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HomeMy Public PortalAbout5215 KAUFFMAN AVE_Building__ _ - ,:tea • ` (CATION FOR BUILDING PERMIT .78A 838A CE#803 B-63APPLICATION L - COUNTY OF LOS ANGELES BUILDING L�r DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST DISTRICT NO - GRO• TYPE OCES D BY FOR APPLICANT TO FILL. IN (j CONST. BUILDING STATISTICAL CLASSIFICATION S WER MAP ADDRESS 6.2 CLASS. NO. Da WELL UNITS BK PG LOT NO 83 BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE; TRACT MAIHWAY NOP (iCG NO.OF BLDGS. RCLEI STATE MAJOR SECON LOCAL SIZE OF LOT 60 _ NOW ON LOT USE ZONE SPECIAL - USE OF �� CONDITIONS EXISTING BLDG (!!V' . 1 TEL. a_�V4' OWNER BUILDING YARD HWY EXIST. STREET NAME ^�^ SETBACK WIDTH ADDRESS \ �� FRONT V v ARCHITECT OR TEL P. L ENGINEER NO. SIDE - P L ADDRESS , �� .� r; TEL V rO CONTRACTOR (yvtyy�Q,r NO V ADDRESS / r cc DESCRIPTION OF WORK 4 �� HL u JC�I.IiKJ,,, W a NEW ADD ALTER REPAIR DEMOLISH / W *-SQ. FT. - NO OF NO OF Z SIZE Q STORIES FAMILIES USE OF r �- STRUCTURE V SIGNATURE O - •APPLICANT VALUATION $�(% � (,+"! •+ APPROVALS DATES INSPECTOR' SIGNAT g PC PMTFEE $ FEE $ �/ FOUNDATION LOCATION FORMS, MATERIALS FRAME• FIRE STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A,17PLICATION BRACING. BOLTS (S '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 LATH EXT. .I SIGNATURE OFD - HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ' ADDRESS V, JOHN F. LEWIS I AL RAL NGINEER PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK. MO CASH F1Lo'3 7 4 SEP 1 5 1 D 15.00— 'DEPARTMENT OF BUILDING• AND SAFETY APPLICATION FOR PERM COUNTY-OF LOS ANGELES WM.-J. FOX, CHIEF ENGINEER 'id I L ', @g0 •• - -- FOR APPLICANT TO.FILL IN FOR.OFFICE USE ONLY BUILDING" q" sar DISTRICT NO.' ,PLAN CK. NO.•• PERMIT NO. ADDRESS �' O� - �,� Z7 3 ��� 1• . LOCALITY , . , RE/ - IY.ED BY..• DA%E.QF,�dP p DATE ISSUED NEAREST �re "6�//�f10, CROSS ST., • yno �,�� _ , ��5 .` 'I BUILDING /� -- lst�..�'kaio.•�_ •ADDRESS `S /•+��'.vL G�e..�f/.Q+...i. _l� OWNRR t /) MAIL LOCALITY ADDRESS {Fn:, �G',s• `�'fL'ia+4[,x• pA NEAREST' -TEL.' CROSS ST. _ dCeGs .4--'7 "- CITY, •,> NO. �� FIRE _ 'NO. OF TYPE GROUP `ARCHITECT OR TEL. ZONE PLANS �s I� 7r-,*ALJ ENGINEER -• NO. BLDG. ORD'. NO. SETBACK LINE y ADDRES8 - APPROVED _ -• 1 ` • - - TEL. . BY :PATE-, CONTRACTOR NO. USE APPROVEDh � " ZONE Z✓/ BY. "•'. DATE ADDRESS. vP/'' I HOUSE NUMBERING ' LEGAL ,DESCRIPTION.. , 'LOT NO. BLOCK MAP NUMBER rZtJ /----FIELD CHECK BY TRACT , G NO. ASSIGNED BY DATE No. OF BLDGS. • CORRECTIONS SIZE OF LOT e2 'y �� ? I NOW ON LOT /j/dI USE OF - NO. OF - �E -' " " 40eEXISTING BLDG. � ..-y� I FAMILIES DES_CRIPTI9 OF WORK NEW - I,` . 