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Home My Public Portal About4943 KAUFFMAN AVE_Building__ G'�i tic �P�� 'P P Ll�.Q C�AT H® ..F O l� O. NTY 0 OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER a� ®fl P E R M OT " " BUILDING AND SAFETY DIVISION BUILDING �J �� y^ /f FOR APPLICANT TO FILL IN ADDRESS �-f- [J r 0 BUILDING ADDRESS T.�J '/�! C%�✓ /�O LOCALITY. NEAREST; r CITY `rC1� i ZIP' CROSS ST. [r NO.OF BLDGS. ASSESSOR SIZE OF LOT .� NOW ON LOT MAP BOOK PAGE PARCEL. DISTRICTGROUP TYPE FIRE' PRO ESSED BY TRACT BLOCK LOT NO. �D� .� 3 CONS TEL. OWNER �o-V40 S NO. STATISTICAL ADDRESSCIASS NOASSIF�IjATI N DWELL.UNITS V BK SEWER " CITY / �';0O . Z ! ZIP U ZONI MAPr(� O. .ARCHITECT OR TEL., ENGINEER. NO.,' SPECIAL CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑ TEL. p. CONTRACTOR NQ�4 7?� BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) LIC p ' ADDRESS7/a r!!�/v E�LJi�1C / TOTAL SETBACK FROM TYPE OF EXISTING / HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY_5'!I!/i' �i/� CLASS CONSTRUCTION LENDER +" O NAME AND BRANCH BLDG.SETBACK FROM V ADDRESS CITY SIDE PROP.LINE OF (STREET) SQ.;FT. NO.OF NO.OF y CHECK HIGHWAY t YARD TOTAL SETBACK FROM TYPE OF 'EXISTING ~ SIDE PROP.LINE HIGHWAY WIDTH " w SIZE STORIES /, FAMILIES [b ONE n +. Z DESCRIPTION OF WORK NEW ADD, CORNER CUTOFF' YES ❑ NO ❑. ALTER IN OPEN SPACE YES ❑ ' NO El REPAIR El E USE OF BLDG.- DEMOL ❑ IN COASTAL PERMIT ZONE YES. ❑• NO. ❑ APPLICANT. y��/ TEL (PRINT) NO BY(SIGNATURE) 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 - WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON iN VIOLATION OF " THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- -- PENSATION INSURANCE. 79 SIGNATURE OF FINAL. / L / / BY PERMITTEE DATE 7/ Y cs 'v ADDRESS CITY� V NOS ' P.C. Fee$ Permit Fee Issuance`Fee a\ 77 ,\ VALUATION Total Fee PLAN'CaIECK VALIDATION CK: "M.o.' CASH PERMIT VALIDATION cK. M.O. CASH @)5 76A638A CE A803A 8/77U cT13tY U r 1 ARTMENT OF BUILDING AND SAFETY �,s`/�� Arr-6-U.116aavi4 rvn r' ,-- COU NTY OF LOS hN GELES " 'r �`]I WM. J. FOX, CHIEFsENGINEER 69%- H U�7 D N N 131 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING _ ADDRESS �j - o Z y LOCALITY �'i9.�L. - `� RECEIVED BY "DATE OF APPL. DATE ISSUED NEAREST CROBS 9T.. ///�� /'. OWNER//)R oge 6&F4 41 �VW1 BUILDING /,/� In �+ { ADDRESS �A'V0;f'P�J'�IV• _��C MAIL LOCALITY T, G ADDRESS NEAREST A R 4`L f /A TEL. - C . R096 ST CIi��L+S��. 1 +. NO. FIREO..OF TYP.E.�r GROUP N ARCHITECTOR TEL. ZONE PLANS .-IL+ ENGINEER NO. BLOB. ORD.NO. ADDRESB SETBACK LINE �O � `� /� APPROVED CONTRACTOR40 ,5NO. X40! BY DATE USE APPROVED ADDRE93 �� E V ZONE BY DATE LEGALI �. CORRECTIONS t/ DESCRIPTION I LOT NO. BLOCK (f, TRACT IX s NO.OF BLDS. SIZE OF LOT � G d J "WON LOT 99 ot USE OFD�S` I NO.OF , I NO.OF�• _ EXISTING BLDG. j� FAMILIES ROOMS No 6;Z-4) DESCRIPTION OF WORK : �¢T g" eD 75 NEW ALTERATION ADDITION _ - p _REPAIR MOVING DEMOLISH G7 S4•FT. Y.� NO.OF " 1 D SIZE O ROOM13 „] STORIES _ //j/.��f WALL ROOF COVERING -U`�-D I COVERINGUSE O s u ILDFN G W �� G ei . _ (� / en-,404,9. � r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS �,,;. ... APPROVALS APPLICATION AND STATE THAT THE ABOVE I9 CORRECT FOUNDATIONVLOCATION IN PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATE_RIAL9 ��,�� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ FRAME: FIRE STOPS, SIGNATURE OF BRACING,BOLTS PERMITTEE ^j ,.,J/ c ',�• ��„!,-( J� Ir /X 'iFf�✓�Z l�.U�„1 LATH,INT.: - -` AUTHORIZED AOT -7r- /I - ,P if - LATH,EXT.: k7/ �Y `OBS73`SUM SETS 1-48/$ P.C.S PLASTER,INT. , V `I J -�D .. FEE PLASTER,EXT. III > VALUATION ® FEE 3 3 %' FINAL / Y APPUCAMON-FOR BULUNG PE.RNT COUNTY OF LOS ANGELES BU! DING A NVSAFETY WORKER'S COMPENSATION DECLARATION FgR,APPLIC#W TO FIL IN I hereby affirm that I have a certificate of consent to.