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HomeMy Public PortalAbout5106 KAUFFMAN AVE_Building__ (%e 76A638A CE#803 y-67APPLICATION FOR .BUJILL G PER�� • COUNT': OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBI E, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. C DISTRICT N OU OPE P OCES FOR APPLICANT TO FILL IN -^ �q.� CONST, (fiC� (Print or type only) � r 0 V BUILDING — q STATISTICAL CLASSIF CATION S ER MAP ADDRESS-7 �6J� kA" - F- CLASS NO. DWELL,UNITS BK G / LOT NO. BLOCK USE ZONEMAP /a NO.SP (�� TRACT' SPECAL CONDIIT ONS NO.OF SLOGS. SIZE OF LOT NOW ON LOT'. USE OF / ��+• EXISTING BLDG. ec� Cw BLDG.SETBACK FR OM TEL FRONT PROP,LINE OF (STREET). OWNER �,. NO.L. TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS A-'�'/�'1/� _ /1 ✓ + CITY - !r'B. 0e r BLDG.SETBACK FROM ARCHITECT R AT�yE,L. SIDE PROP.LINE OF fit. (STREET) E N G I NEE rA. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 2 Ty/_d,s A*SLE /4paii HIGHWAY WIDTH FROM C.L. ftATEL � / /f V/q + = a CONTRACTOR C- OL NO. LIC. O ADORES ow {{/ NO. CORNER CUTOFF YES ❑ NO V LIC. CDCD CITY I A, CLASS • SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK a NEW -ADD ALTER REPAIR DEMOLISH J, SQ. FT. NO. OF NO. OF ! 1 rC SIZE STORIES FAMILIES USE OF - 9//�� STRUCTURE 1 1/_ 6 POOL ' (O SIG TUBE OF AP ICANT VALUATION $ 'Paco 00 . APPROVALS DATE INSPE TORS S NATURE FEES � 5. .. FEE $ r rX, LOCA D FO MA•TERIIA SION /. �f/(, ,�- FRAME: FIRE STOPS, T 7� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON*IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT. ING TO WORKMEN'S COMPE NSATIINS E. LATH, EXT. SIGNATURE OF ti PERMITTEE HOUSE NUMBER COR- PERMITTEE AND POSTED ADDRESS FINAL JOHN F. I EWIS. PRI CIPAL STRUCTURAL ENGINEER PLAN' I;Cg 4gd M.O. CAS tti PERMIT VALIDATION CK. M.O. CASH L O Q .�.� IO 2y- o 1 :J 2 a L 4 1 7S�;1 � 7� WR 5 1 _D 2 2 5_QN r DIVISION OF BUILDING AND SAFETY - � ' P_ rtment of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN. R FOR OFFICE USE ONLY yy ! DISTRICT NO. PLAN Cr/K. OR EC.No. /PE'R7MIIT'N7O. ADD EIBS �/U -tom C.✓� S r 9�/ / 4. .. "" R�ECEIVE BY DATE OF APP DATEIBSUED NEAREST . CROSS ST. BUILDING �j a / ADDRESS �7 M-•0*�/�• OWNERl/ �O MAIL ` , LOCALITY 1'1 ADDRESS -` / - NEAREST _ TEL CROSS ST. CITY NO. FIRE. NO.OF I TYPE I GR�UP ZONE „�-�" PLANS _ ..\111- ARCHITEC TEL ENOINEE NO. BLDG. } /�O,1gDL'N17. �q SETBACK LINE t� `� TT ADDRESS I 7 - USE /[ APPROVED - TEL..Af= ZONE �� BY DATE CONTRA y�r NO. 7 F 2s 7 HOUSE NUMBERING ADD SS < MAP NUMBER NO. ASSIGNED BY LEGAL /// CORRECTIO S DESCRIPTION LOT NO. / G BLOCK I /�0 TRACT a Vd V. UPC,< T O NO. OF BLDG .'�, n SIZE Of LOT99' 4- NOW ON LOT 1/LCA EX STING BLDG. F MIUSE OF NO. DL ES DESCRIPTION OF WORK A NEWALTERATIONLj ADDITION Z REPAIR DEMOLITION SQ.FT. ) NO.OF SIZE ROOMS STORIES EXT.WALLI ROOF COVERIN COVERING USE OF STRUCTURE - e + i L INSPECTION FOR APPROVALS , OCOUPANCYAB INSPECTOR'SSIGAATURE DATE - FOUNDATION: LOCATION // //�� FORMS, MATERIALS r : f/A�+ 5; I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE.THAT THE INFORMATION GIVEN IS FRAME: FIREBTOPS, CORRECT. BRACING, BOLTS 1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS i BIGNATURB LATH, INT. /6 /J PERMITTE .