Loading...
HomeMy Public PortalAbout4818 KAUFFMAN AVE_Building__ AliGam'LOCAll H®GSI FOR BU0a©OISIG PERMOT' "-FOR APPLICANT.TO FILLIN (PrinYortype only) BUILDING COUNTY OF LOS ANGELES ADDRESS '7 q'i�[ �; DEPARTMENT OF COUNTY ENGINEER CITY-7 C! zip BUILDING AND SAFETY DIVISION NO.OF BLDGS. BUILDING SIZE OF LOT 7/ f7-r6 NOW ON LOT • ADDRESS g I TRACT BLOCK", LOT NO. LOCALIT n TEL NEA REST OWNER Ir d/eV� NO. GROSS CROSS STASSESSOR . �J ADDRESS I&_ IV r MAP BOOK PAGE PARCE Q/ ZIP %//CJ D DISTRICT GROUP TYPE FIRE PROC 5 ED BY -CITY a r p CONST. I/ ZON ARCHITECT OR TZ EL. c� D.C/ ✓ ' ENGINEER - NCSTATISTICAL CLASSIFICATION. SEWER MAP ADDRESS _ CLASS NO. © 0 DWELL.UNITS f BK PG CONTRACTOR ,,JJ a t/ DeV NO?&'>8I NE MAP ADDRESS Z 1� Ie e .BI 10. , SPECIAL NO. CONDITIONS CITY ' CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTIO .LENDER NAME AND BRANCH �(�' C1�S BLDG.SETBACK FROM FRONT PROP.LINE.OF (STREET) ADDRESS l f �N/J(( /K CITY A`6! /4_-11 __ TOTAL SETBACK FROM TYPE OF EXISTING O.FT. NO.OF NO.OF CHECK HIGHWAY - + YARD FRONT PROP.LINE HIGHWAY WIDTH IZE /� STORIES FAMILIES ONE— SS } DESCRIPTION OF WORK -NEW + O ADD ❑ BLDG.SETBACK FROM � SIDE PROP.LINE OF (STREET) O ALTER ❑. TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY + YARD, = SIDE PROP.LINE HIGHWAY WIDTH _ N USE OF - REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ - + AP%CANT j of TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT(. •o j/ IN OPEN SPACE YES ❑ NO ❑ i BY(SIGNATURE)6:1;qIN ASTAL PERMIT ZONEYES ❑ NO ❑ VALUATION $ 5 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE'ABOVEIS CORRECT AND"AGREE TO COMPLY WITH ALL ORDINANCES _ AND LAWS-REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THEW WORK AUTHORIZED HEREBY I WILL.NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM. PENSATION.INSURANCE: SIGNATURE•O / FERMI TTE F ofs ADDRESS �7/��U e�b _ CITY NO?L IoZaj LL DATEL /ep �� �� BY LMAKE CHECKS PAYABLE TO:- FEE $ ,/ FEET `P HARVEY T.BRANDY,COUNTY ENGINEER / UJ/� ---2317 PLAN CHECK VALIDATION cK. o.. CASH e / PERMIT VALIDATION cK. M.O. CASH 4 8 2 SPR 2—'.2 .3 1�' o� U i- 2 4 7 n." 4 i." 2 3 700 0 eJs. ®s 76A63BA CE#803&75' _ NVQ °'A P P L O C.�aT 0 ON FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING A D SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESSBUILD EI NG ADDSS .. �� LOGALIT C-� �T��ZIP NEAREST CITY 7:k1,7P4e 4 CROSS ST. S" NO.OF BLDGS. J ASSESSOR - SIZE OF LOT / " r OW ON LOT / MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE lSED BY 0' y, CONS . ZONE TRACT,�I/(� BLOCK LOT NO. � TEL. OWNER NO. M �2-- STATISTICAL CLASSIFICATION SEWER AP ADDRESS CLASS NClz� DWELL.UNITS - BK PG USE ZONE MAP CITY ZIP NO, ARCHITECT OR TEL. �-�� SPECIAL _ ENGINEER NO. VVV��` CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONTRACTOR NEOL.S5 7('� DG.SETBACK FROM , LIC. RONT PROP,LINE OF (STREET) - ADDRESS 3 ��� NO. IGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY 