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HomeMy Public PortalAbout5937 KAUFFMAN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES I WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN' FOR OFFICE USE ONLY DISTRICT NO: PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LODALITY �� i RECEIVED BY DATE OFAPPL. DATE ISSUED NEAREST 3�. CROSB BT j v BUILDING OWNER ADDRESS 1 d t//�1�✓h.r MAIL LOCALI llc ADDRESS TEL NEAREST ], r�,� CROSS ST. E/ CITY NO FIRE NO.OF M OROUP'7`r ARCHITECTOR TEL. ZONE PLANS ENGINEER •,rte'`` �. NO. BLDG. �RD.ji0. ADDRESS SETBACK LINE / L, C TEL. APPROVED CONTRACTOR NO. BY DATE USE APPROVED ADDRESS LEGAL .p ZONE BY DATE DESCRIPTION LOT NO. u BLOCK CORRECTIONS TRACT NO.OF SLDGB. SIZE OF LOT I NOW ON LOT UBE OF NO.OF NO.OF / / / p /'7 `' _ EXISTING BLDG. FAMILIE ROOMS t �b "�( - 7 . �!\ . /�(��l/F/✓/_ DESCRIPTI N OF WORK NEW ALTERATION ADDITION Al A REPAIR I MOVING DEMOLISH DEp SFT. NO.OF IZ SIZE OF ROOMS STORIESWALL ! 1 n 5�g RD COVERING _COVERING 1 i)I I)�yv 19 V�S ) %V ��K 'r;l USE OF NEW BUILDING _ �(?7- R�n�n �cyw/o�)�h 6IiF-P t "IAF f! h �� lVH/_l 'r r I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS( APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT IN ECTOR DATE AND AGREE TO.COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULAT NO BUILDING CONBTR CTION. FORMS.MATERIALS _ FRAME: FIRE STOPS. 'R JITTEE SIGNEATURRE O f. BRACING.BOLTS 12 RN LATH. INT. AUTHORIZED AGT-- -� (\ //!1kY� J �� LATH, EXT. T 7GA63BA-3 2-50 $ cry" P.C,to �, PLASTER,INT. FEE ! PLASTER,EXT. VALUATION fr - FEE FINAL I TW IM b 12-y DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 1 L mLQpk 1 WM. J. FOX. CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLAN CK.NO. rrr999 PERMIT NO., BUILDING a /®�� ADDRESS LOCALITYRECEIVED BY DATE OFAPPL. DAT�1E ISSUED - NEAREST �v �"v Li 44 CROSS 8T, •. BUILDING / 2-7 zV Al OWNER �' ADDREBB; _ L e ADDRESSZS �, �i �j���•fp,/r„MAIL LOCALITY i�Ll=. T `-{� TEL. CROSS NEARESTT. L lc�S S CITY No. FIRE NO.OF TYP.:Ti7E GROUP ARCHITECT OR _-. T L. ZONE PLANS '- .J ENGINEER - L ORD.NO. ADDRESS SET BACK'LINE- _ APPROVED - _- TEL. BY DATE CONTRACTOR 41 - , NO. USE APPRO AD RE B ZONE LZ BY DATE i DE9CRGIPTION LOT NO. 2a.. BLOCK -2_—C6(7_ CORRECTIONS TRACT 6lr6 ' - A* NO.OF BLDGS. SIZE OF LOT I/ NOW ON LOT - EXUSE NOOF 9T NG BLDG.' r... ! FAM OF ES I ROOMS - DESCRIPTION OF WORK NEW �� ALTERATION ADDITION - O A REPAIR MOVING DEMOLISH p Sq.FT. NO,OF Z SIZE �/�^ ROOMS STORIES D WALL t I ROOF f' COVERING COVERING USE OF NEW y _ BUILDING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FFORMS,MAT LOCATION FORMS,MATERIALS AND STATE LAWB REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, BRACING,BOLTS SIGNATURE OF � /3, ,d,i PERMITTEE LO'$FtF� ��% LATH, INT. 00,01 AUTHORIZED AOT LATH, EXT. 7GA63BA-3 7-49 P.C.® PLASTER, INT. / FEE PLASTER,EXT. VALUATION /�� �� FEE >$ 2 1 0 FINAL 089-3 29M.9ET9 6-46 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOA PERMIT COUNTY OF LOS ANGELES r WM. J. FOX, CHIEF ENGINEER �- I. ® ' N G FOR APPLICANT TO FILL IN FOR OFFICE USE. ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO., BUILDING ADDRESS .I �z 7 LOCALITY ' /� ���� / T�/ - REC�EI,V/E'D SY DATE OF APPL. DATE ISSUED" NEAREST O CROSS'ST. 1L �'y''/4 ,C�' t ` BUILDING /• /q1 ''/ / ADDRESS•• ( , /•Y�_ �/ J MAIL ADDRESS 'Cre�CU /pG �.