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Home My Public Portal About5202 KAUFFMAN AVE_Building__ 76A638ACE #803 :-69 APPLICATION FOR BUIL DIZ PERMIT COUNTY OF LOS ANGELES BUILDING . DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY .G c" JOHN A. NEER COLEMAN W. JENKINS'SUP T OFUNTY 'BUILDING NEAREST CROSS ST. -,4.4 -R O• , FOR APPLICANT TO FILL IN DISTRICT NO. GROTUP TYP•E_CQNST. PROCESSED BY' (PRINT OR TYPE ONLY) v'�D y t' BUILDING S' STATISTICAL CLASSIFICATION SEWER.MAP , ADDRESS c) t) - - CLASS 'NO. DWELL.,UNITS _ BK PG LOT NO. BLOCK USE ZONE MAP 09 .3` NO. I'.. TRACT. SPECIAL - - // N0. OFBLDGS. CONDITIONS SIZE OF LOT (Q JZ NOW ON LOT , :USE OF EXISTINGGBLDG. �.5'. �� BLDG. SETBACK FROM A,-'I TEL. FRONT PROP. LINE OF / �L�(= �' �/�-/• A .(STREET) OWNER (� � ✓'t C oL S' NO.. TYPE OF .EXISTING SETBACK' HIGHWAY +'' YARD"' - TOTAL ADDRESS ^ /''"� HIGHWAY �WIDTH FROM C.L. CITY ARCHITECT OR - TEL. BLDG.SETBACK-FROM' (STREET) ENGINEER NO. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. CONTRACTO /-',ej!\7 R , i �(Jf- NOL(p / O _ _ `+ - - _ LIC ADDRESS//3 � ��C/.,c�' N0. �{ �;/ CORNER CUTOFF YES ❑_. .,_ NO - C CITY T) CLASs , �, SEE REVERS SID FOR SPECIAL APPROVALS CONSTRUCTION LENDER y� �j y r F NAME AND BRANCH �� ./ ^'— �•7 d ltd, Q►ZG LL ADDRESS ,,'Q(/,] a +! CL Sq. FT. NO. OF NO. OF 2 SIZE STORIES FAMILIES _ NEWUSE F ❑ ,r /��3 U ��{, '. ,y STRUOpCTURE f ','�. . j'�...,,CL .. ADD -,.{4 - ALTER El /a � d' /•L REPAIR ❑ SIGNATURE OF DEMOL ❑ APPLICANT �iL VALUATION $ �� _ APPROVALS DATE _INSa TOR•s sl NATURE P.C. PMT. ' ?FOUNOAT'ION: LOCATION F.EE $ - FEE $ FOR.MS MATERIALS C.. I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION FRAME: FIRE STOPS, . BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE FURNACE: LOCATION, ' WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONST CONSTRUC-UC- GAS VENT DUCTS TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE-LABOR CODELATH, INT.. OF THE STATE. OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURAN E' (i'�✓'lI LATH, EXT. .. .. SIGNATURE OF :/%-„Y//�•• Z6�JVi'�_ HOUSE NUMBER CORRECT ' PERMITTEE "� r AND POSTED ADDRESS /� -//I//�✓�' .1� -��GeJOI .' FINAL116 l `� y JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH AMU CAMOM FOR"*. BU LID HOPERM 7 ' COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING ADDRESS 1 hereby affirm that 1 have a certificate.of consent to self insure, �O� M or a certificate of Workers'Compensation Insurance,or a certified AW CITY ZIP CC copy thereof(Sec.3800,Lab.C.) ' a� g� 571 �� C cp. LOCALITY POlicy,No. �' Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. 62r 13' Z NEAREST CROSS ST.. Certified copy is filed with the county building.inspection TRACT BLOCK LOT NO. � depart ent. USEZONE MAP NO. PARCEL ASSESSOR MAP BOOK PAGE Date Q IS Applicant (! SPECIAL CONDITIONS OWNER TEL NO. CERTIFICATE OF EXEMPTION FROM WORKERS' � P,,4. � _�� YES No COMPENSATION INSURANCE WITHIN 10DO FT.OF SCHOOL?. ADDRESS (-This section need not be completed-if the permit is for one hundred-- Sa.0� —DISTRICT r/--GROUP—'TYPE COCLST.''FIRE ZONE OCESSE BY dollars($100)or less.) clry ZIP I certify that in the performance of the work for which this permit CA. is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. VVV become Subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Data Applicant ADDRES CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST NO CONTRACTOR TEL. . Exemption, you Should become subject t0 the Workers' C _ .SETBACK YARD HWY PROP LINE WIDTH , Compensation'provisions of the Labor Code,you must forthwith � S �yS FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL a w, r LICENSED CONTRACTORS DECLARATION Cm LIC.CLA FIDE C' I hereby affirm that I am licensed under provisions of Chapter 9 COY/M4 C I��J SEWER AP =+ (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORES NO. FAMILIES ' NEW. ElBK PG O, Professions Code,and my license is in full force and effect. 