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HomeMy Public PortalAbout5746 KAUFFMAN AVE_Building__ APPLICATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING PERMIT BUILDING AND OFETY DIVISION' BUILDING NG F_7q6 OR APPLICANT TO FILL IN �p ADDRESS, BUI vFFmAni V'✓ LOCALI YaZE CI ZIP ` NEAREST CROSS STC '_ANO.OF BLDGS. ASSESSOR T`D� a�-(J�� NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SED BY //�� (O / �L-.CKj��//�� LOT NO�O /� �� CONST ZONg OWNER )O(Mt:S DAV-dDS NOL �S 87 /7 ✓({� - r STATISTICAL CLASSIFICATION SEWER MA ADDRESS - 7qL uFFi�1 'U'E CLASS NOP'�t DWELL.UNITS E3!y PG CITYT �� ZIP ! �D USE ZONE MA NOP .0 ARCHSPECIAL ENGINEER IT 40 OR W NoL�A�n �� CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR "^- TELIC.L. .� BL .SETBACK FROM N FR NT PROP,LINE OF (STREET) ADDRESS '�' NO. HIG WAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY !�- CLASS t CONSTRUCTION LENDERO �� - a NAME AND BRANCH BLOG.SE K FROM o ADDRESS `� CITY .► SIDE PROP. LI (STREET) C> SQ. FT NO. OF NO. OF / CHECK HIGHWAY } YARD = T 91TWL_ FROM TYPE OF EXISTING O� SIZE �©O STORIES FAMILIES ONE SIDE PRO P.11 HIGHWAY WIDTH �F?, DESCRIPTION OF WORK NEW 1:1 } j ADD CORNER CUTOFF YES ❑ NO ❑ - Z e/iC/7o� ALTER ❑ �-.r REPA IR❑ IN OPEN SPACE YES C3 NO ❑ EXISUSE OT NG BLDG. k�ESf DEWC>E EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ APPLICANT ��(� TEL j g,/ q (-IC-'J� �� Ai �5' �At1� (PRINT) , }"MES DAV IDS N0. pS�O T T BY (SIGNATURE) A„ 'QQ I HEREBY ACKN EDGE, THAT I HAVE READ THIS APPLICATION - AND STATE THAT H ABOVE IS CORRECT AND AGREE TO COMPLY - W,ITH ALL OSDINA ES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE 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 COMPENSATION INSURA E. f %n SIGNATURE OF 1.r�t.6► FINAL / /� /.�/ BY - PERMITTEE ��� DATE . ADDRESS ' �j1 TEL• P.C. Fee$ Permit Fee CITY /V NO. Issuance Fee VALUATION�goo Total Fee PLAN CHECK VALIDATION CK M a CASH _ PERMIT-VALIDATIO CK M O CASH 9.0 Ci l��c3 76A838A CE*803B•12/75 - DEPARTMENT OF COUNTY ENGINEER -- DIVISION OF BUILDING AND SAFETY -U i L®I COUNTY OF LOS ANGELES 1 WILLIAM J. FOX, COUNTY ENGINEER APPLICATION" CASSATT D. GRIFFIN, SUP'T,OF BUILDING { ' FOR APPLICANT- TO FILL IN FOR OFFICE USE ONLY { BUILDING ` D18TRIGTNO.., . PLAN CK,oIx REc.No. P RM''I')T•N2O ADDRESS S ��/ i '' �� - G �J _ LOCALITY RECEIVED BY j DATE OF APPL. DA E•19SU D NEAREST - - CROSSST. T '� BUILDING OWNER Soo" 1 - ADDRESS V MAIL tl� / j LOCALITY ADDRESS W f9 C sl�a�: _ NEAREST, - CITY - TEL. CROSS ST. i ARCHITECT OR TEL. FIRE _ NO. OF TYPE GROU ENGINEER - N ZONE,-- PS LANr ' -- ADDRESS ' - - BLDG. O- K O O: SETBACK LINE l✓ � /� �[ TEL• �/ 2 USE APPROVED k CONTRACTOR- f• !�m'�Oo AV J ONE BY DATE ADDRESS d I i HOUSE NUMB j2 NG I - LEGAL - MAP.NUMBER Z OO 7 NO. ASSIGNED BY• _ DESCRIPTION I •LOT NO. V I BLOCK, , 4 CORRECTIONS ' TRACT SIZE OF LOT NO. OF SLOGS. Z NOW ON LOT USE OF '!!✓ L Q' --�yGp Ea EXISTING BLDG. -�SES'� y2 I FAMILIES •,I 4 ^. e..- y �. . ,.,f"e+f� EXITI - DESCRIPTION OF WORK0. NEW REP ADDITION Z IR H. DEMOLITION r D _ r SQ. FT. -NO. OF - SIZE' ROOMS STORIES , EXT. WALL r ROOF I COVERING - COVE ING USE OF 8 U U APPROVALS _ INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS 1 HEREBY'ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS CORRECT. FURNACE: LOCATION, IAGREE'TO COMPLY WITH ALL COUNTY .ORDINANCES GAS VENT, DUCTS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF LATH, INT. pl Cy PE MITTS !ggw «� LATH. EXT,• •I' ADDRESS ` AUTHORIZED AGT. Ci40 PLASTER, INT: PLASTER, EXT. • _ ��� FEE $ HOUSE NUMBER COR- RECT AND POSTED VALUATION• Q -FEE $ FINAL 78A838A .088 9 •8-D2 1 : ` B U 1 L ® I N G BUILDING ADDRESS LOCALITY ���,�f�v�'ls h' j jL APPLICATION �ed�Jllt�{� Qi 4V - NEAREST Fp DIVISION OF_BUILDING AND SAFETY CROSS ST. (Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.' County of Loa Angeles WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED CASSATT D. GRIFFIN, Sua'r OF BUILDING _ FOR APPLICANT TO FILL IN- TYPE`CONST. RECEIVED BY ISSUED BY OWNER � MAP MAIL NUMBER �'� o / sHWY YES NOx ADDRESS . _. UBEZONE •SPECIAL TEL CONDITIONS CITY NO. ARCHITECT OR TEL. ' ENGINEER NO. BUILDING YARD HWY STREET NAME EXIST. ' SETBACK i WIDTH ADDRESS / FRP.ONT ( J', L. CONTRACTORL/011W � ���1/S NOL(z'�M SIDE D V V'/ "~ ADDRESS I! i P. L.DATE CORRECTIONS INSPECTOR 'BUILDING �/� ADDRESS-'- [Y , LOT NO. GJ BLOCK TRACT NO.OF BLDG9. SIZE OF LOT OO X ZOO 1 NOW ON LOT USE-OF EXISTING BLDG. n =Air Ir DESCRIPTION OF WORK - 0 NEW ADD ALTER REPAIR DEMOLISH Z SO.FT. NO.OF NO.OF r SIZE STORIES FAMILIES USE OF STRUCTURE �d77 NO.OF EMPLOYEES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP= • ' PLICATION AND STATE THAT THE INFORMATION GIVEN IS, APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. A IAGREE TO CO /MP Y ITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION // s ,6 k AND STATE LAWS TING BUILD O�UCTION. FORMS,MATERIALS FRAME: FIRE STOPS, SIGNATURE BRACING,BOLTS - PERMIT-T FURNACE: LOCATION, N k v. GAS VENT,DUCTS ADDRESS '" ' ' LATH, INT. il�� ez. /t AN_ AUTHORIZED AOT. LATH, EXT. $ _ P•C•S HOUSE NUMBER COR- _ O d FEE RECT AND POSTED VALUATION >8 / FEE FINAL �.GLa.,,m,,� 76A639A D88 3 12-53 ' �eweaenhe' eose_Qa:, APPLICATI'OWFOR' BUILDING . .PERMIT 1: COUNTY' OF LOS ANGELES BUILDING ':DEPARTr�iT 'OF COUNTY' ENGINEER t - BUILDING AND ,SAFETY DIVISION ' 'LOCAA I LIT,Y � JOHN A.LAMBIE.COUNTY ENGINEER NEAREST j`•• CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. - DISTRICT NO: GROUP, •I•�. "E PR SSED•BY- w ,-, FOR_ -APPLICANT TO FILL- IN �' I CONST: I BUILDING �p.