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HomeMy Public PortalAbout6249 KAUFFMAN AVE_Building__ JJ 76A838A CE#80311-57 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELESBUILDING ll // ADDRESS Iri (,I � DEPARTMENT OF COUNTY ENGINEER _ 1--- � BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. (" DISTRICT NO. GRO TYPE �`"' SEWER MAP FOR APPLICANT TO FILL IN ;' I CONST. r/ I BK IG BUILDING ADDRESS � f STATISTICAL CLASSIFICATION � 1 LOT NO ( BLocKkj CLASS.N04 DWELL.UNITS MAP _ STATE e NUMBER Y.I 'A i^ HWY. YES �NO� TRACT \L i is USE ZONE SCI EAL Y NO.OF BLDGS. !:1: CONDITIONS SIZE OF LOT L�l�j y' -7 4' NOW ON LOT , USE OF s T .EXISTING BLDG. BUILDING EXIST. SETBACK YARd HWY STREET NAME WIDTH OWNER Lf JLVCLFRONT MAIL P.L. /1 ADDRESS i r t tA SIDE T L. P.L., CITY " a r NO. ARCHITECTOR TEL. INSPECTION RECORD ENGINEER i- + N J ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW AL ~ REPAIR DEMOLISH SO. FT. O.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF �. APPROVALS APPLICANT ADDRESddll (^ �.,,.., •�7^ DATE INSPECTOR'S SIGNATURE (......Lc "'�. 1+..t t1La Cy � FOUNDATION: LOCATION FORMS,MATERIALS P.C. $ FRAME: FIRE STOPS, FEE BRACING.BOLTS VALUATION $ FURNACE: LOCATION. FEE ! GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE ABOVE IS CORRECT AND LATH,INT. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH { Y ay / r ` OF 76AG38A CE#803 8-63 APPLICATION� FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDINGr DEPARTMENT OF COUNTY ENGINEER ADDRESS 2, (//" Ttil 74 BUILDING AND SAFETY DIVISION LOCALITY Ci JOHN A. LAMBIE. COUNTY ENGINEER NEAREST "cc�� / /J WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. o (,. �-•fJ DISTRICT GROUPTYPE PRO ESS B FOR APPLICANT TO FILL IN S V CONST BUILDING STATISTICAL CL SIFICATION SEWER MAP ADDRESS U 31 BK PG CLASS NO DWELL UNITS L doBLOCK WATERrlul •CERTIFICATE: NOT REQUIRED RECEIVED ❑ TRACTNO � Dom HIGHWAY STATE MAJOR SECON OC NO F BLDGS SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS " EXISTING BLDG. OWNER .[J BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECT OR TEL. P. L ENGINEER NO SIDE P L ADDRESS d CONTRACTOR k TO ALJ I A /� / V ADDRESS Q v ��" / DESCRIPTIO OF WORK U / U W C. NEW ADD ALTER REPAIR DEMOLISH to SO FT. NO OF NO OF SIZE STORIES FAMILIES i LVALUATION l./.� 3 j er F �_�' APPROVALS DATE, INSPECTOR'S SIGNATURE P C FOUNDATION LOCATION FEE EE $F00 FORMS, MATERIALS $ F ' 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 ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS p•.��!(� BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT TION OF THE LABOR CODE OF THE.STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSUR CE. '. LATH EXT SIGNATURE OF /��A/ HOUSE NUMBER COR- f PERMITTEE L/L [w RECT AND POSTED ADDRESS �` FINAL /Jf JOHN F. LEWIS, PRTNCIPAL SOcK .MRAL'ENGINEER N PLACHECK VALIDATION CK M O. CASH PERMIT VALIDATIONM.O CASH ljr0 7 8 2 4- JAN 2 5 1 D 4.00- A P PL I CATION FOR COUNTY OF LOS ANGELES DEPARTMENT OFCOUNTY ENGINEER s BUILDING PERMIT BUILDING AND SOETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS 6o2 BUILDING J/ 0 �• ADDRESS ��7 /V r Y LOCALIT ' p NEAREST CITY (.