HomeMy Public PortalAbout5043 KAUFFMAN AVE_Building__ 76A638A CE 4803 1/71 -
APPLICATION FOR BUILWNG PERMIT
COUNTY OF LOS ANGELES ASSESSOR '
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS (J �
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY Q / j•
FOR APPLICANT TO FILL IN NEAREST
Print or type onlO - CROSS ST. Fi SI•
DISTRICT NO. 'GROUP TYPE �� PROCESS�D BY
:BUILDING' T" CONST.
ADDRESS t�DA�yL� '!�✓/�� li iiV!' d+- /
ON SEWER MAP
LOT NO. !�/` ,�. �,�BLOCK iSTATISTI AL CLASSIFICATI
CLASS NO. DWELL,UNITS- BK , PG
TRACT If .3 15L - USE ZONE MAP
NO.OF BLDGS. �� NO.
SIZE OF LOT NOW ON LOT SPEGYA L -
USE OF CONDITIONS
EXISTING BLDG.
TEL.
OWNER ,e�Ap S NO.
BLDG.SETBACK FROM
ADDRESS' FRONT PROP.LINE OF (STREET)
TYPE'OF EXISTING SETBACK HIGHWAY } YARD — TOTAL
CITY - HIGHWAY WIDTH FROM C.L.'
ARCHITECT OR TEL. } _
ENGINEER NO.
BLDG.SETBACK,FRO -
ADDRESS _ - SIDE PROP. LINE OF (STREET)
-TYPE OF EXISTING SETBACK GHWAY } YARD = TOTAL G0..
CONTRACTOR .�� /1lGg�C' NO. HIGHWAY WIDTH FROM C.L. O-
U
LIC. ryry C
ADDRESS
O
CITY -.' Gr:• - CLASS :3 CORNER CUTOFF -YES ❑ NO ❑ W
CONSTRUCTION LENDER a
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROV LS z
ADDRESS' -
SQ. FT. NO. OF NO, OF NEW ❑ -
'SIZE STORIES FAMILIES ❑
USE OF ADD
r '
STRUCTURE 0^ LP � ALTER ❑ -
SIGNATURE OF REPAIR _
APPLICANT DEMOL ❑
VALUATIONS °'.a APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION '
FEE S FEES FORMS, MATERIALS
FRAME:-:FIRE STOPS,
'I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACI NG, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION• I CERTIFY THAT IN DOING-THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE ,LATFI, INT. '
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN N INSURANCE LATH, EXT.
..
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED '
ADDRESS
FINAL
JOHN F. LEWIS. PRINCIP 7�'STRUCTURAL ENCA
PLAN CHECK VALIDATION CK. M.O. .CASH PERMIT VALIDAT N CK. ' M.O. H ,
j o.,5 9 '?.6N 1 Q Q.OQN