HomeMy Public PortalAbout5103 KAUFFMAN AVE_Building__ " 76A638A CE #803 1/71 -
APPLICA'T I..®N FOR BUILDBNG 'PIERW �
COUNTY OF LOS ANGELES ASSESSOR.
DEPARTMENT OF .COUNTY ENGINEER MAP BOOK PAGE'. PARCEL
''BUILDING AND SAFETY DIVISION BUILDING 5103 uff an
ADDRESS
COLEMAN W. JENKINS,, SUP'T,OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
Print or type only) CROSS ST.
BUILDING - ,r -J DISTRICT NO. GROUP TYPE P OC SE BY
ADDRESS 3.• Kalil6 fman Q g CON
STATISTICAL C ASSIFICATION - SEW .MA.P�
LOT NO. BLOCK CL ASSNO. ..
DWELL.UNITS "� AB PG
TRACT USE'ZONE[CONDITIONS
MAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW,ON LOT, SPECIAL
USE OF , \ '.
EXISTING BLDG. _
OWNER Mr. Estrada _ NOL .
BLDG.SETBACK"FROM.-
ADDRESS .51.0.3 Kauffman FRONT PROP.LI NE OF (STREET)
y City
Cit. TYPE OF EXI$ G SETBACK HIGHWAY } YARD- _ - TOTAL
'CITY Temple y - - HIGHWAY WIDTH-t; ROM C.L.
ARCHITECT OR TEL. - }
ENGINEER ' NO. •BLDG.SETBACK FROM
`ADDRESS SIDE PROP.LINE OF (STREET)
EL2A /��� TYPE OF EXISTING _SETBACK HIGHWAY } YARD TOTAL O
CONTRACTOR 'Ra Or . EleCtr i.4O,Lvv7 047-7;; HIGHWAY WIDTH FROM C.L. CD
ADDRESS31S S®.- .San Gabri®1 No' 251,206 . = o
CITY Says Gabriel � _ �ASS C9 o - CORNER CUTOFF - YE
$ ❑ � .NO ❑ W
CONSTRUCTION LENDER
NAME AND BRANCH SEE EVERSE SIDE FOR S CIAL,APPROVALS
ADDRESS - r'
SQ. FT. - NO. OF NO.,OF NEW
❑ /� 7z'
SIZE STORIES FAMILIES _ -
USE OF ADD ❑
STRUCTURE
ALTER
IGNATURE OF
APPLICANT - DEMOL ❑
VALUATION $
r APPROVALS DATE INSPECTOR'S SIGNATURE
P\C. PMT. FOUNDATION: LOCATION
FEE S p? c lTv FEE '� FORMS., MATERIALS
I
I HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE .TO COMPLY ,FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS '
STRUCTION. I CERTIFY'THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT LOY ANY PERSON. IN VIOLATION OF THE LATH, INT. -
LABOR CODE OF T E TATE OF, CALIFORNIA IN RELATING TO
WORKMEN'S COMP SA ION INSURANCE. LATH, EXT.
SIGNATURE O �[/^ 'HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPALS U RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. .. M.O. CASH
�71.7. ro
,.11:. 1 =D 2 4�.0 0- 14.
WORKERS' COMPENSATION DECLARATION
I e�eh'4' (firm that I have a certificate of consent to self O O � M D O �n
;J;15urr,,ar certificate of Workers' Compensation Insurance, A PPI��,CAU—,�0 IJ V [FO R • G U��D� M a [P[E[2U V L1 U
or a certified copy.-Thereof-(Sec. 3800, Lab. C )
COUNTY 01`10S ANGELES BUILDING AND SAFETY '
Policy No. q—�7` Company 5� RIK�
Certified copy"is hereby furnished. _ FOR APPLICANT .T.O:FILL IN BUILDING
ADDRESS 5 03 f�owf:FFM Avc
Certified copy is filed with th`e'count'y building inspec- BUILDING
tion idepartment. ADDRESS t!63 •.`. ' - C4
..
