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Home My Public Portal About4905 KAUFFMAN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY ` 'COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER APPLICATION • - - FOR APPLICANT TO FILL INV FOR OFFICE USE ONLY �} DISTRICT NO. PLANCK. OR REc'.'No.. PERMIT NO.- ADDRESSBUILDING q�fY /.r/9 � 7 Ste/3-J RECEIVED BY DATE OF APPL. DATE ISSUED LOCALITY NEAREST _ ��/r✓ !�" / CROSS ST. BUILDING OWNER (//y / �� ADDRESS//� �� MAIL /� �p�` LOCALITY 1 c—, ADDRESS - NEAREST, - - CROSS ST. t� A TEL CITY �A`� D� iG •NO. . FIRE f I ,NO. OF I TYPE GROUP' a - ZONE PLANS ARCHITECT OR , TEL ENGINEER NO.. BLDG. .. ORD. NO. - SETBACK LINE •- - - - - ADDRESS USE APPROVED CONTRACTOjTEL ZONE BY 'DATE fl{I NO.(�/j.� _ HOUSE NUMBERING ADDRESS MA A', J V MAP NUMBER NO. ASSIGNED BY LEGAL _ ; CORRECTIONS DESCRIPTION LOT•'NO. BLOCK _ .. TRACT NO. OF BLDGB. SIZE OF LOT I NOW ON LOT , USE OF I NO. OF EXISTIN BLDG. FAMi LIES DESCRIPTION OF WORK ° NEW ALTERATION ADDITION Z D REPAIR DEMOLITION - r Sq.FT. NO.OF SIZE ROOMS STORIES EXT.WALL / I ROOF . COVERING COVERING USE OF STRUCTURE INSPECTION FOR APPROVALS ALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS, CORRECT. - BRACING, BOLTS - I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF - r LATH, INT. PERMITTEE V V IV 1w LATH, EXT. ADDRESS PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. $ P.C.III OUSE NUMBER COR- �C`_-�, FEE HOUSE AND POSTED VALUATION FINAL e,e e, FEE 76A63BA DBS 3 7-51 ' DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles _ FOX, COUNTY ENGINEER — APPLICATION FOR APPLICANT O FILL IN FOR OFFICE USE ONLY DIBTRlF NO: PLAN CK.DR REC.No. � P RMIT N A BUILDIDDRESSNGy �� a � .�/ p'� - . �] CEIVED BY - DATE JAPPL. DATE ISSUED' LOCALITY N'.EAREST - y� •' r l tyRO9B ST: i a BUILDING //�„�ti !'` � ,�• p� s� t ADDRESS OWNERMAIL C t. . j�,, LOCALITY ` `- ADDRESS V , NjEAREST CROSS BT- TEL. / NO. IRE NODCITY ROUPy ARCHITECT OR TEL ZONE I PLANS ENGINEER ANO. -QLOG. ^ "`"SSS�� 1 • SETBACK LINE ADDRESS f USE APPROVED CONTRACTOR t / >' N�'7 (� +: 201J�� BY HOUSE NUMBERINGDATE ADDRESSf � l / ��+ .,-�/� 1 t MAP.NUMBER NO. ASSIGNED BY-- ___M DESCRIPTION', LOT NO�90?1& °"r BLOCK ,�v�/ 7� CORRECTIONS TRACT 1 7 L SIZE OR LOT L7 �, � I NOO. N OF BLDGB. �/�/�P�S"Z I NW OLOT USE OF / . . NO.OF L �� s^�'S `�• EXISTING BLDG. FAMILIES "00-.0 DESCRIPTION OF WORK (fir � �",Q T' .�T�.c e•.. a ..,a 0 ,;- ct NEW ALTERATION. ADDITION Z rgit✓A rE� Lei>_°�' `/ r REPAIR DEMOLITION L 1� •MY�.� ,/ BFT. NO. - 912JZ E 'COMB 9TORLE3, EXT.WELLROOF /� p COVERING COVERING, I COVERING USE OF STRUCTsLIRE Le c • INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'SSIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- - PLICATION AND STATE THAT THE INFORMATION GIVEN 19 FRAME: FIRE STOPS, ' CORRECT. BRACING, BOLTS �. ? I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, Q AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF ,/ ^ C,� �,��._ LATH, INT. PERMITTE , — ADDRESS `�! v� • I (.1.. -/, { °� LATH, EXT. . �� • sH (/ AUTHORIZED AOT. PLASTER, INT. PLASTER, EXT.P. �� o FEE$ G HOUSE NUMBER COR- ''') RECT AND POSTED VALUATION S� �S � � � X�- FEE ✓ �r FINAL 76A636A DBS 3 1-52 76A638ACE#80310-58 APPLICATION FOR BUILDING PEMI`s° COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS d I JJ _ =—BUILDING--ASVD-SAFETY-DIVISION – JOHN A.LAMBIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. -` RM&M - DISTRICT N0. k OU Ty pE PRO SSED BY- FOR APPLICANT'TO FILL IN I cc I. ale L' BUILDING "`I SE ER MAP ADDRESS .. STATISTICAL CLASSIFICATION kru BK P CLASS.NO DWELL. UNITS `�' LOT NO. ' 7 v y� MAP STATE �...., ;`'� ,.. _ - NUMBER HWX- YES. TRACT t '�F USE ZONE SPECIAL - �/ NO.OF BLOGS. CONDITIONS SIZE OF LOT }(��f �(f I NOW ON LOT USE.OF EXISTI G BLDG. - BUILDINGEXIST. YARD HWY 'STREET NAME '• SETBACK. = :• WIDTH ' OWNER 1 L FRONT. MAIL P.L. - -- ADDRESS 6 0 A SIDE. T L P.L. - U cITM NO INSPECTION RECORD ARCHITECTOR TEL. ENGINEER NO. - - - DDRESS- - CONTRACTOR NO DDRESS' scx� .- L ,�- DESCRIPTION OF WORK '7-/v–Y5 E ADD ALTER REPAIR DEMOLISH SO.,FT. NO.OF NO.OF SIZE STORIES FAMILIES`. USE OF STRUCTURE SIGNATURE OF S- O �1 - _ :1 APPROVALS - APPLICANT '{ .DATE INSPECTOR'S SIGNATURE ADDRESS ILC1�L5 FOUNDATION: LOCATION el FORMS,MATERIALS a -� P.C. FRAME: FIRE STOPS. FEE • -.BRACING, BOLTS ' - - VALUATION $�.q FURNACE: LOCATION. FEE 4 ✓ GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS AP- LATH, INT. - ZT 0-OL • PLICATION AND STATE THAT THE ABOVE IS CORRECT AND , AGREE TO COMPLY-WITH ALL COUNTY ORDINANCES AND - / STATE LAWS REGU TING BUILDING CONSTRUCTON. LATH, EXT.. _ SIGNATURE OF 5 3 HOUSE NUMBER COR' E PERMITTE1 AAA��L3��J\\� RECT AND POSTED" ADDRESS- FINAL' CLYDE N.DIRLAM, PRINCIPAL STRLjrjURAL ENGINEER PLAN CHECK VALIDATION M.o. corse - PERMIT VALIDATION ."CK. M.O. CASH 0 LAI ,o 5 4 3 ,°; JUL 2 n 3 1, 3 :rJ I, f% o 5 4 4: U?_ 1 1 2,0.0 . to API PUC AMON FOGS . BU LUNG PERMIT COUNTY OF,LOS ANGELES BUILDING AND SAFETY • WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby raffirm'that.I have a certificate Of.COnsent to self ins ure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified �9v`� / copy thereof (Sec..3800,Lab.C.) S1 ,�,LC w� CITY t C1 ZIP /W, O --- ---- sT/B LOCALITY Policy No.lt 6'�s�� Company SIZE OF OT NO.OF BLDGS.NOON LOT / LIQ Certified copy is hereby,furnished.' NEAREST'CROSS ST. - ❑Certified copy is filed with the county building inspection TRACT "BLOCK LOT NO. Ctified/department. - USE ZONE MAP NO. _ Date y I®�'/� Applican _ ASSESSOR MAP BOOK PAGE - PARCEL - � * � SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM W KERS' OWNER TEL NO. COMPENSATION INSURANCE A.