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HomeMy Public PortalAbout5019 KAUFFMAN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY i APPLICATION FOR PERMIT ^ COUNTY OF LOS ANGEL1% ado FOX, CHIEF ENGINEgR e FOR. APPLICANT TO i FOR OFFICE USE ONLY BUILDING ao�� (/ DISTRIO 0. PLAN CK.NO. PERMIT NO. ADDRESS rrC J 13, /\ II U F -?4.. '. V / Z`4 , '2c J f� LOCALITYq�/Y/ (/ RECEIVED BY GDATE OF APPL. DATE 191SUEDNEAREST ' CROSS ST. /tk es /CJ D D .1� G E n/,S BUILDING OWNER G c� ADDRESH AODREBS �cs �/ �/Q �} At A D 17 /I \/E_..�.Ka LOCALITY ^(s� �i '��/� ...." TEL� "PIEAREBT I , CITY 1. !-d f#/ FS f A No. cRose ST. �t� FIRE NO.OF TYPIS ®ROUP ARCHITECT OR ql®IV IE ' "' + ZONE �— PLANS " ENGINEER - /V � BLDG. �' L RD.N0. APDRES11 SETBACK LINE ,q� APPROVED (�W M 6/C TR BY Ih4T¢ CONTRACTOR NO.. USE APPROVED ADDRESS ZONE d BY DATE LEGALp p I CORRECTIONS DESCRIPTION LOT NO. a BLOCK /�OQ TRACT !Al 6�j 54 / NO.OF BLDDS. L�J3 �J" r_ n SIZE OF LOT 6,0 X �5o O I NOW ON LOT J t.� �! USE OF NO.OF INO.OF EXISTING BLDG. FAWTIF.. ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION VV'!/csIrl - 0 A REPAIR MOVING L DEMOLISH e�'t.J�R/ /IU S7" 'R"� -�:✓7(�6'7/ p SIZESo.FT. � . 9I ROOMS STORIES ' ¢ IQs '/ ,���',t'�y,Q m E 3+' iP r WALL R13C"' COVERING ST(/ei`i/) I COVERING, � USE OF NEW BUILDING. lY 5 I..l AJ 0 F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS, APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION:MATERIALS LOCATION INSPECTOR p(TE FORMS, /!n//// /Z AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF t ' �J BRACING,BOLTS _ •-�._..QCs/�"d7 PERMITTEE AUTHORIZED AOT IV I LATH, INT. ,y/��Q^�- LATH, EXT. '��Y"KW'�" 7GA63BA-3 z-so $ P,C,a a®S"� PLASTER,INT. FEE 1( PLASTER.EXT. A ..s VALUATION FEE SO �`� FINAL G���•y� ��1 76A638A CE #803 3-69 APPLICATION FOR BUIL �� PEI COUNTY OF LOS ANGELES BUILDING /1 l DEPARTMENT OF COUNTY ENGINEERADDRESS v C BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST- -�G FOR APPLICANT TO FILL IN DI NO G OU - TYPE C T. PR (PRINT OR TYPE ONLY) lJ • BUILDING " STATISTICAL CL_ S FICATION SEWER MAP. ADDRESS 4' CLASS NO. DWELL.UNITS _BK PG LOT NO. BLOCK �1GJ USE ZONE MAP - N 0. TRACT ot - SPECIAL NO. OF BLDGS. CONDITIONS _ SIZE OF LOT NOW ON LOT - ^ USE OF EXISTING BLDG. BLDG. SETBACK FROM - OWNERC//C� n� NOL :S,r%e7/ FRONT PROP. LINE OF - (STREET) - TYPE OF EXISTING SETBACK HIGHWAY '+ YARD - TOTAL �7 HIGHWAY WIDTH FROM.C.L. ADDRESS CITY f + BLDG.OR TEL. (STR.EET). ENGINEER �' ��/ N0. SIDE PROP. LIN TYPE OF EXISTING SETBAC GHWAY• YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL �j } CONTRACTOR /jP (f �L(f/I/. NO..L - + (� ADDRESS` Qf � lV� �JLv NO �11_ A l CORNER CUTOFF._ YES .