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HomeMy Public PortalAbout4840 KAUFFMAN AVE_Building__ APPLQC A OON FOR B U OLD ONG PE fell Q T ,FOR APPLICANT TO FILL IN (Print or type only) COUNTY OF LOS ANGELES ADDRESS VLP DEPARTMENT OF COUNTY ENGINEER CITYj zIP 7 BUILDING AND SAFETY DIVISION (�Q NO.OF ELMS. BUILDING SIZE OF LOT tV4 X,/iy- NOW ON LOT Q/ " ADDRESS TRACT� BLOCK LOT NO. LOCALIT J.8 I TEL p NEAREST - OWNER E3 L. J NO.Zp CROSS ST. ASSESSOR ADDRESS,Z�p= J.yl �`c• �/ ���� MAP BOOK PAGE PARCEL -CITY /zt ZIP 9/7e'D DISTRICTcq� GR/OUP CONST TYPE - zz RO SSED BY ARCHITECT OR TEL. Qom/' - I. ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP. ADDRESS CLASS NO, D O DWELL.UNITS f / BK PG. TEL. '1 CONTRACTOR $ }o(/ //• NO. E ONE LMAP / C. /fff IAL ADORES 24 - l O. Z '7�0Z� DITIONS 00, 1LIC. CITY f / CLASS CONSTRUCTIO 'LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH Q/ 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 �.. '�• STORIES r-- I FAMILIES ONE } DESCRIPTION OF WORK NEW + O BLDG.SETBACK FROM ce ADD ❑ SIDE PROP.LINE OF. (STREET) O ALTER ~ ❑ TOTAL SETBACK FROM TYPE OF EXISTING w HIGHWAY + Y.ARD = SIDE PROP.LINE HIGHWAY WIDTH, L, USEOF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + 71 APPLICANT TEL .��` CORNER CUTOFF YES ❑ NO ❑ (PRINT) ���� �(� L�(Is O. (tiL s . IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE( IN59A&TfL PERMIT ZONE YES ❑ NO ❑ VALUATION OO I HEREBY 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 WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN REL TING T WORKMEN'S COM- PENSATION INSURANCE. - - - SIGNATURE OF PERMITTEE Q ADDRESS ��J��'JTEL. ��''tYYY� p FINAL y� BY: NO. CITY �O�GO I DATE MAKE CHECKS PAYABLE TO: FEE $ FEET HARVEY T.BRANDT.COUNTY ENGINEER f� 3 PLAN CHECK VALIDATIONM.O. CASH a PERMIT VALIDATION( CK. M.O. CASH 47 9PR 22 2 3 0 cK. 5. 3.0 C) t. 2 .5 5:0 ®3 76A638A CE#803 3*!5"'� . ''>' T P L 9 C AT 9 01N :F0 R COUNTY OF.LOS:ANGELES .DEPARTMENT OF•COUNTY ENGINEER BUILDING P E G�'h�►1 QT - BUILDING AND SAFETY DIVISION BUILDING FO.R'APP.LICANT � TO FILL:IN ADDRESS .FSI ' Li BUILDING LOCALITY ADDRESS L : [ Q/ REST CROSSSTY NEA _ CITZIP` . c!S- pNO.OF BLDGS: ASSESSOR SIZE OFIOT 1 N� NOW ON LOT MAP BOOK PAGE PARCEL > DISTRICT. GROUP., TYPE.' FIRE P ESSE Y TRACT 3/•/ 9°/• • BLOCK LOT NO �/' CON T. A l ZO //v OWNER /ham UJ ` NO S� STATISTICAL CLAS S ER MAP . , ADDRESS © ( �� CLASS.NO. _DWELL.UNITS BI WG CITY�`� U/i ZIP j 4 U Z N MAP I/A; ARCHITECT OR TEL. ENGINEER NO. PECIAL CONDITIONS ' ADDRESS' ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ :TEL. CONTRACTOR NO. BLDG.SETBACK FROM " LIC. FRONT PROP..LINE OF- (STREET) ADDRESS NO. •' TOTAL SETBACK FRO TYPE OF EXISTING LIC. HIGHWAY t YARD.. FRONT PROP.LI HIGHWAY WIDTH . . CITY _ CLASS CONSTRUCTION LENDER \ .+ } NAME AND:BRANCHBLDG.'SETBACK FROM Ov ADDRESS CITY SIDE,PROP.LINEOF (STREET). SQ.FT. NO.OF NO OF. CHECK HIGHWAY +'. YARD TOTAL SEB CK CC TYPE OF EXISTING SIZE STORIES FAMILIES ONE. SIDE LI \ HIGHWAY WIDTH . N O +,_ / Z DESCRIPTION OF WORK NEW ADD CORNER CUTO Y ❑ NO ❑ .o -.Rob(. ALTER ;. ❑ IN OPEN SPACE YES ❑ _ NO ❑ REPAIR ❑ USE.OF,.- Z DEMOL IN.COASTALPERMITZONE YES. ❑ NO ❑ EXISTING BLDG. �'j �Q� APPLICANT TEL,'_ I (PRINT) NO: L BY(SIGNATURE) ; 1-HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES r- AND`CAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY.THAT IN DOING THE - e WORK AUTHORIZED HEREBY'I'WILD NOT EMPLOY ANY PERSON IN VIOLATION OF - THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- -•x - PENSATION INSURANCE. SIGNATURE FINAL' BY 'PERMITTEE eADATE ® . , ADDRESS TEL P.C. Fee$ Permit-Fee CITY = NO. Q Issuance Fee s c VALUATION y VVV"`-��� S 'Total Fee .PLAN CHECK V LIDATION CK. M.O. CASH a PERMIT VALIDATION cK. M.O. CASH ' : .. . .' 