�C4 ZIP 7���� CROSS ST. OF BLOGS. ASSESSOR- + SIZE OF LOT W ON LOT MAP BOOK PAGE PARCEL* DISTRICT• GROUP TYPE FIRE P SED BY TRACT B CK LOT NO- U/J CONST. ,� •Z� _ TEL. D �o✓`L� OWNERa4t NO. STATISTICAL C ASST 1 'TION _ SEWER MA ADDRESS �c{ 1 - - CLASS NO.0 -' DWELL,UNITS _ BK PG p USE ZONE MAP CITY ,.,( _ ZIP /�7 � NO. V ARCHITECT OA TEL. Q SPECIAL ENGINEER NO. - CONDITIONS ' ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑. NO ❑ IF, 'NOL BLDG.SETBACK FROM CONTRACTOR-� �, -9Sf'G ' -(STREET)LIC ( r� RONT PROP.LINE OF STREET) ADDRESS�'d3A), NO cP94:; �O/-y - _ TOTAL SETBACK FROM TYPE OF EXISTING ^ IGHWAY } -YARD - CITY 6 / IQ' lj��r LIC. - - - FRON,T•PROP. LINE HIGHWAY WIDTH (( ��'WWW IIICLASS _ t. CONSTRUCTION LENDER } NAME AND BRANCHBLDG.•SETBACK FROM - a ADDRESS i CITY SIDE PROP.LINE OF (STREET) V SQ. FT. NO. OF NO. OF CHECK HIGHWAY } YARD = TOTAL SETBACK FR TYPE OF EXISTING O SIZE STORIES FAMILIES ONE SIDE,PROP. LINE IGHWAY WIDTH CD } LLJ DESCRIPTION OF WORK NEW N Z r -' 0 ADD ❑ CORNER CUTOFF YES ❑ NO ❑ ALTER ❑ EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ ' USE OF `DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. - PPLIA T TEL. " " ' - • "� , Y v N0. BY (SIGNA TUR - � •` " .I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY - WIT HALL ORDINANCES AND LAWS REGULATING BUILDING CON- - STRUCTION. I CERTIFY THAT IN DOING THE- WORK AUTHORIZED HEREBY 1 WILLNOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING,TO - WORKMEN'S COMPENSATION INSURANCE. 'SIGNATURE O �L �< 1� FINAL —7l ,i BY - ) PERMITTEE �/ ADDRESS TEL' P.C. Fee$ Permit Fee N0. CITY �j- - Issuance Fee VALUATION Q'� _ - - .. -- - •- r Total Fee PLAN CHECK VALIDATION-,* CK M O CASH PERMIT VALIDATION CK -' M O CASH 28 2 J3- ,,'Y 76A638A"C6#8038 12/75 - DEPARTMENT OF BUILDING AND SAFE+T�Y,. ��s i' PEW.-77 vH PERMIT �C,OUI `.OS ANGELES AP_a ''� �5• ' t WNI:,•J.FOX, CHIEF ENGINEER I FOR APPLICANT TO ILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ^ ADDRESS �� i2f'. f / 9 ^ N � '/ { LOCALITY RE I D BY' DAITIE DF APPL. DA , ISSUE NEAREST / - /i,/ / ��j ` / CROSS ST. / I 777p.,,.L .a' -� BUILDING / All DDRESS N OWNER A MAI '' - I / LOCALIT .ADDRESS Y NEAREST TEL�/J� / CROSS ST. CITY �IJ �L.r+ NO(.�r �'� _ FIRE NO.OF TYPE GROUP ARCHITECT O TE s ,�o �,•�, ZONE PLANS ...� •� '� ENGINEER ORD.NO. ADD •I. SETBACK LINE i 2109 RESS/ � _ �.