'I ALTERATION I ( ADDITION.,' 0� . REPAIR I I DEMOLITIOTi I I I v;_• _ ..,.. _. _.. �. •SQ. FTNO. OF _ O MEFT.,. ' (�! ROOMS STORIES - -• '- ' Z EXT. WALL _ ROOF - _ r COVE' .d�Y�L4� I COVERING USE-OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE 4 HEREBY 'ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT, THE INFORMATION' GIVEN IIB FORMS, MATERIALS CORRECT. _ - . - - ' . . ' AGREE TO COMPLY• WITH THE CORRECTIONS LISTED FRAME: FIRE-STOPS, F HEREON AND WIT - LL COUNTY ORDINANCES-AND STATE BRACING, BOLTS' LAWS•REGULATI G UILDIN6 o_. S+TRU`CTI�ON. FURNACE: LOCATION, 816N / •�/ C GAS•VENT,'DUCTS PERMITTER! J TE V ,v ' i HR ' LATH, INT. ADDRESS %� � - LATH, EXT. AUTHORIZED AGT, PLASTER, INT. 7EAG38A, D853 10-80 .a - P. C. $ ®. '��+ YZ'7 FEE. I2— �� PLASTER, EXT. VALUATION FEE $L WORKERS'.COMPENSATION DECLARATION' hereby affirm That I have'a certificate of.consent to self insure, or a certificate oA.P P�I C__AT I O N FOR B-U I L D I N_ O 'P.E RM I T - f Workers'-Compensation'Insurance, or a certified copy the�eof'(Sec'. 3800, Lab.'C.) { ' a 7 _ COUNTY OF LOS.ANGEL"ES ' BUILDING AND SAFETY - rCertified No.a[ Company Certified co is,hereb furnished. . FOR APPLICANT TO FILL IN BUILDING . PY Y,. ADDRESS copy is'filed with'the:county buildmg'inspec, BUILDING tion deparTment. + ADDRESS �/� ��Vr w •/�!/ j'�t' _. ` - -/i Tl �l' �'?Cf C�T1 L cls' L/fir- ZAP l /�G� -r LOCALITY - Date Applicant' ' � NO:OF BLDGS. NEAREST- - CERTIFICATE OF'EXEMPTION FROM WORKERS' '_ SIZE OF LOT NOW ON LOT CROSS ST 'COMPENSATION-INSURANCE ' - ASSESSOR ; (This •section need not be,completed"if the.permit js4o'r one TRACT. r BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred.dolldrs ($100) or, less.)• TEL - _ OWNER /L� yJ j / L/,3-Cb o: e?O 7�S� USE ZONE MAP.. yl-certify,that;in the"performance ofthe work for,"which-this " ; NO. "permit is'issued;,l'shall not employ any person in any manner ADDRESS S:2AS �1U iy1►�� SPECIAL d CONDITIONS so.as to-become subject to the Workers'Corripensation'Laws. - - - - O' ~ �/ '7_ CITY.." %Y/ G i ZIP'917A� U Dare' r �- Applicant, t/ � 7CGlJ��litt]�f ARCHITECT,OR '-TEL. NOTICE-TO APPLICANT:-If, .after makin this'Certificate of, ENGINEER NO DISTRICT GROUP TYPE. FIRE PROCESSED-BY 9� CONST ONE O Exemption, you•:_should become -subject- to the-Workers' i �/ p/� Compensation provisions of the Labor Code;`you must forth= ADDRESS: a i �_.with,�compl'y with such provisions;or,this, permit'shallbe - TEL ) STATISTICAL CLASSIFICATION APT' CONDO N deemed revoked.' CONTRACTOR`'/�A2l,�m NO SS Z��31/' z LICENSED"CONTRACTORS,DECLARATION t�" ,r1 y' LIC y' CLASS NO / 'r DWELL UNITS 7 ADDRESS' O rZ Z''/�iTi/�i^T/t NO..� lJ I hereby affirm that I dm licensed under provisions of,Chapter 9 SEWER MAP } (commencing with Section 7000)of Division 3 of'the.Business, UC , and Professions Code;and my license is in full force and effect.' CITY' /yl� '� T CLASS e-3 BK VALIDATION r�> 7 /� SQ FT. NO OF NO OF ;CHECK ••License-Number-'`T J�J Lic. Class `-" �-� SIZE- STORIES FAMILIES ONE­ 11c. r ConTrdctor /.