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HomeMy Public PortalAbout5201 KAUFFMAN AVE_Building__ 76A638 CE #Q03 1/71 ®� M 0 -AP PY ASSESSOR COUNTY" OF LOS ANGELES MAP BOOK PAGE PA,ii�.EL ` DEPARTMENT'OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING L" " ADDRESS 1r COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or type only) _ CROSS ST. DISTRICT NO. GRQ TYPE PR SS Y BUILDING .,i" •*r ,I� CONST. - ADDRESS •� G'\" N' �1C,VT'f`C�Q' • C.�" f LOT NO. BLOCK STATISTICAL CLASSI�FICATION - SEWER MAP 3� � - _ CLASS NO.�.. _DWELL•UNITS ejg/� TRACT USE ZONEMAP ' SIZE OF LOT ��`l a5(z 5 1,rOV NOW ON LOTNo OF SPECIAL- USE OF - CONDITIONS EXISTING BLDG. VkaXnE, TEL. - , OWNER -cvAck ,,Ctiar\evne.A. n -NO. 5�1113 'BLDG.SETBACK FROM ;.. ADDRESS FRONT PROP.LINE OF. (STREET) _ a.(3� K V�'�'Mq TYPE OF EXISTING SETBACK HIGHWAY +- YARD - .TOTAL CITY Tp.r..r1 'le L��" HIGHWAY WIDTH FROMC:L. ARCHITECT ORTEL. ~ + ENGINEER �i;hG�t>�Z.1„a2.. _ NO: BLDG.SETBAFROM ADDRESS •c,.�,h SIDE PROP.LINE (STREET) TEL.,. TYPE OF EXISTING SETBACK WAY + YARD = TOTAL CL. HIGHWAY WIDTH FROM C.L. - CONTRACTOR - NO. C..) LIC. CD ADDRESS NO. - . - + = O LIC. CITY" CLASS ' CORNER CUTOFF YES ❑ NO ILLJ CONSTRUCTION LENDER N NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPR VALS z ADDRESS - xr SQ. FT,yL. NO. OF, NO. OF NEW - •J Z t 7r SIZE \QV STORIES 1 FAMILIES - OF CTURE V -c-cl - ADD El ALTER ❑ � '- REPAIR•❑ SIGNATURE OF • / Q APPLICANT � ,Qp��, e(l�•i-..)— OEM OL ❑ ! f AV- VALUATION $ `-f� -r A-PPROVALS - DATE INS PE oa's s c AruaE P.C. PMT, �'} FOUNDATION: LOCATION FEE $ FEE-$ 4p. FORMS, MATERIALS -FR'AME-FIRE-STOPS, -- - _"--_-- - - -- I HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATION BRACING, BOLTS �/ y AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, .WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUC.T.I ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED ..HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF, CALIFORNIA IN RELATING TO - 'WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF ry R,, ,, HOUSE NUMBER COR-' PERMITTEE�/ RECT AND POSTED ADDRESS JaG� "AkaV fiyyz,"`t�i�-C FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK.VALIDATION -CK. M.O. CASH _ PERMIT VALIDATIO 'cK. M.O. . CASH r' . pA"jLb; 07 71 JAN 121 D 2 ,'l .75- DEPARTMENT OF BUILDING AND S 7C y APPLICATION FOR PERMIT COUNTY OF LOS ANGELE .1950 WM. J. FOX.-CHIEX ENINNEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY TT DISTRICT NO. PLAN CK.NO. PERMIT NO.. BUILDINGADDRESB Ka31sv@ S Z�l 17 LOCALITY RECEIVED BY DATE.OF APPL. DATE 1BSUED cRoseeT.�3 k3Ck_8y t & �Utmot /a /r e$ f2®/51 e BUILD NG OWNER ADDRESSMAIL " ADDRESS ISII Dorland S'i 7y�! LOCALITY Whittier Calla TEL. NNEAREST.. CITY - NO. FIRE NO.OF TYPE GROUP ARCHITECT OR TEL. ZONE i PLANH�_ LJ _ .__� ENGINEER NO. BLDG. ORD.NO. ADDRESB __ SETBACKLINE B!