��' APPROVED 4p, CONTRACTO ��� ��� NO. BY DATE USEffJJ APPROVED �1� ADDRESS ZONE17 BY � DATE //Y1t,,_ LEGAL /�•'�BLOCK�+.,�� CORRECTIONS , DESCRIPTIONQQ //LOT NO. x a/'_ T TRACT �i P' [O� 3 I 70 \ Z•�,�/ _ ' �O / I NNO.OF SLOGS. SIZE OF LOT � OW USE OF NO.OFAM LI NO.CLr-MS ///J EXISTING BLDG. FnMiues ROOMS //Zi' DESCRIPTION OF WORK NEW A ALTERATION ADDITION �Z¢ _• / i REPAIR MOVING DEMOLISH Sq.FT. NO.OF f ROOMS /3 STORIES WALL ROOF yAn/ �id COVERING pl7/=LYR..p I COVERING V BUILLDIINGW '1 Q-4 *J _ - x I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS, APPROVALS APPLICATION AND STATETHAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE,TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE L R Jj B I ING TINGNSTRUCTION. FRAME: FIRE STOPS, ` q •.G.v` ✓�iv�"� /t!_ ,� � .l SIGNATURE BRACING,BOLTS�y����///,+ l;,, �r fill OWNER � LATH,INT.: AUTHORIZED AG '� 12 1�s• F�-��� `� ^+ LATH,EXT.: DSS-3 25M SETS 4-47 $ P.C. PLASTER,INT. a s ' _FEE• PLASTER,EXT. VALUATION ��� ~ CeF 9-'),, ) ( FINAL (-W4,lWd' (3 1rj p ffi i � L 76A638A CE#8033-66 APPLICATION FORBUILDING PERMI COUNTY OF LOS ANGELES BUILDING ,,4 �� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY- JOHN OCALITY-JOHN A. LAMBIE, COUNTY ENGINEER NEAREST. - COLEMAN W. JENKINS,SUP•T OF BUILDING 'CROSS ST DIST_F ICT NO G U T .E FOR APPLICANT TO FILL IN NST; BUILDING - STATISTICAL LASSIFICATION - SEWER MAP -ADDRESS 6249 Kauffman - cLAss NO DWELL UNITS V' BK PG LOT NO_ BLOCK USE ZONE AP - 0 - - _ TRACT- '- SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT . NOW ON LOT USE OF BLDG. SETBACK FROM . _ •i TEL. . FRONT PROP. LINE OF (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY' YARD .=-- -TOTAL ADDRESS 6249 Kauffman _ HIGH Y DTH FRQM C.L - 'CITY Temple 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. CONTRA CTORVi TE N _ >_ _rgin Roof a ADDRESS NO 'CORNER CUTOFF YES �' NO CD CIT-Y C LASS LIC _ SEE REVERSE SIDE'FOR SPECIAL APPROVALS o DESCRIPTION OF WORK IiJ a rn NEW ADD ALTER RE4�Ayyyy IR DEMOLISH - Z SQ,FT. NO OF. NO. OF SIZE STORIES Z FAMILIES - UTE OF RUCTUREReroof Church -Bldg, with Z= 300# Shiagles SIGNATURE OF ' .APPLICANT VALUATION$ 5 ' 5 : 8 '00 f APPROVALS DATE INSPECTOR'SSIGNATURE P.C. 77 PMT. FOUNDATION, LOCATION - FEE$ FEE$ 33.00 FORMS, MATERIALS FRAME, FIRE,STOPS, - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' GAS VENT. DUCTS 13UILDI NG CONSTRU TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREB 1 W ILL NOT EMPLOY ANY PERSON VIOLA- LA T H. I NT. TION OF THE LABO CODE OF THE STATE OF CALIFORN RELAT- _ ING TO WORKMEN'S PE BATT OON SU!AN , 1 e ffNA . SIGNATURE OF• MBER COR-- I OR-- - PERMITTEE ND POSTED ADDRESS60O an Gabriel. -S Gab e1 ' JOHN F. LEWIS. PRINCIPAL STR CT RAL ENGINEER -PLAN CHECK VALIDATION CK MMI .O. CASH _ PERT VALIDATION cK.A M.o CASH A1 '093 uCT 9 1 � 33.00 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN. (Print or type only) I a COUNTY OF LOS ANGELES BUILDING i..Ur+FkAw Wf�N ADDPEss - DEPARTMENT OF COUNTY ENGINEER � CITY I=k.PL.C,- GIY�f ZIP BUILDING AND SAF7Y DIVISION ; - NO OF