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Home My Public Portal About5921 KAUFFMAN AVE_Building__ 78A898A*.CE#809.7-56APPLICATION FOR BUILDING PERIVI !T , 1, BUILDING A14D SAFETY DIVISION AppEss �C t :1r -� Department of County Engineer County of L'os Angeles LO•CA'LITy . JOHN A.'LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS'ST. �- DISTRICT NO. GROUP E SEWER MAP .FOR APPLICANT TO FILL Ik @K , PG . 1 -:5 ITYP _CONST.. BUILDING "- ADDRESS "LL STATISTICAL CLASSIFICATION .LOT NO. p/ BLOCK CLASS. NO. ' DWELL. UNITS_l - +• MAPwy _ _ STATE YES NO�� NUMBER HWY •TRACT USE ZONE SPECIAL , .� NO. OF BLDGS. CONDITIONS - SIZE•OF LOT O ` -NOW ON LOT 'USE OF _ - , I EXISTING BLDG. BUILDINGEXIST. SETBACK YARD HWY. STREET'NAME WIDTH OWNER FRONT _ // MAIL ,�/' P. L. ADDRESS J,11 .SIDE _ Td1VP. L. CITY - NO 6— INSPECTION RECORD' ARCHITECT OW TEL.__ / y�- ENGINEER NO.'-Tq!'f P y y� •J� ADDRESS TEL. _ / (7'2 �'/19) I CONTRACTOR, NO. - -ADDRESS DESCRIPTION OF WORK SO L C1?�5C7U R/it/G `/ _ EA11)�r�'Tip =Al��X -S 714) dE "NEW (ADD/ ALTER REPAIR DEMOLISH SQ. FT. es►► NO. OF NO. OF SIZE / y STORIES FAMILIES USE OF STRUCTURE ` `S-7 APPROVALS -SIGNATURE OF APPLICANT- DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION r Z� 0� FORMS, MATERIALS �7 _ �� FRAME: FIRE STOPS.- , P. C. $ b n/ � . FEE. BRACING. BOLTS VALUATION $� (.7-�� FURNACE: LOCATION, -�� GAS VENT, DUCTS FEE THEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. ' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND c ,/ STATE LAWS REGAGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND LATH. EXT. UL TING BUIL NG CONSTRUCTION. — SIGNATURE OPj HOUSE NUMBER COR- - -PERMITTEE v ?Yto RECT AND POSTED ADDRESS _ - FINAL JOHN'A..LAMBIE, COUNTY ENGINEER, .CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL ENG ER PLAN CHECK VALIDATION 6K. I.I.O. CASH PERMIT VALIDATION 'CK. M.O. ,CASH _ ICS s � nY �'7 1 2.00 n 76ASSBB-A CE•#8,09•10.86 APPLICATION 0=O R ;E U I L D I NG PERMIT - �• BUILDING AND SAFETY DIVISION BUILDING ADDRESS Department of County Engineer County of Los Angeles LOCALITY ! JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT-D.•GRIFFIN, SUPT OF BUILDING CROSS ST DISTRICT NO. GROUP.. TYPE SEWER MAP' FOR APPLICANT TO FILL IN CONST. BUS- P% BUILDINGON I �- ADDRESS � � / /� �� GS "i�i t�'��i .'17%i �'f� ,.STATISTICALCLASSIFICATI v CLASS. NO. WELL- UNITS LOT NO. - BLOCK MAPSTATE / NUMBER - - HWY YES' O TRACT (�/ USE ONE .SPECIAL NO. OF BLDGS. CONDITIONS - SIZE-OF LOT of"a /, + �� NOW ON LOT _.USE OF EXISTING BLDG. BUILDINGEXIST. _ YARD HWY STREET NAME SETBACK WIDTH OWNER W(/tifiQ�s�i /!✓t��✓/./Y/ [�' _ FRONT MAIL J � P, L. �CJ ADDRESS ,,,,J ,% dry 'J ..�aia t2 SIDE P. L. "o �"� INSPECTION RECORD - ARCHITECT OR TEL. ENGINEER V NO. ADDRESS T - CONTRACTOR O. 9-e-`,t-7 /j � ADDRESS DESCRIPTION OF WORK ' ��/ � ��,Y�-��,�/�(� • NEW ADD ALTER REPAIR DEMOLISH S ZE T• ' �7�i STORIES FAMILIES r � ��/,/ USE OF STRUCTU _ - APPROVALS _ _ SIGNATURE OF f I - .APPLICANT .r JI�Li�A..i 9 v/ n L f-!L DATE INSPECTOR'S SIGNATURE ADDRESS 1 y FOUNDATION: LOCATIONJ91r�s.' ,®�;51 FORMS, MATERIALS / (/{1 v P. C.'s FRAME: FIRE STOPS. �* %•'� +'7 �q �'p ®� FEE ' BRACING. BOLTS `9` l� tS L�mZ��cSJ�r ��./{ Z/�''C/ �• S FURNACE: LOCATION.'