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HomeMy Public PortalAbout5042 KAUFFMAN AVE_Building__ ©s 76A638A -• .. CE#803� E�.11/78) _ ' � ��.••(� APPLOCATION FOR BUILDPNG PERMOT COUNTY OF LOS ANGELES BUILDING AND SAFETY .FOR APPLICANT TO FIN ADDRESS ILL 50 2 t^ , Q . BUILDING e ADDRESS LOCALITY / pp �® CITY C� l- NEAREST �I 41 ZIP CROSS ST. t- o'sli- F OF ASSESSOR SIZE OF LOT 62 -'-, 6 7 NOW ON LOTS. MAP BOOK PAGE PARCEL TRACTf /� � r1��BAALO��CKp LOT NO. DISTRICTp CGROUP TYPE CONST Z� TOSSED BY OWNER lr61 VVVt ` V NO. v{•- f� I t ' �u� a� STATISTICAL CLA551 I A O SEWER MAP ADDRESS (J q fjl CEASS NO. .ELL.-UNITS BKy PG CITY 1 ZIP ARCHITECT OR V TEL. VALUATION $ I ^ j ENGINEER NO. / C' ADDRESS BLDG.SETBACK FROM TEL' FRONT PROP.LINE OF - 4-1 (STREET) CONTRACTOR NO./ �C/ TOTAL SET FROM TYPE OF EXISTING �ry LIC. c� HIGHWAY + YARD = FRONT P LINE HIGHWAY WIDTH ADDRESS /G NO. �L �' LIC. _ + � CONSTRUCTION LENDER CLASS BLDG,SETBACK FROM I v+•�� SIDE.PROP rLINE OF �--�'• STREET) NAME AND BRANCH '_ - - - ?A - HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 'L 96 ADDRESS CITY SIDE PROP.LINE HI HWAY WIDTH SO.fT �} SNT OF NO.OF CHECK + V SIZE" V STORIES FAMILIES/ ONE USE ZONE. MAP ` DESCRIPTION OF WORK' d L/ NEW El I'D Q / SPECIAL ADD '� CONDITIONS ®' e 141 ALTER ❑❑ FINAL l�' �� � BY �r REPAIR DATE / �• �.-d.,6;..,t•� USE TI Irl 5` EXISTING BLDG. KC P DEMOL Ll O APPLICANT TEL (PRINT) NO. :` a BY(SIGNATURE) Q > I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE _ " 1.1 2 7 A THAT THE ABOVE IS CORRECT AND AGREE TO.COMPLY WITH ALL ORDINANCES w AND LAWS REGULATING BUILDING CONSTRUCTION,I CERTIFY THAT IN DOING THE U WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF' •# o 0 o 0 o 1 THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z PENSATION INSURANCE.' 2 o 1 1 5:O O SIGNATURE OF 1500� PERMITTEE � 01 ADDRESS o Z0 7 0 8-8.0 TEI. C CITY No � J P.C. Fee$ Permit Fee > ' r Issuance Fee _ W Total Fee - 76A638A CE +t8034/7APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR `` DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDREss HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NRA REST. Print ort a only) DISTRICT NO. GROUP TYPE PROCESSED BY BUILDING I � "r CONST, ADDRESS _ 6E S- — . ! STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO. 2-'< DWEL'L,UNITS BK PG TRACT - USE ZONE MAP - NO.OF BLOGS. y-� NO. SIZE OF LOT �j / NOW ON LOT 0-.r1l e— SPECIAL USE OF - 't••- CONDITIONS EXISTING BLDG. L BBC1 OWNER �� r�v IY C// D4�L� �S .rBLDG.SETBACK FROM ADDRESS .� © u�.' f r t/ - w FRONT PROP.LINE OF (STREET) j /'+ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY e_M (, C>T HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + _ ENGINEER VIAIAI NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) CD - TEL. _ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR '&J,�-•�� NO. HIGHWAY WIDTH FROM,C.L. CD LIC. t3 ADDRESS NO. - + - W LIC. N CITY CLASS CORNER CUTOFF YES ❑ NO ❑ NAME AND BIRANCHNDER aJ,� SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS i+ SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES NEW �. USE OFf ADD ❑ O% .• - STRUCTURE 13L4' . �.L.. f ALTER ❑ t C REPAIR❑ SIGNATURE OF APPLICANT � ,�.