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HomeMy Public PortalAbout5837-5837 1/2 KAUFFMAN AVE_Building__ .� DIVISION OF BUILDING AND SAFET _ 1Department of'County EngineerJ00 . 7' County of Los Angeles APPLICATION Fox COUNTY ENGINEER ~W FOR APPLICANT TO FALL IN FOR OFFICE USE ONLY BUILDING' DIB(�RICT NEL• PLAN CK.OR�REECC.No. PERMIT NO. ADDRESS .? ' / L _ R V D BY DATE .�OgpF.APPL. DATE ISSUED LOCALITY N;EAR[8T , CROB9ST. BUILDING f 7� �/�� SAL✓ /�!%0 A-X,,0 OWNER MAIL LOCALITY f � •-ADDRESS NVARESTT9L. CROW ST. �►+�e •.CITY NO. FIRE •NO.OFGROUP ARCHITECT OR d G TEL ZONE ( PLANB� P� ENGINEER NO. - �/n / SETBACK LINE �. , Iq o L ADDRESS USE APPROVED TEL ZONE BY DATE CONTRACTO NO. HOUSE NUMBERING ADDRESSMAP NUMBER �K�f�� NO. ASSIGNEQ,1BY_ ,ar ,raa� DE9CRIpT -LOO. CORRECTIONS IDN T N � BLOCK ✓_ - TRACT 4 S-6 I O. OF BLOGEL 'SIZE OF LOT-5-6)r - I -NOW ON LOT n �, USE OF NO. OF ��jj Jf EXISTING BLDG. FAMILIee _ fj DESCRIPTION OF WORK AaZ,4__ NEW ALTERATIONADDITION Z /D(--v J v CGe D REPAIR V DEMOLITION �"- ••---^� r SIZE ROOMS Q STORIES V EXT. CWALL4JROOF a ERING•.. ��OVCOVERING / USE OF STRUCTURE - t' INSPECTION FOR APPROVALS OCCUPANCY AB INSPECTOR'S SIGNATURE DATE FQUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1' HAVE READ THIS IS FRAME:-.FIRE STOPS, PLICATION,AND STATE THAT THE IN GIVEN IH tt CORRECT. - BRACING, BOLTS I AmREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. - OAS VENT, DUCTS SIONATTTE LATH, INT.PERMI ADDRESS LATH, EXT. � 41 T �+� PLASTER, INT.. AUTHORIZED AST. PLASTER, EXT. $ P.C'$ HOUSE NUMBER COR- RECT HOUSE AND POSTED VALUATION-*/ - ( V FEE �.0i)48 �-'�_ FINAL - - �/ •(o ��3 _- 76A638A DBS 3 1-52 �� 76A638A CE #803 4/70• •OXX APPLICATION FOR BUILDING PERMIT!e600� COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �_�.) � JOHN A. LA MBI E, COUNTY ENGINEER ADDRESS �j COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITYNEAREST e FOR APPLICANT TO FILL IN CROSS ST. L� f/�� Print ort only) S u� BUILDING , DISTRICT NO. GROUP TYPE P ESSEO BY ADDRESS F ,A _5 �' _ CONST 15YSTATISTICAL CLASSIFICATION SEWER MAP LOT NO BLOCK � j CLASS NO.�LDWELL.UNITS TRACT USE ZONE MA P - NO.OF BLOGS. NO. ::,?,6rI/ SIZE OF LOT NOW ON LOT SPECIAL USE OF J CONDITIONS EXISTING BLDG, TEL. OWNERV;q NO. BLDG.SETBACK FROM ADDRESS FRONT PROP,LI NE OF —(STREET): TYPE OF EXISTING SETBACK HIGHWAY } YARD — TOTAL CITY HIGHWAY WIDTH FROM C.L. ' ARCHITECT ORTEL. } _ ENGINEER i O BLDG.SETBACK FRO ADDRESS - SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK' HIGHWAY RD TOTAL CONTRACTOR - NO. HIGHWAY WIDTH FROM C.L.I r LIC:' _ n- ADDRESS NO. + C3 LIC. [r CITY CLASS CORNER CUTOFF YES ❑ NO ❑ O CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ED ADDRESS _C-1) Z SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD fig STRUCTURE • a ALTER ❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. 77 FOUNDATION: LOCATION FEE S FEE $ �L, O�' 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 'STRUCTION. 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 INS NCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE _ - RECT AND POSTED ADDRESS — c FINAL JOHN F. LEWIS PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK V,,AMATION CK M O CASH _ PERMIT VALIDATIO CK mo CASH E .a��.8. 9 Q 'oma MAR 3 1 0 1 2.0 0- 76A638A C E�i1803 1/71 - .�1. J__ APPLICATION FOR BUILDI I G PERM, r� _ COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY-DIVISION -BUILDING- ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tyDe only) CROSS ST. BUILDING _ OISTF,ICT P TYPE: PRO BY ADDRESS ' V r` �. CONST, _ LOT NO BLOCK STATISTICAL CLASSIFICATION SEWER MAP CLASS NO.,24DWELL,UNITS EWV PG TRACT - USE ZONE MAP - NO.OF BLDGS. NO. D. SIZE OF LOT (�•lC �/ NOW ON LOT SPECIAL ' USE OF i _ 'f3CONDITIONS EXISTING BLDG. _ TEL. OWNER - �/.f�j(� NO. BLDG.SETBACK FROM.' ADDRESS O� F FRONT PROP.LINE OF (STREET) T TYPE OF EXISTING SETBACK HIGHWAY + YARD = 'TOTAL ,CITY l✓ C.