HomeMy Public PortalAbout5135 KAUFFMAN AVE_Building__ DEPARTMi;kT,•OF.BUILDING AND SAFETY APPLICATION FOR PERMIT
'
COUNTY OF LOS ANGELES
WM. .J. FOX. CHIEF ENGINEER B " 'W' DIN %m-
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMIT NO.
BUILDING
ADDRESS J
LOCALITY RECEIVED BY DATE OF APDL. DATE ISSUED 1
NEAREBT
CR S ST.
SUILDIND tt
OWNER Z ' /AaP ``7e.S� ADDREBB
MAIL LOCALITY
ADDRESS
N-EAREST
ITY NO. - CROSS ST.
FIRE NO.OF TYP$ GROUP
ARCHITECT OR TSL. ZONE PLAN13
ENGINEER NO.
BLDG.
ADDRESS - SETBACK LINE v
APPROVED '
TE
6 CONTRACTOR 2 tr'r �fid"' NOL BY DATE
- _ USE APPROVED
1
ADDRESS ZONEBY DATE
tAL IPTION /LOT No.
37 BLOCK � CO ®��
DESCR
TRACT..:
NO.OF BLDB.
SIZE OF LOT C�?(1" �"'S.G+ I NOW ON GLOT
USE OF NO.OF NO.OF
EXISTING BLDG. ""';'�- I FAMILIES �sR OOM9 Z-2.
DESCRIPTION OF WORK 0
NEW ALTERATION ADDITION" 'moi-- PJ T-io�1 wJ l CJ O
A
REPAIR MOVING DEMOLISH :�'►�_t'?di! Ge'�G /�//a O_
SO FT. 47NO.Of Z i
•SIZE ,WALL (fit viROOMS STORIES
COVERING ua'F/ I COVOERIND1��r C7.v .,,,,/�g4.1
USE OF.:NEW
BUILDING
02
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB 13ORRECT INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
FORMS.MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRESTOPS.
SIGNATURE QF BRACING,BOLTS vIlr a'✓
-PERMITTEE v �.
LATH, INT. _R
AUTHORIZED AOT LATH. EXT.
76A638A-3 2-50 $ � �c,+ , % P.C.S ./ PLASTER.INT.
1. PLASTER.EXT.
VALUATION -. FEE $ �� FINAL
DEPARTMENT OF BUILDINSAFETY APPLICATION FOR PERMIT
COUNTY OF LOS AN�,.. _ES.
' • WM. J. FOX, CHIEF.ENGINEER
[DDRESS
FOR APPLICANT-TO EUFYLL IN FOR OFFICE USE ONLYDIBTRICT NO. -'- "PLAN CK.•ND.---- --'PERMIT NO:
UILDING3DDRESS V /OCALITY e ��� RECEIVED BY " DATE OF;4PPL. //DATE ISSUEDEAREST ` .6ROSS ST. Q�Q,r _ 74.7BUILDING ! Al 4e r�WNERADDRESS V AIL 57/ 1 64-� 1 LOCALITYDDRESS �J a NEAREST .1�ITY SGS/, NO. �� FECROSS ST. / NiO.OF vTYP�' ,GROURCHITECTOR TEL. ZONE PNGINEER NO. BLDG. O D: NO.
SETBACK LINE
APPROVED -
TEL BY `. DATE
I
CONTRACTOR (�(,y A/�]Z NO. • , -
F- USE1 APPROVED '
ADDRESS ZONE BY, IDATELEGAL I
g DESCRIPTION LOT NO. '7 BLOCK I , CORRECTIONS
TRACT
NO. OF BLOBS*
SIZE OF LOT ��p �L2dI NOW ON LOT R.
USE OF - NO.OFNO.OF - I
EXISTING BIDS. I FAMILIES-l- ROOMS "
DESCRIPTION OF WORK
NEW x- ALTERATION ADDITION _. � -���-� _<��� '� •����
REPAIR MOVING DEMOLISH GI`
SIZE T. NO OrROOMS .... ...... ...........ti
9gy STORIES / - D
WALL ROOF
// . ._...... ..............iT4: :4-if
COVERING d•:`n� r. .
STCJGG� - . .
' COVERING S6i I�L}�e. -
USE OF NEW •
..........- .... .. ..;.`L.i.;
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION SPE OR DATE-
AND
ATEAND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS, MATERIALS
FRAME: FIRE STOPS, !�
SIGNATURE OF BRACING, BOLTS lr-.,; " p71
PERMITTEE Ad w
- LATH, INT. A
AUTHORIZED DT. G�
�` LATH, EXT.
