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HomeMy Public PortalAbout6155 KAUFFMAN AVE_Building__ 76A(338A CE✓{803 2-83 APPLICATION- FOR, BUILD]NG ,PEE.RM,Ir- , COUNTY OF LOS ANGELES , BUILDING. f` DEPARTMENT OF COUNTY ENGINEER' ADDRESS �J�J �OFi�YyI/& Mr ' BUILDING AND SAFETY DIVISION '-LOCALITY 7,,C'/` ,1 el 6w 67AXIAtl JOHN A. LAMBIE, COUNTY ENGINEER NEAREST ✓✓rr li�f/� WILLIAM A. JENSEN, SUPT OF BUILDING .CROSS ST.err/.a 4_/) , " - DISTRICT.,NO G TYPE FOR APPLICANT TO FILL IN ;" coNsr. BUILDING �nA STATISTICAL CL SSIFICATION S WER MAP ADDRESS '"! �/ - CLASS. NO. DWELL. UNITS BK LOT NO. !,� -()� BLOCK WATER ' NOT REQUIRED RECEIVED CERTIFICATE: TRACT - MAP HIGHWAY STvvvA���T.E MAJOR SECOND LOCAL ' NO. OF BLDGS. NO. (CIRCLET - SIZE OF-LOT NOW ON LOT USE ZONE SPECIAL - .. USE OF - .CONDITIONS, EXISTING BLDG. - - TEL. ..C OWNER tj• NO. BUILDING YARD HWY STREET.NAME EXIST. SETBACK WIDTH ADDRESS�� 4'9CIIY/7 T.E60 C�� AL1F.- ' FRONT' ARCH ITECT,OR - TEL.' P. L.ENGINEER _ NO. - SIDE - - - ADDRESS - ... CURB, GUTTEr�, .- a TEL. APMT>:r� O CONTRALTO R ,{ NO. V.. .Qry /IIr '=' ADDRESS A 1 - DESCRIPTION OF WORK cL•u: eJtter," I' r) way pt r O . r .a ,,i� I r Q,a a ..^.��f, F.Itadena V a(u IDL w i*tm or T. C. Co. "Engineer's .o I' I': it _ :iy :n or!er to avoid a. NEW .ADD 'ALTER. REPAIR DEMOLISH = -� s - N langtliy dc;l:y, 5ufv'y "u Desla I w {Y. '.a a I:: Z. SQ. FT. / ,�+� NO.,OF NO. OF�' -.I a,kwa troll Crnllt at T. Ci., SIZE' 1 " STORIES FAMILIES 11 '`� "' `- USE"OF /� iiy STRUCTURE'fYau,SIE: - /ShPh&e P4,.� -.. le-67 �� (f'j,.��p q ,y }r�,,' - / �y�.���,y. U gA- 6y��"."���,J��_�,r"V"'es'i.��i 'll,:t .��Y� �� a lflV+"'�" SIGNATURE OFAL/G s _%,tjf �irJ v + F3 APPLICANTg� VALUATION $ /f//� o-v� _ L V APPROVALS DATE INSPECT R'S SIGNATURE P.C.• / PMT. FOUNDATION: LOCATION 'FEE $ �. (j1 FEE $ - ,•Ir FORMS. MATERIALS _ 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 OCATION.-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- -Ail , TION OF THE LABOR CODE OF THE'STATE OF CALIFORNIA.RELAT- If' • ^ Ate• - ING TO WORKMEN'S COMPENSATION INSURANCE. �� `J v LATH., EXT. SIGNATURE OF ___ >,/ - - HOUSE NUMBER COR- E ( II PERMITT-E O —� -RECT AND POSTED QQ (fir rr ADDRESS FINAL ri"-•�. � . owl'klVv JOHN F. LEWIS.fPRINCIPAL STR URAL ENGINEER PLAN "CHECK VALIDATION. CK. M.,o.. CASH - PERMIT VALIDATION CK. M.O. CASH aµ, t' c;9 5 8 2�Z JUL1.3 2 3' 0 5 0.631I t.,''t O 0 4 3 ©�G__ SEP '.1 1 D 1 0 :1: j r