� � A 70X LATH, EXT. DORES PLASTER, INT. AUTHORIZED AOT PLASTER, EXT. O o P.C.0 / - n HOUSE NUMBER COR- 36 '' FEE �� RECT AND POSTED VALUATION 27 FIN t FEL* 76AS38A OBS 3 1-S2 •�•'-�. -,•. 76A 6,38A CE9803 5-65 APPLICATION FOR BUILDING PERMrt,., YT - . COUNTY OF LOS ANGELES. BUILDING DEPARTMENT OF COUNTY ENGINEER A DD R ESS BUILDING AND SAFETY DIVISION LoE awclfY JOHN A. LAMBIE-. COu NTY ENGINEER NEAREST y _ COLEMAN W. JENKINS,SuPT.oF BUILDING' CROSS ST^' �r�`,''/�j.. " DISTRICT NO. ROUP!, T Y P E--.. P CESSEDI„BY FOR APPLICANT TO FILL IN ,- nCONST � �, BUILDING _ r-� "STATISTICAL CLASS.IFICA,TION '- -.SEWER MAP: ° ADDRESS - "j PG CLASS NO..�_DWEL-L UNITS/.' LOT.NO.- BLOCK USE ZONE N .P Z__- 45 TRACT - "` SPECIAL NO. OF BLDGS. CONDITIONS- SIZE OF LOT NOW ON LOT - - USEOF EXISTING BLDG. TI. �+l�Y �e'�•�1s BLDG. SETBACK FROM w TL.' _ / u FRONT PROP. LINE OF ` k� V��i�'Y1 OWNER .1'�J (STREET)' .O O.ETYPE OF EXI:ST(NG SETBACK- HIGHWAY '"}' -,"RD_ T_07A_6" ° ADDRESS etv , /V -:HIGHWAY WIDTH(' FROM _ CITY e.. -e- c; - BLDG. SETBACK FROM ARC HITECT_ O TEL. - 1, ,a,,ty�ij ENGINEER �NO; s SIDE PROP. LINE OF (STREET) - _ TYPE-OF -EXISTING SETBACK- HIGHWAY +' YARD TOTAL 1 ADDRESS HIGHWAY WIDTH FROM C.L. -.. CONTRACTOR T.O.EEl. - x(70 - + - _) O LIC CORNER CUTOFF - YES":a �NO a'_ -CJ ADDRESS NO CITY CLASS SEE REVERSE-SIDE FOR SPECIAL APPROVALS'" �. DESCRIPTION OF WORK W n ^= a NEW ADD REPAIR REPAIR DEMOLISH SQ.F.T. �.� NO: OF NO. O.F, SI Z.EF - Q + STORIES 'FAMILIES USE OF - _ r STRUCTURE y � ':GAR F - CO' } , :,. � � SIGNATURE OF - APPLICANT - - - - - ' VALUATION ��� APPROVALS - DATE INSPEC -OR'S-SIGNATURE - ' P.C. - PMT FOUNDATION, '. , LOCATION FEE$ FEFORMS, MATERIALS _evrvb' .. FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE'THAT 1 HAVE READ THIS APPLICATION .BRACING BOLTS Y s AND STATE THAT THE ABOVE. IS CORRECT AND AGREE TO COMPLY FURNACE-: LOCA'TION WITH ALL.COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS' 9UILDI NG CONSTRUCTION. I CERT FY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY'ANY PERSON'IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE.OF CALIFORNIA RELAT - ING TO WORKMEN'S COMPENSATION ,NSU RANO E. � { - - _ LATH. EXT. ' SIGNATURF�O,F HOUSE 'NUMBER COR- PEM OR PERMITTEE RECT AND POSTE - _ ADDRESS D [-F I N A L U JOHN F. LEWIS,-PRINCIPAL STRUCTURAL ENGINEER .PLAN CHECK VALIDATION CK M.01, CASH PERMIT VALIDATION CK. --M.q- CASH Ab Q,4.4,8:00MAR 14 1 ,0. 1.5-010- - Q, C ' 76A638ACE #8033-69. APPUCAT'®N FOR, B IL®ING PERMIT COUNTY OF LOS ANGELES BUILDING 5-/o6 DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE,-COUNTY ENGINEER COLEMAN W. JENKINS, SUP''T OF BUILDING CROSS 7 6i. GROSS ST.