BLDGS BUILDING SIZE OF LOT x�V X 1�O NOW ON LOT ' ADDRESS TRACT , LOT NO. LOCALITY C;Omp- 0;= pp TEL NEAREST /f 1 E ,OWNER CROSSSTC. Z_ ASSESSOR ADDRESS O V �" MAP BOOK PAGE PARCEL baa !'DIISSTRICT�` GROUP TYPE FIR,E,/ CITY ZIP \J C CoiST. Z�G F� 1` CG7c PWtI�C,� ARCHITECT OR ,�+ TEL. 7 V ENGINEER LiSS (pl +$NO S77 STATISTICAL CLASSIFICATION / SEWER.NAP ADDRESS ��j l �D(�� ,cIVP- CLASS NO �� DWELL UNITS [�'BK//PG ` CONTRACTO / COL TEOL 26b USE ZONE MAP LICNO. c��26 dSPECIAL- `.�'� ADDRESS Q5 O z �� CONDITIONS�GL,I i -LIC CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO CONSTRUCT IN LENDER NAME AND B NCH ©�� BLDG SETBACK FROM FRONT PROP LINE OF (STREET) ADDRESS CITY, TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT.• � -^ NO OF NO OF CHECK HIGHWAY + YARD - FRONT PROP LINE HIGHWAY WIDTH SIZE 9-70 STORIES ;� FAMILIES ONE } DESCRPTION OF WORK NEW + d O A,� BLDG SETBACK FROM � /��- w Fop- C,� � 5 ADD ❑ SIDE PROP LINE OF (STREET) O �OVQ�O� ALTER TOTAL SETBACK FROM TYPE OF EXISTING w ❑ HIGHWAY + YARD = SIDE PROP LINE HIGHWAY WIDTH USE OF REPAIR Z EXISTING BLDG + G�JuQ`u DEMOL ❑ APPLICANT + /�,'• TEL �+.�� CORNER CUTOFF YES NO (PRINT) �jiQU(2L Cbe (.c.�PXL NO S /`0(33 IN OPEN SPACE YES NO BY(SIGNATURE) • Q IN COASTAL PERMITN -ZONE YES O $ VALUATION 26l 4�• p IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE Gni WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF `J THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WOR S COM- PENSATION OM PENSATION INSURANCE SIGNATURE OF YL- - Zv' /��ii Ca�JT�2 G.;��+�5�.'�lG 77- ✓/� PERMITTEE �J -ADDRESS l 75�t77,�ING _4w TEl FINAL BY CITY NO DATE MAKE CHECKS PAYABLE TO: F E _ FET HARVEY T.BRANDT,COUNTY ENGINEER u PLAN CHECK VALIDATION cK M O. _ CASH _ PERMIT VALIDATION CK' M.O. CASH 0-'1 :5•,"itlt-14 Z`2 5" .6.1 0 '8f — - — - O 9-'DEC- ' 3 1- U 1,0 9 3.5C) ear. Os 76A638A CE tt803 3.75' /� (3,1 / WORKERS' COMPENSATION DECLARATION hereby affirm that I have a certificate'of consent totself ` APPLICATION FOR BUILDING PERMIT- � insure, or aartificute,of�Workers'Compenstion Insurance, or - ,a certified copy thereof (Sec 3800, Lab. C.) t COUNTY OF LOS ANGELES - BUILDING AND SAFETY Policy No Company 1 BUILDING Certified copy is hereby furnished" FOR APPLICANT TO FILL IN ADDRESS ' Certified'copy is filed with the county building inspec- BUILDING ''' tion department, o249 T•` LOCALITY ff NEAREST Date Applicant CITY C ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF'LOT 228 x V?p/ NOW ON LOT If MAP BOOK - -orPAGE PARCEL (This section need not be completed if the permit is for one -1USE ZONE MAP hundred dollars ($100)or less )• TRACTBLOCK LOT NO NO. TEL SPECIAL OWNER OrZCE4• NO j•1 CONDITIONS \ O 1 certify tKot,in the performance,of the work for which this. DISTRICT GROUP TYPE FIRE PROCESSED BY U permit is issued,,l,shall not employ any-person in any manner