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HomeMy Public PortalAbout5803 KAUFFMAN AVE_Building__ *DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OFLOS ANGELES BUILDING 9'•W.M. J: FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLANCK. NO. PERMIT NO. BUILDING ADDRE68 6`(� - � \ ^ EG IV D BY, .. DATE'OF APPL. DATE ISSUED LOCALITY ap �� C�/4 1°" �A NEAREST f CROSS ST, BUILDING ' ADDRESS -- n 3 /old K-G•,IJ-rte,Ar•'1��.0� OWNER41b"' 71,9#:s •, MAIL LOCALITY T ADDRESS, a Q 0) NEAREST TEL. CROSS ST. y✓ C�'G��it/1•i2L.�J CITY NO. 3D FIRE I NO. OF I TY I GROUP ARCHITECT O TEL. ZONE PLANS ENGINEER ~� NO. BLDG. ' ORD. NO. ' SETBACK LINE -� �"� ADDRESS. APPROVED TEL. ; .t BY DATE CONTRACTOR NO. USEAPPROVED • . •. ZONE•42 BY DATE ADDRESS HOUSE NUMBERING LEGAL - I DESCRIPTION LOT NO. BLOCK MAP NUMBER Z� Gy 7 FIELD CHECK BY TRACT NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS - SIZE OF LOT NOW ON LOT EX SING BLDG,.' e•rn G e I F SILLIES w DESCRIPTION OF WORK G� NEW - I•' I ALTERATION I I ADDITION REPAIR I. I DEMOLITION I I I - - - - - '• "'• - ..'_"�" ' O SQ. FT. NO. OF SIZE ROOMS STORIES •. Z _ a EXT. WALLROOF P ' COVERING COVERING USE OF 8T TURfi APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION j PLICATION AND STATE,THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. _ I AGREE, TO COMPLY WITH THE CORRECTIONS •LISTED FRAME: FIRE STOPS, HERON AND•.WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS LAWS REGULATING BUILDING CONSTRUCTION. f FURNACE: LOCATION, I - SIGNATURE OF ; GA6 VENT, DUCTS PERMITTE@' LATH, INT. ADDRESS, LATH, EXT. �r AUTHORIZED AGT. PLASTER, INT. 76A67SA,• D89 f0-80 P. C. !$ LVALUATIIO mFEE PLASTER, EXT. N FEE FINAL Z-. �' FINAL 76A638A cErt803 5-65 APPLICATIO - OR BUILDING P RMIT q 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. DIST R T NO. GRO P TYPE - P O D- Y FOR APPLICANT TO FILL IN CONST .• BUILDING � STATISTICAL ASSI FICA TION - SEWER•MA:P BK - - ,I•--- PG//o /o ADDRESS /t, CLASS NO '_b�.-DWELL UNITS C� v LOT NO. BLOCK USE ZONEMAP NO. C/ TRACT 1 SPECIAL - NO.'OF BLDGS. l CONDITIONS SIZE OF LOT NOW ON LOT - '• _ USE OF E ISTINGj�B 'w/- BLDG SETBACK FROM OWNER 1�-U��i - NOL $ FRONT PROP. LINE OF l70 - STREET) !�Q TYPE OF EXISTING SETBACK HIGHWAY . YARD - TOTAL ADDRESS -.J VO� U� HIGHWAY WIDTH 'FROM C L' If CITY-T OO` '+. ` BLDG. SE ACK FROM G ,ARCHITECT OR TEL - SIDE PROP. LINE OF (STREET) ENGINEER •: NO. - - _ TYPE OF EXISTING SE-TRACK HIGHWAY + =Y D - TOTAL' ADDRESS HIGHWAY WIDTH FROM C.L �• l PAC° TEL Q�7 O70 O/ D + f CONTRACTOR Q NO 7 OO ADDRESS -NO C?��y CORNER CUTOFF YES NO'� U OC CITY' I" �• CLI LASS ISEE REVERSE SIDE FOR SPECIAL APPROVALS O- DESCRIPTION OF'WORK v W a NEW 'ADD Q�-L TER .'REPAIR 'DEMOLISH _ - N • Z SQ.FT._ NO. OF NO OF SIZE STORIES FAMILIES -USE OFp STRUCTURE I I C.. H G)J - SIGNATURE OF ' APPLICANT VALUATION$ ' '-APPROVALS DATE INSPECTOR'S SIGNATURE P.0 - _ PMT. FOUNDATION, LOCATION , FEE _ FEE$ FORMS, MATERIALS FRAME, FIRE,STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLICATION BRACING BOLTS �Y V 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 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' COMP N INSURANCE LATH EXT - SIGNATURE OF HOUSE'NUMBER COR- PERMITTEE RECT AND POSTED ' ADDRES FINAL P S .PLAN 'CHECK VALIDATION CK M CASH _ JOHNPERMIT VALIDATION.