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Home My Public Portal About5009 KAUFFMAN AVE_Building__ WVKRt KJI.VMYt NJHIIUN UES r` hereby affirm that I have ceCome to l; r � - ,ACATION CATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compens �-•-..ice. _ or a certified copy thereof (Sec. 3800, lab. ., Ucen, COUNTY OF LOS ANGELES BUILDING AND SAFETY :.... 1 Policy No._ Company BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- F7`�TVO/ NG f UC LOCALITY tion department. SS r �7�F� Date Applicant � 70 NEARES�� ! `/7 ZIP / CROSS ST. -� CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR 00, USE ZONE MAP COMPENSATION INSURANCE SIZE OF LOT C�V X NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. NO. d hundred dollars ($100)or less.) TEL r SPECIAL i I certify that in the performance of the work for which this OWNER � 0� . S WAN&q NO. -2&6 1 CONDITIONS C DIST ICT GROUP TYPE FIRE PROCESSED BY permit is issued, I shall not employ any person in any manner ADDRESS `Uv i �` �/� ��`� CONST. ooeoZONE so as to become subject to the Worker ' omp`ensation ws. ,7 �." J-! G CITY �_L ZLr Al.• 1.L /b �� ZIP /�0 r -T Date Applicant STATISTICAL SSIFICATION T. ]CO' DO. NOTICE TO APPLICANT: If, after aking this C tificate of ARCHITECT OR TEL. Exemption, you should becom subject to the Workers' ENGINEER SIM L' NO. CLASS NO. DWELL. UNITS Compensation provisions of the abor Code, you must forth- SEWER MAP ADDRESS with comply with such provisions or this permit shall be VALIDATION deemed revoked. TEL. BK� PG, CONTRACTOR /� �" NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION b (commencing with Section 7000)of Division 3 of the Business and LIC. 66 (commencing Professions Code, and my license is in full force and effect. CITY CLASS SQ. IT. NO.OF NO.OF CHECK License Number Lic.Class SIZE C7 /(✓ STORIES FAMILIES ONE 0� Contractor DESCRIPTION OF WORK NEW Date $ / ADD I am exempt under Sec. 6 "Z v 1/ ,(-7- ALTER FINAL B.&P.C. for this reason /' da REPAIR DATE Date: USE OF EXISTING BLDG. DEMOL B NAL -! Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. , �. 15 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRE ENT ❑ BUILDING 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 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. , with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY YARD HWY , SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE to P.L. Lender's Name l " a - Lender's Address P.C. Fee$ i Permit Fee i I certify that I have read this application and state that the �� 3, G Issuance Fee U . r above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee , J and hereby authorize representatives of this County to enter upon the, bove-mentio ed p operty for inspection purposes. • �/ P SEE REVERSE FOR EXPLANATORY LANGUAGE m>' Signature of A plicant or Agent Date COUNTY OF LOS ANGELES T�FMPLE CITY ;# 05(J8 BUILDING PERMIT DEPARTMENT OF. PUBLIC WORKS " x`/01 LAS TUNAS t A ' RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -+ BL 0508 9905190005 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 14832 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 5009 KAUFFMAN AV STRUCTURE: 0 1 VN R3 TEMP CA 917803944 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 8589-017-008 OTHER: 397 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST. OCC GRP: 05/19/99, UT 11/15/99 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: ODE: SWANTON JOHN W;SARA G TRS (626) 286-8519- 1 10,000 5009 KAUFFMAN AV TEMP 917803944 FEES PAID DESCRIPTION OF WORK. L/ WORK WORK SHOP - NOT FOR HABITATION OVENANT.FILED WITH CO. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RECORDERS OFFICE (INCLUDES TOILET AND SINK 1N WORK SHOP) APPLICANT: TEL. NO: SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 10000.00 VAL .1:00 SPECIAL CONDITIONS: AX BUILDING REV.TEW=FEE—, 54.70 D2 PERMIT W/0%EN�H.5 TA�OOEES VAL 3216.60 00.05 CONTRACTOR: TEL. NO: ®� ��A� APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO LOCATION-AND SETBACKS SOILS ENGINEER APPROVAL IJ / ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. N0: / 1111111 SLAB/UNDER FLOOR IRAISED FLOOR FRAMING . MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:= UNDERFLOOR INSULATION 3 IIS DD O cL W OHM 1ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/COND: .STAT CLASS NO 21 \(� O O ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ��` *. ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS Q Q NO NO NOn °u FIRE DEPT. FRAME INSPECT REQUIRED . TOTAL SETBACK FROM. EXIST BLDG DEPT. FRAME INSPECT SET. BACK YARD: HWY: PROP LINE: WIDTH: ��sC ❑_ �i�0 Z q FRONT PL- �i°�p��C�� SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP 'cl a INTERIOR LATH/DRYWALL Co �2iti e? S S EXTERIOR LATH LOT. DRAINAGE y C SMOKE DETECTION DEVICES i FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508 ~ 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 0705180037 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ITR: 14832 LT: 7 I SQ. FT STORIES TYPE I 5009 KAUFFMAN AV I I ISTRUCTURE: VN I TEMP CA 917803944 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I 18589-017-008 I 1 THOMAS PAGE: 597 .GRID: A4 LOCALITY: TEMPLE CITY, CI I I I I (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I I (EXIST OCC GRP: 105/18/07 SR 05/12/08 1 (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF ALT FI Y: CODE: I SWANTON JOHN W;SARA G TRS (626) 286-8579- 1 32,000 1 / I 15009 KAUFFMAN AV I I ;� fI ITEMP 917803944 1 FEES PAID 1 SCRIPTION bF WORK 1 I (INSTALL JAMES HARDY SIDING 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: I I I ISAME. AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I I IAC STRONG MOTION RESID 32000.00 VAL 3.20 ISPECIAL CONDITIONS: I I ID2 PERMIT W/O EN-HC 32000.00 VAI, 562.80 1 1 1 TOTAL FEES 593.75 I I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I SAME AS OWNER - I - I LIC. NO I ILOCATION AND SETBACKS I I I I I I I I I I I ISOILS ENGINEER APPROVAL 1 I I I I I I I (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I I LIC. NO: I (SLAB/UNDER FLOOR I I I I I I I I I IRAISED FLOOR FRAMING 1 I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I 1144H269 3 Oil I I I I I (FLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 1 NO 21 IROOF SHEATHING I I I I I I I I I 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I (AIR QUALITY: 1000 FEET MATERIALS I I I I I 1 NO NO NO I I FRA14E INSPECTION I I I I I I I I I IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I ISET BACK YARD: HWY: PROP LINE: WIDTH: I ! I I I IFRONT PL- I 11NSULATION/WEATHER STRIPI I I I SIDE PL- I I I I I I (INTERIOR LATH/DRYWALL I I I I I ! I I I I I IEXTERIGR LATH . (RATED FLOOR/CEIL ASSEM. I I I I I IRATED WALL ASSEMBLIES I I I I I I I I (RATED SHAFTS/OPENINGS i I I IT-BAR CEILINGS I I I I I I I I I I I ILOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I I