Date "� �Ip Applicant':.. CITY ��i.• ZIP LOCALITY
CERTIFICATE OF EXEMPTION'. ROM ORKERS' �5 • t NO.OF BLDGS. NEAREST
' SIZE OF LOT Lt/6,Y I C3' NOW ON LOT CROSS ST w
COMPENSATION'INSURANCE . '
(This section need not be.completed"if the permit is for one.` r; ASSESSOR
hundred dollars($100)or less:) RACT BLOCK OT NO.
T CK L MAP BOOK PAGE PARCEL :
TEL. ��pry r
t certify that in the performance of the`work'for which this OWNER M�'� r1(Zf.. �'� NO. c0/"S(�J USE Z NE' MAP _ -
NO.'
p,ermit,.is.issued,.l-shall not"employ,an•y person in"any manner /fl3 SPECIAL
so as-10 become subject to the Workers:Compensation Laws. ADDRESS �! +7hPEfA'I CONDITIONS''
CITY C c/ ZIP -
Date Applicant ARCHITECT OR ° TEL.
NOTICE' TO "APPLICANT; If, •cffter••making•this Certificate of ENGINEER NO:.._ DISTRICT GROUP .TYPE FIRE PROCESSED BY _
Exemption, you should become' subject" to tKe Workers' �/�'
��//�� CONST 20NE,
Compensation provisions of the Labor-Code you must forth- ADDRESS �Jr•lJ0 &i_3
with;comply with such provisions or this permit shall be.
EL.deemed revoked /��Z STATISTICAL C N
'• CONTRACTOR • pd �. NO. , 6 �' ..
ST �iSIFICATLO APT. DO.'
u LICENSED CONTRACTORS`DECLARATION CLASS NO. rI DWELL UNITS
,. .. LIC.
I hereby affirm that I,am licensed under provisions,&Chapter 9.. ADDRESS ( �. Z+ "NO:•
(commencing.with,Section"7000)of„Division 3 of-the Busi"ness.ond LIC. SE
Professions Code, andtmy'license is in full force and effect, CITY (AA5J_- Goy IN CLASS BK;,
VALIDATIOPI
R P
SQ. FT". .p NO. OF NO. OF CHECK D.
License Number ” 3� Lic.,Class SIZE �p STORIES FAMILIES ONE b 0
K." Pu
NEW VAL
24 BE�Ronw1 ❑ 1 O
UAT OA1
DESCRIPTION OF WORK
Contractor' Date wr, ADD $'.13
I am exempt unde Sec 6rr►�I �I��N .
ALTER• .❑ �.
t B.BP C for this reason
• REPAIR
UY
Date
USE;OF
EXISTING BLDG. /�C� lt/ :DEMOL ❑ Z
Signature J Gi�D9 FINAL
APPLICANT TEL. f
PRINT) aowm� NO.' i-
OWNER-BUILDER,DECLARATION DATE
I hereby affirm that.l dm,exem t'from the Contractor s License "'w �
Law'-for the.followi"ng reason-(Section 7031:5,'Business and ADDRESS ;e' Aq �''. GAkYe Gt+Y��f�} FINA
Professions Code):. PRESENT
By
,•I, as owner of the property,, or my employees with ADDRESS
SS '
wages os-their sole compensation,will do the work and a fes'
the structure is not intended or offered for`sale.(Section LOCALITY s
7044,'Business and Professions Code) MOVING TEL.
EJ 1; 6s owner of the property; am exclusively contracting
CONTRACTOR
NO:'
with licensed contractors to construct the project (Sec. i .
tion 7044,.Business and'Professions Code): ADDRESS
REQUIRED TOTAL SETBACK 5'
CONSTRUCTION,LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH
J hereby affirm that there is a construction lending agency for. FRONT
the performance of the.work for which this permit is issued P.L.
(Sec. 3097, Civ.'C ):. SIDE _r tat ? N.W
P.L.
}. t
. t.