(:K CK M O EN CASH ER " •i� ,o 3 - 2 8,' JUL 21 1 D -6.00- ell .00N V ,� ` i / • ppa TYAODDA C6y OD•9-60 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING �'O3 DEPARTMENT OF COUNTY ENGINEER ADDRESS LL t./•-f'/7.7 A -7 BUILDING AND SAFETY DMSION: LOCALITY z Lam' C;T` JOHN A. LAMBIE. COUNTY ENGINEER NEAREST • WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. a/L'' I71�.. DISTRICT NO. GROUP -�ypE. P ESSED BY FOR,APPLICANT TO FILL IN , O �. _ coNsr.' ,;,/ BUILDING ��jj �j - STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 'Ci%`/J C r� �'�� '• 1' CLASS. NO.S, _DWELL LIN ITS•' G LOT NO. ./ .� Of BLOCK' MAP- -STATE• " H YES f�7©. N NUMBER TRACT (p USEZONE SPECIAL NO OF BLDGS. �j ' CONDITIONS . SIZE OF LOT •�� X f,�,U I NOW ON LOT -;.67- - USE OF UO EXISTING BLDG. B ILDINGEXIST S YARD. HWY STREETNAME.' _ EL. SETBACK WIDTH OWNER li c O. FPROINT •u���a L0 ADDRESS O,O 3 ��Y!l�`A- /A/V pIDE �C'V S /"i ARCHITECT OR TEL. • _ ENGINEER NO INSPECTION RECORD ADDRESS TEL. 0 CONTRACTOR' NO. i CC ADDRESS DESCRIPTION OF WORK G a NEW ADD r ALTER REPAIR DEMOLISH N Z SO. FT. _ -e c) STORIES FAMILIES SIZE "T C.� USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE , PMT. - FOUNDATION: LOCATION P.C. FEE $ FEE $� © FORMS, MATERIALS I ' 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 COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILD I NG,CONSTRUCT]ON I CERTIFY THAT IN THE PERFORMANCE ,OF THE.WORK FOR-WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH, INT. ' EMPLOY,-ANY PERSON'IN ANY MANNER SO AS TO BECOME SUBUECT - TO THE WORMEN'S COMPENSATION LAWS OF CALIFORNIA ' �KLATH,EXT.' ' SIGNATURE O HOUSE NUMBER COR- PERMITTE O' y .RECT AND POSTED ./ ADDRESS FINAL •� �/� / CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E ER PLAN CHECK VALIDATION cK. M.o. cAsri PERMIT VALIDATION CK.,. M.O. CASH 6 7 ?APR 1 a 3 v 0 I�Y DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT y COUNTY OF LOS ANGELES U l L ® 1 m Nm WM. J. FOX. CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING' ADDREalk LOCALITY RECvfI D BY DATE OF A`PPL. DATEISSUED NEAREST 3 CROSS BUILDING OWNE dKft" I ADDRESB L MAIL LOCALITY T� L ��7'Y ADDRESSNEAREST 1,,/ {�� CI ' NE ! �V•� CROSS ST. (/I' Q R KIWI FIRE NO.OF TYPe__jt GROUP ENGIN RT OR / / NO./ , ZONE PLANS �.•K�--.• BLDG. - _ ORD.NO. ADDRESS 6/ SETBACK LINE APPROVED - TEL. w�- gy DATE CONTRACTO. _ ( � USE Q APPROVED 'ADDREB ZONE /1 BY DATE LEGAL _ DESCRIPTION /LOT NO. BLOCK CORRECTIONS TRACT SIZE OF LOT Sd ,/ S NO.OF BLOTS. NOW ON LOT USE OF. NO.OFNO.OF EXISTING BLDG. Eri'914 FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH Sq.FT. NO.OF Z SIZE ROOMS STORIES D WALL ROOF r COVERING COVERING UBE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT,I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS RE LATINO BUILDING CONSTRUCTION. FRAME: FIRE STOPB, SIGNATURE OF BRACING,BOLTS PERMITTE �'" LATH, INT. AUTHORIZED AOT LATH, EXT. 76A639A-3 7-49 $ 00 P.C.s PLASTER, INT. FEE PLASTER,EXT. ' !9 VALUATION FEE FINAL �J APPL.ICATIONFORBUILDING PERMIT COUNTY OF-LOS ANGELES BUILDING.AND SAFETY WORKER'S COMPENSATION DECLARATION -FOR APPLICANT TO FILL IN.' Bu1LDINc©R SS I hereby affirm that I have a certificate of consent to self Insure, BUILDINGADDRESS or a certificate of Workers' Compensation Insurance,ora certified copy thereof(Sec 3800,Lab C) .CITY ZIPry ZI 7 LOCALITY Policy No Company ., SIZE O LOT - ' ' NO OF BLDGS NOW ON LOT ❑ Certified copy Is hereby