7GA639A-3 to-50 `�F'T'D'Q P•C.$ � . PLASTER, INT.
f� ��'' " FEE PLASTER, EXT.� I f I �
VALUATION
,. ,_,` FEE �� FINAL
7.6A638A CE98038-64 APPLICATION F BU, ILID[ G.. ERIVIII. 0, .
COUNTY OF LOS' ANGELES BUILDING
DEPARTMENT, OF COUNTY ENGINEER ADDRESS
BUILDING.AND SAFETY DIVISION . LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST-
COLEMAN W. JENKINS,SUP-T.OF BUILDING _ CROSS ST: -
^ DIRI, T.IJ,O lirG UP.' T PE.;: - .PR SED BY, -
FOR APPLICANT TO FILL IN (O� .CONST.
BUILDING r STATISTIC-A CLASSIFICATION
ADD R_ESS / Al 1 _ - BK,r G
CLASS NO'. TDWEL-L UNITS
LOT NO. - BLOCK USE ZONE `MAP
NO.
TRACT SPECIAL" - - -
NO: OF BL DGS,. CONDITIONS'
SIZE OF LOT NOW ON.COT. - -
USE OF -
EXISTING BLDG.- BLDG:SETBACK FROM -
. O �/� •'TEL. /J FRONT PROP. LINE OF - ET.)
NO.
WNER r� TYPE OF, EXIST
- F' ING, SE BA, H164'W AY + YARD TOTAL -
ADDRESS 0/v t/ • a AN HIGHWAYC
'. WIDTH- FROM 6: . -
ARCHITECT O - TEL.. - - BLDG. SETBACK FROM -
ENGINEER NO. SIDE PROP. LINE.OF ' - ' .(STREET)
TYPE OF .EXISTING SETBACK HIGHWAY.. + YARD = TOTAL
ADDRESS .. II�� .�) - HIGHWAY WIDTH- FROM C.L. - _O}.
CONTRACTOR S�'1 ./LN/1 �CS O/� - % ✓ .Q.
1i �f �«q y CO.RNER�CU,TOF.F. _ YES -•NO' ��O
'ADDR E�GJ'7 #w-or O / V WJ �. -�
crTY �b C T cll`Ass � '� -,SEE REVERSE SIDE FOR SPECIAL APPROVALS Al
DESCRIPTION OF WORK N
NEW ADD ALTER" � DEMOLISH - - .
.SQ,FT. - NO. NO. OF '
SIZE STORIES FAMILIES -
USE OF
STRUCTURE Me049
SIGNATURE OF
APPLICANT '
VALUATION$ APPROVALS� A DATjE' INSP ECTOR'S SPONATURE
FEE$ FEE.$ Q FO FORMS',MA�TERfA LS
�N / 1.
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE'THAT I .HAVE READ THIS APPLICATION- BRACING OLT• Bt f
AND STATE THAT THE ABOVE. IS CORRECT AND.AGREE TO'COMPLY FU CE: LOCATION" ,', i y.•
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GA S ENT.-DUCTS i
. .SUILOI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK- -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON.IN.VIOLA. LATH. INT. {f
TION OF THE LABOR COOL OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEWS COMPENSAT IOi1=N5 ANCE. LATH. EXT. '•'� / - �`
SIGNATURE OF l HOUSE NUMBER COR-_, v
PERMITTEE. RECT AND-POSTED. '
ADDRES FINALZ!
�-• if
JOHN F.-LEWIS, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION CK. 'M.O.- CASH _ PERMIT'VALIDATION CK. M.O. CASH
U '7' JUN-1 1 1 D 1 .5
76ABSBA Qfi:#8M 6.88' ^ APPLflCAT90N FOR BUILDING PERMIT
COUNTY OF LOS. ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING•AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEARESTt
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
- °" DISTRICT NO. GROUP TYP T' R�SSED BY
FOR APPLICANT TO FILL IN `� , CONST.
BUILDING w STATISTICAL CLASSIFICATION S WER MAP
ADDRESS �� /9FF �� �� I B PG
3�7 CLASS. NO.�DWELL. UNITS
LOT,NO. 3 / BLOCK MAP ` STATE
p NUMBER -/ HWY. YES NO
TRACTf��p� USEZONE - SPECIAL
NO / CONDITIONS
O. ONSIZE OF LOT NW LOT
USE OF-
EXISTING BLD �Lf�G'. BUILDINGEXIST. .
- - - - YARD HWY STREET NAME
C^ - SETBACK WIDTH
OWNER ,SAL F 'L �ESCYE�J .FRONT MAIL
ADDRESS S13Y /\ 4 U r-FM/�N a P. L.
