HomeMy Public PortalAbout5422 BALDWIN AVE_Building__ A ROAD DEPT. PERMfT IS P "
FOR ANY MATERIAL STORr%3E
DONE IN THE. RG i
76A638A CE 8038.89 APPLICATION FOR ffLffLbING PERMIT I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY ,
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. i_„ %_/
DISTRICT NO. GROUP TYPEy PR
FOR APPLICANT TO FILL IN CONST:`/- I ;
BUILDING ._, �r� r _ STATISTICAL CLASSIFICATION S WER MAP
ADDRESS, q �.�4(Q ,'V', A/ /T-Ll ygFS._ PG
+� CLASS. NO. DWELL. UNITS--I I
17,
LOT NO�.�O`OFNL/a�dFw'� �Fg OCK� MAP STATE -1
/
YES �O
NUMBER ./_ HWY, a
P/"//fi• 17th. 7 •e USE ZONE
- -'v• 'J/_;/' SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LMIMA ko NOW ON LOT
USE OF �/�'IT�
EXISTING BLDG. n i AlL� l� �+'7'� BUILDING EXIST.
/ SETBACK YARD Y STREET NAME _ WIDTH
OWNE FRONT
MAIL //�� pp�� P. L.
ADDRESS!?% . �1J1l7CipAJYL✓�' SIDE
TEL. P. L.
CITY TCAiP�F G17Y N0:k17cINSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL;,,
CONTRACTOR NO.
ADDRESS
DESCRIPTION OF WORK `' -
N�Elw ADD ALTER REPAIR DEMOLISH
sQ'-I'T. NO. OF NO. OF
SIZE STORIESFAMILIES
USE O I�
STRUCTURE G(,�
S GNATURE OF 7-
APPLICANT I
APPROVALS DATE INSPECTOR'S SIGNATURE
ADDRESS 9�y r?0��tv�Y �� L+ FOUNDATION: LOCATION
.�,, � FORMS, MATERIALS
VALUATION $/. C/`Cl A I FRAME: FIRE STOPS,
_ BRACING, BOLTS
P.C. t""r) PMT. SLI FURNACE: LOCATION,
FEE J FEE �' I GAS VENT, DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PL
P- LATH, INT. ^ p.,•
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND 1,4
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH, EXT.
SIGNATURE OF` 7�+ HOUSE NUMBER COR-
PERMITTEE 2llw.trtu� 1 RECT AND POSTED
ADDRESS i C7/°�'D�{/I� FINAL
�1 CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN?rn-EN
PLAN CHECK VALIDATION CK. M.o. ASH PERMIT VALIDATION CK. M.O. "CASH
CAH
0 O 2 6":33 ITR '28 2 3 A 2 2,5 I0 OF
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