furnished. NEAREST CROSS ST ❑ Certrfied copy Is filed with the.county building Inspection TRACT•', BLOCK LOT NO department USE ZONE MAP NO Date - Applicant ASSESSOR MAP BOOK• PAGE" PARCEL - SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWN TEL NO ./ COMPENSATION INSURANCE (THIN 1000 FT OF SCHOOL? YES NO (This section need not be completed If the permit Is''for one hundred A D S , DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY dollars ($100)or less) CT ZIP //� I certify that In the performance of the work for which this permit U Is issued, I Shall.not employ any'.person In any manner So as t0 ARCHITECT OR ENGINEER TEL NO become subject to'the Workers'Compensation Laws STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO 'DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate .of REQUIRED _ TOTAL SETBACK FROM •EXIST Exemption,' you' should become subject to- the Workers' CONTRA T TEL NO SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the-Labor Code, yo ,must,forthwith. FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATIONSIDE CITY LIC CLASS P L_ I hereby affirm that I am licensed underprovlsions of Chapter 9 SEWER MAP (commencing with Section•7000)of Division 3 of the Business and SQ FT SIZE NO.OF STORIES -NO OF FAMILIES - Professions Code,and my license Is in full force and effect NEW BK PG d License Number Llc Class DESCRIP ON OF WORK ADD ❑ VALUATION OD O t Contractor Date —ALTER 1:1 ❑ 1 am exempt under Sec REPAIR El B&PC for this reason / DEMOL ❑ LOMA P/C# IIIII U Date USE OF EXISTING'BLDG URM ❑ ` {{ IL SignatureAPPLICANT(PFUNT) TEL NO LDMA Perm# 1 1 Z ❑ I, as owner of the property, or my employees with wages as Z ADDRESS O _ _ �'•"T6g • their-sole compensation, well do the'work and the structure Is , not intended or offered for sale (Section 7044, Business and "FINAL DATE / Q 0-3-1203 1231.4,5 -ProfeSSIOr1S Code) WILL THE APPLICANT-OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL. _ �'' .�� ,J •}d ❑•I, as Owner of the property, am exclusively contracting with AOR A MIXTURE EC ON CONTAINING THE'HAZARDOUS MATERIALS EQUAL TOIONRGUI E'GREATER THAN THE Q 1 !T,...1 S . ,FINAL BY '�_•• _ licensed contractors to construct the project (Section 7044, YES 1:1 NO D TOTAL 12,. , Business and Professions Code) ii ((. WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING �, ��, • 23'.451 _ _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES - . . G fA�'tiLE -.00 I hereby affirm that there Is a.construction lending agency for YES El 'NO❑ the performance of the work for which this permit Is issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING .3097, CIV C) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY.CODE. _ j'('�,'} TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH•2 20 140 CONCERNING HAZARDOUS LI000-00!•�i 1 6/ `95 r� J, .F Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SGAOMD ` - oLender's Address 0770 0 1 t PH, O OWNER OR AGENT o I certify that I have read this application and state under penalty' O of perjury that the above Information Is correct I agree to comply PC FEE PERMIT FEE 777, - •• N with, county ordinances and S laws relating to building (� m c Ctlon, d hereby au r present S of this County ISSUANCE FEE - to up the bove- tl ro rt specction pp rrp/o,�/gS. �p• �� LTIGATION FEE TOTAL FEE gat. /� �• � ruture or Aon`cam a Apem ' SEE REVERSE FOR EXPLANATORY LANGUAGE