1— License Number A'3 Lic.Class B"I DESCRIPTION OF WORK ADD C.3 YALU TION Contractor Date �IT qV to L ALTE ❑ z REPAIR El❑ 1 am exempt under Sec. _ BARC.for this reason " DEMOL ❑ LDMA P/C# Date: USE OF EXISTING BLDG. URM D �SA914-c-' - :s� Signature APPLICANT( RINT) TEL.NO. LDMA Perm# ?-' I' –a ❑ 1, as owner of the property, or my employees with wages as � L! a9J I p ITEM.i their sole compensation,will do the work and the structure is ADDRES !/ 0 not intended or offered for sale (Section 7044, Business and tom. G V aviN Gp FINAL DA < €j I; j 93' 63 Professions Code.) Q ` 'WILL THE APPLICANT OR FUTURE BUILDI GOCCUPA HANDLE A HAZARDOUS MATERIAL [' OR A MIXTURE CONTAI G A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN • 1 4 CHECK K r .v 1�''•..` ❑ I, as owner of the property, am exclusively contracting Wltll THE AMOUNTS SPECI DON THE HAZARDOUS MATERIALS INFORMATION.GUIDE9 FINAL BY `° licensed contractors'to construct the project (Section 7044, r'��§ }G Ir, Business and Professions Code:) YES❑ No �•iIIT a a. WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MA MENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST _ _ FOR GUIDNOELINES. - E_I I31i"'0 ii[1 jj•,i�+ I hereby affirm that there is a construction lending agency for Y ` ❑ IQ the performance of the work for which this permit is issued(Sec. ; -7.7,1 i H i 3097,Civ.C.. - I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD _ d" '^ _ PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES _ COUNTYCODE,T L 2,CHA 2.20 SECTIONS 2.20.100THROUGH 2.20.140 CONCERNING Lender's Name HAZARDOUS M S RE ING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. ' Lender's Address owNeRo o' 1 certify that I,have read this application and state that the above Y ®, information is correct. I agree to comply With all county P.C.FEE PERMIT FEE c5sY�i -63 ordinances and State laws relating to building construction,and hereby authog*xe representliftives of this County to enter upon ISSUANCE FEE the above- d pro for inspection purpo es.a -[ INVESTIGATION FEE TOTAL FEE 51 0l k2n1 a Agent SEE REVERSE FOR EXPLANATORY LANGUAGE: COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0205140048 PHONE: (626) 285-0488 EXT: LEGA L . 0F - CONST NEW BUILDING TR-. 15683 LT: 23 SO. FT STORIES TYPE OCCUP GROUP 5202 KAUFFMAN AV � STRUCTURE: 493 1 VN R3 TEMP CA 917803947 ASSESSOR INFORMATION U B : GARAGE: NEAREST CROSS STREET: LA ROSA 8589-010-023 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY TENANT: S B G U'E: USE ZONE: ISSUED ON: PROCESSED PIRES ON: EXIST OCC GRP: 06/28/02 JK 12/25/02 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: YAO 5202JKAUFFMAN;AV KO SHU M - 37,000 (�_�$_0 3 TEMP 917803947 FEES PAID DESCR PTIO OF WOR ADD 1BD/1BA FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: H.P. WU DESIGN (626) 574-8907- 81 PLANCHECK W/ENERGY 37000.00 VAL 587.22 2215 LENTA LANE AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: ARCADIA AC STRONG MOTION-RESID - 37000.00 VAL 3.70 62 PERMIT W/ENERGY 37000.00 VAL 690.86 >TOTAL;,FEES�� 1,309.53 CONTRACTOR: TEL. NO: / - GIANTECH INTIL CO. (626) 574-8907- APPROVALS DATE INSPECTOR SIGNATURE ' 2215 LENTA LANE LIC. NO LOCATION D SETBACKS ARCADIA, CA 91006 a 653650/6 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: �' ��11� _ �,V�� FO NDATION TRENCH FORMS LIC. NO: j SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 - _ NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: ST LEVEL FLOOR PEA H ` NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO � ,;o'' - FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST - BLDG DEPT. FRAME INSPECI f SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL INSULATIO WEATHER ST IP " INTERIOR LATH/DRYWALL FRrE—R OR T LOT DRAINAGE SMOKE-DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508