ADDRESS CONST _ ZONE U so as to-become subject to the Workers'Compensation'Laws' ._ , CITY S cr Le�KE V -o � � Date 1 Applicant, STATISTICA CLASSIFICATION PT C NDO u ARCHITECT O TEL .l3 W NOTICE TO APPLICANT If, after making this Certificate of ENGINEER NO ( 787 CLASS NO DWELL UNITS Exemption, -you should become- subject 'to, the Workers' t» Compensation provisions of the Labor Code, you must forth- ADDRESS 4718 ESwKK-Sr Anl Ny SEWER MAP Z with-comply with such provisions or this permit shall be deemed revoked., -• / I EL BK PG, VALIDATION - CONTRACTOR � L (� t \ NO :S LICENSED.CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of.Chapter 9 t .ADDRESS Q a I; -NO 3sall ALUATION (commencing with Section 7000)of Division 3 of the Business and rr LIC ,/� Professions Code, and my license is in full force and effect CITY - ?c• CLASS 1l veo y-f n SQ FT 1��f G' NO OF NO OF CHECK License,Number �./�ny�U / / Lic Class SIZE L L,! STORIES FAMILIES ,d ONE , NEW 5 Contractor (�.i .,C I✓date DESCRIPTION OF WORK 1 OV ADD I am exempt from the licensing requirements as I am a GI�V f2,C',j/J licensed architect or a registered professional engineer ALTER FINAL _/0 re 7 acting in my professional capacity (Section 7051, 1,111- A LS . DATE (J „j REPAIR "Business and Professions Code). USE OF FINAL DEMOL EXISTING BLDG. U D By , Lic.or Reg No. _-Date APPLICANT TEL OWNER-BUILDER DECLARATION (PRINT) !3 I hereby affirm that I om,exempt,f'rom the Contractor's License ADDRESS C U ` Law for the following-reason (Section 7031 5, Business and C,4.. S ��+ 1 9 b 9 A Professions Code) PRESENT El. - 'BUILDING , I, as owner'of the property, or my employees with ADDRESS ' wage's as their sole compensation,will do the work and 'Z,3 the structure isnot intended or offered for sale(Section LOCALITY ' ,2'- 6.6-8,63 7044, Business and Professions Code) - MOVING - TEL 1 . 11z•= 4 ' CONTRACTOR . NO - -' --- _ eso=j-� {}v v I, as owner of the property, am exclusively contracting a z - with licensed`contradors to construct the project (Sec- ADDRESS ' 4 Q 1 3-83 -tion 7044,:Business}and Professions Code). 5,J REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY. PROP' LINE WIDTH I © I hereby affirm that there is a construction lending agency for FRONT � T" k2 the performance of-the-work for which this permit is issued P L (Sec 3097.;Civ C ) - SIDE' � Lender's Name PIL I - ot Lendei's,Address P.0 Fee$ 04D Permit Fee ` _ w I-certify that I have read this application and state that the Issuance Fee. _above information is correct.,]agree to comply with all County Investigation Fee 0 ordinances and State'laws relating to building construction, J Total Fee and hereby•authorize representatives'of this County to•enter ; a upon the above-mentioned-pr per y for spection purposes a SEE REVERSE FOR'EXPLANATORY LANGUAGE a Signa of Applicant or Agent Date ®S -