-� SE ER'MAP- ,�7 / �� /. s� -STATISTICAL CLASSIFICATION ADDRESS J ,fr D�JL %A"';�� PG NOITS_ CLASS. . DWELL. UN •LOT NO.. - /• BLOCK - 'MAP' - cy /J(f�Q�` - '�; -•STATE' YES //) b [.L / .K NUMBER CT HWY. .TRA - USEZONE - -SPECIAL- ' �• •CONDITIONS ,p �/ y A NO:OF BLDGS. �) SIZE OF LOT /�P j 6i l/ ,O I NOW ON.LOTUSEOF XI T N BL'O .` E �. a s�/.l',�l - ,BUILDING EXIST. / p SETBACK YARD HWYSTREET } ME• WIDTH 0 NER 7,e_ Q �' FRONT. w ADDRESS 'J•� ��Ar SIDE - •! TEL. 'P.L. ITY ;AA•i. I �-�`_' '•�`_s.✓%. •NO. INSPEC.TION"RECORD ARCHfTECTOR ` - TEL: - , ENGINEER EER - NO. t . _ 1 I �' ` ADDRESS- • -• '+' - .. - "� d /C` .X6-f,•ie/dTEL�. - v � '� t�U •�' - - CONTRACTOR !111+5., NO.- �D }R E' •5- -DESCRIPTION"OF,WORK, NEW %ADD 'ALTER REPAIR el DEMOLISH -SO:FT. - - NO.OF,` NO.OF SIZE STORIES _ FAMILIES USE'OF;STRUCTURE .SIGNATURE OF 4- r ��+ - APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE ' "ADDRESS -.L-1f/i-/.� R.p- A-/�•^"�""GS�d•7 - FOUNDATION: LOCATION '-- - -FORMS:MATERIALS $ „' c� +• �pqy -A P.C.' $ FRAME: FIRE STOPS. FEE BRACING, BOLTS`.,. 'VALU4TIOh1,',• - _ § FURNACE:-LOCATION.: FEE- GAS VENT., DUCTS I HEREBY-ACKNOWLEDGE THAT I HAVE READ THIS AP- . LATH.INT." 'PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO`COMPLY WITH•ALL COUNTY ORDINANCES AND"' I STATE' LAWS 'REGULATING• BUILDING '.CONSTRUCTION. ' LATH, EXT. ' HOUSE NUMBER COR- SIGNATURE OFPERMITTEF�pp ' r�y} �,_'nll li?_fl4T, ' RECT AND POSTED 1 ADDRESS '.+.. .iC/ FINAL • I+ - + CLYDE N.DIRLP.M„PRINCIPAL ST' RAL ENGINEER. i, PLAN CHECS VALIDATION=- CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH :- '- '." _ - ' -- - .. , . . - ' ' , ,•� `- � ,1.9.6.-"6��.'�J�1V :�'''. . _� � . • _ � z .. F -��' : • '. e17 , XD 76Ag38A CE# 1-67 p►pPLICATIORING PERI1lIIT.- 803 _ � ;• COUNTY rOF,LOS-ANGELES ' Pf ARTMENT OF"COUNTY COUNTY ENGINEER : _ c GILDING AND SAFETY DIVISION, LOCALITY IOHN A: LAMBIE. COUNTY ENGINEER, - _ - jNEAREST• - L - COLEMAN W. JENKINS,SUR'T OF BUILDING ',CROSS ST 'DISTRICT NO. O TYPE'�'� 'PRO S D` Y -FOR APPL'IC-ANT, T0: FILL,,.IN ' CONST'.,;_' v, BUILDING_`, / �j ///' STATISTICAL C FICASION^-,_.' SEWER AP 'ADDRESS, C'L�ASSNO'. DWELL UNITS,,.i' -- �•B K. PG,r / !� LOT'NO. BLO;CK USE ZONE -'MAP I - NO..; _ TRACT SPECIAL NO. OF BLDOS% r CONDITION S •SIZE OF LOT NOW GWLOT �• - BLDG. SETBACK FROM, r TEL FRONT PROP. LINE;OF' - (STREit) OWNER- O TIYPE OF• EXISTING SETBAC HIGHWAY', YARD = TOTAL- HIOHWV WIDTH FROM L. 'ADDRESSCIT AZZE: r� _ BLDG. SE�TBACK•.FROM• •• ' '.ARC ITEGT-OR _ TEL. ..F- 'ENGINEER NO. - SIDE PROPAINE�OF '(STR'ET)' TYPE-OF 'EXISTING SETBACK HIGHWAY + YARD' '_ ''TOTAL ADDRESS, HIGHWAY: WIDTH FROM C.L.. • TEL:.�f • _ •- '+-' _ CONTRA O N0 _7,24 - IG �� / - ` CORNER CUTOFF > ,Y,ES O - NO-O C ADDRESS O -L c CIT - 40 SEE%REVERSE_SIDE- FOR SPECIAL-APPROVALS' � DE'SCRIP'TIO F WORK :. a • NEW- •- 'ADD JX ALT REPAIR ` DEMOLISH L Aj/, Z SQ.F.T.- _ NO, OF NO. OR _``"" SIZE STORIES . - FAMILIES.- USE OF STP UCTURE iJ _ SlGN'ATURE OF - APPLIC'ANT VALUATION$ - :(� •�� A"PpROVALS` „_DATE- INSPECTOR'S SIGNATURE • P'C. 'PO MT. LYS FUNDATION,-LOCATION FEE$ _ FEE$ "FORMS,•MATERIALS FRAME,-.FIRE,STOPS, ' I DT HEREBY ACKNOWLEDGE-THAT 1 HAVE READ HIS APPLICATION BRACING BOLTS 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'CONSTRUCTIOIJ 1 ,CERTIFY THAT IN- DOING THE-WORK _ AUTHORIZED HEREBY ('WILL" NOT EMPLOY ANY. PERSON IN VIOLA-`. ,LATH. IN, -TION OF THE LABOR CODE_OF'THE STATE OF CALIFORNIA RELAT. ,ING'70 WORKMEN'S'C NSAT10 INSURAN LA.TH. EX.T. - - 'SIGNATURE '-HOUSE NUMBER COR- PERMITTEE' REC AND POSTED ADDRESS` F I AL. la �- .PLAN CHECK'VALIDATION-. CK'. M o. cwBH .JOHN F. PAL.STRUCTURAL-ENGINEER LEWIS. PRINCI 1 . PERMIT VALIDATION K. M.O CASH 76AMA CE„8082/60 A'PPLICATIQN 'FOR .BUfLDlNG • PERMIT . ” �� '•. COUNTY OF LOS ANGELES, BUILDING "✓ ADDRESS DEPARTMENT OF COUNTY:.ENGI V= ,BURRING AND SAFETY DMSION LOCALITY' _ -JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ' WILLIAM A. JENSEN SUPT OF BUILDING - CROSS ST. DISTRICT NO.- .GROUP TYPE �9SED • --.FOR APPLICANT TO FILL IN-- .E 4<-R' CONST. BUILDING STATISTICALC SSIFICATION - SE ER MAP - ADDRESS. 6- d: �'� - J CLASS.NO: DWEL :.UNITS LOT NO.' / BLOCK - MAP' STATE, - - - NUMBER HWY—' - TRACT USE ZONE SPECIAL' INO.OF BLDGS. CONDITIONS. i _ SIZE OF LOT I-.0 Zd0 . NOW ON LOT / USE OF - EXISTING BL j. BUILDING EXIST,." ' --• // EL•• '// SETBACK YARD ,HWY �4TREET E, -WIDTH ' OWNER' NO.' .�O A FRONT ADDRESS - ,�/Ga. !1 ft Q G��fl / SIDE = ARCHITECT OR _ - TEL. P..L. ENGINEER' NO. INSPECTION' RECORD ADDRESS, . - '' TEL. py ' CONTRACTOR NO. O ADDRESS .°DESCRIPTION-OF WORE Z-0 TEb - NEW ADD 'ALTER REPAIR DEMOLISH d _ ' SO.FT NO.OF • NO.OF SIZE - STORIES FAM LIES USE OF 1 •�i�/•T I � �.I• C.. ,.!% .� STRUCTURE - s , SIGNATURE OF •���- - 'APPLICANT VALUATION APPROVALS • •DATE INSPECTOR•SSIGNATURE - P C PMT • ' 6. FOUNDATION: LOCATION FEE -'$ - FEE' $ .FORMS, MATERIALS; I a'7 �O C'DiQ,F'f FRAME:.FIRE STOPS;', :/� ` _ 1 HEREBY ACKNOWLEDGE THAT L.HAVE READ THIS AP- yRACING"BOLTS'. FJ64 3 - 'PLICATION-AND STATE THAT THE•ABOVE IS CORRECT AND FURNACE: LOCATION, t _ - AGREE TO COMPLY WITH ALL-COUNTY ORDINANCES AND GAS.VENT.DUCTS- STATE LAWS-:REGULATING BUILDING' CONSTRUCTION. • - - - _ - I CERTIFY•,THAT TIN DOING THE WORK AUTHORIZED I LATH-, INT. WILL NOT EMPLOY RSON IN V LATION OF THE WORKMEN'S-C NSAT N, S IFORNIA. