HomeMy Public PortalAbout4847 KAUFFMAN AVE_Building__ DIVISION OF BURDING AND SAFETY .
Department of County Engineer U I L D I M
County of Los Angeles-
WM. J. FOX, COUNTY ENGINEER APPLICATION
BDNFOR APPLICANT TO FILL IN ADDRESS
BUILDING //�� �f �j LOLOCALITY-O
ADDRESS "r" v � / -
i. NEAREST
. LOCALITY CROSS ST.
DISTRICT-NO: -' PLAN CK:OR REc:No., -' PERMIT NO.
NEARESTCROS 9T. �&
/s 5 7/ 3 4� ZG SS
OWNER C_p,/ / Y /�/REE_CEEIIIVVED BY �D9AT OF APPyL.. DATE ISSUED
AMAILDDRESS /J Zi.' — G /��Z/.,/ -71z Z
- -USEZON "POLAIO I GROUP/ I :FIR ZONE '
TEL. r� 27I �- /-
CITV NO.
ARCHITECT6R TEL. x �nZONING DATED
ENGINEER - NO. APPROVED BYBUILDING - ��sj '
ADDRESS - ,� SETBACK LINE: ® ' F r ,SN/�. '�
TEL r� ? APPROVED DATE
CONTRACTOR 4_y sus NO)7r-/'2Vy BY: '-
ADDRESS - 6 HOUSE NUMBERING-
LEGAL l z'Y''LOT NO.,/0 MAP NUMBER ®�K_' NO. ASSIGNED BY
DESCRIPTION BLOCK
735/ DATE I CORRECTIONS I INSPECTOR
TRACTNO. OF JJ.II- ,/,� �+ .y
G C• I T Iv. NOW ON LOT 3 h67t.,�. /��.v�v4si:A/ �
SIZE OF LOT ,/ /1
USE OF ' .. NO. OF I "
EXISTING BLDG. I FAMILIES /4G IVA) p
` DESCRIPTION OF WORK "
NEW �I,_I ALTERATION _) ADDITION Ii/'L j.,/ 5j/_.6 1A.1 C�� I >
REPAIRr9s. DEMOLITION
•
SIZE
FT.i V NO. OF J_
�A/rr , ROOMS STORIEROOF /S//7
COVERING COVERING
I COVERINGZ' "�"D/ 1/� 09,
USE OF.,STRUCT E
A"ROVALS
- INSPECTOR' SIGNATURE DATE
' FOUNDATION: LOCATION
FORMS, MATERIALS ;�)`,/4
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, //}}
' .PLICATION AND STATE THAT THE INFORMATION GIVEN IS
CORRECT. BRACING, BOLTS
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
- AND STATE LAWS REGULATING BUDDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF ' '/� ✓ PFJ LATH, INT. / (Jy �A
PERM ME
ADDRE �7 .��,� - LATH, EXT. '
SS �—
AUTHORIZEDAGT. PLASTER, INT. _
®®o P..C.ffi.. ;.. -G PLASTER, EXT. / y,�y,
_ p FEE HOUSE NUMBER RECT R-AND POSTEDJ/
VALATION
• FEE �� FINAL
76A888A DES"8 y2-83
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, ; TIQ FO R
'15U, 0L®ANVPERIT76A638A CE4803263 �' •Y
••.COUNTY-OF LOS ANGELES `. BUILDING'
DEPARTMENT,OF, COUNTY.ENGINEER ADDRESS K1-Gt7�"MFrW v.N
BUILDING AND SAFETY DIVISION LogAL T .
,.TORN A LAMBI,E 'COUNTY,ENGINtER
NEAREST•• - r
,.WILLIAM,.A. JENSEN, SU_P'T OF'BUILDING,` � CROSS ST.' '
.. DIS,-�R I GiP. :TYPE
FOR"APPLICANT TO FII:L IN l/e(/ cONsr. j�, l I
BUILDING' (�J ST.ATISTICAL'CL ICAT;ION �. S ER.MAP."
ADDRESS t3- 't t � P "C:B► '• B men„ .. .BK' .