318��U� z2 � p • ©1 76A638A CE B803A 6/76 ` WORKERS' COMPENSATION,,DECLARATION 1 I hereby affirm that I.have_a-certificate of consent to self insure, or a certificate of Workers'.Compenstion Insurance, or /�pp.d C�Q�O 011 COO f3M O d D �• 'p C QO . a certi{'ell y thereof.(S 3800, C.)_ „ �ereo mpany ; COUNTY OF LOS ANGELES BUILDING AND SAFETY Certified copy is hereby'-furnished.' FOR APPLICANT TO'FILL IN, BUILDINGADDRESi Certified copy is'filed with the county building inspec- BUILDIN tion department. ADDRESS LOCALITY �., " TIV • NEAREST / Date Applicant CITY ZIP CROSS — �✓ CERTIFICATE OF EXEMPTION FROM WORKERS' NO.;OF.BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT =MAP.BOOK P. E PARCEL (Thin section eed not belcompleted if the permit,is for one !`ZONE 'MAP -'l ') TRACT _ BLOCK LOT N-ONO, � �� / 'Jp hundred d 'Iars ($100)or less. �. I SPECIAL. I certify that in.'the performance of. the work for which this OWNS j ,CONDITIONS C ,O permit is issued,+l.shal not employ any person in any manner "qAb DISTRICT GROUP TYPE FIRE PR CE5SED BY V so'as to become subject to'the Workers'Compensation Laws. ADDRESS CO ST. ZONE tom'.. DateApplicant CITY ' ` ZIP STATISTICAL CLASSfi (CATION; . APT. CONDO. V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ✓t �'/ Ly DWEL : UNITS Exemption, you should become subject to, the WorkENGINEER ers' ' NO. CLASS NO . 0.of Compensation provisions of the Labor Code; you must'forth- ADDRESS SEWER MAP z with, comply with such provisions or this permit shall be deemed revoked. CONTRALTO , T BK. PG, VALN IDATIO LICENSED CONTRACTORS.DECLARATIONLIC. I hereby affirm that l am licensed under provisions of Chapter 9 ADDRESSjj� O. VALUATION '(commencing with Section 7000)of Division 3 of the Business and LIC: \ Professions Code, and my license is,in full force and effect.' CITY 1 CLASS SQ. F NO. OF. NO. OF CHECK L;cense.Number Lic.Class_ -g SIZE STORIES FAMILIES ONE +. ' DESCRIPTION OF WORK NEW Contracto ` y ate T� 4 ADD EI om•exempt from the licensing,requirements as'l am a licensed architect or a registered professional engineer AL7ER ' FINAL acting-in my professional capacity. (Section 7051, ��,� ED DATE 1 Business and Professions Code). USE'OF' REPAIR EXISTING BLDG. . .bEMOL• •FINAL L;c. or Reg. No. _Date APPLICANT, TEL. = By OWNER-BUILDER DECLARATION (PRINT) NO. z 2 0 27 A I hereby affirm that Lam exempt from the Contractor's License ADDRES s a'nd S �� o'0 0 0 Law.for the following reason (Section'7031.5, Businesmoi!' i� �`# 2 1 Professions Code): PRESENT ❑ aa� //11- BUILDING _ _ _ " •2 ° ° v 0A 8 . I, as owner of the property,, or my employees with ADDRESS wages as their sole compensation;will do the,work and - the structure is not intended or offered for sale(Section LOCALITY, ® ° ° 6.CL.4 8 5 r de). . 7044, Business and.Professions CoMOVING TEL. I, as owner of'the property, am exclusively contracting CONTRACTOR NO. 0 5 8 0 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code):. REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING.AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT' z 20 2.8 A the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). PIDE #'6•0,0 0-0 1 Lender's Name 2 ° 115.00 m • - P.C.Jee$ Permit Fee Lender's Address w certify that have read this application and state that the Issuance Fee ° ° 1. 