(f � LOCALITY NEAREST TEL. CITY CROSS BT. - FIRE NO.OF .TYPE GROUP ARCHITECT'OR - TEL. 'ZONE I PLANS ' ENGINEER_ NO. u «„� :LDS. LINELDG. - • ORD..NO. �Q a Si - 7 ADDRESS ��--� TEL.: ®Y .- _�. a-- DATE��r - CONTRACTOR NO. '•- U9E� APPROVED r" - ADDRESS - ZON _ BY t '•' DATE LEGAL / y, DESCRIPTION /I- -LOT / Z `,( BLOCK . CORRECTIONS r.�� - - TRACTor BLDG SIZE OF LOT SQ X �� I NOW ON LOTS� � USE OF ' NO.of NO.SOF ( . EXISTING BLDG. X0--0 I FAMILI[m I ROOMS •-. DESCRIPTION OF WORK , NEW ALTERATION I I ADDITION r O p. REPAIR I MOVING,- DEMOLISH p- SIZE - CD ROOMS STORIES I WALL I ROOF COVERING COVERING, USE OF NEW A 0/ ' BUILDIND . ��{m/ .f APPROVALS 1 HEREBY ACKNOWLEDGE THAT 1; HAVE READ THIS _ _ - APPLICATION AND.STATE THAT THE ABOVE 18 CORRECT FOUNDATION: 'LOCATION, INSPECTOR _ DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCESFORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONBTRUCTION. FRAME: FIRE STOPS, * BRACING, BOLTS SIGNATURE OF , OWNER LATH, INT.: AUTHORIZED LATH, EXT.: ' © P. C.• �a_ PL48TERr INT. �•+'— FEE M% PLASTER: EXT. O .VALUATION FEE FINAL —MEN II! DBS-3,2SM SETS 6-46 - •" ` _ ° - ' DEPARTMENT OF BUILDING -AND SAFETY7. APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUI ® ®® WM. J. -FOX. CHIEF ENGINEER I FOR,APPLICANT TO FILL, IN FOR OFFICE,USE ONLY DISTRICT NO.- PLAN CK. NO. PERMIT NO. BUILDING'. ✓� 7; �� � ADDRESS LOCALITY - - , RECEIVED-BY DATE OF APPL./ DATEISSUED NEAREST CROSS' ST.Y 01c, MAIL'OWNER f..C�•:O-���!'}"- BUILDING I/ loll LOCALTY ADDRESS - /// NEAREST CITY- !/( - 11 � CROSS ST: NO FIRE NO.OF' I TYPE 13RUP ARCHITECT`,O_R �s , ENGINEER,'. . TEL. ZONE PLANS. " .;. '�.�_ NO. - � • BLDG. ORD. NO. ADDRE99_ r �' SETBACK LINE' _ - . TEN APPROVED• CONTRACTOR NO' 'BY • •• - DATE- . - ' APPROVED', ZONE By *.,, DATE LEGAL DE CRIPTION I LOT NO./i f� I BLOCK' . - CORRECTIONS - -TRACT �/. - .,�,/p,,,;,,, ���j. fQ '�j�L //Ll�Oil',.7`+ii� �J?XI✓(XL�.I/Yl'J^l F BLOB SIZE OF^LOT.,& f�jy'f 7 4S I NQW ON LOTSUSE OF ��� - I NO.Or�--k NO. OF ! `� (/• , EXISTING BLDG; - FAMILIES% II ROOMS ' DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR'sq. y q fM�7OVING `or DEMOLISH- O 9 ZEc ��6•�'/H d�'ROOM® • = `STORIEl9 J ' WALL ROOF COVERING lsL'-' I COVERING USE OF NEW/,/^ �_ - -• , BUILDING ;-APPROVALS ' 1-.HEREBY ACKNOWLEDGE THAT, 1 HAVE READ THIS INSPECTOR DATE :•APPLICATION,AND STATE'THAT"THE ABOVE IS CORRECT FOUNDATION:'LOCATION, _ Q I' •AND AGREE TO CDMPLY WITH ALL,COUNTY ORDINANCES- FORMS, MATERIALS 1. �'.✓ b AND'8TATE'LAWS REGUL-ATING'BUILDING CONSTRUCTION. FRAME: FIRE STOPS; BRACING,,BOLTB SIGNATURE OF•;- �l. - OWNER LATH, INT.: Y \4 w I AUTHORIZED AOT 1 �f LATH,.EXT.: • ` P. C. / -PLASTERI INT. V FEE PLASTER, EXT. VALUATION . F� !1 •b c�- FEE., 'FINAL el WORKERS'-COa PENSAIION DECLARATION I hereby offirm'that I have a-certificate of consent to self insure, ora certificate of.Workers' Compensation Insurance, - APPLICATION ,_ FOR- RU I L D I N G 'PERMIT- . .ora certified copy thereof (Sec.'3800, Lab.,C.) ' _ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company t. } - BUILDING El •-'Certified,copy is hereby furnished. FOR'APPLICANT'TO FILL IN ADDRESS V_ 5 ❑ Certified copy is filed with the county building inspec- BUILDING i ADDRESS 3_5411n Gt tion,department. ,. ., �• • z CITY'.'�.yr1 'L- ZIP h$�' LOCALITY Date Applicant --b- NO.