4cr' CLAS5 NO' ' tl`DW ELL. UNITS
` r.
;LOT NO. ,g ' - .'. _ BLOCK -" WATER - -
• ' CERT^IFICATE:. NOT REQUIRED RECEIVED`�.�
TRACT:.' i. "MAP rilcrlwAY . . .. .0
SIZE OF LOT v NOW O BLDGSIL" - NO. -� 'ICIRCLE) STATE MAJOR SECOND OC:4L
NO. OF
A DR6P N LOT - USE ZONE - ' 'S 'ECi'AL
• USE OF P - CONDITIONS 1
EXISTING BLDG �, 1V►`'"A!'Q '
OWNER` / '. ,•�f '.., NO S3� BUILDING -
LE XISTYARD "HWY STREET NAME,SETBACK IDTH
*ADDRESS,.. 4➢ %1 f1�.I !'PVE C FRONTARCH ITECT OR ; . TEL R L. . ✓/ .�t3
-..ENGINEER �,. '' ... ..•' .•_. •NO.- a .'_y SIDE ,
ADDRESS;, ,O
TEL—,
CONTRACTOR NO _ }�- # !`
-ADDRESS ` r ,+" .,�.. 3..5 r f�'"'' 'J�' ',d�• .�� `°° l.�P,.�?�- •s'', O
r
9 f •.-. ti t ti`•'• r -''t+''K. -Trrsi
DESCRIPTION OF, WORK w
NEW , "ADD ALTER` REPAI'R�." DEMOLISH ►*,Iz. �'p�.+°�,• 7 ;G+" 1- .Z 1'
SQ FT.
NO;OF ',•NO. OF _ s �~
SIZE STORIES FAMILIES 1 f ^V '
U 5 E O F', ,�
STRUCTURE J.� �.� U .m v - ►t�',�w,r m ,r -
r
•D; ., � E N� R� 4 e'Q Atli a�
•.SiGN,4TU.RE OF - ♦ .. �^1Jlr! t" 1^ gfat_yr � '` .,ati }
�APPLICA NT^ a
.
'_VALUATION $': ./ - V.-
_
APPROVALS � DATE: INSPECTOR SrSIGNATUR6
P.0 "PMTS '� FOUNDATIONr.LOCATION +�� •. 1,,,1F y°
.. s.FORMs' M ATERIALS Y' P:` Pic,�; ;:4�yt a°`�•§���
FEE $ -i .F.EE $ �:J"� _ - � a
FRAME:' FERE STOPS.
',I .HEREBY ACKNOWLEDGE THAT ( HAVE READ THIS APPLICATION ',BR'ACING, BOLTS A "Fil J: ••� f �'Y!?.�k'✓eR'"v `I
AND.STATE THAT'THE ABOVE' IS.CORRECTP AND,.AGREE-TO?:CO MPLY _ G', '+ ./
t,, - FURNACE':`LOCATION
WITH'' ALL COUNTY ORDINANCES AND'"-STAT,E LAWS':REGULATING,.
GAS VENT. DUCTS.'
-.BUILDING..CONSTRUCTION. I CERTIFY- THAT IN-DOING THE WORK;', •-.
';AUTH,ORIZED HEREBY'l WILL NOT EMPLOY ANY, PERSON.'IN•VIOLA- "' ^-
LATH.'INT:
TION OF'-THE LABOR CODE OF',THE STATE OF CALIFORNIA RELAT-
TNG TO WORKMEN'S CO PENSATION"INSURANCE''j `''" 4 a• - .L�.a'r,
" .:., K - - a-LATH„EXT ,.- z ^' t#•�I,F'►t ...x.¢' .
st.
b
,SIGNATURE OF< - HOUSE'NUMBE'R'COR- c
.PERM ITT EE. -W '/ '< r ° ''RECT AND POSTED;. c ”
ADDRESS �' j' "
FINAL i ��!/
JOHN•F. LEWIS. PRINCIPAL'STRUCTURAL EN�INEER
_ PLAN CHECK,VALIDATION W6. CASH = PERMIT'VALIDATION d M CASH_ .
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