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HomeMy Public PortalAbout5036 KAUFFMAN AVE_Building__ ©s 76A638A " 77-, . CE#803-(REV.11/78) COUNTY OF LOS ANGELES BUILDING ARID SAFETY- BUILDING FOR APPLICANT TO FILL IN ADDRESS ' �%Cl BUILDING DRESS (/ ADLOCALITY 7— /J ! l_ NEAREST / CITY ZIP CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE WBY TRACT BLOCK LOT N`O�. G / rCONS`./ E L.OWNER � V VADDRESS () �r / .rjSTATISTICAL CLASSIFICATION SSEWER M /^ ` CLASS NO.�DWELL.UNITS L! BKr PG CITY ZIP ARCHITECT OR TEL. VALUATION $ O � ENGINEER NO, ADDRESS BLDG.SETBACK FRO _ /��i FRONT PROP.LINE OF (STREET) CONTRACTOR /� c=l4J'- -��DyO. �� � T S TBACK FROM TYPE OF EXISTING LIC. _ HIGHWAY + YARD = O PROP.LINE HIGHWAY WIDTH .ADDRESS rr.� �. NO. t/ '�1 �� LIC.. /1 + CITY CLASS /(7 BLDG.SETBACK FROM CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET( NAME AND BRANCH HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING IL ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH_ 0- SCI.FT NO.OF NO.OF CHECK + _ SIZE STcc cc ORIES FAMILIE ONE v USE ZONE MAP ^ ©�/� NO. DESCRIPTION OF WORK � NEW ❑ .� �� U SPECIAL edd /$"7 ADD ❑ ;L CONDITIONS N ``Aii�� ALTER ❑ FINAL DATE REPAIR ❑ ` ' USE OF EXISTING BLDG. 'C� DEMOL r�r, C APPLICANT TEL /��� (PRINT) N a' BY(SIGNATURE).' ,�/v4Q�� Z o y I HEREBY ACK WLEDGE THAT I HAVE READ THIS APPLICATION AND STATE —� p' l W THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES O V 1 3 6,2 A AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE U WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM Z ;# O 0:0,0.0,1 PENSATION INSURANCE." - g • , • 2 2;63,50 SIGNATURE OF PERMITTEE Ak/ 0.0 2.6 3.5 0 5 ADDRESS o ' 0;7,22 TEL 2 CITY NO,. G Q P.C. Fee$ Permit > Issuance Fee 7, 0 W /�j/�/ Total F s V ©s 76cA638A -o' z' CE#0803(REV-1 l/78) C/{ APPL�I1C-�TH®II.�'IFOR Bly.�L4s®llll�lG PERMQT COUNTY OF LOS ANGELES . BUILDING AND SAFETY BUILDING ��F}}ORAPPLICANT�pTOrFILLIN ADDRESS . 5,::)36 t ADDRESS--� v� �j 7� tl LOCALITY NEAREST CITY F7A LIF C, ZIP i fooCROSS ST. NO:OF BLDGS. ASSESSOR SIZE OF LOT IS / NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PRO SSED RY TRACT jBLO�C1Ky� / 'LOT NO. CONST (j CONST ZONE L.OWNER rkr v -Ca�h'LCf�vO.j ^�3J7 �i©® G . p �+,,� a STATISTICAL CLASSIFICATION" Z;0� - - SEWER M(�9P ADDRESS�S N �rl 1 A nm e` CLASS NO. DWELL.UNITS__] `'F,BK(,P PG CITY � LT C—CLN ZIP ARCHITECT OR TEL. VALUATION $ ✓ ENGINEER NO. IIILLLJJJ ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF —(STREET) CONTRACTOR NO. TOTAL S T ACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH ADDRESS XX NO. _ LIC' !9 + 10 O STy rz CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LEXDER SIDE PROP.LINE OF (STREET) NAME AND BRANCH . HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OFAYWIDTH[EXISTING m ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ"FT" NO.OF NO.OF CHECK SIZE STORIES FAMILIES ' ONE USE ZONE MAP DESCRIPTION OF WORK NEW / NO. ��` �� � ADD ❑ CONDITIONS I X✓ us ll.s�l' ALTER ❑ FINAL BY REPAIR ❑ DATE Zf USE OF / EXISTING BLDG. /�T r Y /� gD�EMOL ❑ O APPTEL IPRANTI��CG �1A_(G4%A NO.T� D BY ISIGNATUREU y _ I HEREBY ACKI' EDGE THAT HAVE READ THIS APPLICATION AND STATE It ' THAT THE ABOVE I ORRECT AND AGREE TO COMPLY_WITH ALL ORDINANCES..' .. - _ ._ We O V L Oil p n AND LAWS REGUL I G BUILDING CONSTRUCTION,I CERTIFY THAT IN DOING THE m Yi WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'5 COM- .. - Z .# o"o 0,o o •• - PENSATION INSURANCE.' , d -- .._ 2 � 02200 ' • SIGNATURE Fr— PERMITTEE PERMITTEE - 22.00v ADDRESS 5 �n•, f a . `TEL:'^ ' �. c 0603-80 CITY ' �i�C•^ NOf C P.C. Fee$ Permit Fee. > - Issuance Fee W 6+ .Total Fee 2