The URL can be used to link to this page

Home My Public Portal About5239 KAUFFMAN AVE_Building__ - . AP PL I CATION FOR 3� / COUNTY OF LOS ANGELES U DEPARTMENT OF COUNTY ENGINEER BU I L D I N G PERMIT BUILDING AND AFETY DIVISION BUILDING FOR•�A�P/P�LIC'oA"NT TO FILL IN ADDRESSBUILDING ADDRESS .S-C-✓ % /` /'��/Y ' LOCALITY c NEAREST CITYre,4- C�rj ZIP 9/-I<29 CROSS ST. N OF BLDGS. 'ASSESSOR SIZE-OF LOT ��7SO.L�G � ON LOT MAP'BOOK PAGE PARCEL �j..7T08-3 T DISTRICT GROUP TYPE FIRE _ SSED BY TRA BLOCK L6?-Nr� ,}y��J CONST Z OWNER .� �jP.//�� NO. y n STATISTICAL CLASSIFICATION EWER M P ADDRESS 5ag;?19 ��f� � eq�,�� CLASS NODWELL.UNITS BK PG CITY I��,� ('��"% ZIP US Zi NE NADP - ARCHITECT OR TEL. SPECIAL ENGINEER NO. y0, CONDITIONS ADDRESS ��77 ROAD•DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ COST. NEL!6?T L' '��SDG.SETBACK FROM CONTRACTOR ld QC1, c3 LIC FONT PROP.LINE OF (STREET) ADDRESS9,r/� ,, , laA.F'!BRGlJ/No. S/P NI HWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY LIC. FRONT PROP. LINE HIGHWAY WIDTH /j7�G�lf CLASS _ CONSTRUCTION LENDER } NAME AND BRANCH , , BLDG. ET•BACK FROM d ADDRESS CITY SIDE PTSQ. LINE OF (STREET) V SQ. FT,F�y NO. OF NO. OF CHECK HIGHWAY } RD TOTAL SETBACK FROM TYPE OF EXISTING OC SIZE IMM STORIES .02 FAMILIES ONE L I N F HIGHWAY WIDTH o DESCRIPTION OF WORK NEW V } _ N ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ 'USE OF /� IN COASTAL PERMIT ZONE YES ❑ NO ❑ •EXISTING BL�D/G• p / /CLI r2k2Av EM�OryL ❑ AP PRINT)�iS-/�.I�� EL �•' �I� ��J��+ /'—.Ce.�/ �C�/.+f�� d�/�� !+^R"��„ BY (S I I H NOWL MAT I HAVE•READ APPLICATION �� IIj'-//�0-l/ /E/fjT" �[rNtyd AND STATE THAT THE E IS CORRECT AN A EE TO COMPLY WITH ALL ORDINANCE AND LAWS RE GULATI G BUILDING CON- STRUCTION I CERTIFY THAT IN DOING TME K AUTHORIZED: HEREBY I WILL NOT EMP OY ANY PERS N VIOL TION OF THE c LABOR CODE OF THE ATE OF CA ORNIA IN RELATING TO I WORKMEN'S CO ENSA N INSURA /�3 ` SIGNAT FINAL I � B(Y• : •I t ' PERM EE r DATE �./�� '• ' A D O R t• r� �Lf�. 1Q �OI� �{ G ' CITY / /��E 4"�J� NEL ��VF P.C. Fee$ 2 0 Permit Fee Q .•� , Issuance Fee VALUATION`V 72 j Q 0 0 dotal Fee s C� PLAN-CHECK VALIDATIONCK •M O CASH PERI�VIIT 717ON CK M o CASH 6 2 _"'DEC 623 7 �7.8 5 2-8 s,=JAil, .2a B 3, ^1 .1� 7 BS 1 D 0, U 21- p 76A6lBA CE7R 803B 12/75. JA .. , r �4. -APPLICATION FOR BUILDING P MIT FOR APPLICANT-TO,FILL IN (Print or type only)'" BEssFCOUNTY- ANGELES ., /jVT OF 'COUNYENGINEERoo YPARTME CITY �' ZIP BUILDING AND SA TY DIVISION,� � 7� y N OF SLOGS. BUILDING SIZE OF LOT-5DXI NOW ON LOT ADDRESS• TRACT BLOCK LOT NO LOCALITY - TEL. �pNEAREST ' OWNER NO '.s 7/ CROSS ST.. ASSESSOR _ - ADDRESS .6_e)J _ /,� AZ. MAP BOOK PAGE CEL /q DISTRICT GROUP TYPE FIRE PROC SED BY CITY /V�j, - �( ZIP �- CONST. - ZON ARCHITECT OR _ TEL. - . ENGINEER - NO. STATISTICAL CLASSIFICATION -: SEWE AP ADDRESS CLASS NO.g�_OWELL,UNITS TEL. 'USE,ZONE MAP CONTRACTOR 1 O O70 LCNO. ADDRESS Tim �1 NO a 6 SPECIAL a LIC. CONDITIONS ' C I T C LASS ROA DE PARTMENT APPROVAL REQUIRED YES 11 NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.WTBACK FROM. ' FRON71PROP.LINE OF (STREET) - a ADDRESS .CITY TOTAL SETBACK FROM TYPE OF EXISTING U SQ FT '- NO. OF j NO.