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Home My Public Portal About4851 KAUFFMAN AVE_Building__ 78A 638A CE0803 8-63 APPLICATION Y®N ..'F®R BUILDING PERMIT " COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS �y S BUILDING AND SAFETY DIVISION LOCALITY ;�pL �,�_. 6/ JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. P DISTRICT Ng, VG! jTYPE PR CESS -D'BY FOR APPLICANT TO FILL IN —'��' v. CONST. t BUILDIADDRESS � �¢-c' � i� STATISTICAL CLASSIFICATION _-� SEWER MAP''� / / CLASS. NO. DWELL.'UN.ITS (T J 'L+� LOT WATER CERTIFICATE: NOT REQUIRED ® RECEIVED ❑ TRACT „S �' ! MAP NO. � / >b HIGHWAY NO.OF BLDGS. (CIRCLE) STATE MAJOR SECON CL% A SIZE OF LOT �.JOK' NOW ON LOT USE ZONE SPECIAL , USE OFCONDITIONS EXISTING BLDG. 4/19 // 9/j - TEL NOfQ� Q 4...r � `H / OWNER�� U I L D I N G EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT /y ,�•— ARCHITECT O EL. P. L ENGINEER' f5 O. SIDE P. L. ADDRESS p OACM TELA - 0 CONTRACTOR C No. PAR V ADDRESS utter, sidewalk, and driveway a.PPraac O DESCRIPTION OF WORK Altad r curb, g ., ql 6tillaiions should be taken out at ?t.e r' order tb A+id. V 4,. c.^ imr edia?eiy .in Uj NEW - ADD ALTER REPAIR DEMOLISH O�{ipo, or �• & Desig work talo'- tjn'e do s n Y T� " 'N . T. NO. OF NO. OF sla . Survey permitjr�p at Tr Z SIZE STORIES FAMILIES ' een issue-. APPY STRUCTURE � f I�j int Pearmit has b USEO , Pc _ 47 "7 A4 °'df SI NATURE o01 APPLICANT 114 lip y VALUATION $ 4-IL- („( 1 APPROVALS DATE INSPECTORS SIGNATURE P.C $ FEE FE PMT' FOUNDATION: LOCATION FEE $ ? FORMS, MATERIALS FRAME: FIRE STOPS. v 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON VIOLA. LATH. INT. TION OF THE LABO CO E OF THE STATE OF AL O RELAT. INC TO WORKMEN' C ENSATION INSU AN ' LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERM ITTEE OR-PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. FfRINCIPAIf S I& JyJRAL'ENGI NEER PLAN CHECK VALIDATION cK. .D. CASH PERMIT VALIDATIOj7. M.O. CASH Let o a.0 :0 Plug'14 2 1 0 5.63— Q AUG 14 1 D 22.50- V �� LP,Lo 0 8 _ _ ' TEMPLE Wr M LEWr . 78AG88A CE#8082/80: APPLICATION FOR BUIL®IIV ' ERMpT COUNTY OF LOS ANGELES ' BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS I .` BUILDING AND•SAFETY DIVISION ' . LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUP T of BUILDING CROSS ST. .,,' - - DISTRICT NO. G TYPE ESSED BY FOR APPLICANT TO FILL IN I corvsr. BUILDING .M f(' STATISTICAL CLASSIFICATION SEWER MAP R ADDRESS 77 A 11 BK a. ., j CLASS.NO. DWELL.UNITS ' LOT Ir '�[J/�LJ BLO MAP STATE YES O' a NUMBER HWY, TRACT L1 o. USE ZONE SPECIAL SIZE OF LOT X �'rJ5 I NO,OF BLDGS. fi ) CONDITIONS ' //��`� NOW'ON LOT ./ EXISTING BLDG. -Dw rte'f!IN 9 e' BUILDING Y - EXIST, L P� YARD HWY STREET ME �D b F, P, NO. { SETBACK - 'WIDTH' OWNER FRONT , ADDRESS vr �r,�ri. •/ l i � SIDE. L ARCHITECT OR . - TEL. -P.L• ENGINEER NO. INSPECTION RECORD ADDRESS �*' -- �+ ,p �^ 7 �� -� TE :�i�A"i lIJ T �, �LvY' GP .Gycea2 �6unl , `'^r f a CONTRACTOR t1�JsqjS/ N�yO B O ADDRESS/�v5 ?",01J Il'. �'.W, l-Oy 1-714 - .t-'t/k?<� .�,� �,.w�r.�tc',Gr�?.�t•�, � U DESCRIPTION OF WORK �5•�. -r- -�� a��2i s:�- "—:. 0 v o NEW ADD !/ALTER REPAIR DEMOLISH - SO.FT. �<J NO.OF NO.OF SIZE 7.� STORIES - FAMILIES USE OF, ff � /^ /� �'!