'A LIC• FRONT.pROP. LINE HIGHWAY WIDTH Sr O/V �LIy-/ CLASS - CONSTRUCTION LENDER + NAME AND BRANCH a BLDG.SE ADDRESS . CITY SIDE PROP. LINE OF (STREET) SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL ETBACK FROM OF EXISTING ,O SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGH WIDTH CD DESCRIPTION OF WORK .. NEW + N L/( flO�GC �LG/U� ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ N0 ❑ USE OF y/ DEMOL IN COASTAL PERMIT ZONE YES ❑ NO /V ❑ EXISTING BLDG.- ❑ APPLICANT TEL ��,�� D'�' � ��'[.��"` ""'�• (PRINT) - - NO. BY (SIGNATURE) I HEREBY ACKNOWL T A I HAVE READ TVS APPLICATION _ AND STATE .THAT THE ABOVE CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON STR UC TION. I CERTIFY THAT INDOINGTHE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF NE LABOR CODE OF THE. STATE OF CALIFORNIA IN RELATI TO WORKMEN'S COMPENSATION IN ANCE. - - - SIGNATURE OF FINAL ) / 1 �-72 BY PERMITTEE—" DATE ADDRESS T E L. P.C. Fee$ Permit Fee CITY N O. ` GG, Issuance Fee VALUATION Total Fee �,2A 7.5 PLAN CHECK VALIDA'T'ION CK. M.O. CASH o PERMIT VALIDATION M.O. CASH 2211,11, 10 2 21 .`75A 76A63BA-CE#603B 1.275- 1/ ©Y .APPLHCAT08ir�OR B'U0t%0NG PERWT FOR A PPLI CANT TO FILL IN lPriritortype only) COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING.AND SAFETY DIVISION IN OF'BLDGS' BUILDING SIZE OF LOT NOW ON LOT ADDRESS TRACT )�CJ BLOCK LOT NO. LOCALITY TENOL: NEAREST OWNER + CROSS ST. ASSESSOR. , - ADDRESS- MARBOOK. PAGE PARCEL „� DISTRICT GROUP TYPE_ FIRE PROC ED BY =CITY ZIP ZO ARCHITEC OR .TEL. .., NE, • ENGINEER NO- STATISTICAL CLASSIFICATION SEWER MAP ADDRESS _ CLASS NO. DWELL:UNITS BK PG TEL. CONTRACTOR p NO USE ZONE 'MAP , LIC. - NO. �%Ol ADDRESS NO. / SPECIAL LIC` CONDITIONS - CITY CLASS CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED ' YES Q NO - NAME AND.BRANCH BLDG.SETBACK FROM FRONT PROP.LINEOF (STREET) ADDRESS -CITY _ TOTAL SETBACK FROM TYPE OF EXISTING SQ:FT NO.OF NO.OF CHECK HIGHWAY + YARD ._ FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE 11 . } DESCRIPTION OF WORK NEW + O ADD BLDG.SETBACK FROM SIDE PROP:LINE OF - (STREET) O r ALTER U ` = TOTAL SETBACK FROM TYPEOF 'EXISTING w HIGHWAY + YARD SIDE PROP,LINE HIGHWAY 'WIDTH,: N L REPAIR 0 USE OF- + _ Z EXISTING BLDG. DEMOL APPLICATEL CORNER CUTOFF YES C NO (PRINT) a ,'. jl 'NO. r IN OPEN SPACE YES a NO BY(SIGNATURE) IN COASTAL PERMIT ZONE YES NO 0 VALUATION D *� . I HEREBY ACKNOWLEDGE THAT I HA READ THIS APPLICATION AND'STATE THAT THE.ABOVE'15.CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE ' WORK AUTHORIZED HEREBY I WILL NOT EM ANY PERSON IN VIOLATION Of THE LABOR CODE OF E TE O CALIF R 11 RELATIS COM PENSATION-INSU SIGNATURE,7r - PERMITTEE <' ADDRESS A owl TEL. FINAL BY a _ DATE. CITY NO M KE ECKS PAYABLE TO:. - P.C.$ PMT. $. HARVEY T. ANDT,COUNTY ENGINEER FEE FEE ` PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION. K. M.O. CASH .1, 2.0D.m i ,®S 76A638A CE#803 3.75"