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HomeMy Public PortalAbout5115 KAUFFMAN AVE_Building__ 76A 6'86 CE ,�S03 3168 ROT APPUCATION FOR b.WLDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS U N BUILDING AND SAFETY DIVISION r JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY 4C COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. ©:S FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE P O.CE ED BY (Print or type only) - - Do/ CONST. E Q � ' BUILDING - STATISTICAL CLASSIFICATION , _ EWER MAP ADDRESS [[�� U !V - CLASS NO. DWEL'L,UNITS BK PG LOT NO. "J'd .BLOCK USE ZONE. MAP - NO. �� TRACT 4E3 SPECNO.OF1BLDGS. !1 CONDIITIONS - SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG.SETBACK FROM +TEL.' FRONT PROP.LINE OF - -(STREET). OWNER a (t NO. tT•" 6 TYPE OF EXISTING SETBACK HIGHWAY"' '} YARD =, TOTAL HIGHWAY WIDTH FROM C.L. ADDRESS S 'Vk9 !v CITY '�iZl L .. Qi •0 BLDG. -ETB CK FROM .- ARCHITECT OR O. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF.EXISTING SETBACK HIGHWAY } YARD _ .TOTAL ADDRESS HIGHWAY -WIDTH FROM C.L. TEL. } _ >- CONTRACTOR NO. o_ LIC ADDRESS NO ' CORNER CUTOFF. -•YES ❑,. NO',-❑) U LIC. - CITY cLAss REVERSE SIDE FOR-SPECIAL APPROVALS DESCRIPTION OF WORKi, W G tiL , N z NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES • '.�' USE.OF , STRUCTURE . Yl -If;V SIGNATURE OF v GIGCtt APPLICANT VALUATION $ - APPROVALS ATE NSPE OR's sl NA URE P.C. 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 COMPLr -FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING „GA$.,V_ENT, DUCTS BUILDING CONSTRUCTION..1 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 COMPENSATION INSURANCE. LATH, EXT, •' SIGNATURE OF HOUSE NUMBER COR-: PERMITTEE4 -RECT AND POSTED ' ADDRESS �� ---C ' FINAL lw JOHN F. LEWIS. PRINCIPALS RUCTURAL ENGINEER PLAN CHECK VALIDATION �.C - M.O. CASH PERMIT VALIDATIO cK. M.o. CASH I. 'F 'y � 17 0 6.75N04 .. I zrf 9 j: 9 2,.o A?R 1�7 :�. a 2 2 #803 3.63 APPLICATION' ICA' ION FR BUILDING PERMIT76A 638A CE � V COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF "COUNTY ENGINEER ADDRESS /�� ��, BUILDING AND SAFETY DIVISION L0CALITv' C " JOHN A. LAMBIE°:COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.., DISTRICT NO. GROUP• TYPE P,OCESSEDFBY FOR APPLICANT TO FILL -IN' �„ cab _z_ CONST.b' . ������ .� BUILDING •STATIISTICAL CLASSIFICATION SEWER MAP - 'ADDRESS �'� f Vl� Abc;;. BK PPG I. ''.CLASS. NO. `l DWELL. UNITS LOT NO. "7•C/ BLOCK WATER �+ _ CERTIFICATE: NOT REQUIRED ®, RECEIVED El TRACT 1J-4!!; 3 MAPHIGHWAY. %' NO. OF BLDGS. / NO. aG/ (CIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF'LOT "Z;j .NOW ON LOT !' USE ZONE SPECIAL USE OF - CONDITIONS. EXISTING BLDG. rTEL: .OWNER IV/,j O/ O. PT47476,� BUILDING EXIST. - / SETBACK YARD HWY STREET NAME "WIDTH ADDRESS ! (f - W AFRONT ARCHITECT OR TEL. - P. L. ENGINEER NO. SIDE ' P. L. f . ADDRESS P �/•(/ - (' - �' TEL. o. _ X CONTRACTOR. LLC'1-a���" NO. t� r o ADDRESS - -"/ {�"^'/ O' DESCRIPTION OF WORK` • i/_ r. v V f/ v A IL NEW AD ALTER REPAIR DEMOLISH f© yam' r..