❑ NO LIC. I Q CITY �F�� CLASS C'-6-/ SEE REVERSE SIDE FOR SPECIAL APPROVALS CONSTRUCTION LENDER d NAME AND BRANCH I N z ADDRESS - SQ. FT. NO. OF NO. OF - SIZE STORIES FAMILIES NEW USE OF _ ADD STRUCTURE /� _ TER s E r / i'-d epo ❑ SIGNATURE OF /! DEMOL ❑ APPLICANT �/ VALUATION S // �D APPROVALS - DATE INSPECTOR'S SIGNATURE P.C. PMT. �jt-+,�C�f FOUNDATION: LOCATION FEE $ Z Q FEE $ 'r v '� FORMS, ORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FR BRACING,IETOS BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- I GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE,W ORK T ORIZED HEREBY I' , WILL NOT EMPLOY ANY PERSON IOLAT N F THE BOR CODE qTH, INT. OF THE STATE OF CALIFORNI 0 W �50)N- PENSATION INSURANCE. r LATH, EXT. _ A ' SIGNATURE OF/4 H USE NUMBER CORRECT PERMITTEE ND POSTED �%„ is 7 VeD 7 ADORES I N A L JOHN F. LEWIS, PRINCIPAL S TURAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH - PERMIT VALIDATION CK M.O. CASH ? 'An 43r, 0� 1 =? 1 D 2.7 r0- ' f 90.fl�l FOR COUNTY-OF LOS;ANiSELES DEPARTMENT OF COUNTY INEER -APPLOCA B U Q L©U N P E R M OT BUILDING AND SAFETY DIV ION BUILDING FOR APPLICANT TO FILLIN ADDRESS BUILDING ADDRESS S Q ' LOCALITY y NEAREST, CITY 4 i •L J' ZIP. �° �j - CROSS S . NO'.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK:' PAGE PARCEL DISTRICT GROUP TYPE' FIRE SSED BY TRACT 6 BLOCK LOT NO. 4 CONST.' OWNER DQE L NO.- D� STATISTICAL CLASSIFICATIONSEWER MAP ADDRESS S Q / / CCASS;NO. DWELL.UNITS BK PG CITY F e.. ZIP ` 7 G� U ONE- MAP ; ARCHITE OR' „ TEL: / SPECIAL ENGINEER' NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑,•" NO ❑- TEL: . CONTRACTOR Z 4 (,i9 p _ r NO.� BLDG.SETBACK FROM. LIC: FRONT PROP.LINE OF (STREET) ADDRESS` / NO. p _ TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD FRONT PROP-.LINE HIGHWAY WIDTH - CITY ,XCLASS CONSTRUCTION LENDER + O .NAME AND BRANCH., BLDG.SETBACK FROM: U SIDE PROP.LINE OF (STREET) ADDRESS CITY. 0 TYPE OF EXISTING SQ.FT. NO.OF .. NO.OF CHECK' HIGHWAY + YARD. = TOTAL SETBACK FROM U SIZE STORIES FAMILIES ONE SIDE PROF.`LINE IHIGHWAY WIDTH . N. DESCRIPTION OF WORK t /. j NEW ❑ + — Z ADD ❑ CORNER CUTOFF -YES ❑ NO ❑ !�!/`� .GZ77�Yf ` ALTER 1N OPEN SPACE YES ❑ NO ❑ REPAIR USEEXIOF BLDG. \ DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ ` APPLICANT .; .. TEL: 1 37 Cd,isir fNe�Yi� /UGSibt'�7 'C 1 , IPRINTI`,�.,�� �N�... Np,� •- l % �. +V a^.'L�fd) �Dy. .. BY(SIGNATURE( .� IHEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATIONAND 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 SCOM- PENSATION INSURANCE. SIGNATURE OF � .aa•. FINAL i BY PERMITTEE DATE + ADDRESS-, g 0 n TEL P.C. Fee$ Permit Fee CITY s./ //-_ NO. .._/L VALUATION p QQIssuance Fee Total Fee. PLAN CFIECK VALIDATION CK.: M.O • CASH e PERMIT VALIDATION CK. M.O.' CASH �:. 21 6 JAN 23 .1 D ©5'764638A CE N863A 6/76 - -__ ��• C L6 APPLICATION FOR BUILDIN6 PERMIT FOR ArVOLICANT TO FILL IN (Print or type only') f TEMPLE' CITY LI J COUNTY.OF LOS ANGELES BUILDING 5019 Kauffman- ./ AOD'PESS DEPARTMENT.OF COUNTY ENGINEER 'ZIP - BUILDING-AND'AND SA.FET' DIVISION CITY Temple City NO.OF BLDGS, BUILDING - SIZE OF LOT NOW ON LOT - ADDRESS- U' TRACT' Z 'BLOCK . :... - LOT NO. L 0 C A IfITY:.,.._ OWNER Re McMullen, N ®5=6391, .