- C DISTRICT NO. GROUP,• TYPE CONST PROCESSED_BY FOR APPLICANT TO FILL IN Jt 0'd (PRINT OR TYPE ONLY) BUILDINGSTATISTICAL CLASSIFICATION SEWER,M P BK PG _ ADDRESS 1 CLASS N0. - DWELL.UNITS '- LOT NO. FLOCK USE ZONE- -IMOAP TRACT 56 -� SPECIAL"- ._.. ._ N0. OF SLOGS. COND IT.IONS. SIZE OF LOT NOW ON LOT95hiowee _USE OF - EXISTING BLDG. F BLDG. SETBACK FROM �(W. %%hGl�s. -• ' EL. f FRONT PROP. LINE OF (STREET) OWNER - a NO. , / TYPE OF EXISTING SETBACK HIGHWAY + YARD -' _ "TOTAL i .HIGHWAY WIDTH. FROM C•L., ADDRESSA-14 - _ CITY ARCHITECT OR TEL.V . BLDG.SETBACK FROM'. 6i rG (STREET) ENGINEER - N0: SIDE PROP. LINE OF TYPE OF' EXISTING' SETBACK HIGHWAY + YARD = _ TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. CONTRACTOR OG✓-�Y>. @(/ N0. JCLiI + _.. LIC.- � CORNER CUTOFF ' YES �Q . NO ,'Q ADDRESS NO. ' V CITY CLASS SEE REVERSE SIDE FOR'SPE IAL PPROVALS 0 CONSTRUCTION LENDER -.NAME AND BRANCH w °- ''ADDRESS Ioji 4,16q z SQ.-FT. NO. OF NO. OF ❑ It SIZE. - STORIES - FAMI'LIES NEW y USE OF Iv STRUCTURE ( ADD ❑ 1301_( REPAIR . SIGNATURE OF DE_MOL ❑ - APPLICANT 41`ti . VALUATION $ ���'� _ :r • APPROVALS '-DATE INSPECTOR'S SIGNATURE P.C. PMT. . / iv17 FOUNDATION: LOCATION FEE $ FEE $ FORMS' MATERIALS' FRAME: FIRE STOPS, 171 I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS ANDSTATETHAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES.AND LAWS REGULATING BUILDING CONSTRUC- GAS VENT DUCTS. -TION. I-CERTIFY THAT 1N DOING THE-WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. OF THE STATE. OF CALIFORNIA IN. L TING TO WORKME 'S COM- PENSATION INSURA 10, LATH, EXT. SIGNATURE OF HOUSE NUMBER CORRECT PERMITTEE _ AND POSTED 42 ADDRESS -r� FINAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. .. M.O. CASH - PERMIT VALIDATION CII. M.O.,, asH 0�. SEP 2 9 2 D 6.0 ON .44 76A638ACE#803"864 APPLICATION FOR BUILDING PERMIT - '` COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE", COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T.OF BUILDING d CROSS ST. DISTRIC NO. GROU - TYPE. PFjO E 41 JB i FOR APPLICANT TO FILL IN coNST., BUIL 61NC �--� 'A f , / STA STICA L/ SI FI CA TI ON SEWER MAO ADDRESS `'� / 6 M, A. ) -1.,. CLASS NO., DWELL UNITS BK'y.PG J/ LOT NO. j� BLOCK —;,USE ZONE MAP / / -NO. / 6 TRACT _ "I?•• .I SPECIAL NO. OF BLDGS.. �. CONDITIONS SIZE OF LOT NOW ON LOT. 'USE OF - - EtISTI BLDG. SETBACK FROM ' T �• `/ FRONT PROP. LINE OF (STREET) . OWNER _ / TYPE OF EXISTING SETBACK HIGHWAY "+ YARD = AL ADDRES _ HIGHWAY 'FROM C.L. - CITY4300BLDG. SETBACK FROM - - ARCHITECT OR f'TEL. - SIDE PROP. LIN (STREET) ENGINEER NO. TYPE OF ISTSETBACK HIGHWA + YARD = TOTAL .>_ ADDRESS HIOHW WIDTH FROM C.L. CL TEL. + 0 CONTRACTO NO - U ADDRESS NO CORNER CUTOFF YES — 0 CITY c� 'S SEE REVERSE SIDE FOR SPECIAL APPROVALS ,u DESCRIPTION OF WORK l�/� � � Z NEWO ADD ALTER REPAIR DEMOLISH ✓ .SQ.F T. . O. OF N O. O F !.N"!'"+„S•*�;/ SIZE- 6® STORIES FAMILIE USE OF STRUCTURE 'PIG NA TU RE OF �. APPLICANT - VALUATIONS .� - APPROVALS DATE INSPECTOR'S SIGNATURE P.C. - PMT. ' � FOUNDATION, LOCATION FEE FEE$ FORMS•„.MAT.ER,IALS.