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE _ RECTAND,POSTED ADDRESS-•' FINAL - - - - - �:- --A O' O; -� C ''CLYDE N. DIRL4N1„PRINCIPAL STR RAL-,ENGINEER PLAN.CHECK VALIDATION cK M.o. CASH -PERM -VALIDATION,_ .'cx M.O., CAB-ri' L&9'.4 0:�� DEC ' ;`i} -6.010 �: . _APPLI,CATION_ FOR BUILDING PERMIT FOR APPL ICANTtTO'FILL IN (Print or type only) = r� COUNTY OF LOS ANGELES BU ING ADDRESS J�4 . AV}�I'rFm,44 A va ,- DEPARTMENT OF COUNTY ENGINEER CITv /T zIP 1710 BUILDING AND SAFETY,DIVISION. If NO OF BLDGS SIZE OF LOT X 00 - -106 , NOW ON LOT / ADIDRESS � � r(� �/zSI TRACT, J .� , BLOCK LOT NO QS, LOCALITY r: TEL NEAREST OWNER JAM" bgvi DS N0�g _gg7y CROSSST wig •l J/ ASSESSOR' ADDRESS b h64 U FAU&- MAP BOOK PAGE PARCEL L r, (, DISTRICT. GROUP TYPE FIRE PROCESSED BY CITY c ZIP tj•� CONST ZONE ARCHITECT OR ' 'l ' n TEL D �' ENGINEER �!-+ " NO STATISTICAL CLASSIFICATION SEW R MAP ADDRESS_ ^_ CLASS NO DWELL UNITS BK PG TEL CONTRACTOR NO USE ZONE NOP O LIC ADDRESS NO ) SPECT LIC /' CONDITIONS. CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION•LENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF (STREET) : ADDRESS CITY F TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT NO OF NO OF' CHECK HIGHWAY + YARD• = FRONT PROP LINE HIGHWAY WIDTH SIZE I STORIES FAMILIES ONE } DESCRIPTION OF WORK- UJAe4 NEW Q /C ADD ❑ BLDG SETBACK FIR (STREET( Oe O SIDE PROP LINE OF H ALTER ❑ SET ROM TYPE OF EXISTING w HIGHWAY + YARD = SID IN_E HIGHWAY -WIDTH• ti USE OF 1 REPAIR ❑ Z EXISTING BLDG ��J�6{-E F/1�I�L �E//OL ❑ + _ APPLICANT TEL CORNER CUTOFF YES ❑ NO (PRINT) I;/fP3NO_ �, A IN OPEN SPACE YES ❑" NO ❑ BY(SIGNATURE) (J� IN COASTAL PERMIT ZONE YES E] NO ❑ VALUATION$ A " I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE `/ - -?" Di/- -rc) G rr'n..'7 hu-A L.Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES- ) AND LAWS REGULATING BUILDING CONSTRUCTION-I CERTIFY-THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY.ANY PERSON IN VIOLATION OF �, �..5 ` �• rr"������� THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- /f PENSATION INSURANCE SIGNATUREOF, G/rL(x',� �/�.% -�/� bd PERMITTEE ADDRESS �/ CITY"'� NO /' DATEFINA7-7 2Z BY MAKE CHECKS EWYABLE TO: FEE $ FEET $ HARVEYT.'BRANDT,COUNTY ENGINEER n PLAN CHECK VALIDATION - CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH,: s 0 .91 1. o ' 2 1.7 5 ens ®S 76A638A CE#803 3.75 - ' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER 4 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.NO. 'I PERMi NO. ADDRESS , � ---� � ' 2 LOCALITY RECEIVED BY - DATE OF APPL. DATE ISSUED NEAREST CRI39 BUILDING I �� �. I�Gav1' /^-!� •1N OWNER ADDRESS i MAIL / LOCALITY ' ADDRESS TEL. NEAREST a CROSS ST. CI Y NO. FIRENO.OF TYPE �� OROUP ARCHITECT OR TEL. ZONE ���~PLANS ENGINEER NO. _ BLDG. ORO.NO. ADDRESS _SETBACK LINE APPROVED CONTRACTO TE BY DATE UBE APPROVED ADDRESS dqq e f ZONE BY c DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO.OF SLOGS. SIZE OF LOT NOW ON LOT j UBE OF NO.OF NO.OF a ® .ter EXIST & I O BL FAMILI[e ROOMS I. /. /LIQ .SSG A-f / AT IV— DESCRIPTION OF WORK NEW ALTERATION ADDITION REPAIR MOVING DEMOLISH O_ SQ.FT. NO.OT 2 SIZE ROOMS STORIES WALL ROOF - t COVERING COVERING " USE OF NEW-- -BUILDING t rN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ' APPROVALS APPLICATION AND 6TATE THAT THE ABOVE IB CORRECT i FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LA7w&'f_ INO BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OFBRACING,BOLTS PERMITTE LATH, INT. AUTHORIZED AOT- . LATH, EXT. 76A638A-3 2-50 $ /y� ' P.C.III C PLASTER,INT._ FEE PLASTER,EXT. I VALUATION FEE .F FINAL YO / APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUfLOING .57 6 KAUFFMAN COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY :ZIP BUILDIN1 AND SAFETY DIVISION NO.OF BLOGS. BUILDING SIZE OF LOT.",oO)tZ-uro NOW ON LOT LL J� ADDRESS 46 KAUFFMAN TRAC BLOCK LOT NO.JCJ LOCALITY TEMPTE 'r TTY TEL NEAREST OWNER JAMES H. ' D .NOCROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT IG P T PE FIRE jSED BY CITY TEMPLE CITY - ZIP 9178o ONST ZONE ARCHITECT q� U$ -tit do ENGINEER TIBOR• GINTER NoTEIQ6- 212. 1 STATISTICAL CLASSIFICATION SEWER MP AODRESSI 10 N. LA B HOLLYWOOD CLASS NOWELL•UNITS BPy1 G CONTRACTOR'AQUATIC POOLS NOL.446 -x+66 �U E ZONE MAP v' N O. D 0 ADDRESS101 E. HUNT O SPECIAL CITY LIC. CONDITIONS ARCADIA CLASS — ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM ADDRESS CITY FRONT P �P.LINE OF (STREET) HIGHWAY } YARD -_ 'TOTAL SETBACK FROM TYPE OF EXISTING SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DES'CRI PTION OF WORK NEW ❑ } U p ❑ BLDG.SE ACK FROM Swimming Pool 8 8 S .Ft ADD SIDE PROP. E OF (STREET) cO ALTER ❑ HIGHWAY } YARD = L SETBACK FROM TYPE OF EXISTING U —REPAIR❑ SIDE PR HIGHWAY WIDTH LTJ 00 - Z EXISTING BLDG. USE OF }DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. IN OPEN SPACE YES ❑ NO BY (SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO VALUATION'$ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Z- CAI-Irr-A -OA/7-/Z - rlKC PVIV& t,1C-' *—L-^z?S'', AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALLORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLAS. OF THE LABOR CODE OF THE VrE O O �IN R ATING O �'� �J 5, 7 �����-�r� R ��,�C_�A�G�va-y WORKMEN'S COMPE e SIGNATURE O PERMITTEE ADDRESS � TEL {` / FINAL BY CITY �. NOCr (7 DATE AIA KE CHECKS PAYABLE 7'0: FEE FEE FEE 41 HARVEY T. BRANDT, COUNTY ENGINEER �. q. \ J PLAN'CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI'ON,' cK. M.O. CASH 0 7 5�LQ 2 u 4 5.4 5.4a~ i 6 C42nrr 1 1 U .7 5 76A 638A CE#003 5574 � ._ n I76A638A CE #803 1/71 r APPLICATION FOR BUIL I NG 1PERMT . COUNTY OF 'LOS ANGELES ASSESSOR DEPARTMENT OF.COUNTY ENGINEER `MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION- BUILDING 'J I' ADDRESS / A COLEMAN W. JENKINS, 'SUP'T OF BUILDING LOCALITYC. c FO_R APPLICANT,TO FILL IN NEAREST / , /1 " Print ort .onl' CROSS ST. p/�-- /W i9/j/a BUILDING �J 1. T DIST�RIC "N GR TYPE - P O BY ADDRESS /�I�U/ i�j;/ , / " C , CONST. j LOT NO STATISTICAL CLASSIFICATION S WER MAP .