��� /=�0/�/ e' `'rS:.7C��/f DESCRIPTION OF WORK p NEW' ❑ ' � $ ❑I am.exempt under Sec. - Ld/X# e4e •�S S / ADD' ALTER ❑ ► B BP.C. for this reasonf/ REPAIR ❑ Date:- USE OF _ EXISTING BLDG.. DEMOL ❑ Signature APPLICANT TEL j- FINAL OWNER-BUILDER DECLARATION 's (PRINT) NO. / I hereby affirm that I am exempt frorn•the Contractor's License.:• - DATE ' Law for;the fol lowing,reason (Section 7031.5, Business,and ADDRESS 6�� 1�19� ,' T'C r FINALw' ' y Professions Code): i-.' PRESENT. _ fBy BUILDING; r l isi.l_-I eta ❑ Y.­ .1,.as owner, of the property, or my employees-with ADDRESS i t !t -• wages as their sole compensation,"wil I do the work and LOCALITY LM _} the structure is not.interided or.offered for sale(Sectk5n' 7044, Business and Professions'-Code.) MOVING TEL1 F�eii '~'❑: I; as'owner of the property, am,exclusrvely contracting t'- CONTRACTOR'. ' NO .-withlicensed contractors to construct the'project (Sec= -ADDRESS T I sI tion 7044, Business and Professions Code:,),• ' REQUIRED TOTAL SETBACK FROM EXIST '� X CONSTRUCTION LENDING AGENCY � ' SETBACK YARD - HWY PROP-LINE WIDTHS I,hereby affirrrrthat There'is a construction lending agency for FRONT '_•h'�rA•�`, the performance of the work for which lhis'permit=is issued P L (Sec 3097, Civ: C.): '. :­ SIDE' P Lr- ` Lencler's'Name j. 'LDMA Ref. # ; -' P.0 •Fee.$ Permit Fee: �' Milo`lig � Lender's Address'. �,:> ► _ . o I certify that I:have read this application and state that the Issuance Fee LDMA P/C# above information is correct. I agree to comply with all County Invest gotion Fee, • ordinances anddews relating,'to building_construction, - Total Fee �'' LDMA Perm. # b ' and hereorize re r'sentatives of this County,to enter ; upon t a e=me �d grope,y'for inspection purpdsse�s. SEE REVERSE FOR EXPLANATORY LANGUAGE ,,• !- gnature,of Applicant or Agent Date 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 0002010024 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 15683 LT: 33 SQ. FT STORIES TYPE 5215 KAUFFMAN AV STRUCTURE: 800 VN TEMP CA 917803948 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-011-005 •THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESIDUSE ZONE: R ISSUE N: PROCESSED BY: EXPFRES ON: EXIST OCC GRP: 02/01/00 VG 07 30/00 I OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: RYLAND WILLIAM J;KATHRYN E 1,305 12 _�� 5215 KAUFFMAN AV i TEMP 917803948 FEES PAID D CRIPT 0 OF WORK T/0 FLAT ROOF AND INSTALL BUR 4 PLvv APPLICANT: TEL. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: N0: J N DAVIS ROOFING AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 1305.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC=_=­_--_—�,1305.00 VAL 82.20 �9�C���TO�Te®FEES 110.45 CONTRACTOR: T JNDAVISRROOFING (626)N821-4665 ®� APPROVALS DATE INSPECTOR SIGNATURE 2 EAST LA PORTE LIC. NO LOCATION AND SETBACKS STE A C39 ARCADIA, CA 91006 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: /// FOUNDATION/TRENCH FORMS LIC. N0. 