-self insure, BO or a certificate of Workers' Compensation Insurance,Or died co re 3800,Lab.C.) fT4�/Y ZIP ► P No �c,�f%J�{ m any / P No. a � r IS�•p p � E OF LCT NO.OF BLDGS.NOW ON LOT // y f"•ij-m NEAREST CROSS ST. ❑ Ce ti d ccrp i Certified copy iS filed with the y building in ' tiOn�, ► TRACT BLOCK LOT NO. ' USE ZONE MAP NO. lea AppliC ASSESSOR'MAP BOOK PAGE PARCEL / SPECIAL CONDITIONS CERTIFICATE EXEMPTION FROM WORKERS' o ER � T CO PENSATION INSURANCE WITHIN 1000 FT.of SCHOOL? xes No (This section need not be completed if the permit is for one hundred ADDRE ' dollars($100)or less:) DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY CITY - ZIP - I certify that in the.perforrhance of the work for which this permit is issued„I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR ENGINEER .TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date - Applicant ADDRESS CLASS NO. 02�'-/ DWELL UNITS NOTICE TO APPLICANT.' If, after making 'this Certificate Of REQUIREDTOTAL SETBACK FROM EXIST Exemption,' you Should become subject to the Workers' C / ^�" SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,'you must forthwith RONT comply with such provisions or this permit shall be deemed revoked. Ap� C. P L LICENSED CONTRACTORS DECLARATION SIDE LI P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP >- (commencing with Section 7000)of Division 3 of the Business nd SQ.FT.SIZE NO,OF STORES NO.OF FAMILIES 12 Professions odc,,a c Is in full force an(r'f NEW ❑ BK PG U License er+ ic.Class ` TI o RK/yam ADD ❑ vALUATI D. Date C , ` ALTER ❑ cc I am ex pt under Sec. , w v REPAIR ❑ $ t // U BAP.C. for this reason ) N B �O DEMOL ❑ LDMA P/C# CLW Date: USE OF EXISTING BLDG. URM ❑ Signature Z APPLICANT(PRINT) TEL NO. LDMA Perm#. ....3......_. .. ❑ I, as owner of the property, or my,employees with wages as Z H n e their sole compensation, will do the work and the structure is ADDRESS 0 ��I�C: �s� n•t_ not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.) : .. WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _ ❑ I, as owner of the property, am exclusively contracting with . AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 5 I f IT � 1:37 ® 40 1:1licensed'.contractors t0 construct the project (Section 7044, YES NO❑ Business and Professions Code.) ' CHECK WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A.PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR, '4IJ��IJ.,� ��- OJ t-, �'.�5�E n li GUIDELINES. l•,Y �'�i{. I ., - I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance Of the Work for WI11Ch this permit IS ISSUed(Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCACMD PERMITTING 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20 140 CONCERNING HAZARDOUS -' Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. „(-i: }j S. o Lender's Address O - OWNER OR AGENT o I certify that I have read this application and state under penalty O of perjur that the above information is Correct.I agree t0 comply P.C.FEE PERMIT FEE - with county ordinanc s and State ws relating to building m co tion, and here uthorize a entatives of this County ISSUANCE FEE / t aant upon the ab otione rty for inspec I. p�(p• 7� 'INVESTIGATION FEE -TOTAL'FEE Ggn of APPIi t ale V 22 SEE REVERSE FOR EXPLANATORY LANGUAGE E, �, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING'AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN . BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUIL NG ADDR S or a certificate of Workers'Compensation Insurance,or a certified . copy thereof (Sec.3800,Lab.C.) CITY �.-lot ( '7 cD LOCALITY Policy No. Company SIZE OF LCT NO.OF BL GS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. .USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWTEL NO. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? ves No (This section need not be completed if the permit is for one'hundred ADDRESS _ DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less.) CITY IT ZIP I certify.that in the performance of the work for which this permit is issued,,I shall not employ any n in any mannerso as t0 ARCHITECT OR ENGINEER - .TEL NO. 13 become subject to the Workers' mp n5ation L'a I 'STATISTICAL CLASSIFICATION APT Date Applicant. ADDRESS CLASS NO. L DWELL UNITS NOTICE TO APPLICANT.' If, after making this ertificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should ' become subject to the Workers' C04TRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation.provisions of the Labor Code,'you must-forthwith -zd- S FRONT comply with suchprovisions or this permit shall be deemed revoked. ADDRESS , LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CIT LIC.CLASS P L I hereby affirm that I am licensed underprovisions Of Chapter 9 SEWER MAP (commencing with.Section'7000)of Division 3 of the Business and M7.FT.SIZE NO:OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PGD U License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATIONN`�`� Contractor 0'r, Date ALTER - $ VU O ❑ I am exempt under Sec. REPAIR ❑ I-- $ $ U B.