TEL P L
ENGINEER NO INSPECTION RECORD
ADDRESS O
TEL , /Z 0
CONTRACTOR
ADDRESS
DESCRIPTIONCL
OF WORK / �S
NEW ADq/ fALTER REPAIR DEMOLISH N
Z
SQ FT 2 NO OF T F �'
SIZE I E--, AW
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT �+
VALUATION /
APPROVALS DAT INSPECTOR S SIGNATURE
PMT FOUNDATION LOCATIONPC /
FEE FEE FORMS MATERIALS
FRAMEBRACFIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION f
.�..�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE {y
I
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT (LATH INT /I
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT •//�
TO THE WORKMEN S COMPENSATION LAWS OF CALIFORNIA L}AT+Ir EXT p��1d'
r
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE
RECT AND POSTED n7
ADDRESS 'TIr FINAL
CLYDE N DIRLAM PRINCIPAL STRUCTURALE R
PLAN CHECK,,yVALIDATION CK M o CASH.
PERMIT PERT VALIDATION CK M o CA.-
e 1
AD89.9
11-55 APPLICATION FOR BUILDING PERMIT 1
i i-55
DIVISION OF BUILDING AND SAFETY B U'ILD I NG
Department of County Engineer ADORES ,
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. -A. l./1'
FOR APPLICA`N�T T�Op FILL IN DISTRI�O. GROUP I CONST I SEWER MAP
ADDRESS �7 V�j BUILDING
V SAI//'v �J(� MAP �— STATE
� `' NUMBER O HWY YES O•
LOT NO. �' BLOC �Z NE SPECIAL
�r?� ,/ j� �^ 11.,& CONDITIONS
TRACT/J/4"W,,1, /r!l'LI *l 1, f.ATr4 C* � s
NO. OF BLDGS.
SIZE OF LOT 9':ZX/7 - NOW ON LOT Z BUILDING YARD HWY STREET NAME EXIST.
USE OF SETBACK WIDTH
EXISTING BLDG. FRONT
r P. L.
OWNER SIDE 3� dd
P. L.
MAIL /
ADDRESS Lr J �V O TRACT DWELL. 1 UNIT 5 INDUSTRIAL
TEL
CITY '✓ - NO. 1 DWELL. 1 UNIT
6 PUBLIC BLDG.
ARCHITECT ORF TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC.
ENGINEER NO. 3 APT. / UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
TEL
CONTRACTOR l���. s�-�"iC NO `f/
INSPECTION RECORD
ADDRESS C/k/f_/- :X
IV yr yon
DESCRIPTION OF WORE �y
NEW Y ADD ALTER REPAIR DEMOLISH
SO. FT. -f.- NO. OF NO. OF
SIZESTORIES FAMILIES
�Jo E F UCT
SIGNATURE OF
APPLICANT - , I APPROVALS
ADDRESS���!�ctlJK/(1Pt.!✓ �C� DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION f,..
/� P. C. $ �sL_FORMS.MATERIALS
/ �OO FEE FRAME: FIRE STOPS. ! /
VALUATI N S '}n • _BRACING, BOLTS
FEE cTL., FURNACE: LOCATION,lm - P/C/
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS Z / 1'b l( 01
APPLICATION AND STATE THAT THE ABOVE IS CORRECT f
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. ♦ .,,•.n..
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. LATH. EXT. -
SIGNATURE OF J HOUSE NUMBER COR-
PERMITTEE `ss' /�� RECT AND POSTED
ADDRESS FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR
CK MO CASH
�o2465 WV 19 1. 6 10.00AIP
c;2576 r`)v2 1 2_. 0.00 "