�J .BLOCK- CLASS CLASS NO. DWELL.UNITS G TRACT j - • USE ZONE MAP - � ' NO.,OF'BL:DGS. NO. O 6 _ SIZE OF LOT (7J(Z�d NOW;ON L'OT "• ' SPECIAL USE-OF - CONDITIONS ' EXISTING BLDG, r r�1 OWNER L. BLDG.SETBACK FROM ADDRESS, �(� �/�p/ `�/g'/V FRONT PROP.LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = "-TOTAL CITY -' ��' ` HIGHWAY IDTH ,FROM r-L. ' ARCHITECT OR TEL. - } _ ENGINEER NO. :•BLDG,SETBACK• • ADDRESS• -SIDE PROP. LINE OF- (STREET) TE•L.�jc TYPE OF EXISTING SETBACK HIGH W YARD' _ TOTAL CL. CONTRACTOR ��ILSOti�_NO.LJ'7�i7,j�• ,HIGHWAY WIDTH FROM C.L. CD AODRESS.�SL7 �G.-BPJL�4�G�� NO I� C� t _ CD O CITY 71 CLASS �> CORNER CUTOFF YES ❑ NO ❑ W NAMECONSANDBION RANCHNDER 009Z SEE REVERSE SIDE FOR SPECIAL APPROVALS _ ADDRESS 4 SQ. FT. NO. OF NO. OF NEW —SIZE F STORIES AMILIES �" USE OF Q - ADD ® •/ STRUCTURE •,(,J G., ) _ • ALTER ❑ � c SIGNATURE OF REPAIR❑ 'r• �i APPLICANT DEMOL ❑ - _ VALUATION $ Q a APPROVALS DATE INSP T0R'S S G 7AT RE P.C. - PMT, .///yy FOUNDATION: LOCATION FEE S FEE $ � FORMS, MATERIALS - FRAME: FIRE STOPS, � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS 2— ' 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, L'A BOR CODE OF THE STA OF -CALIFORNIA.IN'RELATING TO ,I WORKMEN'S COMPE TIO S ANCE'.E' a. LATH, EXT; z _ - SIGNATURE-OF HOUSE NUMBER COR- PERMITTEE RECT AND F* ADDRESS " FINAL 3 I� FJ L JOHN F LEWIS PRINCIPAL ST URAL E INEER PLAN CHECK VALIDATION .. CK M 0 'CASH PERMIT VALIDATION "CK MO : cAs u;VU0 'A' 2 I ro h 'FE6 1' 1 0 2 0.5 0 N Q 1 76A638A CE#80310-58 APPLICATION FOR bUIL®ING PERMIT ]. COUNTY OF LOS ANGELESBUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ; 10d - ddt BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. G' •` C.' J DISTRICT NO. y$OUP TYPE P ES_SE'DB'Y/ FOR APPLICANT TO FILL IN -�' I CONST. BUILDING 7 /_ J STATISTICAL.CLASS]_FICATION SEWER MAP ADDRESS ) { / _8K PG' CLAS.NO. DWELL.UNITS LOT NO. CJI BL CK M STATE YES' / NUMBER HWY. TRACT •S^ (� USE ZONE SPECIAL NO.OF.BLDGS CONDITIONS SIZE OF LOT NOW ON LOT - C jtj USE OF EXISTING BLDG. 'BUILDING YARD HWY STREET AME EXIST. SETBACK -WIDTH OWNER C��L -(-=' /✓•C! �C FRONT y.e MAIL _ G / P.L. ADDRESS r(: C_12C, Z"2- SIDE P.L. * CITY / �� '', -?G NO. /�z'I INSPECTION RECORD - ARCHITECT OR TEL. •- ENGINEER NO. . ADDRESS �fl i-3oiy TEL / / CONTRACTORy /...( LV�.if G NO.�=ci ADDRESS DESCRIPTION OF WORK — NEW ADD ' T:4LE REPAIR DEMOLISH SQ.FT. NO.OF. NO..OF :k SIZE STORIES FAMILIES • USE OF STRUCTURE — I — SIGNATURE OF4/ APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS G J' _ /t aP''/`L��'� ^'� ` FOUNDATION:LOCATION FORMS,MATERIALS VALUATION$ '�. FRAME: FIRE STOPS. BRACING,BOLTS + i PMT IFEE GAS LOCATION. FEE $ _ AS VENT,DUCTS - / n I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. Ld/G7: ry PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND L4(.I'vvL ° STATE LAWS RE U ATING BUILDING CONSTRUCTION. LATH,EXT. SIGNATURE O /// Gr�.�� �i HOUSE NUMBER COR- PERMITTE // ��I7//' � �1 RECTAND POSTED / ADDRESS l ') "'J ��_��� f FINAL 3 "2240 CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH 'PERMIT VALIDATION M.O. CASH 7_4�76A638A CE #803 1/71 - - - - APPLICATION FOR BUIL ING PERMIT COUNTY OF LOS'ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING /f ADDRESS COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a only) CROSS ST. BUILDING DIST ICT NO. GROUP TYPE ESSE ADDRESS-_, ' 7""/4 CONST SI CA STATIST] NO.L�DWIELL•IUONITS� SEWER ' LOT NO Q BLOCK TRACT CO/ USE ZONE MAP NO.OF BL'DGS.• / NO. _SIZE F LOT NOW ON LOT �Ji ,i/ SPECIAL USE OF ° CONDI TIO S EXISTING BLDG. - TEL. r . '7/ 1S.CE.I�G• NO. OWNER B DG.SE BACK FROM - ADDRESS l7 6a /�/ �'CI'�'✓J/� - FRONT PROP.LINE OF _ (STREET) TYPE OFF-XI SETBACK HIGHWAY } YARD = ,TOTAL CITY ��''�j- �C' Gr HIGHWAY WIDTH. FROM C.L. ARCHITECT OR _ TEL. ENGINEER NO. BLDG,SETBACK FROM, ADDRESS - SIDE PROP.LINE OF �' (STREET) T I, TEL r� is TYPE OF EXISTING SETBACK"'HIGHWAY`. } YARD = TOTAL d CONTRACTOR �,/ / 'f es//��Oai NO. •Lo-�aJ,'�'�7yv HIGHWAY WIDTH FROM C.L. - CD ADDRESS�r3�7 GLb ✓� �-L ' NO'///7A •'/ - t =LIC _ O CITY - %t C- i CLASSS / CORNER CUTOFF YES ❑ NO ❑ d CONSTRUCTION LENDER h NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF / NO. OF NEW ❑ SIZE STORIES / FAMILIESUSE - - STRUOCTURE DDr 'TQ 6-9.15 7— ADD ❑ ALTER ❑ - - ' G �o��"' REPAIR LJ SIGNATURE OF APPLICANT DEMOL ❑ VALUATION $ O APPROVALS .DATE, INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEE $ FORMS, MATERIALS 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 -' ST RUCTION. 