1111111 ISLAB/UNDER FLOOR r_ RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP;: UNDERFLOOR INSULATION XX 3 u u1:�� O L C ©�'1 �� LOOK SHEATHING NO. OF FAMILIES: DWELLING UNITS: P /COND: STAT CLASS- NO 21Vc O ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \\ 0 4 * SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALSp NO NO NO rI G I�, �j FRAME INSPECTION REQUIRED TOTAL SETBACK ROM EXI n �� FIRE SPRINKLER HANGERS SET BACK YARD; HWY: PROP LINE: WIDTH: ®0�. ���� '����$�® FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH R TED•FLOO EIL ASSEM. RATED WALL ASSEMBLIES R E SHAM /OP INGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE 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 1109200049 PHONE: (626) 285-0488 EXT: - - ILEGAL ID: I NO. OF CONST BUILDING ADDRESS- ITR 15683 LT: 33 I SQ. FT STORIES TYPE I (STRUCTURE: VN I 917803948 C1780 A 91780394 I ,e I 48 I (ASSESSOR INFORMATION NUMBER: I - I 3 NEAREST CROSS STREET: 18589-011-005 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE. R-1 (ISSUED ON: PROCESSED BY: I IEXIST OCC GRP: 109/20/11 SR I I I I (OWNER: TEL. NO: IBLDGS. NOW ON. LOT- VALUATION: • -IFINAL DATE FINAL BY: CODE: 1 IRYLAND, JOE (626) 287-5881- 5,000 15215 KAUFFMAN AV 11_�O ./ -+ �''1' t 1� ��/'� -�V ITEMP 917803948 - 1 FEES PAID IDESCRIPTION OF WORK I IBATHROOM REMODEL REMOVE AND REPLACE IFEE DESCRIPTION: _ QUANTITY: UOM: AMOUNT: ( 1 (APPLICANT TEL NO I I . IL & W KITCHENS & BATHS (626) 287-1131- IAA BLDG PERMIT ISSUANCE 27 80 1 - IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: I IAC STRONG MOTION RESID 5000.00 VAL_ 0.50 I 1 JB2- PERMIT W/ENERGY 5000.00 VAL 146.10 TOTAL FEES 175.40 - 1CONTRACTOR TEL. NO 1 1APPROVALS _ DATE INSPECTOR SIGNATURE IL AND W KITCHENS AND BATHS (626) 287-1131- -I I I 18812 LAS TUNAS DRIVE LIC NO _ ILOCATION AND SETBACKS 1 I ISAN GABRIEL, CA 91776 205344 B I I ISOILS ENGINEER APPROVAL I 1 (ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I - I LIC. NO- ISLAB/UNDER FLOOR I 1 1 IRAISED FLOOR FRAMING 1 IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMF':( 1 { �r �- ?� (UNDERFLOOR INSULATION I I 1147H269 3 011 I I I + ,11 - k. ` 4 -- f IFLOOR SHEATHING I I INC. OF FAMILIES: DWELLING UNITS: APT/COND- STAT CLASS: I I- 1 NO 21 IROOF,SHEATHING 1 SCHOOL WITHIN HAZARDOUS' I �-1'1 �+ ISHEAR PANELS I I (AIR QUALITY: 1000 FEET MATERIALS 1 AK NO NO NO / IFRAME INSPECTION 1 I , I I I FIRE 'SPRINKLER HANGERS I I' V. ' (INSULATION/WEATHER STRIPI I I I i I - _ - (INTERIOR LATH/DRYWALL I - > (EXTERIOR LATH' _ I (RATED FLOOR/CEIL ASSEM. I - (RATED WALL ASSEMBLIES I IRATED SHAFTS/OPENINGS I I I I I IT-BAR'CEILINGS I I I I I I ILOT DRAINAGE I I I I I I I (REPORT ID: DPR261 ROUTE TO: BS0508