SIDE
�/n
A CITY /Pt A4 P4,c C /7'Y NO 4T 7f� .: P.L.
T
ARCHITECT OR �� TEL.- INSPECTION RECORD
ENGINEER NO.
TEL.
CONTRACTOR NO.
DDRESS " e
DESCRIPTION OF WORE L
NEW '. ADD LALTER REPAIR DEMOLISH XrL tea_ Ij _ �� -v,-- rt--
.qf--SO.FT. / NO.OF NO.OF T
SIZE '� J STORIES FAMILIES
ti USE OF STRUCTURE
gq
SIGNATURE APPROVALS
APPLICA
ADDRESS
DATE INSPECTOR'S SIG ATURE
NA
QU�id9.d P e FOUNDATION: LOCATION
-; FORMS.MATERIALS
1 -Len
/e P.C. �,�� FRAME: FIRE STOPS,
Z6
FEE BRACING, BOLTS 7
VALUATION 'g FURNACE: LOCATION.
a ;a.•.,; FEE GAS VENT,DUCTS
1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
LATH,INT.
'LICATION;AND STATE THAT THE ABOVE IS CORRECT AND
GREEE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH,EXT.
TATE LAWS REG��TIN//JJG BUIILDDINGG//�—ONSTRUCTION.
I IGNATUR'E OF ' 7�CJ4. V`-fes HOUSE NUMBER COR- t .�
dJ'PERMITTEE � RECT AND POSTED
ADDRESS- -r/.3- , ��� FINAL
4�4 (_
CLYDE N. DIRLAM, PRINCIPAL STRUCTU NGkNI-ER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M:O a§rI
' 1.2 6 4'u-w .DEC 22 1 A 9.0:0
OF
BUILD
L LJ V �.I NOV
ADDRE
DDREBB
APPLICATION , LOCALITY r
DI`TI3ION OF BUILDING AND SAFE_ TY NEAREST IR f sAP
CROSS 9T.
Department of.County Engineer DISTRICT NO. RECEIPT NO: PERMIT NO.
County of los Angeles rj 9 :z
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT-10 FILL IN TYPE CONST. RECEIVED BY Gym IISSS�UE�D CB�YAf 1
OWNER ,Lv Z� _! !, w✓i fe y �
MAIL MAP STATE YE8 / O
ADDRESS .J NUMBER HWY
rUSE�ZONE• SPECIAL
EL.
T ,L O� CONDITIONS
CITY NO A`
ARCHITECT OR TEL. ���
ENGINEER NO, -
SUILDING YARD HWY STREET NAME EXIST.
'SETBACK - WIDTH
ADDRESS
T =FRONT
CONTRACTOR NO.EL.fr
SIDE
ADDRESS P. L. ..
BUILDING It DATE CORRECTIONS INSPECTOR
ADDR EBB
LOT NO. 3.7 BLOCK (/
TRACT � e..7 g
NO.OF SLOGS.
r__ML&-r LT_ '�:v'u'.lf. C.L ..
SIZE OF LOT �j® ,�pP�Gp�- NOW/ON LOT USE
F..X 9T0 NO BLDG.
DESCRIPTION OF WORK Y a°
L7 -
NEW ADD- ALTER REPAIR DEMOLISH - - Z -
SO. FT. NO. OF NO.OF R D
SIZE / 98-- STORIES FAMILIES - r
USE OF STRUCTURE nn
NO.OF p
EMPLOYEES r
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS AP-
Ie AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 'FOUNDATION:* LOCATION
AND STATE LAWS REGULATING BUILDING C. INSTRUCTION. FORMS, MATERIALS
% FRAME: FIRE STOPS,
SIGNATURE OF BRACING, BOLTS II'I
PERMITTE FURNACE: LOCATION,
OAS VENT,DUCTS
ADDRESS _ _ -
LATH, INT.
AUTHORIZED AOT. -
LATH, EXT.
h H a
$ L' ® D P. C.$ HOUSE NUMBER CDR-
EE
7 FRECT AND POSTED
VALUATION 41 w
_ r .. FEE FINAL
1� 76A638A D85 3 (Bb 5.54
WORKERS'COMPENSATION DECLARATION
I hereby, affirm that (have -certificate of consent to self Ln1LI Ll' L `V- AU�O LI V� O o URL D O. I p❑Q
ID
insure; or a certificate.,,of W rkers Compensdtion'Insurance " [iv 11 u u U u
ora if c 're ( ec: ,380 C r 11 COUNTY OF LOS ANGELES BUILDING AND SAFETY
Poli' o. iripari
-
BUILDING .