Lender's Name..
p.t IT1 t
P.C. Fee$ Permit Fee.
t Ga ` I', t-
L'encier's`Address r i Lw F.t
LDMA Ref #
3 I certify that I have read this application and state that.the Issuance Fee L LD P/C#; tMWrn
--x eta
/ above information is correct. I'a agree to comply with all Count t—• t
9 P Y Y Investigation Fee
'o ordinances and State laws relating to building construction, J
' and hereby authorise representatives of this County to enter Total Fee (7 LDMA Perm #. '-
upon the oboe - ention d property for inspection purposes.
a 2� d' o t ? 4 F? p t7
SEE REVERSE FOR EXPLANATORY LANGUAGE ' t; o
n Signature of,Appi nt or Agent ate ,- - � �'a ��°, w«i
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 0511220034
PHONE: (626) 285-0488 EXT:
LEGAL ID: - NO. OF CONST BUILDING ADDRESS: _
TR: 15683 LT: 42 SQ. FT STORIES TYPE 5103 KAUFFMAN AV
STRUCTURE: VN TEMP CA 917803946
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8589-011-014 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG'USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 11/22/05 JK 11/17/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: - FINAL DATE EXPIFW: CODE:
SCHAEFER RICHARD D;ERMELITA G (818) 287-5155- 11,000 .
5103 KAUFFMAN AV
TEMP 917803946 FEES PAID DESCRIPTION OF WORK
REMOVE/REPLACE EXISTING 13 WINDOWS WITH LIKE FOR LIKE BUILD
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
- APPLICANT: - TEL. N0: '
NELSON - (805) 582-1873- AA BLDG PERMIT ISSUANCE 27.75 _
616 W. KATELLA AVE AC STRONG MOTION RESID 11000.00 VAL 1.10 SPECIAL CONDITIONS: -
ORANGE, CA 92867 D2 PERMIT W/O EN-HC 11000.00 VAL 233.40
.. FR INV WORK W/O PERMIT 257.00 DOL 257.00
TOTAL FEES 519.25
CONTRACTOR: TEL. NO: APPROVALS DATE - INSPECTOR SIGNATURE
AMERICAN VISION WINDOWS (714) 535-0299-
616 W. KATELLA AVENUE LIC. NO LOCATION AND SETBACKS
ORANGE, CA 92867 778326B
SOI':,S ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
144H269 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
` 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 1306060019
PHONE: (626) '285-0488 EXT:
(LEGAL ID: NO. OF CONST I' BUILDING ADDRESS:
ITR: 15683 LT: 42 SQ. FT STORIES TYPE 1 5103 KAUFFMAN AV
I (STRUCTURE: - 1^7;'- _ - V-B - TEMP CA 917803946
(ASSESSOR INFORMATION NUMBER: •' NEAREST CROSS STREET:
18589-011-014 ,'_`.�-< THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
(TENANT: (EXIST BLDG USE: RESID, USE ZONE: R-1 .- (ISSUED ON: PROCESSED BY: 1
1EXIST OCC GRP: 106/06/13 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFI . L DATE FINAL BY: CODE: 1
ISCHAEFER RICHARD D.;ERMELITA G (626) 287-5155- 9,000 1
15103 KAUFFMAN AV 1
eliv
(TEMP 917803946 j FEES PAID (DESCRIPTION OF WORK 41
1 IRE-ROOF TEAR OFF COMP SHINGLE AND INSTALL COMP SHINGLES 1
_!FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( -
(APPLICANT: TEL. NO: -1
(RICKY MONROY (818) 843-5050- IAA BLDG PERMIT ISSUANCE 27.80
12219 W.OLIVE AVE IAB STATE GREEN BLDG FEE 9000.00 VAL 1.00 (SPECIAL CONDITIONS: 1
IBURBANK CA 91506 IAC STRONG MOTION RESID 9000.00 VAL 0.90 I 1
1 ID2 PERMIT W/O EN-HC 9000.00 VAL 199.80 I 1
TOTAL FEES 229.50 I