__ FRAME, FIRE STOPS, - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE; LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION INSURANCE: { F/C�i[A//-(/- LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE s/] '/ - RECT AND POSTED ADDRESS 5706Zj�i��AJ FINAL - •� 6 JOHN F. LEWIS. PRINCIPAL STRUCTURAL E ER PLAN CHECK VALIDATION CK.' M.O. CASH _ PERMIT VALIDATION CK. M. CAS - LAC0 6 9 ,6.5 Lr' ,N0V 1__ . 1 D- 4.0 0" WORKERS' COMPENSATION DECLARATION J I hereby affirm that I have a certificate'of consent-to self � dO FOR, D i D O b insure,,`or a certificate of Workers'Compenstion Insurance,or UZl (CAU O O 1 D �11 /L1 VT a certif d copy thereof (Sec. 3800,lab. C.) w COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N0.65 1 2 Company 1A, .4,`_170_3 l Certified copy is hereby furnished. BUILDING FOR APPLICANT T_O FILL.IN ADDRESS Certified copy is filed with the county building inspec- BUILDING / Tion'department. ADDRESS LOCALITY Date Applicant , ' NEAREST "l �jTeJ__3 011 CITY 'r � ZIP CROSS SL :�ERTIAICATE OF EXEMPTION FROM.WORKERS' // NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT 7i: Q; a NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the per i it is for one USE ZONE MAP hundred dollars`($100)or less.),-"" TRACT BLOCK LOT NO: TEL. O f SPECIAL O I certif that, r the. OWNER ?�— IN 3S�7 CONDMONS y performance of the work for which this permit is issued, I shall not employ,any person in any manner J DISTRICT,, GROUP' TYPE FIRE PRO SSED BY . U so as to become subject fo the Workers'Compensation Laws. ADDRESS Y CONST, ZONE Date Applicant CITY ZIP- STATISTICAL'CLASSIFICATION APT. CONDO U NOTICE TO 'APPL`ICANT: If, after rriakin this Certificate of ARCHITECT OR TEL. _ LU 9 ENGINEER NO. CLASS NO. s;DWELL. UNITS a Exemption,°you should become;, subject to The Workers` N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with-comply with such provisions or this permit shall be ^ deemed revoked: / TEL O' VALIDATION CONTRACTOR 7s7e2,, / �f NO. BK. PG, LICENSED CONTRACTORS DECLARATION - LIC.. I hereby affirm that 1 am-licensed under provisions of Chapter 9 ADDRESS- 7 :50�i .NO: 22'6 VALUATION (commencing with Section 7000)of Division 3 of the Business and , LIC. _ Professions Code,' and my1icense is in full force and effect. CITY � J6`:-/ CLASS .0`/ $ SQ. FT. [NO NO. OF / CHECK License Number: ZZ Lic.Class d67` SIZE ISTORIES IFAMILIES ONE ContraclorT cJSI��,�(/L s�/Tate-I ESCRIPTION OF WORK — NEW ❑ I am exempt from the•licensing requirements s I am a '-� ADE // r licensed architect or a registered professional engineer. ALTER ❑ FINAL DATE !� i;i, acting in my professional capacity (Section 7051, REPAIR ❑' Business and Professions Code). USE OF EXISTING BLDG. / DEMOL ❑ FINAL _ Lic. or Reg. No: _Date APPLICANT'' TEL OWNER-BUILDER DECLARATION (PRINT) y�3� �7 •� NO.IC��y3j .j i I hereby-affirm that I am.exempt from the Contractor's License �/�iO�q ��� c3 Law.for the following,reason (Section 703.1.5; Business and ADDRESS Profess ions`Code): PRESENT F7] BUILDING I, os owner of the property, or my employees with ADDRESS •wages as their sole compensation,will do the work and tlie'structure is not intended or offered for sale(Section LOCALITY 7044,Business and Professions Code). - MOVING TEL. 3;9 A I, as owner ofihe property, am exclusively contracting CONTRACTOR NO. '. with,licensed contractors to construct the project (Sec- #,o'0 0 0 0 tion 7044; Business and Professions Code): ADDRESS CONSTRUCTION LENDING AGENCY REQUIRED' YARD HWY TOTAL SETBACK FROM EXIST. 