-OF HIGHWA } YARD P. CHECK FRONT PRO -. LINE HIGHWAY WIDTH SIZE STORIES -FAMILIES / ONE - O + - _ DESCRIPTION OF WORK NEW ❑ U ADD BLDG.SETBACK FROM a O �A ❑ SIDE PROP. LINE OF (STREET) Z ALTER_❑ TOTAL SETBACK FROM TYPE F EXISTING HIGHWAY' +- YARD = SIDE PROP. LINE HIGHWA WIDTH REPAIR USE OF _ t EXISTING BLDG. �S ' DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ - (PRINT) _ NO. BY (SIGNATURE) - _ - IN OPEN SPACE YES ElNO ❑ - Q .O U IN COASTAL ZONE YES ❑ NO ❑ VALUATION$ - -- CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT.( HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS-'CORRECT AND.AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT -IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY IWILL NOT EMPLOY;ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S CO MPE NSATIO INSURANCE. SIGNATURE PERMITTEE .. ` ADDRESS TEL. FINAL �J �J BY - DATE CITY NO. Q' Q 11,IkE' (.IIL-CKS P:1.)AHLE 70: FEE p FEE ✓ Q� HARVEY T. BRANDT,.COUINTY ENGINEER f� PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATION CK / M O CASH 4 '373 DIC 14 1 0 15 -00- 76A638A CE 4803 12/72 76A033A CE8049-60 APPLICATION FOR BUILDING ' P MIT COUNTY OF LOS ANGELES BUILDING �� , DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE,-COUNTY ENGINEER NEAREST WILLIAM A. JENSEN'SUPT OF BUILDING CROSS ST DISTRICT NO. I GROUP [TYPE _ P D BY ' FOR APPLICANT TO INcoNST. BUILDING• �S1° STATISTICAL CLASSIFICATION ISE EW R-MAP--I:rrll% • ' ADDRESS f�o/ G, CLASS NO DWELL.UNITS - ' LOT NO. . BLOCK MAP STATE YES NUMBER HWY. TRACT _ USEZONE SPECIAL - NO.OF BLDGS. / CONDITIONS SIZE OF LOT - I NOW ON LOT' ' USE OF EXISTING BI.0G. - BUILDINGEXIST. E L. ' • SETBACK : YARD HWY STREET N WIDTH OWNER O. ,FRONT _ p/ P L ADDRESS SIDE _ ARCHITECT OR L. P L ENGINEER O. '` 1 INSPECTION RECORD , ADDRESS TEL. _ �`r�v/G� �.C�'� lil�! /I�`'`/1 I�.O //7L/Til+�1.� O CONTRACTOR NO. U ADDRESS DESCRIPTION OF WORK CL Lu- ✓1cr � — a' NEW ADD ALTER REPAIR DEMOLISH SO. FT. NO.OF NO OF ?- SIZE ST IES F [LIES �r USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ -APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION FEE $ FEE $ FORMS. MATERIALS f• \ / �. FRAME FIRE STOPS,. IHEREBY ACKNOWLEDGE THAT I,HAVE READ THIS APPLICATION BRACING, BOLTS f ! r I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS /( ` BUILDING CONSTRUCTION CERTIFY THAT IN THE PERFORMANCE r OF THE WORK FOR WH THIS PERMIT IS UED I SHALL NOT LATH, INT. ,EMPLOY ANY PERSON ANY MANNER 50 O BECOME SUBUECT TO THE WORKMEN' MP NSATION F CALIFORNIA • _ + LATH, EXT. HOUSE NUMBER,COR- SIGNATURE F RECT AND POSTED PERMITTEE_ ADDRES FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN E PLAN CS VALIDATION CK. M.C. CASH PERMIT VALIDATION cK. -M.O. CASH L' uo �. i r�t�c i 0 3 •1 . WORKERS' COMPENSATION DECLARATION I•hereby affirm that I have cert mof consent to Self APPLICATION FOR BUILDING PERMIT' insure,.or a certificate of Workk ers'Compepq nstion Insurance, or , a certified copy thereof (Sec. 3800, Lab C ) COUNTY OF'LOS ANGELES BUILDING AND SAFETY ,Policy No` Company BUILDING ❑\ 'Certified copy is hereby furnished. FOR•APPLICANT TO FILL IN ADDRESS 39 IV, lJl�5MAV ❑ Certified copy'is filed with,the.'county building inspec-• BUILDING �jw�` hon department. ADDRESS /5 7G LOCALITY 7Gr Date Applicant CITY .