� OEMOL ❑ VALUATION $ APPROVALS DATE INSPECTORS SIGNATURE P.i:. PMT, FOUNDATION:.LOCATION FEE $ FEE $ FORMS; MATERIALS 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, WITHALL ORDINANCES AND LAWS REGULATING' BUILDING CON- GAS VENT, DUCTS STIR UC TION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF {�� J HOUSE NUMBER COR- PERMITTEE . 7/ RECT AND POSTED ADDRESS FINAL 3 PLAN CHECK VALIDATION CK. M.O. CASH " !�f ' PERMIT VALIDATION CK. M.O. CASD ( fro 0 2 .4 313 MAR29 1 D 9.00- DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR P—t--xm T COUNTY OF LOS ANGELES ' ® ' - WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY _ DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY � '1 f logy ('� ,�� 4CEIVED BY DATE OF APPL. DATE ISSUED NEAR E8T _f� . �'Y �• 'ti Ai Lie CROSS ST. BUILDING 1•"`,� CAOj: M OWNER ��1••cADDRESS MAIL �' LOCALITY ADDRESS erc _ NEAREST TEL. CROSS ST. CITY �few.,.i Lfo � Ll-�.r a..i f. NO. (: :+�"✓� �` jAk FIRE (( NO.OF fffl TYPE GROUP ARCHITECT OR " �• TEL ZON�j/!. PLANS ENGINEER .-(; _ ,{'^�' NO. f�iiI A)cr w BLDG. ORD.NO. ADDRESS SETBACK LINE ?.fir' r^ Ty f ,11y — APPROVED +' TEL. BY DATE CONTRACTOR NO. USE *—% APPROVED ADDRESS J ZONEIC4060 BY DATE LEGAL DESCRIPTION LOT NO. j BLOCK cite CORRECTIONS TRACT t� t��.Ce� I NO.OFBLDGS. f SIZE OF LOT I ''F NOW ON LOT USE OF I NO.OF I NO.OF __EXISTING BLDG. FAMILIES ROOMS i _ DESCRIPTION OF WORK ' NEW ALTERATION ADDITION I A j _REPAIR MOVING DEMOLISH L] Sq.FT. / ND.OF Z SIZE J +i� 41 ROOMS / STORIES D WALL ROOF COVERING .{s+Pr� I COVERING144 � L� j USE OF NEWr / t.,... I F`( I I t� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECTFOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUVTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULAT`NG BUIZ�w' ./ FRAME: FIRE STOPS, ;SIGNATURE DFBRACING,BOLTS PERMITTEE _ LATH, INT.: AUTHORIZED AGT LATH,EXT.:' i f 'DE35-3 sora SETS 7-47 $ P C � ��� PLASTER,INT. FEE 1 _ —PLASTER, EXT. VALUATION f '7 FEE ?'�f�` FINAL `DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING _ ''// /�/q DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS �©`T� 'yV'� (� - �� �_ / .�,� EI LOCALITY RECEIVED BY DATE OF APPL. GATE ISSUED NEAREST �� ` — 6 CROSS ST. BUILDING c �[ ✓f ' OWNER �f ADDRESS �.7 � '1 � •' - �L �- "�^�- x MAIL ADDRESS .J V�Va'L�A/d /�+�s LOCALITY �'^�P�,/j��♦ CITY / ` C.� l I TNO _C.l cRo®B sT: FIRE NO.OF TYP CROUP ARCHITECT OR G TEL. - ZONE PLANS ENGINEER NO. . ADORER SETBACK LINE -'!�eDO, � APPROVED j CONTRACTOR No BY D{AYR USE APPROVILD ADDRESS ZONE BY ��������+pq ��1t DATE LEGAL /� S COdiblldo'1r ozo DESCRIPTIONLOT NO. / BLOCK i, TRACT 14(?3 SG• I NO SIZE OF LOT .OF SLOGS. NOW ON LOT dam'`yc USE OFNO.OF NO.OF EXISTING.BLDG. FAM1Ues or DESCRIPTION OF WORK im NEW I ALTERATION ADDITION W! S . O A REPAIR MOVING DEMOLISH SQ.FT. d� NO.Of Z SIZE® ROOMS STORIES SID, WALL ROOF COVERING I COVERING ��J��!/ „/ UBE OF NEW / � /''" ^�7 OUILDING '4p/_��`L/ GGGCICillll CCC �//�/,N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPEOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULAT'NO BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING.BOLTS _ PERMITTEE ♦ LATH, INT. AUTHORIZED AOT LATH, EXT. 71SA63BA-3 z-so $ -C,B PLASTER,INT. ' FEE PLASTER.EXT. �, VALUATION FEE � i'—FINAL // 76®'i38/+-C%!