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Home My Public Portal About5142 KAUFFMAN AVE_Building__ • �j I �/y��p��'}�sjq� pp .��fl p�q/mom g ppp �m+/��•-�' � II��p.qL �rq',p��p�] �. 76AG88A CE1808+2�G0 f s H-➢'L 1 PL UCATION.. FOR\ BULL®III �9` * 11 E LSV T COUNTY aOF LOS ANGELES BUILDING ,r— , DEPARTMENT OF COUNTY ENGINEER ADDRESS--aLk :BUILDING AND SAFETY'DIVISION LOCAur�r�>i- JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / ' ' "' 7. WILLIAM A. JENSEN SUPT OF BUILDING -f CROSS ST, -=ZC✓. . DISTRICT NO. GRO "TYPE ^P CESSED BY i FOR APPLICANT TO FILL.IM 9, ^ �"��%d I, � / CONST 4: STATISTICAL CLASSIFICATION SEWER MAP ADDSS ti�/ � /Y iL f ! /(//� xp BK PG . c�r� �� CLASS.-NO. `-' D ELL.UNITS � 1 }4 ! ' LOT NO. iL ( BLOCK MAP NUMBER S �� ,/ H STATE TE YES NO '' TRACT.. l _✓ UEE-ZONE SPECIAL r NO.OF BLOGS. "• CONDITIONS - SIZE OF LOT lo's:� C�k`/� I NOW ON LOT Ai USE OF EXISTING BLDG. BUILDING YARD HWY STREET NAME-" - EXIST. TEL: •-�/.' SETBACK ''WIDTH OWNER _7c^/' .'✓�S/ONO�J 7'` (/� FRONT - - ADDRESS/�o�/1!fI+ .f'/lLJZ ."Yi`Yf4f' /S'G°t SIDP. E ARCHITECT OR TEL. P. L. ENGINEER No. INSPECTION RECORD ADDRESS' // TEL. z CONTRACTOR •L'�'l� 1O JNO. - _ - /�- �04 y%li, V ADDRESS - DESCRIPTION OF WORE NEW _ADD% ALTER REPAIR DEMOLISH ' SQ.FT. n NO.OF NO.OF %��,f - W I,. SIZE �4� STORIES FAMILIES - - STRUCTURE !/LdJ��/i'�� C-et=�l,•�-cL�'t.. s1.+ .t.,� s f'"BJP: 7i /.f't.aryri('' d',',:9 -"_' .•g •a""' SIGNATURE OF �► �' �-� �.�"+:' -�.i.,..}1 APPLICANT VALUATION$ /� APPROVALS DAT/EINSP{E OR'SSIGNATURE P.C., Ew$ .. FEE PMT`$/�_ a'U FO FORMS,MATERIALS �N '/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, BRACING, BOLTS o PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE:LOCATION, STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENyA5rJON LAWS PfC 1FORNIA. LATH,EXT. SIGNATUREHOUSE NUMBER COR- PERM ITTE OR-PERMITTE O G7I lfd RECT AND POSTED ADDRESS •� — FINAL CLYDE N. DIRLAM, P INCIPAL STRUCTURAL ENGI R MI PLAN CHECK VALIDATION CK M.O. CASH PERT VALIDATION. �K. M.O... CASH i1 5.L 7 1 � 1 MAY 1 .6 1 � i 1 • •- app�O�Q�DOo �] �� D COUNTY OF LOS ANGELES. - BUILDING AND SAFETY ' WORKER'S COMPENSATION DECLARATION "FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that;l'have`'a,certificate ,of consent to self insure, BUILDING ADDRESS or a certificate of Workers' Compensation.Insurance,or a certified �� A " ' Copy thereof(Sec.3800,Lab.C.) CITY ZIP '��' •� �� .. . LOCALITY Policy No. CompanySIZE OF LOT NO.OF BLDGS.NOW ON LOT 0Certified-copy is'hereby furnished. - - - NEAREST CROSS ST." r ❑ Certified copy is filed with-the county building inspection TRACT BLOCK' -LOT NO. •department. Date Applicant- : - -USE ZONE MAP NO.. »plcaASSESSOR MAP BOOK PAGE - PARCEL,' - nt SPECIAL CONDIT ONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER p � � TEL No. COMPENSATION INSUvERANCE WITHIN,10oo.FT'OF SCHOOL? S NO (This sectiowneed not be completed if the,permit is for one hundred. ADDRES 1� - dollars($100)or.less.) DISTRICT .. 'GROUP TYPE CONST: FIRE.ZONE, PROCESSED:,BY - 1� . . I certify that in the,performance',of the work for which this permit CITY • ZIP is issued,,I,shall-not employ,any person in any manner so as to 'ARCHITECT'OR ENGINEER - • TEL NO. -• _ become subject to`�t�,h1�S�Workers' mpeen`saf,.t`iJo, ws. v _ .STATISTICAL CLASSIFI TION •- APT CONDO Date Ate, 1.1� F�7p1-icant [ ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT,'. If, after making this Certificate of .. _ REQUIRED TOTAL SETBACK FROM J Exemption, you should become' subject:`'to the, Workers' 'CONTRACTOR - - TEL NO. - SET,,BACK ',.YARD HWY PROP LINE -Compensatlon pr ovisions of the L"abor'Code, you must forthwith ( PY� wro.aT,� NQ-. 