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 COMPENS ION OsgRANCE. - LATH, EXT, SIGNATURE OF (f HOUSE NUMBER COR- PERMITTEE ry RECT AND POSTED ADDRESS- yam' 7—, C FINAL -311411-7z- JOHN /(.,>7ZJOHN F. LEWIS, PRINCIPALS UCT RAL ENGINEER PLAN CHECK VALIDATION CK MO CASH _ PERMIT'VALIDATION CK. M O' CASH A 6 4 7-r FEB 2 1 D 1 J.97- a 76A638A<CE#803 6-62 APPLICATION FOR BUILDING -PERMIT a 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 GROUP TYPE -P SS ED 13Y FOR APPLICANT TO FILL IN _ coNsr. Z . BUILDINGSTATISTICAL CLASSIFICATION SWER MAP : ADORESS�7 CLASS NO DWELL UNITS LOT NO I BLOCK WATER NOT REQUIRED RECEIVED i CERTIFICATE: TRACT / - MAP qqqq���� HIGHWAY ST TE MAJOR SECOND LO NO OF BLDGS. NO "C (CIRCLE) _SA 4 SIZE OF LOT _ NOW ON LOT USE ZONE SPECIAL XE OF CONDITIONS EXISTING BLDG.' LDG. OWNE N BUILDING, YARD HWY ,STREET E EXIST. SETBACK ' WIPTH ADDRESS.� FRONT y ARCHITECT OR TEL P. L l ENGINEER NO. SIDE �. ADDRESS-• - - GAL PRM Rt Eth - O JTEL0CONTRALO N 3 if - V FINAI ADDRESS/-r/ 7c DDRESS / .� G� - O S DESCRIPTIO OF WORK --- - w a NEW ADD ALTER REPAIR DEMOLISH h SQ. FT. - NO OF NO OF ? SIZE STORIES FAMILIES USE OF ST UCTURE SIGNATURE OF APPLICANT VALUATION - APPROVALS DATE INSPECTOR'S SIGNATURE P CPMT r"{•�" i FOUNDATION: LOCATION - FEE $ FEE _ FORMS;MATERIALS ` FRAME: FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE.-LOCATION! _ 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS <• - BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY'ANY PERSON IN VIOLA- LATH. INT. ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE LATH, EXT. V SIGNATURE OF HOUSE'NUMBER COR- ' PERMITTEEI RECT-AND POSTED42 ADDRESS Zco FINAL f- �) (; JOHN F. LEWIS, PRINCIPAL ST URAL ENGIN ER PLAN CHECK VALIDATION CK M O. CASH }_ PERMIT VALIDATION CK M.O. CASH L Go,6,6 1 7G JUI ?ti 1 D -8.00' 7 t-TEMPLE CETV 7"620ACIE p6C3Z/.o '-.: A�PPL:ICATION FOR BUILDING PERMIT �. COUNTY'OF LOS ANGELES BUILDING- ADDRESS DEPARTMENT OF-COUNTY ENGINEER' ` r BUILDING AND-SAFETY DMSION LOCALITY JOHN A. LAMBIE, COUNTY EN6INEER NEAREST, WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.` FOR APPLICANT TO FILL IN DISTRICT NO. GROUPpE P ESSED BY I - �S 10 CONST.• ,. _ BUILDING {� / STATISTICAL-CLASSIFICATIONSE ER MAP- ADDRESS �/ b_ 0. a CLASS.N0._3—DWELL.UNITS �K_ PG LOT NO. .• ..BLOCK MAP STATE YES N NUMBER- HWY. TRACT USE ZONE SPECIAL _ NO.OF BLDGS. n / CONDITIONS SIZE OF LOT aiz 4 ze,I-joI NOW ON LOT USE OF EXISTING 81-091 BUILDING - EXIST. TEL. SETBACK YARD HWY STRE T NAME WIDTH OWNEREe�: NO. /.tom FRONT, ADDRESS `Y�•t'QY� _ SIDEIDE . � - ARCHITECT OR - _ TEL., ENGINEER No. INSPECTION RECORD ADDRESS - - - - - - CONTRACTOR Yf�E/e TEL- 1 - I ��� (�," Co .S'( I f'r1D nl/NEEDF W ADDRESS - -- - - I_AZ)h1VjA-4 -V ` DESCRIPTION OF WORK NEW ADD ALTER - REPAIR . DEMOLISH - NO.OF •NO.OF ..'TO - SIZE STORIES FAMILIES 1 N USE OF STRUCTURE SIGNATURE OI / /n //`n - - APPLICANT VALUATION$ QO APPROVALS DATE// INSPECTOR'S SIGNATURE FEE $ - FEE FOUNDATION:FEE MATER ALSON 1-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PRAMS: FIRE STOPS. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND 'BRACING, BOLTS 2- AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE: LOCATION. '.•GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY -THAT ''IN DOING THE WORK AUTHORIZED 1 LIATH, INT. WILL-.NOT*EMPLOY ANY PERSON IN IOLATION OF THE WORKMEN'S TION LAWS LIFORNIA. i'\=>:•^ - L•ATH, EXT. ,.,. SIGNATURE OF HOUSE NUMBER COR- PERMITTE %RECT AND.POSTED ADDRESS �6^ FINAL L2 -140 -CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENG ' PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION cK. , ,M.o." CABH-. �P�t �i 3 ;G 1- 2 .iLL l� 1 D 5 .0 G. F ® +, WORKERS',COMPENSATION OECLARATION I herebyraffirm that I have a certificate of consent to self A.P P L I C�4T1 O N FOR-. B U I L D'I NOC, PERMIT" — or insure, or a_certi�caTe of Workers' Compensation Insurance, � - a certrfied cop ,thereof (Sec. 3800, Lab. C. .. COUNTY OF LOS ANGELES- BUILDING AND SAFETY t Policy'No. ompany � • ; • s Certified copy i's, 'ereby furnished: FOR APPLICANT TO FILL IN ADDRESS (� " _. 1`(1�✓�' �L BUILDING {j' .: ❑ Certii'ied'copy is filed with the co u ty building`inspec- BUILDING tion departm nt. _ ADDRESS PY1 7 JQ_ - Date y' Applicant a CITY Q/t`�1 ('ii}' ZIP C&-7/796' .. LOCALITY O OF BLDGS NEAREST • ' CERTIFICA E'OF'EXEMPTION FROM WC5IF�CE S .. SIZE OF LOT NOW ON LOT CROSS ST. �) �_i( �Y COMPENSATION INSURANCE " ASSESSOR , „ - (This section need,nof be completed.if.the'permit i for one TRACT' BLOCK LOT NO: MAP BOOK _ PAGE PARCEL hundred-dol lars'($100) W less.) TEL. _ q (� NO. ' "�� USE ZONE OP' 1,,certify that.in the performance.of the,work,for which this permit is issued, I shall-no" any peison in any manner ADDRESS p f' _ SPECIAL' Vic•, CONDITIONS ., so as to become subject.to the Workers'-Compensation,Laws. - ,• • O CITY n '1-4,21 Y y �' ..Zip: -CA 17� . i U Date Applicant: ARCHITECT OR , TEL DISTRICT GROUP' TYPE FIRE PROCESSED BY' NOTICE TO APPLICANT If,,,after making this Certificate of ENGINEER. - NO F- Compensation Imp ns ton p 'should become subject--to ocle;y the Workers- �+ f/ COr NE t �; •• N Com ensation rovisions of the Labor Code;< ou•must forth- ADDRESS - � tj/\ 1P�V�(/`�, ' comply with such provisions, or. This rpermit-shall be \ TE ( STATISTICAL CLASSIFICATION APT - CONDO Z deemed revoked. CONTRACTOR \�i N o `iR. ��'' _ LICENSED CONTRACTORS.DECLARATION LIC. CLASS NO DWELL UNITS hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ' e tJO. y (commencing with Section 7000)of Division 3 of the Business ' Q LIC SEWER MAP and Professions Code,and my license-is in full force and effect. CITY 7i' Q r(1 '{� -/Q? O CLASS BK VALIDATION SQ.FT. NO.