�`�T //U.�. nGFP��'� .� �. .F�,.✓�'T, / �.� F' •� STRUCTURE. D W I I1 q 7', �•... -SIGNATURE OF `.,e APPLICANT VALUATION - APPROVALS" -- DATE INSPECTOR'S SIGNATURE. P.C. Q" PMT. - FOUNDATION: LOCATION. j-y.'-- FEE $ FEE $ P FORMS,MATERIALS '/ � •,/s ,p-" 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ-THIS AP- FRAME: FIRE STOPS, - D PLICATION AND STATE THAT THE ABOVE IS.CORRECT AND BRACING, BOLTS -�/73� S ��@� AGREE TO.COMPLY WITH ALL COUNTY.ORDINANCES AND FURNACE:'LOCATION, �— STATE .LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I EL�ATH.INT. Mir#' y� WILL NOT EMPLOY ANY PERSON IN VIOLATION OF'THE R WORKMEN'S COMPEN TIO LA OF CALIFORNIA. LATH,EXT.' SIGNATURE OHOUSE NUMBER COR- PERMiTTE �pl RECT AND POSTED / �p ,ry -A ADDRESS 'C kAQ 11i .FINAL CLYDE N. DIRLAM,PRINCE RucTURAL E „t PLAN. CHECg VALIDATION i--K. _ M.o. CASH 1 PERNlITT TION CK. M.O. CASH, L: tis,4 0 2 52 Jig DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMITDR COUNTY OF'LOS ANGELESO ( ' WM.- J'..FOX, CHIEF ENGINEERB OUR 1 - IN FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY .. ,p -DIST NO: PLAN]CK. NO.QQ PERMIT NO. BUILDING •: ; --/I- ADDRESS" J LOCALITY ® d �REEJCEIVBY DATE OF APPL.- ' DATEISSUED ' NEAREST CROSS ST. p _ ,. BUILDING ADDRESS OWNER / C1 'ADDRESS 1 '. NEARESLOCALITY MAIL ry G, TEL. TD�+O( CROSS ST. d CA. CITY 1 -NO. t FIRE Nd!q TYPE` G OU , ARCHITECT OR'' TEL. ZONE I PLANS Z� I ✓ I _..c.. ENGINEER NO. BLDG. �r ORD. NO. SETBACK LINE �'7 y .ADDRESS '� 1 APPROVED -- - - Com" TE-//y [ BY. DATE CONTRACTOR �' IVO. Z USE .` APPROVED ZONE.Q, BY DATE!- /'��v ADDRESS �/ 1 HOUSE 'NUMBERING LEGAL �� /.� ?�„n DESCRIPTION I LOT NO. I BLOCK MAP NUMBER FIELD CHECK BY ~ TRACT* . - NO. ASSIGNED BY DATE NO. OF 13LDGS. CORRECTIO S SIZE OF LOT J e I(jA o - I NOW ON LOT- I - ^� / USE OF .. NO. OF r' JU'f� �gcD S� •:I� .CJ A/J Fl EXISTING BLDG. I FAMILIES' . DESCRIPTION OF WORK NEW ....I I ALTERATION. I I ADDITION O REPAIR I I DEMOLITION SQ..FT. q NO. OF SIZE AM Z> ROOMS STORIES _ Y EXT. WALL - ROOF ��r1 r COVERING ] COVERING USE OF STRUCTUREt APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS. CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY.ORDINANCES AND STATE BRACING, BOLTS A LAWS REGU,LATINGOhUILDIN`G` COONNSTRUCTIQN. FURNACE: LOCATION, "•� � SIGNATURE OF 'll ' .1�%� GAS VENT; DUCTS PERMITTE CCCJJJ I' •},� I � s'✓��IIi® -, LATH, .NT., INT. .. ADDRESS LATH, EXT. 23 AUTHORIZED AGT. PLASTER, INT. 76AG38A- DB33 10,-80 $ ®� p p P. C. $ J df 6 ® '• a FEE PLASTER; EXT. / VALUATION- �/ 4 O OJ FEE $ 3 7 Z� FINAL Ito- '�'� WORKERS COMPENSATION DECLARATION 'I hereby affirm that''I have.o certCom a of consent'to self Or�n 0 Dp n i D O,�n (� =f nst'.; uta` -rtificate of Workers'Compensation Insurance, APIPMC(�=� (fv lei u�f �fv� or a certified copy thereof (Sec: 3800, fab; C:) COUNTY.OF LOS ANGELES BUILDING AND'SAFET, Policy No Company BUILDING r 11Certified copy is hereby furnished. FOR APPLICANT TO FILLJN - ADDRESS ' . ❑ Certified copy is filed with the county building inspec- BUILDING r Tion department. ADDRESS LOCALITY . vl C NEAREST Date ' Applicant. - CITY. �' ZIP CROSS ST. CERTIFICATE OF.EXEMPTION FROM_WORKERS' NO. OF BLDGS. { ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT' 