�803 4/72 - APPLICAT N FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS © - HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 12 FOR APPLICANT TO FILL IN NEAREST P ' rlypje only) CROSS ST. DISTRICT NO. GROUPTYPE PRO ESSE BY BUILDING Q /' CONST �- ADDRESS IQCJ STATISTICAL CLASSIFICATION SEWER MA LOT NO. BLOCK CLASS NODWELL.UNITS BK PG6,Y TRACT USE ZONE MAP ��/ NO.OF BLDGS. NO. SIZE OF LOTYz 16 NOW ON LOT / SPECIAL USE OF CONDITIONS EXISTING BLDG, TEL. _ OWNER G NO. BLDG.SFTSACK,FROM ADDRESS (' Z FRONT ROP.LINE OF (STREET) _ TYPE OF XISTING SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWAY WIDTH FROM C.L. I` ARCHITECT O TEL. } _ ENGINEER NO. BLDG TBACKFROM ADDRESS SIDE PRO .LINE OF (STREET) O ' TE L.�/ TYPE OF EXIS SETS HIGH YARD = TOTAL V CONTRACTOR .r. NO. �"(�� �� HIGHWAY WIDTH O ADDRESS pwc NO _ �,�j? + — w LIC. CITY CLASS CORNER CUTOFF YES ❑ NO Z CONSTRUCTION LENDER / NAME AND BRANCH SEE REVERSE SIDE FOR.SPECIAL APPROVALS\ ADDRESS SQ. FT. NO. OF NO. OF El SIZE STORIES FAMILIES NEW USE OF ADD STRUCTURE � - o ALTER SIGNATU OF �y// REPAIR❑ APPLICANT �" 'Y=L���'l. DEMOL ❑ VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $�/, 7� FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS Q AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTI ON. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENaA.LLON INSURANC. G�Gi!/"�� LATH, EXT. �7 SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS - FINAL -V�� PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT_ VAI /ATII N CK.'I M.O. CASH 1 1 D '2 2 i' A�'„ 0 it 1 n i°°;. �i� . .7 5 B Q COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS. ll�1n BUILDI '- - J v�i'�1 q 2- DRESS 1 hereby affirm that I have a certificate.of consent to self insure, L or a certificate of Workers".Compensation Insurance, or a certified ,V copy thereof ec.3800,Lab.CJS /// ZIP _ LOCALITY ' Policy No. Company J, �N'�J SIZE OF LOOT- C.' NO.OF BLDGS.NOW.ON LOT - Ci 61 ElCertified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with,the-county building inspection .. TRACT BLOCK LOT NO. de(pa`rtment. - N( G �/ _ USE ZONE MAP NO. .. Date Applicant O ��Q/ �!" G ASSESSOR MAP BOOK PAGE PARCEL Q� 2 SPECIAL CONDITIONS OWNER CERTIFICATE CET L N YES NO.. RTIFICATE OF EXEMPTION FROM WORKERS' �°g���y COMPENSATION INSURANCE � E D uv J WITHIN,1000 FT.OF SCHOOL? (This section need not be completed if the permit is for ane hundred ADD�tESS' DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)'or less.) ZIP /�(� I.certify that in the performance of the work for which this.permit �. l l V ?_3 C 36A_ - iS issued,•I shall not,employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. - become subject to the Workers'Compensation Laws. - STATISTICAL CLASSIFICATION • AP ON O Date 'Applicant ADDRESS- CLASS NO. `1 DWELL UNITS - NOTICE TO APPLICANT.