+OF NO. OF CHECK PG ^ License Number Lic. Class SIZE STORIES FAMILIES ONE + - VALUATION r DESCRIPTION OFyWORK NEW ❑ ; Contractor Date E:1❑ . . ADD - I am exempt under'Sec. o „ - ALTER ❑ B.3P.C. for this-reason- ](27 REPAIR ❑. $ - Date..' USE OR:,' _ _ EXISTING BLDG. DEA ❑ APPLICANT FINAL Signature ,. ... ... :TEL. _ -. - - OWNER-BUILDER.DECLARATION , (PRINT) NO :.DATE ��, I hereby affirm that I am exempt from the Contractor's License - - •�, Law for the following"�eason (Sect ion,7031.5, Business and ADDRESS- FINAL- _/ Professions Code):. PRESENT By ='a " 7`' ACCT■ir _ BUILDING ❑ I, as owner of ihe•property,.or my employees with ADDRESS 3307 • '` 68-6,, wages as their sole' ole compensation,will do the work and LOCALITY ji T the structure is not intended or offered for sale(Section ' '1TEMt tS 7044, Business and Professions•Code.) - MOVING TEL - _ ❑ I, as.owne'r of tham exclusively property, aexclusively contfacting CONTRACTOR NO Ti7TAL 63 - 6_�5; with licensed•contractors to construct.the project (Sec- ADDRESS . �.HE�•Y, �a '�'� tion 7044, Business and Professions Code.) • �• REQUIRED TOTAL SETBACK* FROM EXIST rr f CONSTRUCTION LENDING AGENCY. SET BACK YARD HW PROP-LINE WIDTH CHANGE i 00 . o Ihereby-affirm that there is:a construction lending agency for FRONT ' the performance of the work for-which This,perinit'is'issued 'P.L " (Seca 3097, Civ. C.): SIDE 'y'y }�y i PL, )100—VUal 11/22/89_ Lender's Name p���� {{ AM {r� PC. Fee$ Permit Fee LDMA L# - J �7iJJ 1 171,t1Za�}� Lender's Address o I certify that I have read this application and state that the V Issuance Fee 1 LDMA above information is correct. I agree to comply with all'County InvestigationFeeordinances an Statj1ws relating to building construction, Total Fee LDMA a grid by a t orizre entatives of'ihis County to enter uthe omed ro OR, for inspectiion purpos .I ` SEE REVERSE FOR EXPLANATORY LANGUAGE t' Si nature of-Applicant or gent- Date sWORKERS`COMPENSATION,DECLARATION ' I herebaffirm that•I havte a certificate of consent,;to self insure•, ora certificate:of Workers Compensation Insurance, APPLICATION .FOR BUILDING P E RM I T or a certified copy thereof (Sec. 3800, Lab.'C. .:•- F 'COUNTY.'OF LOS ANGELES' BUILDING AND SAFETY pglicy NC.W1Compariy� f�V' (' BUILDING LJ ' Certified copy is hereby,furnished.,. .:,: FOR APPLICANT TO FILL IN ADDRESS �7 ��' ❑ Cep ified copy is filed,with the county building inspec- BUILDING �. - ?1,71-xy tion department. ' 'if a ;. ADDRESS -� ��\\ ��I v'�� ��P,l� L 1 G� - 1' 1 L _ CITY �V11 C'i�` ZIP d LOCALITY Date Applicant T _ . NO. OF BLDGS i�. NEAREST CERTIFICATE•OF EXEMPTI N FROM WO RS'` SIZE OF•LOT Q Q NOW ON LOT, CROSS.ST j ��'� . A_Vf✓ e COMPENSATION INSURANCE' - _ ASSESSOR t(This•section need,not be completed rf The permlt'ts for one' TRACT' BLOCK _ LOT O. MAP BOOK, - PAGE PARCEL :hundred•dollars-($100)'or less:) _ TEL USE ZONE ,�MAP• S`, r OWN �'► Sy_f 1� NOI(��k)J � �f NQ. " I certify that in the performance''of the•work:for which this �,• } ']SPECIAL permit,is issued; Ishalbnot employ any.person many manner- ADDRESS :�( O 'FAY'= CONDITIONS so as to,=become sulilecj to The Workers'Compensation,laws. p O CITY .��(� •M q��t�L� - ZIP ( ( `�0 - Date Applicant ARCHITECT r� TEL 1�7 �' DISTRICT GROUP' TYPE FIREJJRO�E�SED BY NOT ICE"TO.'APPLICANTi If, after-'making.this-.Certificate.of• ENGINEER lJ, CS+ ti C VA ,-NO D'3 .l ,. CONST ZONE O Exem tion,- ou, should:•become sub ect to the 'Workers' t w p Y I j 3 -� Compensation provisions of the Labor Code, you must forth- ADDRESS. 7.7>1 E ev Yk ti a with comply`,,with such'-proyisions- or thisr:permit shall be 7 TEL tD �- STATISTICAL CLA I 'TION; :d.. _ APT.r CONDO., Z deemed revoked. CONTRACTOR � ( 7_ NO. 11�1�Q J�� r _ � I LIC CLASS NO. "�-�F 'DWELL. UNITS LICENSED,CONTRACTORS DECLARATION „ • ADDRESS %�-yf�T 1k Y' Da- No I hereby affirm that I am licensed under provisions of Chapter 9 t SEWER-MAP -,;(commencing wrth Section 7000)of Division,3,of the Business - LIC. and Professions Code,and my+license is irilfull'force and effect. -.: CITY a CLASS BK PG 1 VALIDATION ;«. SQ. FT NO. OF NO OF CHECK License Number' Lic. Class+ SIZE STORIES FAMILIES ONE ;'. - 'VALUATION, ,Contractor Date» DESCRIPTION OF WORK NEW ❑ $ { _ ❑I am exempt under Sec'. Ey KT6 C7ARAFJ� ST-aKf 6`� ADD ❑ Y pl4f L OF L.IVI q"',,dk6A, .ALTER .❑ .for this reason $ REPAIR ❑ Date: USE OF t., EXISTING BLDG DEMOL•16J ;tq ._l, -' + ,a ,� Signature, APPLICANT: ..TEL FINAL :§14 OWNER-BUILDER DECLARATION (PRINT), NO '„DATE- �� ' 4 _ aA_ I hereby affirm that I am exempt from the Contractor's License M - - i Law'for the following reasoh (Section 7031.5, B'us'iness*arid, ADDRESS FIN 1 ' ' Professions.Code): PRESENT ���} �h� T - BUILDING [ Al QVt- ❑ I, as owner of the properly;`or•:rny'employees with ADDRESS ; ', AGCT■Y z n' wages as their sole compensation,=will do the work'and �•t- ,} ' the structure.is not'intended-or offered for sale-(Section LOCALITY 7044, Business and•Professtans'Code.)_ MOVING - ' TEL. ❑ I, as owner of the property,'am.exclusively contracting CONTRACTOR NO - 1 ITEC- ' with Iicersed'contractors to construct the project (Sec- ' tion 7044, Business and Professions Code.), ADDRESS �' TOTAL 60,M,­50`- 4 CONSTRUCTION LENDING AGENCY REQUIRED TOTAL-SETBACK FROM­�'• EXIST. /'HE(��// ' SET BACK_ YARD HWY PROP. LINE WIDTH lllG4f W.50 I hereby affirm•that there is a construction lending agency for FRONT CHANE (Sec the performance,of the work,for which this'permit is issued LInvestigation ' CHANVL e�Q- (Sec 3097, Civ. C:). .