2;° 0,8 R 010 SET BACK - , PROP. LINE WIDTH , Thereby affirm that there is'a construction lending agGn y for FRONT ° o ° 80'=' the performance of the work for which this permit,is issued P.L. �' �: U (Sec. 3097, Civ, C.).1 SIDE n 0,9 1 4 —8'1 Lender's Name- ^ - P.C. Fee S Permit Fee •'Pl. l- t - _ Lender's Address > I certifythat I have read this application and state that the pp Issuance Fee above information is correct..lagree to comply with all County Investigation Fee G p� 0 ordinances and State laws relating to building construction, Total Fee !} d and hereby authorize representatives of this County to enter . upon the abov e ned pr erty for inspection pur ses. Q SEE REVERSE FOR EXPLANATORY LANGUAGE 0 Signatyre of p,`cant,or Agent D ©s t � �NORKERS' COMPENSATION DECLARATION ere �✓ °insureboradcertif coirm tta ofave a Workersr1Compensat on Insurancetificate of consent to , /� _� =0 R o O L GAJ .pC Q6v�i 0 i� or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES- BUILDING AND SAFETY Policy NPWCO 3 8 7 9 Company G01 d Pn 'Fa cry P Cerf;fied copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS .5106 Kauffman El Certified copy is filed with the county building inspec- BUILDING ' tion department. ADDRESS 5106 Kauffman Date 6/17/U ApplicantPYE MTD BUT_T,DF.RS CITY. Temple City ZIP O LOCALITY Temple ' City . CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF SIZE OF LOT NOW ON LOTS NEARESST. LOWer' AZUSa COMPENSATION INSURANCECROSS (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL USE NE MAP I certify that in the performance of the work for which this OWNER av r NO: ' NO. _ permit is issued, I shall'not employ any person in any manner SPECIALi so as to become subject to the Workers'Compensation Laws. ADDRESS .51 O.6 Kauffman 111��� CONDITIONS O CITY Tem le City ZIP v DateApplicant NOTICE TO APPLICANT: If, after 'making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY O' ENGINEER Pyram 1d. B O• /� c Exemption; you- should become,'subject to the Workers' CONST. ZONE F—, Compensation provisions of the Labor'Code, you must forth- ADDRESS �L UI W; with comply. with such provisions. or this permit shall be 1 � p_t deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. CONDO. N CONTRACTORPYRAI�MID. BUILDER9,40967. 1342 z LICENSED CONTRACTORS DECLARATION LIC• CLASS.NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter ADDREJ56 3 3 2 San- Bernardlri& 4002E9SEWER MAP (comrnencing with'Section 7000)of Division 3 of the Business and 'LIC. Professions.Code, and my license is in full force and effect. CITY Covina CLASS B BK PG VALIDATION SQ. FT. / NO. OF ! NO.OF / CHECK License Number 0 0 2 8 9 Lic.Class $ SIZE ILIES STORIES / FAMi ONE IR1.M�C NEW - O VALUfLTION�U O Contractor PYAMI19 'BTTTT:T1jRS .ti /�1 7TQ S2 DESCRIPTION OF WORK $ 6 I am exempt under Seca f�j�J�//E.t� ADD D r ALTER B.