HomeMy Public PortalAbout4911 KAUFFMAN AVE_Building__ �.. 777,
DEPAFt'fiM WE- OF J�IZILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ya ® I
Tp f�/�
WM: J. FOX, CHIEF ENGINEER ^ " '.155
FOR APPLICANT TO.FILL IN FOR_OFFICE USE ONLY
BUILDING / f' DISTRICT NO. PLAN.C•'fK. NO. PERMIT NO.
ADDRESS Z S
LOCALITY
^�Es RECEIVED BY DATE OF APPL. DATE ISSUED
E C.9� IIC
NEAREST /f'1
CROSS ST.. LIA BUILDING 1I/
,+ - ADDRESS ! S- !.`ku-F •vy a-t�.�
OWNER el/"
MAIL' _ - LOCALITY �-
ADDRESS;. ® d,. j (fes+ NEAREST
TEL. - CROSS ST. L4 2d
CITY (j 9!:� 'NO.. "� FIRE I TYPE I.GROtjp
ARCHITECT ZONE TEL. PLANS
BL
G. �j r
ENGINEER NO. SETD ACK LINE G O / '-F� OR. L �' )4 L •
ADDRESS - APPROVED
BY DATE
CONTRACTO O�o�� � NO, USE APPROVED
_ ��p ZONE A'-1 BY DATE
ADDRESS f. HOUSE
, NUMBERING
LEGAL I'LOT NO��• BLOCK MAP NUMBER v 1 t-` FIELD CHECK BY
DESCRIPTION c
TRACT ��Q, 3��Q' NO. ASSIGNED BY DATE '
/ /�� I NO. OF BLDGS. p� CORRECTIONS .
SIZE OF LOT, T1® / NOW ON LOT /�ei'vC5
USE OF ` ' NO. OF
EXISTING BLDG:. I FAMILIES t/ 1� rc ��
x z-_
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
REPAIR I - I DEMOLITION I' I I - /I - 71
SQ. FT. NO. OF. _ ���G /G/S 7"�nrs- ✓�M/.J-6:�' ,()
SIZE ROOMS STORIES O�� Z
EXT. WALL CC ROOF
COVERING- AJ C'('a1 (COVERING CoinpD. :54ar-'tee g=gp-7,n n lwaj
USE OF STRUCTURE J ca
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----•^� �`A.�-� ""o `NSP CT,ORI'SIGNATURE DATE .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION /� '•yr _ ��
PLICATION' AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT..
1. AGREE TO COMPLY WITH THE CORRECTIONS LISTED a FRAME: FIRE STOPS, Arln
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS
LAWS REGULATING BUILDING CONSTRUCTION. -
�i FURNACE: LOCATION, wf.�',h"•` j �%/ '
+ SIGNATURE OF r/^Sid GAS VENT, DUCTS " 1 j
PERMITTE . L�I
9 LATH, INT.
.ADDRESS ,
LATH, EXT.
AUTHORIZED AGT.- =,�.y.��✓y _
PLASTER, INT. ,
76AGOSA', D088 10-80 $ Cf•O P. C. $ -
® p FEE I . $ PLASTER, EXT.
VALUATION tV 7 is o FEE FINAL aG6»'Q
� 2,
C= /7
76A638A CE#8033-66 (PLICATION F®R 8WLDNG PERW u
COUNTY OF LOS ANGELES BUILDING U `
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION, LOCALITY 7:il-E z:�
JOHN A. LAMBIE-. COUNTY ENGINEER NEAREST / n
-COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST.`,_ G-/}- /� O,S 4
DISTRICT(NO. 'GROUP TYPE: .�� PROED-BY
FOR APPLICANT TO FILL IN �8 � cONST.�
BUILDING ,� Q` // STATISTICAL S.LASSIFICATION SLLWER MAP
ADDRESS / %// �(�� /�N CLASS NO" ELL UNITS . / - BK /' PG 7'7'
LOT NO. - (J607-Al Q BLOCK USE ZONE� MAP NO. aC
TRACT 5 O 8Q SPECIAL -
NO. OF BLDOS. X.Oo CONDITIONS
SIZE OF LOT 7 O K1�Q NOW ON LO7 I -
U S E OF
E NG BLDG. /h`�'�' BLDG. SETBACK FROM
�
TEL FRONT PROP.-LINE OP S¢-/l J'SE J+9/,�-/ti/ (STREET)
OWN ERI-, /�'�- L� ENO. A �� EF
XISTING SETBACK HIGHWAY .+ YARD = TOTAL
ADDRESS // �"7 /�' IDDTTaH PgOM C,L. 9
017
gRCHITECT OR EL. CK FROM. _
ENGINEER `�� NO. ^—� SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK. HIGHWAY -F. ._YARD = TOTAL
ADDRESS .ate HIGHWAY WIDTH FROM C.L.
TE
CONTRACTO `v/Gt1�,/ G�� NOL + }
ADDRESS d /`/7r//�Y /f1O Z3 v/ CORNER CUTOFF YES �' NO U
CITY SEE REVF1.WW(RII OVALS
DESCRIPTION OF WORK AND FARKWAY TREE RIEP9UI 1.1
a
CAI
NEW ADD ALTER REPAIR DEMOLISH Z
S t S PE for curb,. gutter, sidewalk, and d:!2 db'df-9,54 A5
'�Q J y
SIZE
O� / NO.STORIES
NO. OF ES I -FAMILIES. •O frkeD 0:14 of L. /Q fwd: IZOB Vg^I9};,
USE O F T` r..r_,. .•.- _ �_t�,e �. 8(t
S T IR U C T URE G, l 'h* 6iaya. SUrvey.-& mDrk`takes' f iwe ifiNdI i§ ffla ¢Avfj di
1mr.. een• Issue 4 *kpply Tor,p&rk 1 iy fie Wnylf_- .
SIGNATURE OR h1h1 .
APPLICANT -
VALUATION$ 00 APPROVALS DATE INSPECTORS SIGNATURE
P.C. PMT. FOUNDATION, LOCATION �.�„/� .
. FEE$ FEE-s 22 ��O FORMS, MATERIALS
FRAME, FIRE STOPS,'
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT /F
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION �(
WITH ALL COUNTY ORDINANCES AND STATE- LAWS REGULATING GAS VENT. DUCTS 4/r
BUILDING CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF TME LABOR CODE OF THE STATE OF CALIFORNIA RELAT- � ^
ING TO WORKMEN'S CO MPENSAT40N SU RANGE.
LATH. EXT.
SIGNATURE -. 61 S NUMBER COR-
PERMITTEE CTAPOSTED
ADDRESS Fl NALof
O F. LEWIS. PRINCIPAL STR RAL ENGINEERi'':Ul,,-
PLAN CHECK VALIDATI CK. cnsH PERMIT VALIDATION CK. M.o
.
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