HomeMy Public PortalAbout6120 KAUFFMAN AVE_Building__ I Ay TE
7e�eae�CE#eoa 2/e0 APPLICATION FOR. BI.JIL® , % ERMIT '•�. .�
COUNTY OF LOS..ANGELES App ess�(r,120 KA I=rmoqk -AVE ,
DEPARTMENT OF-COUNTY ENGINEER
BUILDING AND SAFETY DIVISION.
LOCALITY EM PL E c TW
JOHN A. LAMBIE,.COUNTY ENGINEER NEAREST
WILLIAM A.-JENSEN SUMT OF BUILDING CROSS ST. RqQ Lo
DISTRICT NO... GROUP TYPE PR CESSED.HY
i FOR APPLICANT TO FILL IN , 65 ,6) �- CONS
STATISTICAL CLASSIFICATION SEWER MAP
BUILDING d �nKAUF� N 1�V E BK PG
ADDRESS '�O f. R IV /'l G /J
CLASS.NO.�DWELL.UNITS / �•-- r/ .• '
LOT NO. 91 BLOCK MAP ��Q STATE
NUMBER HWY., YES NO'•
TRACT AWA ANITA L T/2 C - USEZONE SPECIAL �!
g NO OF CONDITIONS
SIZE OF LOT X 1471. I NOW ON BLDGS.LOT' /
USE OF _
EXISTING BLDG. d��IZL`°IN G BI GA gBUILDING YARD, HWY - STRE'ET NAME - EXIST.:
TEL. SETBACK WIDTH'i
OWNER F NO. Sr FRONT'TlAl1TL
P.L. o2C7 V
ADDRESS 2O V SIDE
ARCH ITECTOR . TEL. P•'L• 41
ENGINEER oM� No. INSPECTION RECORD
ADDRESS - - -'' '• L✓
TEL. �f?✓_avrt Anw .kX i,•.4c A�,Cf.�.: �•
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CONTRACTOR e7LllIJ NO. ,J� r �� �f ,� -` �r`�, ltc •, .•U
ADDRESS , ,.
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DESCRIPTION=-OF WORK' ,�' �3 O
NEV ADD, ALTER 'REPAIR DEMOLISH
SO.FT. -NO.-OF NO.OF•.
SIZE, . . c) O� STORIES. •FAMILIES' / r� - N
.USE OF � '.�i� �f* f''''1� �/ '�AI�i�1c✓l�/�
STRUCTURE i i',V Z LLU
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SIGNATURE.OF •�' } LI r" / ' ���� e e'�
APPLICANT'j1 -� •' ) R l +
VALUATION$I JQ .;6/�li
Y APPROVALS - -S DATE k .INSPECTOR'S"SIGNATURE '
P.C., - /� PMT. i,FOFORMS!MATERICALS N .+I�7 it/1 I :`/r✓5 '�fl'
FEE,' V �^ FEE $ 1
FSTOPS,
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BRACING, BOLTSS /1 1I!��7 ��'1/!/19 • .-` -
1-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- �•.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION,
'AGREE-TO COMPLY WITH`ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING -CONSTRUCTION. LATH, INT. BS > � �AfIYF
I CERTIFY•THAT IN' DOING'THE WORK'AUTHORIZED 1 !, -
WILL'NOT EMPLOY ANY PERSON IN VIOLATION OFITHE � ynn11��
WORKMEN'S.COMPENS TION LAWS-OF CAL LATH,EXT;'..
RNIA.
• i ;t ;•+-,'
r + HOUSENUMBER COR-
SIGNATURE OF /
` RECYAND.POSTED
PERMITTEE.
ADDRESS �2Q V rrI FINAL
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
' 'PLAN CHECK'VALIDATION cK M.O. CASH PERMIT VALIDATION ; cK. M.O. .. CASH`
LA,';o 0 7 6 P,?, 3 03 0.0 V
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