4*-�—.: FRO comply with such provisions or this permit shall be deemed revoked. ,ADDRESS {�1 LIC,,NAQ�. �'�f P L N7 . X41\ -SPII N►✓ -Op— �l S 16 SIDE .w - LICENSED CONTRACTORS DECLARATION CIT _!C Ass P IL 1 I hereb affirm that I .am licensed';under rovisions of Cha ter 9 6�, '_ \�' `=/�r Y P P ..SEWER MAP (commencing with Section 7000)of Division 3 of the Business and, SQ FT.SIZE. NO.OF,STORIES'. NO.OF FAMILIES Professjons'Code,and my license is,in full force an ffect. NEW ❑ BK PG a �ns�N ber- Llc.Class DESCRIPTION OF-WORK' - ADD, ❑- 'VALUATION D Q Cbnactor �� Date �\ q3' $ , •�� U ALTER ❑ ' I am exempt der Sec. - { REPAIR B.&P.C.for this reason DEMOL� ❑ ._• - LLI D e:. 1,\� - .USE OF EXISTING BLDG - - - •,, U A - " r RM ❑ LD Signature \\ , z - ICANT.(PRINT - - TEL'NO, -LDMA Perm.# - - r _ ❑ 1, as owner of the property or my employees with wages as their sole compensation;,will do the work and the.structure is ADDRES £ O 7 LsC� not intended oroffered 'for sale.(Section.7044, Business and \ 1.r1 '"1�F-rl FINALD E a Professions Code.) TEM . '� WILL THE APPLICANT OR FUTURE BUILDING.OCCUPANT HANDLE.A HAZARDOUS MATERIAL OR'A MIXTURE CONT NINGA HAZARDOUS MATERIAL EQUAL:TO ORGREATER THAN THE ' ❑ I; as owner of,the'property, am exclusively contracting with AMOUNTS SPECIFIE ON THE HAZARDOUS MATERIALS INFORMATION GUIDE?, a: �'. - �0. 3 licensed contractors;to. construct.the project.(Section 7044, 1!}1 HL' �a _9 a 6 FINAL B U VES❑ NO - Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING f K �� ._i f HE OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH � p�/� 'CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR [[(('//�'-- I 6 t^ ,- .- • GUIDELINES. �'SI41=.3G I hereby affirm that there is a construction lending agency for YE ❑. Nozrl w the performance Of the Work for WtIICh this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,Civ.C. - - CHECKLIST]-UNDERSTAND MV REQUIREMENTS UNDERTHELOS,ANGELES-COUNTY CODE; a - TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20L 140 CONCERNING HAZARDOUS U-0110-`ti if I ,f, _,S�•, - Lender's Name M nLS,REnP TI D O�O�BTyAINING A PERId�ROM THE'SCAOMD. o Lender's Address �"^^� , �LJ�U'':� A - - OWNER OR AS - o I certify that I have read this application and state under penalty o of perjury that the'above information is correct.I agree to comply P.C.FEE PERMIT FEE �r ' with all county ordinances and State, laws relating to building construction, and hereby authorize representatives of this County - ISSUANCEFEEOD ter up' th oe� nt cuedprop inspe�tion�s. i// CCS? "2) INVESTIGATION FEE TOTAL FEE Gg lure.f AppIi r Agen[ Date - (O SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508. BUILDING PERMIT ,..DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9611200053 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 15683 LT: 22 SQ. FT STORIES TYPE 5142 KAUFFMAN AV STRUCTURE: 0 V TEMP CA 917803945 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA ROSE 8589-010-022 THOMAS PAGE: 597. GRID: A4 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/20/96 TC 11/20/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE . FINAL BY: CODE: RODRIGUEZ HERMAN;BEATRIZ (818) 287-2594- 1 4,0001 _�i/ 5142 KAUFFMAN AV "( leo TEMP 917803945 FEES PAID DESCRIPTION OF WORK REMODEL BACK BATHROOM,SHOWER,FLOOR,CEILING,SINL & ELECT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC= C_4000,._00 VAL 116.10 � (( �� TOTAL FEES 144.35 CONTRACTOR: TEL. NO: (� ✓ — •� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER �( LIC. NO LOCATION AND SETBACKS SOILS [NGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: n° FOUNDATION/TRENCH FORMS r �� LIC. N0: SLAB/UNDER FLOOR tett ` �fl RAISED FLOOR FRAMING -- ��--�-��-- MAP NO: SEWER MAP BOOK: PAGE: FIR E:.ZONE: CMP:- �� I� �f�,'� UNDERFLOOR INSULATION �� 7 V ��ll �{l��i 147H269 3 01 vIii FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: \ �� Ll h >> NO 21 ( 1 �tt fes. �5 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS ��j �� , � 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: O a FRONT PL- UINSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE a REPORT ID: DPR261 ROUTE TO: BS0508