❑' Certified copy is hereby furrii ed.- FOR.'APPLICANT TO FILL. IN ADDRESS
Certified copy:isfiled with t count :but i g inspeo- BUILDING
U
". Tion de a tit. f ADDRESS
p
f CtLZIP q
_� .: ., _ ''] !��
Dc
l CITY' LCA /! 5 LOCALITY `
Apple
, F NO.,OF,B DGS NEAREST
O ,BL
DGS.
OF EXEMPTION FROM.WORKERS`; SIZF OF LOT NOW ON LOT CROSS SL
COMPENSATION INSURANCE
.
(This section need noT:be ASSESSOR completed if THe permit Is'for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL.
hundred dollars;($100) or less,) T -
OWNER j USE ZONE:,. MAP
L certify that in the performance of the`work,for which thisl NO.
permit is issued,.I shall nopemplcy any-person in any manner -» ADDRES a Y
so as,to become subject to the.Workers' Compensation Laws. _ O.
SPECIAL
CONDITIONS
GITY 'j ,_ ZIP qj
~:.
NOTICE TO APPLICANTPPfc after makin ARCHITECT OR TEL. DISTRICTY
g Certificate of ENGINEER -• N
STR ;GROUP TYPE FIREP ESSED Bthin.Cer O. O
Exemption, you should become''subject to the' Workers' ' U
CONST ZONECompensation provisions of.the,Labor Code; you4must forth- ADDRESS �
a
with.•,comply: with such,provisions or this -permit shall be TEL. STATISTICAL CLASSIFICATION APT.. .CONDO. N
deemed revoked CONTRACTOR NO. _
LICENSED CONTRACTORS DECLARATION LIC.•" CLASS-NO. '�/ DWELL. UNITS'
.j.hereby affirm that 1 am licensed under provisions.of Chapter 9:: ADDRES � � NO. q�/
(commencing with Section 70001),of Division 3 of:the Business. LIC. SEWER MAP,
and Professions-C `o m 'ce/tse is in full foe a ' ct. EBK pG VALIDATION
I CITY CLASS'.
/'f�' SQ..FT NO.*OF NO. OF CHECK
License Number Lic. Ciassv- SIZE .. STORIE FAMILIES ONE
z
VALUATION'
DESCRIPTION OF WOR~ D
Contra or Date
ApC) S
NEW
❑.I am exempt under Sec R
B.AP.C. for this reason �`
Date. :
USF OF :�/G
EXISTING BLDG.:. �=(J DEMOL ❑ S a_ _ a '2 _`�`.
APPLICANT.,.'; TEL.
Signature (PRINT 1 G., NO Cl „FINAL 1 t.
OWNER-BUILDER DECLARATION A `" r'-
I hereby'affirm that I am exempt from the'Contractor's License TE
Law for the following,reason (Section-7031•.5, Business and ADDRESS L FINAL T
;.Professions Code): ' , ' .. .._
PRESENT^ By. ` I� f)3%
,. UILDING .� "..
t ,
❑ I, as owner of the property, or;my'e.mployees with ADDRESS
wages as their sole compensation,will do the work and '
the structure is not intended or offered.for'sale(Section ;MOVING-
70
� iI :I f T -}
LOCA
7044, Business and Professions Code.):
QVING TEL. - D
._ .__
CONTRACTOR NO.• ! �: sri
6_=i ;
1, as owner.of,the property, am exclusively contracting �• ytl_',:__
with licensed contractbm%to construct the project (Sec- ADDRESS
'tion 7044;.Business.ancl.Professiom` ode.) "
CONSTRUCTION'LENDING,�AGENCY.. ._.' SET BACK TAPROPiINEFRO WIDTa"
YARD HWY' TO M '
I hereby affirm that there is d'construction lending agencyfor 'FRONT
the'performance,of the work for which this permit is issued P.L.
(Sec. 3097; Civ..C.). SIDE,
P.L. _
Lender's No e.
n LDMA Ref. #
Lender's" ddress P C..Fee$ Permit Fee
a _. • - '
a I-certify t at I have read is application and state that the Issuance-Fee d LDMA P/C#' D
8 above'of rm`ation is torr c. I a e to mplywith aIl,County. Investigation'Fee
0 ordinanc s and St e I rel ting fio 6 ilding construction; Total.Fee LDMA Perm. #
`Qand her by ci hon sentativ of his County to enter
g /
upon t a e=menti ne 'pro er r.' spec},i p�r os s,'
Ji SEE REVERSE FOR EXPLANATORY,LANGUAGE .
Signature of'Applicont or Agent; Date '