HomeMy Public PortalAbout5949 KAUFFMAN AVE_Building__ 76A638A CE#803 9-67 I I
APPLICATION FOR BUILDI G PER uI
COUNTY OF I„OS ANGELES BUILDING
DEPARTMENT OF 60UNT� ENGINEER ADDRESS 5949 North Kauffman
BUILDING AND SAFETY DIVISION LOCALITY Temple City
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST
CROSS ST. GbQ/
FEXISTING
OR APPLICANT TO FILL IN DIS�TRICrT'NyO_:/ GR TYPE PRO B -
(Print or type only) 5—, 0: CONST,
94.9 North Kauffman Avenue STATISTICAL CLfj$�ICATION SEWER-------
ADDRESS
CLASS NC r DWELL,UNITS BK PG
BLOCK USE ZONE MAP
NO.
SPECIAL
CONDITIONS
NO.OF BLDGS.
NOW ON LOT 1
Residence
DG. BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
OWNER • D. Smith NO. TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS 5949 N. Kauffman HIGHWAY WIDTH FROM C.L.
CITY BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO.
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS ''n �7 HIGHWAY WIDTH FROM C.L.
CONTRACTOFPaciflclnst. NO.
42- 1070 + a
O
ADDRESS 2 Grand No 211898 CORNER CUTOFF YES ❑ NO ❑
CITY Temple Cit CLASS C 20 SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK N
z_
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE
STRUCTURE Installing 35IMTU heater.
SIGNATURE OF -
APPLICANT
VALUATION S 200.00 -
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE S FEE S bo00 FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 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 DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLO AN PERSON IN VIOLA.
TION OF THE LABO�CODE HE STA CALIFORNIA RELAT- LATH, INING TO WORKMEN'SON 1 ANCE. LATH, EXT.
SIGNATUREOF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED --
ADDRESS FINAL 7 C �
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
L&O.4 .5 5 0�20 M 7 1 D 6.0 0-