&P.C. for this reason REPAIR Date: USE OF z 0;1 9.4 A EXISTING BLDG: ���� DEMOL ❑ APPLICANT TEL, # o 0 0,0 0:1 Signature FINAL PRINT NO. (PRINT)PYRAMID' BUILDERS 67 1- OWNER-BUILDER DECLARATION DATE ° t I herebyaffirm that FP am exam t from the Contractor's License � ;1 8:1:.1 3 Law for the following reason (Section 7031.5, Business and ADDRES FI Professions Code): R _ BUILDING ° °�1 8 A 1 30' I, as owner,of the property, or my employees with .. ADDRESS wages as their sale compensation,will do the work and f t' LOCALITY ( s F [ „ 7. 1 4 1`8 8 the structure is not,intended or offered for sale(Section „ , 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- tion 7044, Business and Professions Code). ADDRESS REQUIRED: TOTAL SETBACK '+e CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH a 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 `• P.L. t Lender's Name ' ° o LDMA Ref. # P.C. Fee$ Permit Fee l A­P/C' Lender's Address1 certify that I have read this application and state that the Issuance Fee L/. LDMA above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total.Fee LDMA Perm. # R and hereby outhorize'representatives of this County to enter upon the above-mentioned property for inspection purposes: - - - �` Z tib}�;i .. }`..'a�,� \ -� 'J .: '•t 6/18/88 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date "�'•,`t'• ,j+,2� 1 '-til ti�'•'.�t� ,t .„ ~• 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 0309030042 PHONE: (626) 285-0488 EXT: LEGAL D: N0. OF CONST BUrLDING ADDRESS: TR: 15683 LT: 16 SQ. FT STORIES TYPE 5106 KAUFFMAN AV STRUCTURE: VN TEMP CA 917803945 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSA 8589-010-016 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: 09/03/03 JK 08/28/04 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: 5106RKAUFFMANETTE BAVT H;DIANA I - 4,000 J �� TEMP 917803945 FEES PAID DESCRIPTION OF WURK T/O HOUSE & GARAGE; SHEET GARAGE (7SQ); INSTALL 30YR ELK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: COMP SHINGLES APPLICANT: TEL. NO: PRECISION ROOFING SYSTEMS (909) 973-2004- AA BLDG PERMIT ISSUANCE 27.75 323 W NUBIA ST AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: SAN DIMAS CA 91773 D2 PERMIT W/O EN-HC 4000.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE PRECISION ROOFING SYSTEMS (909) 973-2004- 323 W NUBIA STREET LIC. NO LOCATION AND SETBACKS SAN DIMAS, CA 91773 816975 C39 SOILS 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: APNO/COND: STAT CLASS"ROOF SHEATHING k "TU OLS -�✓ SCHOOL WITHIN HAZARDOUS SHEAR ANELS 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- INTERI R LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED HAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508