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
(MODERN ROOFING (818) 843-5050-
12219 W OLIVE AVENUE LIC. NO j ILOCATION AND SETBACKS I
1#282 807881 * I
IBURBANK CA 91506 ISOILS ENGINEER APPROVAL
I
(ARCHITECT OR ENGINEER:. TEL. NO: I (FOUNDATION/TRENCH FORMS
LIC. NO: 1 ISLA.'_s•/UNDER FLOOR I I
I - - JRAISED.FLOOR FRAMING I
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:' JUNDERFLOOR INSULATION I
1 3 001
(FLOOR SHEATHING I 1 1
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I_'i I '
NO 21 IROOF, SHEATHING
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I 1
(AIR QUALITY: 1000 FEET MATERIALS 1
1 NO NO NO (FRAM_-E INSPECTION I I 1
(FIRE SPRINKLER HANGERS I I 1
' IINSULATION/WEATHER'STRIPI
„- - - _ �t y �•, I INTEP.IOR LATH/DRYWALL I I
I i I I I I
- (EXTERIOR- LATH
1 I IRATED FLOOR/CEIL ASSEM. I
I i (RATED WALL ASSEMBLIES I I
I
IRATED SHAFTS/OPENINGS
IT—BAR CEILINGS I _
I* ADDITIONAL DATA ON FILE I
ILOT DRAINAGE_
I REPORT ID: DPR261 ROUTE"TO: BS05,08 `
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 / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306060021
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS:
ITR: 15683 LT: 42 SQ. FT STORIES TYPE 1 5103 KAUFFMAN AV 1
I (STRUCTURE: 5. : '..'- V-B I TEMP CA 917803946 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18589-011-014 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
I
(TENANT: IEXIST BLDG USE: DETAC USE ZONE. R-71 (ISSUED ON: PROCESSED BY: I
I IEXIST OCC GRP: 106/06/13 SR 1
10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: JFIqAL.EATE FINAL BY: CODE: I
ISCHAEFER RICHARD D;ERMELITA G (626) 287-5155- 1 4,500 1I
15103 KAUFFMAN AV I I .
ITEMP 917803946 I FEES PAID D SCRIPTIONOF WORK
I I IRE-ROOF TEAR OFF COMP SHING E AND INSTALL COMP SHINGLES 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IDETACHED GARAGE 1
1APPLICANT: TEL. NO: I I
IRICKY MONROY (818) 843-5050- JAA BLDG PERMIT ISSUANCE 27.80 1
12219 W OLIVE AVE JAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IBURBANK CA 91506 JAC STRONG MOTION RESID 4500.00 VAL 0.50 I
ID2 PERMIT W/O EN-HC 4500.00 VAL 132.60 1
I TOTAL FEES 161.90
ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
IMODERN ROOFING (818) 843-5050- 1
12219 W OLIVE AVENUE LIC. NO 1 ILOCATION AND SETBACKS I I
1#282 807881
IBURBANK CA 91506 I ISOILS ENGINEER APPROVAL 1 1
JARCHITECT OR ENGINEER: TEL. NO: ,I IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: J SLAE/UNDER FLOOR 1
I ,JRAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I
I 3 001
I FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I
1 NO 21 1 (ROOF SHEATHING 1 J
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I
1 NO NO NO 1 1FRAME .INSPECTION I 1 I
I I IFIRE SPRINKLER HANGERS I I I
(INSULATION/WEATHER STRIPI I' I
I I JINTERIOR LATH/DRYWALL I I I
1EXTERIOR LATH I I I
I ( IRATED FLOOR/CEIL ASSEM. I I I
I IRATED WALL ASSEMBLIES I I I
I I 1RATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS I I
I I* ADDITIONAL DATA ON FILE I_ I I I
I I ILOT DRAINAGE I I
I (REPORT ID: DPR261 ROUTE T0: BS0508- I I I
I I I I I I