- Vf SO. FT. - - NO.4F NO,.OF ! /_ �/1o9"k".�' OV _, •I J SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF - Ildt, i APPLICANT VALUATION $' ,/J'.�'-TD�. - - '"7' / APPROVALS ,DAVE INSPECTOR'S,S�IpG�N,•,,A^;-T.�URI P.C. -. PMT, �eFOUNDATION: FORMSMATERIALSON. FEE $ FEE $ '.`-'�-� „ - FRAME: FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS A. ND 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. / n � 'TION OF THE LABOR CODE OF THE STATEOF CALIFORNIA RELAT- ING'TO.WORKMEN'S COMPENSATION.INSURANCE... LATH. EXT. •'SIGNATURES OF{e� HOUSE'NUMBER COR- E^_.f PERMITTEE n RECT AND POSTED ADDRESS. / _ FINAL • JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN.CHECK VALIDATION CK. M.O. CASH PERMIT,VALIDATION CK. M.O. CASH TEMI PLE CITY 78A898A Cr#803 21/110- A PL 9 CAT I®N 'II O COUNTY OF-LOS ANGELES '.BILDING. U - � ::: ADDREss'.,� DEPARTMENT OF COUNTY •ENi: Nj ER. . BUILDING AND,SAFETY i DIVISION: LOCALITY JOHN A..LAMBIE, COUNTY ENGINEER NEAREST : .. WILLIAM A. JENSEN SuF'T OF BUILDING.. - CROSS ST.. DISTRICT NO. GRO P -TYPE P CESSED BY FOR APPLICANT TO-FILL INry --CONS. / ii,, STATISTICAL CLASSIFICATION SEWER MAP;, ADDRESS ! i /7U P�: /•C /� K P • - - CLASS.NO.�DWELL. UNITS o I. LOT NO. BLOCK MAP- STATE' -YES NO NUMBER -C HWY. TRACT / '� USE ZONE SPECIAL '//���tt �? J' NO.OF BLOGS.' CONDITIONS' - SIZE OF LOT 46Z Jt !2 S -. � 'I NOW-ON LOT �� - v�•�� � � � � .-� wl USE OF EXISTING BLDG. BUILDING -- "EXIST.' _ YARD .HWY - STREET NAME Q. /'� TEL: .;,,�J' .SETBACK WIDTH OWNER / / f 7L®S� NO. / (JL , FRONT `AD6R s5 I��LII�FF�i�AI �1�" RIC %s . SI E ARCHITECT OR - ' - TEL. P•L. - - ENGINEER • NO."--`- INSPECTION RECORD: ADDRESS - - - TEL. J: a d CONTRACTOR NO, pp �O♦ - ADDRESS DESCRIPTION 'OF WORE ® � O _ H NEW - DDALTER 'REPAIR DEMOLISH SO.•FT. �+y NO.OF NO.OF n. SIZE '�.J /� STORIES FAMILIES USE OF STRUCTURE IV S_IGNATUREOF./ .di7.✓� CJ. �1'` /y .� APPLICANT - .• '. (/� dy(J VALUATION$cam �+ I'- s ® _TT 1f .ca•a.r c:,. I�ARPROVALS lDATE INSPECTOR SSIGNATURE P.0 PMT.- L"� FOUNDATION: LOCATION FEE FEE FORMS,MATERIALS 'IHEREBY ACKNOWLEDGE THAT.IHAVE READ-THISAP- FRAME:FIRESTOPS,- .. BRACING,BOLTS - PLICATION AND STATE THAT THE ABOVE IS.CORRECT AND FURNACE: LOCATION, - - AGREE-TO.COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS -STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY-THAT IN DOING THE WORK`AUTHORIZED Iff I /LATH INT. WILL NOT'EMPLOY ANY PERSON IN VIOLATION OF THE - - WORKMEN'S.COMPENSAPgNVIAWS OF CALIFORNIA. LATH;EXT: SIGNATURE OF HOUSE NUMBER COR- PERM�IT+TE A RECT AND POSTED /00 ADD EtL .FINAL CLYDE N. DIRLAM,"PRINCIPAL STRUCTURAL EN ER PLAN CHECS'VALIDA ON' cK: M.O. CASH PERMIT VALIDATION K. M.o. CASH LA C a t 8' 2 JUS '� .0 :' T ®R. 