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Home My Public Portal About4924 KAUFFMAN AVE_Building__ { 7GA038A 51E#09.9-60 A . .LLLCATA N aFOR SgLrt G E � COUNTY OF LOS ANGELES BUILDING oZ DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISIONLOCALITY el JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO GRO -�YpE FOR APPLICANT TO FILL IN v I CONST. �(F a 13 NG ADIL-IDRESS9p / �/�/ STATISTICAL CLFICATION I SEWER MAP K. P /J CLASS. NO. DWELL:UNITS G 757 LOT NO. % BLOCK MAP STATE, . M -� NUMBER 2, HWY YE NO TRACTr- / (/ USEZONE SPECIAL MOF/��C 00 I NN .OFOW ON LOTS 2 /I CONDITIONS ' USE OF i / • EXISTING BLDG. S I DLY BUILDINGEXIST. TELYARD WY STREET NAME WIDTH ��.. NO .� OWNER /• SETBACK HFPROL T - 1 ADDRESS S SIDE ARCHITEC OR' TEL. P.L. ENGINEER No. INSPECTIOW RECORD ADDRESS " ® r- a 6 S TEL Q CONTRACTOR NOS _ •` ,•�,- �// V J _ f ice✓ � ADDRESS �> IVAO DESCRIPTI011 OF WORK NEW Z-1 I—) ALTER REPAIR DEMOLISH SS—O.�- NO.OF. NO.OF i_�.a.a A 't .' ', =- ..>. Z SIZE STORIES FAMILIES / +^ USE OF �C STRUCTURE ewooiv v i34rt SIGNATUREOF APPLICANT VALUATION$ � 0�4(�'fTl rFOUNDATION: VALS DATE INSP TOR'S SIGNATURE P.C. PMT. �y LOCATION5-/;/;, r FEE $ I . I FEE $ s.l • FORMS. MATERIALS • 5-1.9 > 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 './ 7s�0 �®•i.7 BU I LD I NG CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED 1 SHALL NOT LATH, INT. -`' [y, EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT _ TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. LATH.EXT. SIGNATURE,OF - HOUSE NUMBER CO.R- PERMITTE RECT AND POSTED ADDRESSFINAL CLYDE N. DIRLAM, PRINCIPAL STC RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERIMIT VALIDATION CK M.O. CASH RKERS' COMPENSATION DECLARATION ' M nn insu"e, or afcertif cane of Workers',Compensation on eInsurancef or a certified copy thereof,(Sec. 3800; lab. C.) COUNTY-'OF LOS ANGELES BUILDING AND.SAFETY,,\ 'Policy No. Company BUILDING . ❑ Certified copy.is'hereby furnished. FOR APPLICAfNT:TO FILL IN ADDRESS ®Z ❑ Certified copy is filed with the county:building inspec- BUILDING *f24 /�/��/'�/ ly. P,: tion-department. Date Applicant CITy' ��e- (�/ zip, V LOCALITY NO..OF.BLDGS.; �1V e- d- NEAREST_ __ t CERTIFICATE:OF EXEMPTION FROM WORKERS''", SIZE OF LOT 'NOW ON LOT CROSS ST..,j /C e / �. COMPENSATION-INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT 0. O' BLOCK LOT NO. MAP BOOK. PAGE PARCEL ' hundred dollars,($100) or less.) ` TEL. �7 7 USE ZONE` MAP / OWNE �iG O. - "Y 2Z NO. —ZP I certify,that in the performance of the work for which this;' /�p7 ��. ,/� SPECIAL permit is issued, I shall not employ,any person.in.any:manner ADDRESS 9z /�I/ Y ~CONDITIONS CL .,so,as to become subject to the Workers' Compensatio L ws. (� O . L CITY /G /�� L/ /r ZIP U Date $__Z Applicant' 4�"�'� ARCHITECT OR 'TEL. DISTRICT GROUP- TYPE FIRE PRO ESSED BY NOTICE TO'APPLICANT:'If; after:making.this Certificate of. ENGINEER NO. CONST. ZONE .Exemption, you should. become subject. to the Workers' p V Compensation-provisions of the'Labor Code, you must forth- ADDRESS" �U'� Ja _3. L with" comply with,such provisions or this permit shall be TEL o STATISTICAL,CLASSIFICATION APT. CONDO. N • deemed revoked..• - CONTRACTOR NO. - - - Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that l am licensed under provisions ofChapter9. ADDRESS NO. SEWER MAP and.Professions Code,and my license is in full.force and effect. _., SQ. FT. NO. OF NO. OF C ASS CHECK BK. PG. VALIDAT commencin with-Section.7000 of Division 3 of the Business city, U . ION , License,Number Lic: Clciss' SIZE STORIES FAMILIES ONE VALUATION Contractor - Date DESCRIPTION OF WORK - NEW ❑ •$ UDo, DD ❑I am exempt under Sec: 'df� A ❑ ° ALTER ❑ D'. B.&P.C. for This reason !Y ✓ //'J / REPAIR ❑ $ USE OF Date: EXISTING.BLDG. DEMOL ❑ _ Signature APPLICANT TEL FINAL /� OWNER-,BUILDER DECLARATION' (PRINT)., NO. DAT G I hereby affirm that I am exempt.from the Contractor's License Law for the following reason-(Section 7031.5, Business and ADDRESS FI Professions Code) c• PRESENT y BUILDING j1 ACL a 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 D _ . _ 7 =-- 7044, Business and Professions Code:) MOVING TEL. T irC ❑ I, as owner'of the property,am exclusively contracting . CONTRACTOR NO. - with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code.) ADDRESS REQUIRED' TOTAL SETBACK FROM EXIST.,,, CONSTRUCTION LENDING AGENCY. SET BACK YARD HWY. ' PROP.. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT. t' lrtt the performance of the work for'which•this permit is issued P:L._ (Sec. 3097, Civ. C.). SIDE. P.L.- Lender's Name € 51 t_ til v e /`c;' m LDMA.Ref. # P.C. Fee$ Permit Fee = Lender's Address _ Iz o .i•: /o I certify that I.have read this application and state that the Issuance Fee O. IDMA P/C# ,� -- 8 - above information is correct. I agree to.comply with all County Investigation:Fee ordinances and State laws.relating to building construction, Total Fee I LDMA Perm`# a and hereby authorize representatives of this County to enter u on the Bove- ent' n pr perty for inspection purpose a of SEE REVERSE FOR EXPLANATORY LANGUAGE _ Signature o 'App icant or Agent Date 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 BL 0508 0403290003 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST B I DING ADDRESS: TR: 15080 LT: 9 SQ. FT STORIES TYPE 4924 KAUFFMAN AV STRUCTURE: 2000 VN TEMP CA 917804246 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SPARKLETTS 8589-019-020 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED N: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 03/29/04 VG 03/24/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: SCHWARZ GORDON W;MARILYN TRS (626) 286-3727- 2,950 4924 KAUFFMAN AV TEMP 917804246 FEES PAID DESCRIPTION OF WORK T/0 EXIST ROOF AND INSTALL 30-YR ELK COMPOSITION SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: D AND G ROOFING (909) 593-4982- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2950.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 2950.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE D AND G ROOFING (909) 593-4982- 7115 MONTEREY ST LIC. NO LOCATION AND SETBACKS LA VERNE, CA 91750 534986/C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOD? FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144-269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508