@ oar- APPROVED L CONTRACTOR KOto ff NO. same BY OdATB tJ� e as above USE APPROVED ADOREBB ZONE BY DATE LEGAL Z� CORRECTIONS DESCRIPTION rI LOTNO.ry BLOCK TRACT 15685 -lot 35 - 8 60 V I NO.OF SLOOZJE) Q CiGI•�l-/XSW , '� !!G�� k SIZE OF LOTNOW ON LOT USE OF L JL O r NO.OF NO.OFF� EXISTING BLDG. FAMILIES ROOMSS DESCRIPTION OF WORIg NEW ALTERATION ADDITION` '�tc ,`• ...C1/7� L etl'N _ pREPAIR MOVIG DEMOLISH ' a 11011--VN Sp.FT. . J3175 , NO.CF' Y SIZE ROOMS STORIES Y - WALL ROOF22�,,....,, COVERING Plaster; � COVERINGNhit6 roCK - �`� cr UBEDFNEW residetic e BUILDING `moi Z.® nco':MA�. L./_�l. eptrl�Fd Y�6:.S?�1c9 L_, I::'— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION (' FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRU TION. FRAME: FIRE STOPS, SIGNATURE OF !r n BRACING,BOLTS L- ..ft�t " ,-foA/ PERMITTEE`__-'L�C�/�Y✓-� LATH, INT. AUTHORIZED AOT LATH, EXT. 7,6A&38A-3 z-so $ G(!7 "P C $ .... 2\'! PLASTER,INT. /2' FEE Z L7 PLABTER,,EXT. VALUATION FEE ��7 '.`a'� FINAL r a ' WORKERS' COMPENSATION.DECLARATION I hereby affirm that I have',a certificate of consent to self: p D p O Q' D O Isere; or ib affirm ticgtte of WgTkers Compensation Insurance Qp�dD�QPO[ ] [ OG3:.Q �dD� l��: G'CG � or , certfied copy thereof (Sec' 3800; L,abI C.) COUNTY OF 'LOS ANGELES BUILDING ANDSAFETY . , Policy.,NO Company ❑ - Certifted:,copy is.hereby furnished: " FOR APPLICANT TO FILL IN'- BUILDING L� ADDRESS Certified copy is filed with the county building inspec- -BUILDING tion.department: ADDRESS j4ir7efv p t Em Pik. � ZIP //7 C7. .. LOCALITY L G. Date Applicant NO:.OF BLDGS. CERTIFICATE OF EXEMPTION.FRSS ST. OM WORKERS SIZE OF LOT. //7.1"X'S �" NOw ON LOT Z NEAREST COMPENSATION INSURANCE _ , ... ASSESSOR, '(This-section.need not be completed if the permit`is'for one TRACT BLOCK LOT NO.' MAP BOOK PAGE PARCEL hundred dollars-(t1OO)or less ):" TEL OWNER'. S Lg' N B/tel y�.2787 US ZONE .'. MAP %I certify that rrt',the performance`of the,work,for:which this NO` permit,is issued 'I shallnot employ any person in any-manner -ADDRESS '.SZCJ/ 3GjWo/y/ - • CL so as to,become subject to the-Workers`Compensation;.Laws. _T _ O - CITY,;, gi"��L1L. GIS' ZIP /7$G7 � SPECIAL• CONDITIONS Date—, Applicant. ARCHITECT OR TEL. NOTICE'TO APPLICANT: If after, makings this Certificate of ENGINEER" NO. DISTRICT OUP, TYPE FIRE PROCE D BY Exemption yo0should become .subject' to the .Workers U CON jcaAiF Compensation,provisions of the Labor-Code,.-you,must..forth ADDRESSCL with comply'with such.,;peovisions or, this permit shall be . TEL TI A Z �Fi R ,vs STATISTICAL CLSSIFICA ON - P .,.: - ONDO. _ . deemed revoked CO RACTOR +- NO. 6.7.S6IV LICENSED CONTRACTORS DECLARATION;' 6 // LIC CLASS NO. DWELL.'UNITS ADDRESSNG/P,{/'r74 �dt NO. I hereby affirm that I am licensed under provisions of Chapter.9 - SEWER'MAP .. (commencrrtg:with Section 7000)of Division 3 of the,Business_ LIC and'Professions Code,and m;y license-is in full force;and'effect VALIDATION CITY•' �� CLASS License,Numbet `�'z���1�yQ Lic Class STORIOES FAMILIES' CHECK SQ. FT SIZE �� BK. PG. 1,' J VALUATION Z /6' �Q) DESCRIPTION OF WORK GCJGq/T T/G NEW ❑ Contractor Date ❑'I am exe'rn' rider Sec L' '.ADD 7 .7 - ALTER .❑' B.