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 1207120076" PHONE:• (626) 285-0488 EXT:. - ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: _ ITR: 15683 LT:�40 - SQ. FT STORIES TYPE 5115 KAUFFMAN AV I ISTRUCTURE 422' ` ` . V-B - • TEMP CA 917803946 1 (ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: - - (8589-011-012 1 .. t I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I'TENANT: - IEXIST BLDG USE: RESID USE ZONE: R-1ISSUED ON: PROCESSED: BY: ., 1 IIEXIST OCC GRP: - 107/18/12 SR - 1 I I - � 10WNER: TEL. NO: - IBLDGS. NOW ON LOT: VALUATION: F Ali DA E - F�BY.: CODE: IHUANG BENJAMIN;CHANG CORA (818) -653-1461- I • 9,000' 15115 KAUFFMAN AV ITEMP 917803946 - 1 - - FEES PAID _(DESCRIPTION OF WORK 1 I IROOF MOUNTED SOLAR PANELS, 18 MODULES 4.23 KW SYSTEM 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:•( (APPLICANT: TEL. NO: I I 1HUARACHA, CHRIS P (714) 493-1235- 1P1 RES PV PC<10KW - 153-.90 1 11211 N. BATAVIA ST. - IAA BLDG PERMIT ISSUANCE '27.80 ISPECIAL CONDITIONS: - .1 (ORANGE CA 92867 _ IAB STATE GREEN BLDG FEE 9000.00 VAL 1.00 I" IP2 INSPCT RES PV <10KW 138.00 1 1 TOTAL FEES 320.70 1 I I.CONTRACTOR: 'TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE IVERENGO INC. - (714) 471-6453- 11211 N. BATAVIA STREET LIC. NO LOCATION AND SETBACKS _ 10RANGE, CA 92867 - 935263 C10 1 1 I 1 I 1SOILS ENGINEER APPROVAL 1 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I, " IFOUTIDATION/TRENCH FORMS I IDOUG ENGINEERING (949) 285-5104- 1102 PINON TREE LANE LIC. NO: ISLAB/UNDER FLOOR ICOSTA MESA CA 92627 - C69163 I IRAISED FLOOR FRAMING I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:f - - - •' 1UNDERFLOOR INSULATION I - I - I 1144H269 3 1FLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 1 1 NO 21 I IROOF .SHEATHING I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 I I I (AIR QUALITY: 1000 FEET MATERIALS1 _ 1. 1 NO NO NO IFRAMP INSPECTION - I I I I li I;FIRE SPRINKLER HANGERS I I I I 1' (INSULATION/WEATHER STRIPI I . 1 I I 1 1 I I (INTERIOR LATH/DRYWALL I I 1 I I I - _ EXTERIOR LATH (RATED FLOOR/CEIL ASSEM. I I 1 (RATED WALL ASSEMBLIES I IRATED SHAFTS/OPENINGS _ I I I I'. IT-BAR CEILINGS I 1 I I I I ILOT DRAINAGE I I I I I 1 IREPORT.ID: DPR261 ROUTE TO: BS0508 I I I I I I I I I APPLMAMON FO 0 WLMNO PERMT 1.COUNTY OF.LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION.DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS ' 'BUILDING ADDRESS 2" ? I hereby affirm that I have a certificate of consent to self insure, � �; / �w� or a'cerfificate'of.-Workers'•Compensation'Insurance,or a certified. CITY✓ P " copy thereof(Sec.3800,Lab.C.) ltdlYt / LOCALITY 8 „E Policy No. Company SIZE OF LOT NO.OF BLDGS.N ON LOT ❑ Certified copy is hereby furnished., NEAREST'CROSS ST. - ❑"Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. :9 department. - USE ZONE -MAP NO. Date;• Applicant ASSESSOR MAP BOOK' PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' owNER ; /y��� Q TEL N YES NO COMPENSATION INSURANCE '� �M✓ L' j WITHIN 1000 FT..OF SCHOOL? GADDRESS - (This section need not be completed if the permit is fon`on,e hundred /�� CA = DISTRICT GROUP