`� r yW oS G 1/ WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY. dollars ($100),or less.) CITY ZIP y I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner s0 as to ARCHITECT OR ENGINEER` TEL NO. become subject to the Workers'Compensation Laws. - - STATISTICAL CLA SIFICATION APT CONDO Date ;Applicant ADDRESS - CLASS NO. DWELL UNITS NOTICE TO _APPLICANT. If, .after making this Certificate of REQUIRED ,TOTAL SETBACK FROM EXIST,. Exemption; you should become 'subject to' the -Workers' CONTRACTOR / e - T�EqLrNO. q SET BACK YARD HWY PROP LINE, WIDTH' Compensation provisions of. the Labor Code,<you must forthwith d , t..4 �Cew ;ri ✓J /,? FRONT comply with such provisions or this'permit shall be deemed revoked. A DRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION s^ SIDE • CITY - LIC'CLASS� PL I hereby`affirm that'I am.licensed underprovisions of Chapter 9 d/JP V� SEWER MAP (commencing with Section 7000)of Division<3 of the Business and, SO.FT.'SIZE NO OF STORIES NO.OF FAMILIES NEW Professions Code,and my license is•in full force and effect. BK �1 /� pp PG License Number �s �8�r Lic.Class C 27, DESCRIPTION OF WORK ° ADD ❑ VALUATION 0 / D Contracto��PAlAel �D��Date' y� w�,9.3 I�w�. e� a i/t .. om : / ,� .ALTER ❑ $ � �d�- U Ch !+ 4 iiia REPAIR ❑ 0 ❑ 1 am exempt under Sec BAP.C.,for this reason I �' OL ❑ CDMA P/c# IJJ le Date: - S .OF EXISTING BLDG. ; URM °❑ .. :. - C. • - Signature - ) Z APPLICANT(PRINT..) - TEL NO. CDMA Perm# . ❑ I, as.owner'of the property, or my employe' with wages as Z �?-;�'€ °a' their sole compensation, will do the work and the structure is ADDRESS O �'I i.i FINAL DATE f' -_30 c• i`I':'e s_� not intended or offered for sale (Section 7044, Business and Q Professions Code) { `'T .1- 'WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS.MATERIAL Zo' J € .L,i t_i I1 OR A MIXTURE CONTAINING A.HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE - ❑ I,,as owner of the property, am exclusively contracting with FINAL By T AMOUNTS'SPECIFIED' N THE HAZARDOUS MATERIALS INFORMATION GUIDE? licensed contractors to construct the project (Section 7044, f 13 . Business and Professions Code.). YES❑ No (-A,_ _ WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH _ S''`il'i.. ' - ''f'ft!�a j•L' CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR F E�}r.�.� o I') GUIDELINES. .. t,H!-f - 3 I hereby affirm that there is a constructiomlend ino agency for YES 1:1 No a the performance of the work.for,Which this permit is Issued(Sec. 3097,CIV.C.) (HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING CHECKLIST.I,UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a - - TITLE 2,CHAPTER 2.20 SECTIONS2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUSLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. r f c) Lender's Address O _ _ OWNER OR.AGENT - 0 1 certify that I have read this application and state under penalty 0 of.perjury thatthe above information is correct.f agree t0 comply'. omply P.C.FEE PERMIT FEE j •� , o with all county ordinances. and State laws relating to building a construction, and hereby authorize representatives of this County ISSUANCE FEECID m to enter upon the above-mentioned property for inspection purposes. a " INVESTIGATION FEE TOTAL FEE - - r. synawre or Anwhm or A9em Dale SEE REVERSE FOR EXPLANATORY LANGUAGE