&P.C. for this repson - REPAIR ::.: .. :USE OF ,.. Date: EXISTING BLDG.' FSIa�itic DEMOL ' OWNER-BUILDER' APPLICANT. r�TEC: Signature .', DECLARATION :v0w � FINAL NO 7SQ , I hereby affirm,that tam exempt from The Contractor's License r DATE `Law for the following"reason.(Sectiorn 7031..5, Business and ADDRESS �• G�G/� � FINAL 3 '. Professions Code). PRESENT By BUILDING ❑. I, as owner of the 'property;-or. m em to ees with, ,. . Y P Y ADDRESS fl t•f"_: wages as theirsofe compensation,will do the'work and )"- 4 al s y z (Section LOCALITY the structure isnot intended or offered fon+sale Se / c `7044,-Business and Professions Code ) MOVING TEL: r f�^ ':.r CONTRACTOR NO. GIS " 0. I, as owner.of,the property;am exclusively contiactin'g. s ti ' With licensed contractors to.construct the: ro ect Sec- �" ` 3 P I. ..( ADDRESS, s I LI I li. 9. 3 � �,�+ tion'7044, Business and Professions Code.) 13 REQUIRED TOTAL SETBACK FROM "EXIST.. n ja ` CONSTRUCTION'LENDING AGENCY'. SET-.BACK YARD NwY PROP. LINE WIDTH -' f-' ` I hereby affirm that there is.a'construciion lending agency for FRONT -r-' i ):! the performance of'the-work for which-this permit is"issued y '':P.L.. " t til 13c:. (Seca`3097, Civ:C'.). SIDE s, P;C:. Lender's Name fil ETt �Itilti1 i tt'�E rf c`j; f{ LDMA-Ref #..'. , P C: Fee$" Permit Fee . (0 3 y � C.a Lender's Address ri '. I'certify,'that-1 have.read this application`and state that the Issuance Fee ✓.. LDMA P/C# above information is correct. I agree'to'comply with all County Investigation F,ee _ 11 ordinances and State laws relating-'to building construction, Total Fee ✓ ✓ LDMA Perm. # Q.- and hereby authorize representatives of this County Jo enter upon the above-mentioned proper f spection.purposes, SEE REVERSE FOR EXPLANATORY LANGUAGE ature of'Applicant or Agent Date ' y5 ©s 76A63 CE N80W­ . ) - COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING+'^- U/ -. FOR APPLIT TO FILL I�jNr ADDRESS LDING ADIDRESS 5 Z��; ,1t7 Al./�V7 � LOCALITY NEAREST CITY7' ,15, '`r. r%7"-r ZIP JY CROSS ST. �7 NO.OF BLDGS. ASSESSOR SIZE OF LOT 11Cy �U. . NOW ON LOT L MAP BOOK PA PARCEL. ­. DISTRICT GROUP TYPE FIRE OC ED BY TRACT /gc' rB�LOCK LOT NOS+ J Q >' CONST.' ZONE OWNER D /Li Yd _ NO �I�yze, L7 - _ _ l STATISTICAL CLASSIFICATION SEWER MAP ADDRESS S Z� I � �2//,�"p CLASS NO DWELL.UNITS BK' PG CITY /✓f✓L ��/ ZIP Cdr'-�. ARCHITECT OR TEL c� y : ALUATION V ENGINEER i NOZt'FS�a7J��' ({�©,° o/c ADDRESS BLDG.-SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD. = FRONT'PROPAINE HIGHWAY .WIDTH ADDRESS NO. vv LIC. } _ CITY CLASS . BLDG.SETBACK FROM CONSTRUCTION LENDERSIDE PROP.LINE'OF (STREET) NAME AND BRANCH � /�_ L::'� TOTAL SETBACK FROM TYPE OF 1EXISTING HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY WIDTH ADDRESS CITY SQ.FT. NO.OF NO.OF ` CHECK + _ U SIZE STORIES FAMILIES /. ONE c DESCRIPTION OF WORK NEW, ❑ P.C. Fee$ Permit Fee lei•�G Jr ��¢y ADD ❑ Issuance Fee ALTER REPAIR ❑ Total Fee USE TI � S/�► DEMOL ❑ g0 EXISTING BLDG. " APPLICANT.: TEL _ (PRINT •i 6�:G NO.Z1�6 �G(v Q -� BY(SIGNATURE( � I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION AND STATE _ X - THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALCORDINANCES - W AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE .V 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 PENSATION INSU g Z.. It SIGNATURE OF 07 `h } A PERMITTEE Y"— ADDRESS 3 # 0 0 0 0 0 1 / ,s y}� .TEL. 9 �• S 2 o o 1 9.00 CITY �iC- ei�/j NO. 3Z�'. - ~ -- USE ZONE LNoSPE� - Q o 0 0 1 9,0 0 V CIAL12-78 NDITIONS. g DATE L ^' { r�� BYG,, 76 A62IJA .'° ;~:A03 4/722 APP.LICATION FOR BUILDING PERMIT • COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS MAKE CHECKS PAYABLE TO: HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or type only) CROSS ST. - DISTRICT NO. GROU TYP SSED BY BUILDING _ CONST. ADDRESS .: QI /j /� _ STATISTICAL CLASSIFICATION SEWER MAP LOT NO. �.� BLOCK CLASS NO._-2LDWELL,UNITST_ BK G TRACT 4. ��' USE ZONE MAP NO.OF BLDGS. NO. / SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG, v �r NO.OWNER ® .Z ` r -C-� BLDG.SETBACK:FROM _ ADDRESS t�j V! p—J•frs7p�y FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY .} 'YARD = TOTAL CITY �{ - - GHWAY WIDTH FROM C.L. - ARCHITECT OR TEL. 7 + _ ENGINEER NO. BLDG,SETBACK FROM � ADDRESS SIDE PROP.LINE OF (STREET) O TYPE OF EXISTING SETBACK HIGHWAY- }.. YARD = TOTAL U CONTRA- OR4dDt e-s-�-Q-. N0 (` � HIGHWAY -WIDTH FROM C.L. = O ,\ ADDRESS*o 3, Z� G.!31'�'°1P''d5j.'�. NO + _ w CITY c1Jq� Z.A i--,?-'L-/ CI ASS B C. CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER r �, 5f cvpS�,¢ .^ NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF �' •`� NEW SIZE STORIES FAMILIES ❑ �_ ° USE OF ADD ❑ ? - STRUCTURE - - J;y�s•-.��„ /L. --a--r� ALTER REPAIR❑ SIGNATURE 0 APPLICANT DEMOL ❑ VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. - PMT. FOUNDATION: LOCATION_ J� FEE $ - FEES FORMS, MATERIALS L ^ FRAME: FIRE STOPS, - - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING 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 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. 1 LABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO �. WORKMEN'S CoMPENSATION.INSURANCE. LATH, EXT. SIGNATURE OF V HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FI N AL - PLAN CHECK VALIDATION CK. M:O. CASH _ PERMIT VALIDATION CK. . M.O. /'CASH ry I WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self D O D D O D nn , insure, or a certificate of Workers' Compensation Insurance, `�O�' LJ �'D'�lJ V �U V LI �' or a certified copy thereof (Sec.3800, Lab. C ) CO.UNT,_Y_.OF'LOS�ANGELES ..�' BUILDING AND SAFETY acyNo.W0005197 company Beaver Ins. Co. BuaDI G copy v FOR APPLICANT TO FILL IN ADDRESS': Certified Certified co is hereby furnished. © Certified copy is-filed with the county building inspec- BUILDING tion department. .ADDRESS` 5201 North Kauffman ;-;-,n- - -• -; LOCALITY: Date Tefn le. Clt CA 91780 NEAREST . Date 9/6/88 Applicant Massie Roofing Co, CITY P y"� ZIP CROSS'ST. CERTIFICATE OF EXEMPTION FROM-WORKERS'' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT Now ON LOT MAP BOOK- F GEPARCEL (This section need not be completed if The permit is for one TRACT BLOCK hundred dollars ($100)or less.) LOT NO. NOP USE'. NE� 1. TEL '; SPECIAL I certify that in.the performance of the work for which this, OWNER-DCn Lee N(30O - 060 CONDITIONS permit is issued, I shall not employ any person in any manner DISTRICT G UP TYPE ;FIRE PROCESSED BY so as to become subject to the-Workers'Compensation Laws. ADDRESS 5201' N. Kalif fman �``� CONST ZO V 9/6/88Massie`Roofri .Co. CITY Tem le Cit' ZIP 9178-" O 'Date Applicant STATISTICAL CLASSIFI TION APT., JVN O.,' 1-- ARCHITECT OR TEL. " NOTICE TO APPLICANT: ''If, after'making.�this'Certificate'of ENGINEER NO. U 'CLASS NO. DWELL. UNITS Exemption, you should become..subject to the, Workers` LU LU Compensation provisions of the Labor Code, you must'forth- r N • ADDRESS ` SEWER MAP with comply with such provisions or'this permit shall be deemed revoked. CONTRACTORMaSSle ROC,f ing CO No796 39.28, " BK. PG VALIDATION. LICENSED CONTRACTORS DECLARATION LIC. ~' I hereby"affirm that I am licensed under provisions of Chapter ADDRESS 2548 E. Walnut NO: 501048 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. 5 SS8.00 ' Professions Code; and my,license is in full.force and effect. CITY CLASS C-39 $ SQ. FT:. NO: OF NO.OF CHECK D License Number•501048 Lic:Class C-39 SIZE'. STORIES" FAMILIES' ONE ConTractoM' SSle Roofing., Date:' 9/688 DESCRIPTION OF WORK remove all- existl .VW D am exempt under Sec.' rOOf ing, and apply, four ply O FINAL ADD ALTER B.&P.C. for'this reason, Built-Up-RCof'ing REPAIR .� DATE USE OF. Date:.. EXISTING BLDG: ... - .DEMOL'_Q -By A !.06;1,3A APPLICANT - TEL. Signature -<+ - (PRINT) _ NO. # o o,o a a 1 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License ADDRESS' - Law for the following reason (Section 7031:5, Business and - •- D 0 7 8 U 1eo873 Professions Code): PRESENT a o 8 '3 BUILDING I; as owner of the.property,'or my.employees with ADDRESS' o 9,07�`$8 wages as.their sole compensation,will do the work and the structure is.not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL t I, as owner'of the property,.am exclusively-contracting CONTRACTOR NO. with licensed contractcirs to construct the project (Sec- ADDRESS tion 7044, Business and Professions.Code): -REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY. PROP. LINE WIDTH D I hereby affirm that There is a construction lending agency for FRONT - -the performance of the work for which this permit is issued P;L. (Sec. 3097, Civ. C.')t' SIDE o Lender's Name - Lender's Address P.C.Fee$ Permit Fee certify that I'have'read this application and state that the Issuance'Fee above information is correct.J.agree to comply with:alLCounty Investigation'Fee g ordinances and State laws relating to building construction, Total Fee V73 'IT- u and hereby authorize representatives of this County to enter . m upon the above-mentioned property for.inspection purposes: - �.{ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or,AgentDate ®S