�� - - HIGHWAY WIDTH FROM C.L. ARCHITECT OR - TEL. } _ ENGINEER NO. BLDG.SETBACK FROM _ ADDRESS - SIDEPROP. LINEOF (STREET) TEL. �y TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL O CONTRACTO ,��' NO./�/'O G�dp—S HIGHWAY WIDTH FROM C.L. V ADDRESS r i57, Jr _- `r-_- NOLIC.._ Vy 3j 7 7 - _ -- + - — � O CITY 6j(/ _y �'� CLAS �'- /• CORNER CUTOFF YES ❑ NO ❑ w CONSTRUCTION LENDER - CL. NAME AND BRANCH SEE REVERSE DE FOR SPECIAL APPROVALS ADDRESS 1111,711Z , SO FT. NO. OF NO. OF NEW ❑ / SIZE STORIES, FAMILIES USE OF ADD STRUCTUREey LTER REPAIR❑ IGNAT RE OF APPLICANT 141�rl A-6—s{., DEMOL ❑ d �Z 7 VALUATION $ APPROVALS DATE iHSPECTOR'$ SIGNATURE P.C. PMT, 7 FOUNDATION: LOCATION FEE $ FEES , 0- FORMS, MATERIALS FRAME: FIRE STOPS, if I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS J AND STATE THAT THE ABOVE'IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL ORDINANCES AND LAWS, REGULATING BUILDING CON- GAS VENT, DUCTS STIR UC TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATHINT. - LABOR CODE OF THE ST ,OF,'CALIFORNIA IN ATING TO - WORKMEN'S CO MPE NS -I SURANCE. LATH, EXT. SIGNATURE OF .. „ HOUSE NUMBER COR- PERMITTEE - rr RECT AND POSTED of ADDRESS f FINAL ��,f�✓J/�jt�,� JOHN F. LEWIS PR CIPAL ST R,�L ENGINEER PLAN CHECK VALIDATION CK. M O CASH _ PERMIT VALIDATION CK M O CASH LJuo3 2 2 1 0' 1 ,2.00- cc T4A638A CE #803 1/71 �= APPLICATION FOR• BUILDING .PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER_ '. MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION- BUILDING =- 2 jq ,4ap1w -IV Ave—` ADDRESS 5 83 Z COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY ` 1kn FOR APPLICANT TO FILL IN ' NEAREST EA REST.� D k l�I Print ort a only) BUILDING (J /J _ 'DIST ICT NO. ../G�rR/OUP TYPE PROCESSED BY ADORESS�+7>� A.U' W� �.�� /1 D�. - �i v�. /v tLfQRST STATISTICAL'CLASSIFICA TION SEWER MAP ; LOT NO BLOCK c�,I'�' ' CLASS NO.�DWELL.UNITS� •'BK.._• PG TRACT USE ZONE MAP•- �! NO.OF SLOGS. +� NO. SIZE,OF LOT yJ•G x J•�.�" NOW'ON LOT- ;/�- SPECIAL ' USE OF ,�JJ CONDITIONS EXISTING BLDG. :.5/ ClBBx e,o i rE OWNER r �7 „ L- 'NOL BLDG,SETBACK FROM ' ADDRESSFRONT FRONT PROP,LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD - TOTAL CITY HIGHWAY WIDTH FROM C.L. ARCHITECT PR TEL. ' L®�j .+}' ., 5 • _ •�S`: ENGINEER - NO. BLDG,SETBACK FROM ADDRESS SIDE PROP. LINE OF (STREET) TEL. TYPE OF EXISTING `SETBACK HIGHWAY• } YARD = TOTAL 0- CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. O LU IC. ADDRESS NO. - - - + -. O LIC'. - U CITY - CLASS -CORNER CUTOFF. YES ❑ NO ❑ Iy CONSTRUCTION LENDER �- NAME AND BRANCH SEE REVERSE SIDE FO PECIAL APPROVALS Z ADDRESS - SQ. FT. NO. OF NO. OF ❑ �� Z' - SIZE STORIES FAMILIES NEW,, USE OF ADD ' STRUCTURE ' `FNC.F ALTER ❑ - - REPAIR SIGNATURE OF ❑ _ , APPLICANT DEMOL ❑ VALUATION $ Q' ,. •� .APPROVALS• DAT INSP TOR'S X.. TURE P.c. PMT, C� FOUNDATION: LOCATION 1{ + •r' FEE FEE'$ / ©O FORMS, MATERIAL'S .J 3 SCC_ 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. 1•�C ERTIFY 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 TION INSURANCE - _ LATH, EXT, - 'SIGNATURE OF G HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS PRINCIPAL STRUCTURAL ENIN El PLAN.•CHECK VALIDATION . CK M 0 CASH _ PERMIT- VALIDATION CK M O CASH Lilo 4'7, 6 8 N WkR 6 1 D 9• ,N . APPLICATION FOR .13U]LDING PERMIT r' r COUNTY OPL'OS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION D ESS � FOWAPPLICANT TO FILL IN BUILDING9e I hereby affirm that I have a certificate of consent to self.insure, BUILDING ADDRESS V Z , or a certificate of Workers' Compensation Insurance,or certified 'f� 1 av . copy thereof (Sec.3800,Lab-C) „- J CIITT���,,,, ZIP Policy No.M0 Syr Company Sia � F'�''� / C, LOCAUTv SIZE OF LOT .NO OF BLDGS NOW ON LOT• ❑ Certified.copy Is hereby furnished NEAREST CROSS ST / LTJ Certified copy IS filed with the county building.ri pectlon TRACT BLOCK LOT NO . department •�/ 1 /1USE ZONE MAP NO _ I Date /�/.