- If,.after making this Certificate'of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you .should become subject, to the Workers' CW-TRAC�T0 TEL NO SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the.Labor Code, you must forthwith /{ ao�iNU �`�- �� FRONT comply with such provisions or this'permit shall be deemed revoked. ADDRESS ? LIC.NO. PL LICENSED CONTRACTORS DECLARATION C 1 3� Io2POE - CI LIC.CLLAA S P L'. , I-hereby affirm that I.am licensed underprovisions of Chapter 9 D/►'10/✓� !. �/ SEWER MAP (commencing with Section 7000)of Division 3 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 a License Number �- I- DESCRIPTION OF WOR - ADD ❑ VALUATION D - _ Q S�O`�f Lic.Class ]2 �i tJ /� �a S%IN — ooG.S o� $ C)C-) % U. Contractor Y.s /1�1$VC Date Y,27-a1 n ALTER ❑ . . . S�' /✓ /�Y ��- L:�J/�W/J`� � El REPAIR 11I am,exempt under Sec- $ V BAP.C.for this reason - Lv ti/�T��. �2oGC eta DEMOL El LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ Signature' APPLICA pP-RIN ) '/ TE NO LDMA Perm# - i,J z ❑1, as owner of the property, or my employees with wages as - 7f M�'` "( � V 1q19 "" Z their sole compensation,will do the work and the structure is. ADDR SS G(/ ? d 7 O H •l• ,T ' /' K(�Ir/ I�N// fl( �p--;FINAL DATE .. . ... .-... Q. 1� .... ..-50.50 C I not intended or offered for sale (Section 7044, Business and v ( �j Professions Code.) / 7- qA WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL _. 'f-".��J-.... - - - - ' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE El I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIE ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B ITEMS' licensed contractors to' construct the.project (Section 7044, -' ' Business and Professions'Code.). Yes El NO Ti ITALWILL THE USE OF THE ® .�!! q.�iPry� OCCUPANTINTENDED REQUIRE A PERMIT FOR CONST UIDLING UCTION OR MODIFICATION F OMRTHEUSOUTH CHECK' � � �IleCV CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR _ GUIDELINES. ,,f � .. .. ._•.... _.-.........._......-.................. w1,' _....... I hereby affirm that there is a construction lending agency for YES❑ NO R H�ry�� fJ�l N the performance Of the Work fOr•Whlch this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, / tj TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS " 13000-1300 1' 4/27/9 1 Lender's Name MATERIALS R ORTING D FOR OBTAINI A PERMIT FROM THE SCAQMD. 3 o Lender's Address 930.1 1. O OWNER OR _ .. .. .. ... I•certify that l have read this"a ppl ication and state under penalty �. 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 o 1 �'C;TaIL a m construction, and hereby authorize representatives of this County-' ISSUANCE FEE � -� ��. . .............. S to en r pon bove-mention. operty for inspection purpRose?s. 2 5. (� 33 17 1-63.55 C/-,-)7-(l INVESTIGATION FE - TOTAL FEEpN��`' ^ Sig • e Wicam or neem •Dale - '60 1� • 6✓ SEE REVERSE FOR EXPLANATORY LANGUAGE `� hT '-'�0 55 T_ IA � •.�•3m -a_e 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 0803060048 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: _ 1 ITR: 14832 LT: 16 SQ. FT STORIES TYPE 5042 KAUFFMAN AV I ISTRUCTURE: V-B •- _ TEMP CA 917803943 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS ,STREET: LA ROSA 18589-018-012 I I . THOMAS PAGE: 597 GRID: A4 -LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 I IEXIST OCC GRP: 103/06/08 4 SR 09/02/08 I (OWNER: TEL. NO: IBLDGS. NOWONLOT: -VALUATION: IFINAL DATE FINAL Y: CODE: IROMERO CHARLES E;CATHERINE A (626) 286-4819- 17,000 15042 KAUFFMAN AV ITEMP 917803943 1 FEES PAID I3SESCRIPTION OF WORK 1 I ITEAR OFF MANSARD SHINGLES ROOF, SHEAT WITH OSB PLYWOOD, ROOF( IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IWITH 30LB FELT AND 30 