- E" Lender's Name^ __0001- r, n ' ' - -- .1, . -' /�/") CDMA Ref. # .' �VTJI, �+t/1',n. 9/2V/t�i+l+ , Lender's,Address - Fee$. PermitFee, r FVV - o 15 t AM 9:47 I certify that,l have read this appl-cation'and state that the Issuance Fee I /✓ 'n LDMA P/C# 8 above information-is correct:I agree to comply'-with all County Fee ordinance's'and"State•laws relating ib building construction, + Total Fee i cJ CDMA Perm # a and h�'by authfl�, n e re sentatives of this County to entero, ovetion dp operty for -nsp ion purposes~ •SEE REVERSE FOR EXPLANATORY LANGUAGE -r „_ , ,- y - •� Si nctur o�f pp-cant o 'A ent Date WQRKERS' COMPENSATION _DECLARATION- _ " 'insure, or a,certificdte of Workers' Compensation'Insurance,`, - r , A P:PL I CAT I O�I F®R .B IJ I L.D I:N C ':P:E RM I T a .' I her`eb affirm tG''I have a certificate.of consent,to self t.:or a certified copy,thereof (Sec: 3800 Lab. C.) PoliF No. ��' Company -r'TE COUNTY'OF LOS'ANGEL'ES BUILDING AND'SAF.ETY' SLI y'Certified'co is'her ,fiirnis FOR'APPL BUILDING. ! Pv J eby hed. (CANT TO FILL IN. oDDREss �, `f t} A�{ :I �Mtk t' ..�- Nf�til .• } _ - ' ,-;�❑ •Certified copy isfiled.with,the county b' Iding.inspec-�' - BUILDING- ng,, Tibn,depariment._ ;> ADDRESS _ 1`v`}U `• .��h i�� CS I V 7PO• - r cirY °Tc,l?' zlP 7 _ :. .. Date��_% APPlicant _ LOCALITY-'' ,, "., •NO OF BLDGS,y^ -', ',-'.' .,. NEAREST. .; .• .,e,�, ..-::, r; CERTIFICATE OF.EXEMPTION F OM WORI S'`,.' SIZE-,OF �'`"O NOW,ON LOT'. : rr� CROSS ST L�/'�rl•A �': COMPENSATION,INSURANCE i a'.. .` ASSESSOR - < r (This`section n_eed'noT be completed rf."the permit «s fof.one' TRACT=G'" = BLOCK LOT NO. MAP gppK PAGE PARCEL hundred'dollars ($100) or less:)"" - OWNER SH�?�-.�/���, s111I', Np � [Of0-�74LJ USE ZONE MAP r h' -I'certify that'in the,'performance:'of',The work for which'Thtisi• _ NO. erinrT is issued, I shall not em to an erson m.an manner ADDRESS; `� e,{/� :tit'• �-_-'' SPECIAL '" a- P P Y.• Y P. Yr,- f�U'BIb DIZ.- :1 CONDITIONS r so as to become subilect-to the,Workers'Compensation Laws:; µ 4,- O- ,. CnY r5%�1/f-:.ti1. lZ-I�_ n zip Com''. _.�.� p$^:' - 3 ; U ;-Date Applicant' `' -•` ARCHITECT OR--- .r -TEL . NOTICE 'TO APPLICANT: If, after,,making',this.Certificate-of"--'- ENGINEER..• "�� 1U 41j�Al6gft� DISTRICT GROUP TYPE' FIRE'.' �ROCESSED BY NO �,I -'7� i CONST ZONE'` :.4 O Exemption, you should become aub ect^tor the;Workers'' - �" _ U Com ensation'; r'ovisions of th'e•Labor.Code; ou,must forth- ADDRESS �: � �1F'y A - .e�.'� r V LL' P , P Y 1111,,,11/ ., 1, vG , 6 ��� cL wrtFi,comply,with,such provisions;•or. this,permit shall be TEL STATISTICAL CLASSIFICATION APT.. CONDO.- cn deemed revoked. '_ CONTRACTOR. (: NO (r�Ji7rJ�J; Z ar �••-LICENSED-CONTRACTORS•,DECLARATION �' ': LIC CLASS, DWELL;UNITS I' by affirm that I,am,licensed under•provisions-of Chapter 9 •,• ADDRESS �yt '� 1 k'r' '��J _ . NO (commencing with'Sect.on 7000)'of.Division 3_of the�Busmess ' LIC -� SEWER MAP ' and Professions Code,ana'imy(icense;isjnn full.fwce,and effect. CITY St?i>f�� CLASS BK S Y VALIDATION ` '' SO FT NO 'OF NO. OF . CHECK,^ L'icense'Number Lia.Cl6ss° SIZE Q� STORIES FAM ILIES' ONE ? - DESCRIPTION AF WORK. NEW: VALUATION Q Q ' - /- Contr'actor Dafe - :S 73-�0'� ' ❑I am'exempt und' Sec. +, 0: 7�_�� '_ �.� 'ADD ALTER B.&P.C. for;this r �' eason „ i ? Uyt v1 A C ._ ) REPAIR' /LY s rt _ C ; Date: - i 1, ''., ' ? EXISTING.BLDG.' G' C�fT �� ' DEMOL } �1 " 4 APPLICANT Signature '<-� ( -•_ , NO FINAL PRINT OWNER-BUILDER DECLARATION DATE I hereby offirm,that I am exempt from':the Contractors License r ; Law for the following reason (Secti'on 7ti031.5, Business and ADDRESS,_ FINAL . Professions Code): 2cs'- ,a PRESENT,, / ° +••'. By' JIMir I,, as owner`of•-the ro ert "Mm �em•110 ees with BUILDING �/ b' �11A �` El{t�T'■s +"' P P. Y,.,�,,•�, Y' P Y ADDRESS X. A wages as their sole compensaHon,will`do the work and "' "' �^`^"r " t t ,�j}07 ?6.7._1 �,... The structuee is not intended oi�offered for sale(Section `- LOCALITY yt FI 7044, Business and•Pr'ofessions Code<)�. MOVING Au -7EL ,+. �- -F. ti " 1'. ITEC tr' ❑ 'I, as owner.of the pro`perty,'am;ezclusrv,ely coritracting - CONTRACTOR NO �• =+ Try AI f with licensed contractors to:consiiuct the project (Sec- " ' ""r `" t ` x}'s' ^' ` L ;TOTAL 96 ' tion 7044, Business and Professions"Code:-) ADDRESS a �e = REQUIRED TOTAL SETBACK FROM". ` EXIST'K ` 'CONSTRUCTION LENDING}AGENCY SET BA K -YARD HWY ; _ _ r ` C PROP LINE WIDTH n ;f 5+ - Y , I hereby affifm that there is a consfructionae-4ng agency:for FRONT , , a "�. -" y j' •ti " ;.'•t{dirH1{1E I; the performance.of the work for whicH%This"permit is issued P L' `r` ;;�;« •°i ! ' 4t' (See: 3097; Gv',C:). SIDE P L^L, 89, Lenders'Namel' k.T-e'- i..._ _ ..•- ., _ - - - - .,,•- • '` a.., •- (�,��. `CDMA Ref.�#`.'