-'P3 Applicant ��i�/osTt� /c01Tigy ASSESSOR MAP BOOK ' PAGE' PARCEL .• SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS'' OWNER TEL NO COMPENSATION INSURANCE le.-OWA1 WITHIN 1000 FT OF SCHOOL? YES NO This section need'not be'completed leted If the ADDRESS ( p permit IS for one hundred dollars ($100or less '�� ;* ', DISTRICT GROUP TYPE CONST. IRE ZONE PROY ) ) V Ge CES�. ' CITY "- '. ZIP' // is issued; I Shall not employ any;'per /1 I certify that,m the performance:of the work for which this permit � •' �©� SOnin any manner SO as•t0 _ K ARCHITECTOR ENGINEER - -TEL NO become Subject to the Workers'CompensatiQn•Laws •,STATISTICAL CLASSIFICATION - APT CONDO _ Date Applicants ADDRESS CLASS NO DWELL•UNITS NOTICE JO APPLICANT.' If, after making this Certificate Of • REQUIRED TOTAL SETBACK FROM EXIST Exemption, you Should become subject t0 the Workers' CONTRACTOR - TEL�NO - SET BACK YARD HWY PROP LINE WIDTH ' Compensation provisions of the'Labor Code, you must forthwith'' vu ' FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS LIC NO P L LICENSED CONTRACTORS DECLARATION ��T S' �~ to i SIDE CITY - LIC'CLAS S(� P L I hereby affirm that I am licensed underprovisions of Chapter 9 a _ / (commencing with-Section 7000)of Division,3'of the Business and SO FT SIZ� NO OF STORIES I OF FAMILIES :SEWER MAP tl Professions Code,and my license is in full force and.effect. yL NEW ❑ BK PG' U License Number " LIC CIaSs G 1 DESCRIPTION OF WORK• f ADD Rr VALUATION , r}+ 1 dW' Contractor/ Date 9^�y�.� r J ALTER ❑ $ �' O 4 O . REPAIR ❑ Els, iST ie $ U I am exempt under Sec. _ {- If B&PC for this reason DEMOL ❑ WLDMA P/C# _ d Date USE OF'EXISTING BLDG URM ❑ j -00 Z Signature` APPLICANT(PRINT J TEL NO LOMA Perm# a ' ❑ I, as owner of the property, or my employees with wages°as �s7�'a/i e.., q their sole compensation,•will-do the work and the structure'Is A RESS O . :F lit °::_e, not intended or offered for sale (Section 7044, Business and �', .►ati h P, FINAL DATE Professions Code.) ' �_ O 'ATE.{�` WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL _ AJ 1�-� ❑ I, as,owner of the property, am exclusively'contracting with OR A MIXTURE CONTAINING A,HAZARDOUS MATERIAL'EQUAL TO OR GREATER THAN THE �"`��`� _J 35 AMOUNTS SPECIFIED THE HAZARDOUS MATERIALS INFORMATION GUIDE'S FINAL BY > TOTAL . iTAL 14-9 4° '� licensed contractors to construct the project (Section 7044, �_ � • Business and Professio' Code) - YES❑ No •• .. _ -CHEM 14`7°%L /E ' - WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 1 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH, / / I�P_� — II CONSTRUCTION LENDING AGENCY' COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR � A�� 0�1 '/0 �•TTlhff 11 E GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ N.911" o� —' wthe performance of the work for which this permit Is Issued(Sec. - l� W - I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING �{ C 3097,Civ C.) Ili i00, ,11301 N CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, ' TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUSu I J°•-• 5 2 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 3_ 1. I'I 8 9 Q Lender's Address fJ p O ER OR AGENT -- - - ' o I certify that I•have read this-application and state under,penalty of perjury that the above information IS correct I agree to comply PC FEE - PERMIT F �j _ with all county ordinances and State laws relating to building /i construction, and hereby authorize representatives of this County ISSUANCE'Fly ato enter upon abov menti a pr rty for Inspection purposes INVESTIGATION FEE TOTAL FE I f` ,q,nwre Mabe m« � a6 to SEE REVERSE FOR EXPLANATORY LANGUAGE