1 MAP BOOK PAGE• PARCEL (This section need not be completed if the permit is for one US NE MAP hundred dollars ($100)or less.) TRACT B1LOrCK O.LOT NO. J NO.SPECIAL CONDITIONS N . \ Y ++ �/ I certify that in the performance of the work OWNER\,`IWO4A✓.for which this DISTRICT GROUP TYPE FIRE ESSED,BY ilL permit is issued, I shall not employ arty person in any manner ADDRESS L .KFS' I��t�L _ so as to become subject to the WDrs',Compensation La s. CONST, ZONE Q3 �/w i` . 1. ZIP O. Date l( ` Applicant �� CITY l STATISTICAL CLASSIFICATION APT., CONDO. NOTIC_'TO A PLICANT: If,,.after makin this Certificate of . ARCHITECT OR`` t _1 TEL. LU Exemption, you should become subject to the Workers`' ENGINEER J 'l p�j,�'((`��1-Sr. NO. i �I�. CLASS NO: � DWELL. UNITS - Compensation provisions of The Labor Code„you must forth- - ADDRESS.'[50 6:66r N �1 A�SIV/t IN SEWER P with comply with.such 'provisions or this permit shall, be TEL. ! r deemed revoked. CONTRACTOR r_ NO: VALIDATION - _ BK. PGtr-� - :LICENSED CONTRACTORS DECLARATION LIC I.hereby ciffirm'that I am licensed under provisions of Chapter ADDRESS S `� NO: VALUATION' (commencing with Section 700b)of Division 3 of.the Business and LIC . 'Professions Code, and'my license is'in.full force and effect. CITY �L'�. CLASS $ � � � 5 7 2 0'A ' k SQ.'FT. NO. OF NO. OF ( CHECK .License Number- Lic.Class T SIZE STORIES FAMILIES ONE o,a*o. o.2 3 DESCRIPTION OF WORK NEW( $. I•° 2.9'3,,9-o Contractor p Date` ! �i,e � �l ❑ I am exem t under Sec. ZOO SicK x-`6!1✓�l �`'+i'l. 0�( ADD 0 0.2 9 39-0 5 ALTER ■ FINAL " •B.&P:C. for this reason " 0\1l3 [� 'Ar /\ REPAIR ❑ DATE 02 1 �8 6 Date: USE GING BLDG�II�&r-{ L MOL ❑ FIN Signature s APPLICANT � T By OWNER-BUILDER DECLARATION PRINT LL E N f I hereby affirm that I am exempt from the Contractor's License - Law for the following''reason,:(Section 7031.5, Business and ADDRESS G� E:.& .$ 'i /� `�/ k' ill Professions Code): PRESENT BUILDING. 1, as' owner of.the property, or my employees with ADDRESS Wages as their sole compensation,will,do:the work and the structure is not intended or offered.for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑, ,I, as owner of the property; CONTRACTOR NO. p p y; am exclusively contracting with licensed contractors to construct the project (Sec tion 7044, Business and Professions Code). DDRESS ;9597 A REQUIRED TOTAL SETBACK FROM EXIST. YARD' HWY 9 7 9 A I hereby affirm that there is a construction AGENCY SETBACK PROP. LINE WIDTH 1 i CONSTRUCTION LE y lending agency for FRONT _ # o. 0 0 0 0 The performance of the work for which this permit is issued P.L. D -°3'S 6 2'S (Sec. 3097, Civ.. C.). SIDE m • P.L.- _ _ _ Lender's Name ° ° 3 5 6,2'5 C5 Z 7S I1.,T9_8b., . Lender's Address P.C. Fee$ J,`~/ Permit Fee / �j I cerlify'that I have read'This application'and state,that the Issuance Fee' above information is correct l agree to comply with,-611 County, Investigation Fee g ordinances and State laws relating to building construction, _ Total Fee d acid hereby 6uthorize:representatives of this County to enter upon the above-mentioned property for inspection urposes. -• yt.. a / SEE REVERSE FOR EXPLANATORY LANGUAGE n Sig at of Applican en Date' ®s