1 .5.0 0 5 above information is'correct. I agree to comply with all Count nn a 9, P Y Y Investigation Fee 0 T.0'5-8 0 0 ordinances and State laws relating.to building construction, Total Fee ,—` and hereby'authorize,representatives of this County to enter aupon the above-mentioned property for,inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE ^ S; nature of Applicant or gent Date `• / - ©s' 1 g _..4 COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING'PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD AN") SAFETY / LAND DEVELOPML=NT TEMPLE CITY CA 91780 BL 0508 0402060037 PHONE: (626) 285'-0488 EXT: DUPLICATE ` LEGAL ID: NO. OF CONST "=NEW BUILDING ADDRESS: - TR: 31181 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 4840 KAUFFMAN AV STRUCTURE: 183 2 VN R3 TEMP CA 917804244 ASSESSOR INFOR'`v�T'IO"J NUABcf(: _ GARAGE: NEAREST CROSS STREET: LOWER AZUSA 8559-019-059 OTHER: THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT; EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/27/04 VG 05/22/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN L DAT��- FINAL BY: CODE: WU/TSUI, QIUSHI/�AIYI (626) 291-5379- 15,000 AV 4840 KAUFFMAN A TEMP 917804244 FEES PAID' DES i TION OF WORK EN LOSE AREA BETWEEN EXISTING HOUSE AND GARAGE TO CREATE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ENTRY WAY & BEDROOM f APPLICANT: TEL. NO: SAME AS OWNER - 81 PLANCHECK W/ENERGY 15000.00 VAL 281.06 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 15000.00 .`A: 1.50 B2 PERMIT W/ENERGY 15000.00 VAL 330.66 _ TOTAL FEES 640.97 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER �. LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR �I��siNEER: FLti. N0� Fou 1-b.T10,17T ID CH FORMS / LIC. NO: SLAB/UQ75-g fl�COR RAISED FLOOR FRAMING MAP NO: SEWER 1,,.A? BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COPD: STAT CLASS: _ NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING � AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED _ TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATIOV.'EANER STRIP INTERIOR LT717 P.YWALL EXTERIOR LATH LOT DRAINAGE SMOKE DETECY'CFN DEVICES �I FIRE DEPA:RTMENI APPROVAL I REPORT ID: DPR261 ROUTE TO: BS0508 I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR : BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0202270042 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 31181 LT: 7 SQ. FT STORIES TYPE 4840 KAUFFMAN AV STRUCTURE: 2438 VN TEMP CA 917804244 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA 8589-019-059 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 02/27/02 JK 08/26/02 OWNER: TEL. NO: SLDGS. NOW ON LOT: VALUATION: FINAL DATEFINAL BY;/l CODE: WU; QIUSHI & WAIYI 1 10,110 S I I F� / I 4840 KAUFFMAN AV /V!/ 111 TEMP 917804244 FEES PAID DESCRIPTION OF 6.ORK REMOVE SHAKE ROOF;INSTALL 1/2"OSB,(2)LAYERS 30# FELT & FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EAGLELITE DOUBLE EAGLE TILE#903;ICBO 4660 APPLICANT: TEL. NO: R 8 ROOFING (714) 754-4107- AA BLDG PERMIT ISSUANCE 27.75 2702 W POMONA AC STRONG MOTION RESID 1.0110.00 VAL 1.01 SPECIAL CONDITIONS: SANTA ANA 91704 D2 PERMIT W/0 EN-HCS-101=1:0:00 VAL 233.40 ��GELLTOTA ®ES 262.16 CONTRACTOR: TEL. NO: ®� �•lya. APPROVALS DATE INSPECTOR SIGNATURE R B ROOFING (714) 754-4107- @i 2702 W POMONA ST LIC. NO LOCAT16N AND SETBACKS SANTA ANA, CA 92704 772680 HIC SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: 1111111 SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 3 011�I� LQ)L OlcD,)�K 3 FLOOR THEATHING N0. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 6 o ROOF SHEATHING �p / U /✓ SCHOOL WITHIN HAZARDOUS � O SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 �JI^„ ] NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST Z✓�j� p�®dam FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: CL. R1tl 'T FRONT PL- ��vice� INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE LOT DRAINAGE (REPORT ID: DPR261 ROUTE TO: BS0508