&P.C.for this reason DEMOL ❑ ` LU LDMA P/C#" - d Date: USE OF EXISTING BLDG. URM ❑ - - N z Signature APPLICANT(PRINT) TEL NO.. ". LDMA Perm# ' 'i El 1, as owner of the property, or my employees with wages as Z 1 their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE Q I"I'l I T- Professions Code.) j' O ........oc,+s. -WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL J 9 J ,•• I tL� - 'w'o'f'C I OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, as owner of the property, am exclusively contracting with FINAL BY _ > r- AMOUNTS SPECIFIED THE HAZARDOUS MATERIALS INFORMATION GUIDE? _ a� r licensed contractors to construct the project (Section 7044, — 1 I t I_3�_ Business and Professions Code.) ves❑ No 1:1 WILL THE INTENDED USE OF THE BONSTG BY THE APPLICANT OR FUTURE BUILDING f A 6�';a 4L, ' OCCUPANT REQUIRE P•PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH , CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CH •I„EC'E,' i GUIDELINES. - -I-'v.. °J'.7 a it':`• I hereby affirm that there is a construction lending agency for YES❑ NO❑ ... . �=.tr " a the performance of the work for which this permit is issued(Sec. :;"�i�INGE as1i{ 3097,CIV.C.) I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING N CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2,20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address - ' OWNER OR AGENT .. ........�[•yC........ i. '' .,t O.•y .. ................ oI certify that l have read this application and state under penalty 0 of.perjury that the above information is.correct.I agree to comply P.C.FEE PERMIT FEE 2�u3 N with county ordinances and State laws relating to building OD co ruc'on,'and here y thorize representatives of this County ISSUANCE FEE . n to ter on the abo tioned property for inspection rp es. �"� hiL INVESTIGATION FEE 'TOTAL FEE ID _ O� alure of ApWicanl or Agent Dale "f/L. ' SEE REVERSE FOR EXPLANATORY LANGUAGE ,f COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP / BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1010210033 PHONE: (626) 285-0488 EXT: /ILEGAL ID: I NO. OF CONST NEW J BUILDING ADDRESS: ITR: 15080 LT: 2 I SQ. FT STORIES TYPE OCCUP GROUPI 4943 KAUFFMAN AV 1 (STRUCTURE: 11 1 V-B R-3 I TEMP CA 917804248 (ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET: LA ROSA 18589-017-011 OTHER: I THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY, CI TENANT: IEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I IEXIST OCC GRP: 111/01/10 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF,NAL DATE FINAL BY: CODE: IJONES GRIFFITH R JR;BERTHA M (626) 221-8485- I 16,630 I I 14943 KAUFFMAN AV J I ITEMP 917804248 I FEES PAID IDESCRIPTrOY4 OF WORK I Ill SQFT ADDITION & REMOVAL OF EXPOSE BEAM FOR KITCHEN AND 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ILAUNDRY RENOVATION 1 (APPLICANT: TEL. NO: I I I (REGIS, CRISPIN (626) 221-8485- JB1 PLANCHECK W/ENERGY 16630.00 VAL 313.40 1 J I JAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: J I JAB STATE GREEN BLDG FEE 16630.00 VAL 1.00 1 I IAC STRONG MOTION RESID 16630.00 VAL 1.70 I I 1 JB2 PERMIT W/ENERGY 16630.00 VAL 368.70 1 I ICONTRACTOR: TEL. NO: I TOTAL FEES 712.60 JAPPROVALS DATE INSPECTOR SIGNATURE (JONES, BERTHA (626) 221-8485- I 14943 KAUFFMAN AVENUE . LIC. NO J ILOCATION AND SETBACKS 1 I ITEMPLE CITY, CA 91780 NONE I 1 I I I ISOILS ENGINEER APPROVAL I I I JARCHITECT OR ENGINEER: TEL. NO: J IFOUNDATION/TRENCH FORMS LIC. NO: J JSLAB/UNDER FLOOR J J I IRAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( JUNDERFLOOR INSULATION I I 1 3 001 1- 1-1 I 11ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I NO 21 1 12ND LEVEL FLOOR SHEATH I SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I I (AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO I IFIRE DEPT. FRAME INSPECTI II I JBLDG DEPT. FRAME INSPECT b,,I SHEAR PANELS 1 1 I I 11NSULATION/WEATHER STRIPI1 )"m '�N I I JINTERIOR LATH/DRYWALL I JEXTERIOR LATH I I I I LOT-DRAINAGE 1 I J ISMOKE DETECTION DEVICES I I J I I I I I � -•� 1 1 I IFIRE DEPARTMENT APPROVALI I I I IREPORT.ID: DPR261 ROUTE TO: BS0508 1 1 J •Sy..`-.', �.�� .'� I 1 1