�{yO ie „e/ ZIP 78� CROSS NEAREST S70- CERTIFICATE OF EXEMPTION FROM.WORKERS- NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL- COMPENSATION need not be completed if the.permit is for one USE ZONE MAP hundred dollars*($100)tor less.) 'TRACT BLOCK LOT NO NO jr / ^ TEL / 4' p SPECIAL _ ✓ a t. L� 0ii N 96�.R�JV �� CONDITIONS O 1,certify that in the performance,of the work for which this OWNER" Y P !�-� �) ISTRICT 'GROUP TYPE,' FIRE P ED BY U permit is issued, I shall not employ any person in any manner3c, ��V f'FCONST - ZO 'to becu so asblect to the Workers'Compensation Laws ADDRESS •.r; •as, ome s:J CITY E LP Gf ZIP `O Date /•�— Applicant STATISTICAL C A SIFICATION APT CONDO U ARCHITECT OR TEL .W NOTICE'TO APPLICANT. If, of making this Certificate of NO - CLASS NO DWELL UNITS Exemption, you should become• sublect to the ,Workers' ENGINEER Compensation'-provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply With such provisions or this permit shall be TELVALIDATION G 'deemed"revoked CONTRACTOR u Qi(JST NO BK PG, %LICENSED CONTRACTORS DECLARATION LIC I hereby'affirm that I am•licensed under provisions of Chapter 9 ADDRESS 4<526 Z!: ,�DUl�A NO 9y.? l VALUATION j '(commencing with Section 7000)of Diviston 3 of the Business and LIC QQ Professions'Code, and my license is to full force and effect CITY GS COf/ CLASS O $ y200 X00 r' ^ SQ FT NO OF NO OF - CHECK License Number �y� I`/ Lic.Class (f SIZE STORIES o� FAMILIES ONE . .- - � NEW S . 9—/S—ed DESCRIPTION OF WORK - t'- Contractor/�ALLe1/ �B(JST ' Date 7� ADD ❑ v ❑ i I am exempt from the licensing requirements.as I am a 6 licensed architect or a registered professional engineer _. ALTER FINAL acting in my professional capacity (Section 7051, REPAIR DATE 11152—Z8'-0115 Business and Professions Code). USE OF FINAL f ` EXISTING BLDG DEMOL ❑ By Lic or Reg. No. _Date APPLICANT TEL OWNER-BUILDER DECLARATION PRINT) e(J NO 1 hereby.affirm that'I am exempt from the Contractor's License-= Low for the following-reason (Section 7031 5, Business and, ADDRESS r �lJ�S/Q LUC>r Professions Code): - PRESENT BUILDING 1, ; 1, as owner of the property,-or my employees with ADDRESS Q 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 ❑ I, as ownerof ; 'the pr CONTRACTOR. NO "operty, am exclusively contracting'' , with licensed contractors to construct the prolect (Sec- + ADDRESS - •hon 7044,*Busmess-and Professions Code) 22.1 4,.6'Al. :REQUIREDTOTAL SETBACK FROM EXIST rt -CONSTRUCTION LENDING AGENCY SETBACK YARD 'HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT # 0 0 of e o 1 the performance of the work for which this permit is issued _ PL' (Sec. 3097;.CiJ C ) + -SIDE 2 0•o•7 Q 0 0 PL L'ender's Name ° ° ° ?0.-0 0 6' Lender's.Address' P C Fee S Permit Fee �' t - 0 •„p 1 5-7-80 w_ I certify that I have read this'applicahon and state that the Issuance Fee 1 _ aabove,lnformation is correct 'I agree to comply with all County Investigation Fee - - < ordinances and State laws relating to building construction, Total Fee -� and hereby authorize representatives of this County to enter upon the above-men o�ned�property for inspection purposes SEE'REVERSE FOR EXPLANATORY LANGUAGE � Dote ®s Signature of Applicant or Agent