HomeMy Public PortalAbout5941 KAUFFMAN AVE_Building__ / P
76A638A.CE#803 9-68 ' v C
APPLICATION FOR BUILDIN /
PERM
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. 7-clij
FOR APPLICANT TO FILL IN DISTRICT N GROUP TYPE PROCESSED BY
(Print or type only) �� •�' CONST.�-
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BUILDING- I j� /}'��Q STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS Y, / �/K �V'•'�� CLASS NO. DWELL,UNITS BKe PG//
LOT NO.- 716 A BLOCK USE ZONE NOP O
TRACT ) �p i �.� SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG._ BLDG.SETBACK FROM
OWNER �QfL{iG(j(�y� vt( NOL. �� FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
/i� HIGHWAY WIDTH FROM C.L.
ADDRESS TT L.�
4-c z 6 d
CITY '
BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
}
TEL. + = d
CONTRACTOR NO. C
LIC. C:
ADDRESS NO, CORNER CUTOFF YES ❑ NO O
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS w
CONSTRUCTION LENDER
0-
NAME
NAME AND BRANCH Z
ADDRESS t
SQ. FT. NO. OF NO. OF NEW ❑
SIZE /SSTORRRIIES FAMILIES
STRUUSE O TURE C /L OO ALTER ❑
SIGNATURE OF.,,
APPLICANT OEMOL ❑
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C, PMT. FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS
--d
FRAME: FISTOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG 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 OFCALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSURANCE LATH, EXT.
SIGNATURE OF'Z./- 'HOUSE NUMBER COR-
PERMIT RECT AND POSTED•
ADDRESS ✓ +�
'FINALzz
JOHN F. LEWIS. PRI CIP L STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M o cAs
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