. v VALUATION' FEE GAS VENT. DUCTS , 1 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 LATH, EXT. - STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF ,q•-�� y - HUMCOR-' RECT APO - - 'PERMIT YEE � i v'��''� C• RECT AND POSTED ADDRESS FINAL JOHN A. LAMBIE, COUNTY ENGINEER, - ^0Vd'f ,CLYDE N. DIRLAM„PRINCIPAL STRUCTURAL ENGI R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. 'SEP 4 .•. z 2400 ® 76A638A CE#8033-66 *APPLICATION FOR BUILDI G PERMI .iZ 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. DISTR�T NO. R TYPE P S BY,/ FOR APPLICANT TO FILL IN —f, , CONST. BUILDING � �J STATISTICAL IFICATION SEWER MAP ADDRESS OS/- CLASS NO. DW ELL UNITS BK PG LOT NO. 1/ CK USE ZONE MAP e NO. TRACT SPECIAL NO. OF BLOBS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF "STtN 0 BLDG, BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF (STREET) ./ OWNER G, NO. a �/ ZZ TYPE OF EXISTI NO SETBACK HIGHWAY + YARD = TOTAL ADD,R E/�SfJS p 7 / • HIGHWAY WIDTH Cl TY�!�B�j�?' BLDG. SETBACK FROM + ARC HITECTAOR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR NO LIC ADDRESS NO CORNER CUTOFF YES NO a O CITY CI `I-Ass SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK W LL NEW ADD ALTER - REPAIR DEMOLISH SQ.FT. N 6,,O NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT yJ� VALUATION$ �C/' •00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. q_� FOUNDATION, LOCATION FEE$ FEE$ CrV FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS RUILDI NG CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RELAT. . ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. SIGNATURE OF ✓l/i�G HOUSE NUMBER COR- PEAMITTEE RECT AND POSTED ADDRESS FINAL �y JOHN F. LEWIS. PRINCIPAL STRYSTURAL ENGINEER PLAN CHECK V LIDATION DK. M.O. c SH _ PERMIT VALIDATION cK. M.o CASH LAAO7 7 6 6- MAR28 1 D 4.0 0- 3 . WORKEW COMPENSATION DECLARATION .hereby affirm That I have r certificate of consent to self A P P L I CATION FOR BUILDING PERMIT insure, or f certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C:)' COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company - Certified copy is hereby furnished, ILDING FOR APPLICANT TO FILL IN ADDRESS ADDRESS oC Certified copy is filed with the unty building inspec- BUILDING tion deportment. ADDRESS : n Date�L:r•Z 9+ Applicant CITY rt _ir ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS" -•NO. OF BLDGS.' NEAREST COMPENSATION INSURANCE- n SIZE OF LOT NOW ON LOT CROSS ST. (This'section need not be completed if the permit Wfor one - ASSESSOR -hundred dollars ($100)or less.) TRACT I BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP OWNER.. i �✓ NO. - .._ U i certify that in the performance of;the work for which'this NO. y. permit is issued, I'shall not employ any person in any manner SPECIAL so as to become subject to the Workers'Compensation Laws: ADDRESS CONDITIONS - CITY ZIP . Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after making-this Certificate of DISTRICT. GROUP, TYPE FIRE PROCESSED BY ENGINEER NO. CONST., ZONE Im Exemption, you should become subject".to the Workers' ""' 5 /1S( U Compensation provisions of the Labor Code,-you must forth- ADDRESS lD (� With comply .with such.provisions or this permit shall be' - - - -_ _- t!L TEL. STATISTICAL CLASSIFICATION APT. J,.tONDO. deemed revoked. ., CONTRACTOR r NO. LICENSED CONTRACTORS DECLARATION -LIC. -- CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9. ADDRESS �� - ee ;NO. (commencing with Section 7000)of Division 3 of the Business and •_ _., LIC - sl SEWER MAP Professions Code,"and my license'is in full force and effect. CITY CLASS ` '- VALIDATION SQ.FT NO.OF NO. OF CHECK BK. PG. License Number �� Lica Class__ SIZE STORIES FAMILIES ONE WORK -NEW� �° DESCRIPTION OFS� � P VALUATION ContractorDate $ C (.� C 4" [Ell I am exempt under Seca ALTER ❑ B.&P.C. for this reason REPAIR .❑ S at USE OF DEMOL EXISTING BLDG. ❑ Signature APPLICANT /� TEL. < FINAL PRINT) ` `7 �(J NO. 1 - OWNER-BUILDER DECLARATION _ � I hereby affirm-that I am exempt from the Contractor's License p''+� .- DATE f '• 6 1 .Q J.A Low for the following reason (Section 7031.5, Business and. ADDRESS�Z[ (� `Ca ✓C' S e T'[ '� FINAL ' Professions Code): PRESENT BY ` �C 0 0 o•1 ❑ BUILDING o,o 1,9s owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and _ I -'a 6 8.6 3 the structure is not intended or offered for sale(Section LOCALITY o 0 0 6 a.6 3 Ft; 7044, Business and-Professions Code).- MOVING' ""' TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed.contractors to construct-the project (Sec- tion 7044, Business and Professions Code). ADDRESS REQUIRED... TOTAL..SETBACK FROM IST. CONSTRUCTION LENDING-AGENCY' SET BACK YARD' --HWY PROP. LINE WIDTH 1 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 P.L. o Lender's Name _ mLDMA Ref. # P.C. Fee$ Permit Fee 5,;,)¢ Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# '• . a above information is correct. I agree To comply with all County Investigation Fee ordinances and State laws relating to building_construction, d and eby authorize representativ of this County to enter Total Fee �j0 LDMA Perm. # upo -t a above-mrd ro for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant,or Agent - Date - - - •_ - -- - - _._ - _ __ .,. _ _ .. QQ i "rj aL Z 76A638A CE#803 3-68 APPLICATION FOR BUILDI G PERM�'T COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS ✓ / BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. FOR APPLICANT TO FILL IN DISTRIC/T�NO GR P CONST. // PR E BY (Print or type only) BUILDING/ STATISTICAL CLA IFICATION SEWER MAP, ADDRESS CLASS NO. OWELL,UNITS SK ,_PG LOT NO. BLOCK USE ZONE MAP NO. TRACT SPECAL CONDIT ONS NO.OF BLDGS. SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET). OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CITY ARCHITECT O TEL. BLDG. OM SI LI (STREET) ENGINEER NO SDE PROP.LIOF TYPE OF EXISTING1 SETBACK AY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM G.L. TEL. + _ CONTRACTOR ` NO. —� o_ LIC. O �3 ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ V CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS U DESCRIPTION OF WORK w 77 z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. Q D FFOFORMS,I MATERIIALSON FEE$ ��- EE $ 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 BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. ING TO WORKMEN'S CO ENSATION INS NCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE " RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 7 r r- RR i t