HomeMy Public PortalAbout6027 BALDWIN AVE_Miscellaneous__ DEPARTr4ENT OF
ENGINEER
DIVISION OF UILDING AND SAFETY MISCELLANEOUS
COUNTY OF LOS ANGELES OCCUPANCY SAFETY TRAILERS
WILLIAM J. FOX, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING APPLICATION
FOR APPLICANT TO FILL IN BUILDING
BUILDING ADDRESS 4 02 t
ADDRESS 6027 gal dwi n &ypr up
' LOCALITY y
LOCALITY Tem�ole Clty, CJi.�+. NEAREST r
NEAREST CROSS ST.
CROSS ST. -i'1OOdruff and Baldwin DISTRICT PLAN CK. bR'REc.NO. PERMIT NO.
_OWNER 13t .Bart lS t Church of T• C, 8.S-1:. !; 2-
MAIL RECEIV BY DATE OF APPL. DATE ISSUED
_ADDRESS .102 /ry tial dwin, T. C. %�-/�
CITY '?'nplP City NOL-1-t. 60935 USE ZONE I MAP NO. I TYPE I GROUP I FIRE ZONE
TEL.
CONTRACTOR N❑
Q ZONING DATED
ADDRESS ''ry c.7i, -,' C7 APPROVED BY_
LEGAL
BUILDING ORD. NO.
OO
DESCRIPTION LOT NO.:�ciCJ BLOCK SETBACK LINE: DATE
APPROVED
TRACT F ry NO. OF BLDGS- BY:
056l .-_�D r I NOW ON LOT DATE
HOUSE NO.
-� ��- � USE OF ` ASSIGNED BY
SIZE OF LOT tsI','w I EXISTING BLDG. E:�'. CORRECTIONS
APPLICATION FOR
OCCUPANCY DATE INSPECTOR
INSPECTION I SAFETY PERMIT
MISCELLANEOUS 1'L I -
TRAILER USE I LIMITED TIME USE .....-_-•_____- -_-----__--•-__•__---•--h� ---..----------
FROM:
I
DATE DATE
TO: ----------_
N -
USE OF STRUCTURES OR DEVICES
t�
�4
O i1V a r t �r�i� r � � (?eri 8 t O - -----i-..-.:-----N��`:...--•-•---.._---•--- _ ./.._...._._.......__ _-��-C-•-
;'l n d2�4 `e hn of class�� r�0114 or -•-_ -_
unday t1�-�^� --•--- -• F--._...___.._es-[----e-.sl•X?---
use Only _.._..---• I-`.�............. ...�'�z ..-_
C ,
........... -
INSPECTION FOR �. -_ -..-.___}__--_.._.__--------------�_..__._._.___...._._..__-__.�`-�_-,__-___y.`� -
OCCUPANCY AS -1class
---------------------- ----------------------_-__-------• ----'.....-----.---__..---�......._..................
-
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE IN
GIVEN IS _...............................----......................................------------------------------------------
_
CORRECT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ................ ..................---..-__'-_.._.----._-...-.-_---__-_.__-._-_I__------__._...--._-..__.-
AND STATE LAWS RF-PULATING BUILDING C//ONSTRUCTION. APPROVALS
SIGNATURE OF INSPECTOR'S SIGNATURE DATE
�. ",Ci�3`-� �
PERMITTEE � L^ OCCUPANCY APPROVAL
N / GROUP ❑CC.LOAD
t` ADDRESS f�2-'!i ��` )� ,
m TRAILER USE
ED
AUTHORIZED AGT. SAFETY PERMIT
0
STRUCTURE APPROVED
a MISCELLANEOUS FEE I b [TEMPORARY
TEMPORARY
m ST RU CTURE REMOVED
r PERMIT FEE I s FINAL APPROVAL