YR COMP SHINGLES I (APPLICANT: TEL. NO: I I , I ISUDDITH CONST/GUARDIAN ROOFS (714) 423-1623- IAA BLDG PERMIT ISSUANCE 27.75 1 ` - 1 11651 E. 4TH ST #239 IAC STRONG MOTION RESID 7000.00 VAL 0.70 ISPECIAL-CONDITIONS: 1 ISANTA ANA, CA 92701 - ID2 PERMIT W/O EN-HC 7000.00 VAL 166.20 I I I IFR INV WORK W/O PERMIT 257.00 DOL 257.00 1 I i 1 TOTAL FEES 451.65 1 I ICONTRACTOR: TEL. NO: 1 - 1APPROVALS DATE INSPECTOR SIGNATURE I ISUDDUTH CONSTRUCTION, INC. (714) 423-1623- I 1 11651 E. 4TH STREET #239 LIC. NO I ILOCATION AND SETBACKS I 1 1 ISANTA ANA, CA 92701 847279 * 11 I ISOILS ENGINEER APPROVAL I I (ARCHITECT OR ENGINEER: TEL.. NO: IFOUNDATION/TRENCH.FORMS 1' I LIC. NO: I (SLAB/UNDER FLOOR 1 I I I IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I I 1144H269 3 011 I 1 1 1 1 IFLOOTe-SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 1 IROOF SHEATHING I ; I 1 SCHOOL.WITHIN HAZARDOUS 1 ISHEAR PANELS I 1AIR QUALITY: 1000 FEET MATERIALS I 1 1 NO NO NO IFRAME INSPECTION I I I IREQUIRED -TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS ISET BACK YARD: HWY: PROP LINE: WIDTH: I I - 1 IFRONT PL- (INSULATION/WEATHER STRIP( I 1 SIDE PL- I 1 1 _I (INTERIOR LATH/DRYWALL 1 IEXTERIOR LATH I I I 1 R-ATED FLOOR/CEIL ASSEM. I I .i RATED WALL ASSEMBLIES I I I IRATED SHAFTS/OPENINGS I I I i I IT-BAR CEILINGS I 1 I 1 1* ADDITIONAL DATA ON FILE I I I 1 1 (LOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY I LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0006140052 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 14832 LT: 16 SQ. FT STORIES TYPE 5042 KAUFFMAN AV STRUCTURE: 0 VN TEMP CA 917803943 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8589-018-012 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 06/14%00 UT 12/11/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAU DATE FINAL BY: CODE: ROMERO CHARLES E;CATHERINE A 1 4,170 - lo 5042 KAUFFMAN AV ! �,�5_�-O c TEMP 917803943 FEES PAID DESCRIPTION OF WORK REPLACE 3 WINDOWS SAME SIZE AND STYLE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SEARS HOME IMPROVEMENT (800) 807-9889- AA BLDG PERMIT ISSUANCE 27.75 10415 SLUSHER DR. AC STRONG MOTION RESID4170.00 VAL 0.50 SPECIAL CONDITIONS: SANTA FE SPRINGS,CA D2 PERMIT W/0__EN HC--__ -2:f:-4:1.70.00 VAL 132.60 y! r TOTIL�FEES 160.85 �� CONTRACTOR: TEL. N0: ,��� 4-dl!9� APPROVALS DATE INSPECTOR SIGNATURE SEARS HOME IMPROVEMENT (800) 807-9889- 10415 SLUSHER LIC. NO LOCA11ION AND SETBACKS SANTA FE SPRINGS, CA C-61 D 41 SOILS ENGINEER APPROVAL / �\ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS� - � � � LIC. N0: I Ir111 � SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CM,P,c �� r ! Ij UNDERFLOOR INSULATION r 144H269 3 l� 01=.'iI � ��� ��ll iL7�,�� 1�. i \l J'u JJ FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:--------------- NO LASS---------------NO 21\\A ROOF'SHEATHING SCHOOL WITHIN HAZARDOUS �' � Ir / SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQ SETTUIREDBACK YARD: HWY: TOTAPROPTLINE:CK FROM WIDTH:XIST �0� ����� FIREiSPRINKLER HANGERS FRONT PL_ �'�p�9p ��(a� y INSULATION/WEATHER STRIP SIDE PL- INTERIOR INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T—BAR CEILINGS * ADDITIONAL DATA ON FILE I LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508