TY CONST: FIRE ZONE PROCESSED BY dollars($100)or less.) Y L _ r .. ;CITY' ZIP^..i,� ` I certify that'in the performance of the work for which this permit e?yi �p /� is issued I,Shall.not employ any person in any manner so as to* ;'gRCHITECT OR ENGINEER -- TEL NO. 0 ✓ - beco subj to the Workers ommpeen�atiioon)t:aws. STATISTICAL CLASSIFICATION APT CONDO Da Applicant '/.y�,[� / ,'ADDRESS 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' 'CO TOR PJ TEL NO. SETBACK YARD .'HWY PROP LINE - WIDTH Compensation provisionsof the Labor Code;.you must forthwith t tis 1. , FRONT comply with such provisions or this permit-shall be deemed revoked ADDRES f LIC.NO. / PL SIDE LICENSED CONTRACTORS DECLARATION ,CITY �•t LIC:CLASS P L " I,hereby affirm that am licensed underprovisions-of Chapter 9 TO. (commencin with Section 7000)of Division 3 of the Busness'and4SQ.FT SIZE OF S DRIES NO.OF FAMICI S SEWER MAPgNEW BK PG D Professions Code,and m lic� e Is In full force an�d2eff�cy ' ? CL License Num </31( D CRIPTION OF WORK ADD LU VALUATION' Number Lic.Class. Contractor Date --� g� ALTER ❑ � $ �� U REPAIR ❑ O ❑ f am exempt under ec. $ U BAP.C.for this r ason f� i j u->vDEMOL ❑ LDMA P/C# + W Date: - •USE OF EXISTING BL �- URM ❑ n' SignatureZ APPLICANT(PRINT) _ -� ... TEL NO.. -. LDMA Perm# .,. _ , ❑ I; as owner,of the property, or my employees'with wages as ,.,`i a Z theirr sole compensation; will do the work and the structure is ADDRESS O not'intended or offered for sale (Section 7044, Business and - FINAL.DATEyj�; 0 __ sp6c PfOfeSSIOnS 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 'T E ❑ 1, as owner of the property, am exclusively,contracting With, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY.. 5 iL licensed contractors to construct the project (Section 7044, J 1'•t•.; •� Business and Professions Code.) , YES❑. '.NO.❑ f.1TAL .. i.P as 65 >' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT,REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ��'``,'� ,Q� / •I-I S i }. 'a�' CONSTRUCTION LENDING AGENCY COAST AIR QUAUTY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FORf.. r GUIDELINES. f•}-+� v " 1 hereby affirm that there is a construction lending agency for YES❑ NO❑ N the performance Of the Work for WITICh this permlt.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 COPE, N '' TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS - Itl3{-i - e3 i t.: . �- E{ Lender's Name - MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. 7 o Lender's AddressA f_ _ 11 •OWNER OR AGENT 1 `a o I certify that I have read this application and state,under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county'ordinances and„State laws relating to building !/�•S 47 m construction, and hereby authorize representatives of this County ISSUANCE FEE (0 toenter upon the above- htioneded property inspection pur oses. (GLao ZZINVESTIGATION FEE TOTAL FEE Sgmt Applicant Agent - (� SEE REVERSE FOR EXPLANATORY LANGUAGE