�Ross sr. ASSESSOR .. .. ._\. _. ADDRESS 5019 -Kauffman - MAP BOOK PAGE •PARCEL, - DISTRICT. P YPE ;'FIRE SSED BY CITY Temple City ZIP _ .' �3(T ZONE,. . -ARCHITECT OR ";TEL. - ENGINEER Knowlton - NO. Ex3=30 _ STA'TISTI'OAL CLASSIFICATION SEWER MAP ' ADDRESS 1220 Lincoln Santa Monica // • `.CLASS NO�L_DWELL.UNITS BK, PG CONTRACTOR ATrflo- Alum AwoiL..9 -54 USE ZONE MAP J . NO. ADDRESS 1190LIC 1 Inglewood- NO 232111 .-/` -SPECIAL , y,, LIC. � - CONDITIONS CITY Hawthorne C 61 -. CLASS ROAD".DE<PrA-R.TM.ENT APP..RONAL REQUIRED' YES❑ NO,❑ CONSTRUCTION LENDER NAME AND BRANCH none BLDG SETBACKFROM -- - _ FRO,T PROP.LINE OF _(STREET) CD ADDRESS CITY HIGH Y' } YARD = TOTAL SETBACK FROM TYRE OF EXISTING SQ: FT."f AO NO. OFS­ -NO. OF. .-- CHECK . _ - „- ,FRONT P.R OP.,. LINE_ _ HIGHWAY WIDTH SIZE 24 STORIES FAMILIES ONE E - W 1- }. _❑ - :.� DES'C NEW---- G_RfPTION 'OF WORK - rA x a lO ADD ®. BLDG.SETBACKFROM . . _.._- p.. .... - SIDE PROP. LINE_OF - (STREET) I CBO 8 ALTER [I !HIGHWAY YARD _ TOTAL SETBACK FRO YPE OF EXITING ! }• — REPAI.R❑ SIDE PROP. LINE HI AY WIDTH OF BLDG. .Residence DEMOL 1:1 ' } EXISTING A'P'PLICANT � TEL - -.._ CORNER CUTOFF YES ❑. _ NO ❑_ _ (PRINT) jb N0. 6 IN OPEN SPACE YES ❑ NO ❑ (/ BY (SIGNATURE) • - - - "- Q 700. ' / - .. INCOASTAL ZONE YES,❑ NO / VALUATION•P OO a ' - - - - - _ CATEGORICAL EXE MP.TION YES❑ NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION ENVIRONMENTAL - .AND STATE-THAT-THE ABOVE IS C ORRECT.AND..AGREE .TO COMPLY - (IMPACT - . EXEMPTION DECLARATION SIGNED (DATE) ' "WITH ALL ORDINANCES AND' LAWS REGULATING �BUILDINGCON- - STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) -HEREBY'[ WILL"NOT�EMPLOY ANY PERSON IN VIOLATION OF?HE LABOR CODE OF. THE STATE OF CALIFORNIA IN RELATING TO Y a� 1 7,V fi �y WORKMEN'S.CO.MPE.NSATION I SURANC E. J�1.S ® / -/ /POJ' ieQ m`/ E% � SIGNATURE OFA .PERMITTEE _ 1'.�i✓Pt.� � �rs-"C_'.1�/J�:/r ®.�P t1i''��.t�NMA.r'�+� . ADDRESS Sa .�o _ F I 'AIL B TEL. DATE CITY N O. :. >rP C.s. •^..:_. -.. - _ ... _. PMT:2 - M:9KF CHECKS PAYABLE TO: FEE;.' FEE $ HARVEY T, BRANDT. COUNTY ENGINEER 'PLAN CHECK.VALIDATION ..K. _.M.o_.-CASH _e .._ PERMIT VALIDATION CK.., M.O. CASH- MAT- 1- ASH-.. 0 1 3 3AY' .1`5.2 3_ p 72C A. 4"MU, 15. . 1 1 2.0 0 76A638A CE4803 7/73 QP P UCAMON FOR o ULDNIG PERNT �< . . 6o COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION-. FOR APPLICANT TO FILL IN BUILDING ADDRESS fil u J' = /q I hereby affirm.that I have a certificate of consent,to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation Insurance,or a certified �/a K F copy thereof (Sec.3800,Lab.C.) r-� CITY - ZIP Policy No.._'43 � L4 Z Company S�A'TC I-�N� SIZE OF O��//L ` NO.OF BLDGS.NOW ON OT LOCALITY /2 ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building.irispection TRACT BLOCK LOT NO. department. . USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK$ PAGEOff e PARCELCQ� I^'�" (�t/(�(/ SPECIAL CONDITIONS - �b`�,, OWNER .TEL NO. �""" /a D CERTIFICATE OF EXEMPTION FROM WORKERS' �r P6?C /ti_a Q•S- 7 WITHIN 1000 FT.OF SCHOOL? YES NO COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred ADDRESS :5�/ IT 14 �f DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100) or less:) • CITY ZIP - Icertify that in the performance of the work for which this permit h DISTRICT; _ Is issued, I shall not employ any person in any manner so as to. ARCHITECT OR ENGINEER TEL NO. "J Q J lam' s i become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS - ��_� �_L3 CLASS NO. �" DWELL UNITS NOTICE'TO APPLICANT.' If, after making this Certificate of _REQUIRED. TOTAL SETBACK FROM EXIST Exemption, you should become subject' to the Workers' C NTRACTOR TEL NO. SET BACK YARD, HWY PROP-LINE WIDTH with � Compensation' provisions of the Labor Code, you must forthLZ) H&^qlff C L lEk FRONT comply with such provisions.or this permit shall be.deemed revoked. ADDRESS - LIC:NO. PL LICENSED CONTRACTORS DECLARATION AS TLc/Y/N•s �D 3 `f SIDE CITY �+ LIC.CLASS P L _ I hereby affirm that I am licensed underprovisions of Chapter 9 S b/4 Q 2 C SEWER MAP (commencing with Section 7000)of Division of the Business and SQ.FT.SIZE NO.OF STORIES. NO.OF FAMILIES - Professions Code,and my license is in full force and effect. NEW ❑ BK. PG D d License Number oZ 05 3 U 1r- Lic.Class DESCRIPTION OF WORK ADD ° VALUATION O 44 LZ NPNO C6'/ti Mg .!•I- cf- f'S ALTER $ .S L>.C> 0 U cc Contractor R !✓/� Tl'f l2�' o Oc REPAIR ❑ $ 0 0 I am exempt underrSec. B.&P.C.for this reason ". C finfiy U oe R DEMOL ElLDMA P/C#' IIII U Date: - USE OF EXISTING BLD/Y iiy G. .- 'URM ❑ i - a CD Signature APPLICANT PRINTI TEL'NO. LDMA Perm# JT' Z A-i- i+� N s � c ANTE a _ �� . Z ACCT e ❑ I, as owner of the property; or my employees with wages as �� -, 158.85 . their sole compensation, will do the work and the structure is ADDRESS '7 0 300,3 not intended or offered for sale (Section 7044, Business and Z LC M S .S{� /pitFINAL DATE f p 1 ITEMS PfOfeSSIORS 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 Q �' {?'� ❑ 1, as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �'' TOTAL 1_B8 m 2.r_...8 licensed contractors to construct the project (Section 7044, r. 8 . Business and Professions Code.) YES° N° CHECK 158.8 WILL THE INTENDED USE OF THE.BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHANGE .00 CONSTRUCTION LENDING AGENCY COAST AIR QUAUTV,MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. _ I hereby affirm that there is a construction lending agency for YES❑ NOLQ( a the performance of the work for which this permit is issued(Sec. 00 0 Q(pe (HAVE READ ITHE UNDERSTAND MY INFORMATION GUIDE AND THE SCACMD COUNTY PERMITTINGCODE 0000-0001 11I 7!7_1 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, - N TITLE 2,CHAPTER 2.20 SECTIONS 2,20,100 THROUGH 2.20.140 CONCERNING HAZARDOUS �+ L [M 3 Lender's Name, M�ERIALS REPORT taG AND F R OBTAINING A PER FROM THE SCA°MD. x3256 1 F !12:42 o Lender's Address O. OWNER OR AGENT oI certify that I have read this application and state under penalty o Of perjury that the above information is Correct.I agree t0 comply P.C.FEE PERMIT FEE with all county ordinances and