-OF BLDGS. NEAREST CERTIFICATE'OF EXEMPTION FROM WORKERS'. ; SIZE OF LOT 'I'Sb NOW.ON LOT- 3—' CROSS ST -COMPENSATION INSURANCE Q p ASSESSOR „(This section need not be completed if the•perrriiT is for one TRACT 6"t ZO� BLOCK .� � (' -'LOT NO Zr� MAP BOO PAGE PARCEL hundred dollars•($100)'or less.) . ���r�� n TEL. OWNER ���`T D NO' USE ZONE ,'MAP I certify that,in the performance of the work for which this p NO ` permit-is issued, I,shall not em to an erson in an manrier ADDRESS UY?�t7 JV ✓� Sl0 SPECIAL P P Y Y P Y ]SPECIAL' a so as to become subject to the Workers' Compensation Laws. -� „ , O ' CITY 5 - 6a'brl l "ZIP q�� / _ - _U Date Applicant ARCHITECT OR -TEL. DISTRICT • GROUP_ TYPE--- = FIRE " PROCESSED BY W NOTICE TO APPLICANT:' If, after-making this.Certificate of ENGINEER r -NO - CONST - ZONE Exemption, you_should become subject to the 'Workers' p U Compensation,provisions of the.Labor Code, you must forth- ADDRESS �// -� a b with comply with such .provisions-of this permit shall _e "` TEL•w STATISTICAL CLASSIFICATION APT,' CONDO N deemed revoked. _ _ CONTRACTOR s� NO. Z_ �•, LICENSED CONTRACTORS DECLARATION LIC- CLASS NO: DWEu UNITS I hereby affirm that'i am I censedrunder provisions'of Chapter 9 ADDRESS NO. SEWER,MAP _ (commencing with Section 7000)of Division 3 of•the Business LIC' and Professions Code,and my license is m full,force,and effect. CITY- ' CLA55 BK - PG VALIDATION SQ ,FT // NO`,OF NO•-OF" CHECK ; License Number Lic. Class SIZE !!! STORIES FAMILIESONE ' ❑ VALVA ION DESCRIPTION OF WORK (iQpf-, NEW -Contractor ' Date $ y�' ADD' ❑ Poo. I am exempt under Sec.' ALTER El B&P.C. for this-Teason - REPAIR $ Date:- USE OF _ » EXISTING BLDG DEMOL ❑ Signature APP( N (PRINT) NO. FINAL n/ OWNER-BUILDER,DECLARATION DATE LI �Z I hereby affirm that I am exempt from the Contractor's License • ADDRESS FINAL Law for the following reason (Section 7031.5, Business and Professions Code). PRESENT -- By - NG VN 1, as owner of theproperty, or m em to ees with- ADDRESS tl .J a g . Y P Y ADDRESS- :wages as their sole' will do the work and "-' - `" '7307 f?' the structure is not intended.or offered'for sale�(Section LOCALITY J JtFoJ 70",•Business and Professions Code.) MOVING TEL. ITEM ❑ 1,,as owner of the property, am exclusively contracting CONTRACTOR NO. t - with licensed contractors to construct the protect (Sec- - 7 TOTAL 64--.63 ADDRESS tion 70",-Business and Professions Code.) Ct 4oL' REQUIRED- TOTAL SETBACK FROM- EXIST - �,I�Cri. , "�'. CONSTRUCTION LENDING AGENCY SET BACK "YARD .,HWY` PROP •LINE WIDTH q,• nllll - = I hereby affirm that there is a construction lending agency for FRONT _ ,. �.I'{AN�71_,= - the performance of'the work,for which,this permit is issued P•L: (Sec. 3097, G'v. C.)• -SIDE- ­PX, L:. - Lender's Name ! {(!j 1• 12/' �9.? _ LDMA Ref # -. P C. Fee-S_ Permit Fee ��� r 146' ��� ! Lender's Address _ all 7d 1 certify-that I have read`this application and state that the - - y Issuance-Fee LDMA P/C# 8 above information.is correct. I agree to comply with'all County Investigation Fee', Q 4 - ordinances and State laws ielatind to building construction, Total Fee �✓ LDMA Perm # a and hereby authorize representatives of'this County,to enter ' upon t ab ve- nt,Acl,fjrppeirtylorinspectio urposes. �] ter• • 99!/ SEE REVERSE FOR EXPLANATORY•LANGUAGE Signature of Applicant-or Age Date '