•., - -} 'S i Lender's Address' P.0 Fee$' Permit- r(i1J �` �. „ r5�,14 i �•*4I o :rcertify-that L'have read this,applicatiomand,state that'the Issuance Fee . J LDMA:P/C#c above information is correct I agree to comply with all County Investigotron�Fee. ` "ordinances tnd•Stat laws relating to building construction, Tot61 Feeql� ;CDMA Perm: # = P- a an ereby authon e�represe6tatives of this County to-enter.' - pon`th .a otve-me 'o ed'prbperty,for inspec ion,jiuPposes _ a _ 1 SEE REVERSE .,FOR R EXPLANATORY LANGUAGE; ,gnat ;APP ca •t or,Agent _ Date - { ,s, - - -- WORKERS'COMPENSATION DECLARATION ell .1 nt to self insure, of afcertificate irm rof We rke s' Compensat oI have a certificate of n ensure ce, APPLICATION FOR BUILDING PERMIT or a certified copy,thereof (Se 3800, Lab. C ) ' - '• _. ' (1=, •' COUNTY OF LOS ANGELES BUILDING.AND SAFETY Policy No�•�—��✓� Com any' Stol t51 ❑ Certified copy is-hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building mspec- BUILDING tion department. ADDRESSAt JtT A v e Date •Applicant CITY - -�_- V1 Ito °G I ZIP I /. LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' - r - / NO. OF BLDGS ' NEAREST COMPENSATION INSURANCE SIZE OF LOT d U ��(1 NOW ON LOT CROSS S7 OrA (This section need not'be completed'if the permit is for one TRACT BLOCK LOT NO ASSESSOR ' hundred dollars ($1,00)or less.) - tt' �] 1 F A� FAA) h / MAP BOOK PAGE PARCEL ' OWNW51+1 I �i E!� , /'l"r � NL 'S�SJh��4 USE ONE MAP I-certify that m the performance of the work for which this ' NO. permit is issued, I'sholl not'employ any person in any manner p �/ SPECIAL so as'to'become subject to.the Workers'Compensation Laws. ADDRESS Jt a 1 d V - p CONDITIONS CITY' �1 �Y)'1\,D _ ZIP U Date' Applicant NOTICE TO APPLICANT:,,lf;,'after m6king""his Certificate o ARCHITERT OR . NOL DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption,'you' should become' subject to the Workers' ENGINECONST ZONE F' Compensation provisions of the Labor Code, you must forth- Or J W- ADDRESS with ,comply with'such provisions or this permit shall- be "'deemed revoked: TEL • / STATISTICAL,CLASSIFICATION APT. DO. RACTOR b Dh?VIa'NO. Z LICENSED CONTRACTORS DECLARATION CONTN LIC CLASS NO. I DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)'of'Division 3 of the Business and _ , LIC. SEWER MAP Professions'Code, and my hcense•is in full force-and effect. CITY CLASS BK �/ik VALIDATION SQ. FT NO.OF NO OF CHECK' -License Number lic.Class SIZE STORIES FAMILIES ONE �y • Q $A/ ATO N�/) Contractor Date • DESCRIPTION OF WORK NEW ((Q V 11' ADD ❑ I am exempt under Sec. l '.W-oLaC `: P)4i � ALTER , B.BP.C. for This reason t�f " �b - �E /lgl� $ REPAIR Date: USE OF EXISTING BLDG G 4:14i>'a DEMOL ❑ Signature, APPLICANT ,I at' TEL OWNER-BUILDER DECLARATION PRINT S��/V /-t/ C NO. I�.� FINAL DATE �j l 1•hereby affirm that I am exempt from the Contractor's License ADDRESS Zo_R u i �,L ✓i 7 6 Law for the'following"reason (Section 7031.5, Business and ��' "th � I md• FINA ro e q Pro essions Code):. ESENT _ By -0 BUILDING ��(, f 0 0 0$7 3 8 V I, as owner of the property, or my employees with ADDRESS x• '" wages as their sole compensation,-will do the work'and the structure is not,,mtended or offered for sole(Section . LOCALITY 0 9,2 b-8.,8 •. 7044, Business and Professions Code). MOVING TEL. ®_ I, as owner of,the property; am exclusively contracting CONTRACTOR NO with-licensed contractors to`construct the:prolect'(Sec- ' tion 7044, Business and Professions Code). ADDRESS i REQUIRED TOTAL SETBACK FROM EXIS CONSTRUCTION LENDING AGENCY.- SET BACK YARD - HWY PROP,LINE WIDTH hereby affirm that there is a construction lending-agency for FRONT the performance of the work for which-this permit is issued - P L - (Sec 3097, Civ:C.) SIDE ` Lender's Name P C +9' L6DMA Ref':p ' Lender's Address PC. Fee,$ Permit Fee••. / t I certify that I have read this application and state that the Issuance Fee 10 P/C ti. o above information is correct. I agree to comply with'all CountyInvestigation Fee aordinances and Statelaws relating to building construction, -and hereby authoriie representatives of this•.County to.enter Total Fee Perm. N• upon the ab ve-meant. ned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE , ignature of Applicant or Agent Dote COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411300001 PHONE: (626) 285-0488 EXT: G --_ - CONST BUILDING ADDRESS: BK: 234 PG: 18 PC: 1 SQ. FT NO. TYPE 5746 KAUFFMAN AV STRUCTURE: VN TEMP CA 917802505 SS S NEAREST CROSS STREET.: LAS TUNAS 8587-023-034 ; , - THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C EXIST-BLDGLDG USE: RESID USE ZONE: EXPIRES ON: EXIST OCC GRP: 12/09/04 JK 12/04/05 OWNER: TEL. NO: BL NOW ON LOT: VALUATION: ALAT CODE: NG JAMES Y B;MICHELLE M.S - 10,000 5746 KAUFFMAN AV TEMP 917802505 FEES PAID DESCRIPTIONR NEW PITCH ROOF OVER PORTION OF FLAT ROOF (29 X 32=928 SF.) FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW ACCESS DOOR a EXTERIOR WALL FOR EXISTING WATER HEATER. APPLICANT: . SAME AS OWNER - D1 PLANCHECK W/O EN-HC 10000.00 VAL 184.11 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 10000.00 VAL 1.00 D1 PLANCHECK W/O EN-HC 10000.00 VAL 184.11 TOTAL FEES 396.97 CONTRACTOR: TE O: APPROVALS DATE INSPECTOR-SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECTOR ENGINEER: 0 LIC. NO: SLAB/UNDER FLOOR �U \ i' RAISED FLOOR FRAMING y MAP N0: SEWER MAP BOOK: PGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 TEMVNIATHING 0. OF FAMILIES: DWELLING I S: AP /CO : STAT . NO 21 ROOF SHEATHING CO0 OS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION TOTALREQUIRED IS FIRE SP R SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- 0R LATH/DRYWALL3�EXTERIOR LATH 3_ RATED 0 . RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T- AR CEILINGS LOT DRAINA'&T-- REPORT ID: DPR261 ROUTE TO: BS0508