State laws relating to building aJ construction, and hereby authorize representatives of this County ISSUANCE FEE to enter upon the above-mentioned property for inspection purposes. vG INVESTIGATION FEE TOTAL F E� ^ 9n ivre of Aoaicanf or A,e Dade - SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS' COMPENSATION DECLARATION' r I hereby affirm that I have a certificate'of consent to self ' S,U d L D.d N( LI LI R& d U insure, or a certificate of Workers' Compensation'Insurance, L/�Ll LIU 4LIVUI/LI or a certified copy thereof (Sec. 3800. Lab.C.) _ CO.UNLY_,OE_LOS_ANGELES<- BUILDING ARID SAFETY- Policy No. 439142 Company-.Stat P- FunCi s_. ,- BUILDING Certified copy is•hereby furnished. "FORAPPLICANT"TO FILL' IN ADDRESS-. 01 Ka,,uffman A ❑ Certified copy isliled with the.county building inspec- BUILDING.-. tiondepartment: ADDRESS Date L..21•.02 T. j W Nf1Tt1 �n CITY;.: -. ZIP .- LOCALITY Applicant�f 2 ter NO. OF.BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT-60 'X 1 NOW ON LOT 1 CROSS ST. La ROSa COMPENSATION INSURANCE` : ASSESSOR (This section need not be completed-if*the permit is for one TRACT` BLOCK LOT NO, MAP BOOK S - PAGE ©/ ( PARCEL��dCz ` hundred'dollars ($100) or less.) ' TEL. USE ZONE MAP -OWNER Robt e MC Millen N6.285-63-91, . u I certify that in the performance of the,work for. which this rr - _ NO. CIAL permit is issued, I-shall-not employ-any.person'in any manner' ADDRESS 5019- -Kau lman Ave• CONDITIONS a so as to become subject to the Workers'Cornpensatioa Laws: O CITY, Temple City ZIP 91780 V. "^Date Applicant'' ARCHITECT OR TEL. NOTICE TO APPLICANT: ,If, after makingthis Certificate of ENGINEER. - NO. DISTRICT GROUP. FIRE PRO SSED BY .. CONST: ZO � � Exemption, you -should become subject.to the.Workers' . U. Compensation provisions of the Labor Code, you must forth- ADDRESS �•.� U ' 1� p with comply with such 'provisions or this permit•shall be TEL STATISTICAL CLASSIFICATION APT. CONDO. N • deemed revoked CONTRACTOR � W Home NO: 28'7_1 1 Z ' LICENSED.CONTRACTORS DECLARATION, - LIC. CLASS NO. ��� DWELL: UNITS I hereby affirm that I arri licensed under provisions.of Chapter'9 ADDRESS - NO. 205344 LIC. SEWER MAP (commencing with Section 7000).of Division 3'of the Business CITY., Sane Gabriel CLASS B-1 and Professions Code,and my license is in full force and effect. BK PG. VALIDATION- SQ. FL NO. OF N0-0. F - CHECK '. License Number R-205341�Lic. Class ' R—1 SIZE STORIES FAMILIES ONE VALUATION Contractor Z 'R1 .W. Home Dote r�^21 -92 DESCRIPTION OF WORK W NEW ❑ $, ADD ❑ Q U.0 D ❑I am exempt under Sec. o ', ALTER ❑ • B.&P.C..for this reason RemOV6 & Re lace 'Porch REPAIR.❑ $ Date: _ USE OF., •-- , EXISTING BLDG. eSedentlal DEMOL.❑ Signature. APPLICANT TEL. �7. FINAL 412 OWNER-BUILDER DECLARATION (PRINT). L & W- Home NO.28/ --'1.13-1- 1 hereby affirm that I am exempt from the'Contractor's License r -t • 'DATE ADDRESS' $$12' Las Tunas Sari-`Gabriel i Law.for the following'reason (Section 2031.5, Business and FINAL Professions Code): - PRESENT' By, BUILDING ? __t.i ❑ I, as owner,of the property,.or my employees with ADDRESS_ _ wages as their sole compensation,will do the work and LOCALITY the-structure is not intended or offered for sale(Section D 7044,.Business and Professions-Code )- MOVING 7EL.. .. . """ +'' ❑ - CONTRACTOR NO. x e i 1 I, as owner of the,property,•am exclusively contracting 4a with licensed contractors.to construct the project (Sec- t • - - - tfi? a', -� -1 ti ADDRESS tion 7044, Business and Professions Code.-), . 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 "the performance of the work for which this permit is issued P.L. - (Sec. 3097, Civ. C.). SIDE Lender's-Name'. m' y• P.C. Fee$ Permit Fee 113, •- LDMA,Ref.;# _ Lender's Address I certifythat I have read this a application and state that the Issuance Fee 7. LDMA P/C# D o above information is correct..I agree to comply with all County Investigation.Fee f 8 ordinances and State laws relating to building construction, Total Fee Fl LDMA Perm. # a and hereby authorize representatives of this County to enter - upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date, , ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEW RESIDENTIAL BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0204160047 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS: TR: 14832 LT: 5 SO. FT STORIES TYPE OCCUP GROUP 5019 KAUFFMAN AV STRUCTURE: 640 1 VN R3 TEMP CA 917803944 ASSESSOR INFORMATION UMBER: GARAGE: NEAREST CROSS STREET: LA ROSA 8589-017-006 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: 07/11/02 JK 01/07/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT_ FINAL BY: CODE- YANG (626) 451-0289- 51,000 5019 KAUFFMAN AV ;A �L TEMP 917803944 FEES PAID DESC,RIPT ON OF WORK NEW GUEST HOUSE W/2BR & 2BA FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: CHARLIE SHEN (626) 523-9589- B1 PLANCHECK W/ENERGY 25000.00 VAL 438.14 325 S. ALTURA RD AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ARCADIA 91007 AC STRONG MOTION-RESID- -- -__51000.00 VAL 5.10 B1 PLANCHECK�W/ENERGY„ - _',51000.00 VAL 319.90 B2 PERM IT?W/ENERGY ! i X51000.00 VAL 891.83 CONTRACTOR: TEL. NO: '��� TOTAL%/,FEES�A 1,682.72 APPROVALS DATE INSPECTOR SIGNATURE ZI YI LI (626) 487-9163- 4152 87-9163 4152 LINCOLN AVENUE LIC. NO � �� EL MONTE CA 91731 766875,6 �� ���, LOCATION AND SETBACKS <� \ SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ; � ti^ --Lr i._ �� >> FOUNDATION/TRENCH FORMS(” LIC. N0,':` SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 144H269 G 77 3 05 ST LEVEL FLOOR SHEATH NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: _ - NO 12 N�EL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS V, `, ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST -PT.—BLDG DEFRAME INSPECT, _ SET BACK YARD: HWY: PROP LINE: WIDTH: _.': ° "��� ��—�- FRONT PL _ - SHEAR PANELS SIDE PL v[Wo L lj�--moi INSULATION/WEATHER STRIP Zp Z [�7 -- INTERIOR LATH/DRYWALL EXT ER I OR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508