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HomeMy Public PortalAbout5227 KAUFFMAN AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILD1 WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING A I I DIST NO. PLAN CK.NO. PERMIT NO. ADDRESS "�"" 01z6. 40 LOCALITY tow AECEIYED Y DATE OF APPL. DATE ISSUED NEAREST CRO!! ST 13UILDING OWNERADDRESS �J s � - , LOCALITY ADDRE MAIL ff J Z a ' a NEAREST TEL. •CRO69 ST. CITY NO. q FIRE NO.OF T�` GROUP ARCHITECT O,ff q TEL. ZONE z=— PLAN90-1 ENGINEER NO. / BLDG. tlD.NO. ADORE SB SETBACK LINE �^ '� APPROVED CONTRACTOR TEL By OdATE NO. 1 - USE APPROVED ADDRESS ZON .� BY �w�T DATE LEGALDESCRIPTIXIN n0T Nps BLOCK I CORRFCTIO�s TRACT 1��1 Y NO.OF BLDO9. SIZE OF LOT I NOW ON LOT UBE OF NO.OFNO.OF 1 EXISTING BLDG FAMILIES ROOMB 2. S7-OR Y DESCRIPTION OF WORK FM-ORUS NEW ALTERATION ADDITION I 0� C// •V OT REPAIR MOVING DEMOLISH Bq.FT. NO.OF Z SIZE AROOMB STORIESWALL ROOF ' _ ••��-�^("���9tf /` +_` �D-�i� g COVERING COVERIN /C -S`�"Rt� {Y /rW . UBE OF NEW W 3UILDING i .. { 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT` FOUNDATION: LOCATION IN P .PTTOpR DATE ,p� AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 1 FORMS.MATERIALS - =- •F6c �A AND STATE LAWS REGULATING BUILDING CONSTRUCTION.;; v FRAME: FIRE STOPS. JJ SIGNATURE OF 1 •+ BRACING,BOLTS / PERMITTEE � �"°� � I LATH, INT. AUTHORIZED _ T LATH, EXT. �! 7�6A63BA-3 z-SO $ P.C.M j PLASTER. INT. 4/ Q d ` FEE LPLASTER,EXT. o' >8 VALUATION FEE FINAL , -ENT OF BUILDING AND PTEPARCOUNTY OF LOS ANGELES NES APPLICATION FOR PERMIT WM. J. FOX, CHIEF ENGINEER - IL ' FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �( �+ DISTRICT NO. PLAIN CK..MD.* PERMIT NO. ADDRESS --- o Ave` NEAREST RECEI`kD BY DATE OFi P DA� BUED� CROSS ST. VDL L s--- !`//1�/ ` � �} ADD EBUILDIBH NG OWNER - �. >ni (� L G MAI LY- L 77, OCALITY-.. C ADDRESS O. O 1A`erA D 6LY - NEAREST CITY • E7A.P L e* ?!�.A-I-♦ NO. Ar 66 075 CROSS HT.FIRE NO.dF �+ J' 1 . ARCHITECT OR TEL. ZONE PLANS / TYPE j/ YOROUP �— -ENGINEER Ofd NO. C�•� BLDG. SETBACK LINE ADDRESS cl R X50�( APPROVE CONTRACTOR f3v(�D�RS-��(c NO 4(07 BY -+,i--� DATE USE/ APPROVED ADDRESS Za O O ZONE / BY DATE LEGAL DESCRIPTION //LOTNO. BLOCK 'd/R CORRECTIONS TRACT (�7 p ps SIZE OF LOT 6p X 4 17 NO OF BLDGB. L �O�E 5 NOW ON LDT 1� USE OF I NO.OFI NO.OF _ EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH p SQ.FSIZE T. R ROOMS S STORIES - D WALL I ROOF \%/Og D 7' COVERING STUcGG;O COVERING S k1 rw1C LM i USE OF NEW A _w BUILDING i 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR', DATE -AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWB REGULATING BUILDING CONSTRUCTION. �r FRAME: FIRE STOPS, 1� SIGNATURE OF y, BRACING,BOLTS � / PERMITTEE , ) �'�" ( L LATH,INT.: A�l AUTHORIZED AOT9401 - q LATH,EXT.: + oe8-3 SOM SETS t-`4B_$ PLASTER,INT. ` Z TJ { Vr,> FEE / PLASTER,EXT. VALUATION V v v FEE /� FINAL 76AG38A DSS-,12.54 APPLICATION. FOR-. BUI LDMG-"PE RIS I"I' ]. `RDpnSION-OF BUMDING AND"SAFETY ADDRESS, Sti"�� A1, ILatJv Fw,�tul - ' Depcatment of County Engine®r County of Los 'Angeles-, ' 11' .. LocguTY ���9A7��'. G/T - WM. J- FOX.-COUNTY.ENGINEER NEAREST p� CASSATT D. GRIFFIN. SUPT OF BUILDING - B"geXi eY L14 IZI d40 I r CROSS ST.' DISTRICTNO. GROUP,• SEWER MAP FOR_'APPLICANT'TO FILL IN w - { JT�PE. BK•' PG BUILDING't ^ ��// �8 - CONST, ADDRESS 5217 -N, f'►AU)r4F l#qN 7 HAe e-41V ',MAP-- '' - STATE / +f@S - _ UMBER � , 0� � - HWY• LOT NO. - _ BLOCK USE ONE_' SPECIAL _ - -'CONDITIONS-•. TRACT. tr NO. OF BLDGS. ' SIZE OF LO 4,� , 13O I--` NOW ON LOT _ "` BUILDING, ygRD HWY• STREET NAME EXIST. USE-OF` - ^ SETBACK –WIDTH• EXISTING BLDGr �egt y/EN C�r" p ,mac" /Q`'9•�. .FRONT ar 5•- - ._ - / -(� CT P. L. - OV1%NER,C! � JI/� 1-Q �.� 0 ,SIDE ' MAIL � 11�/ '1 pp er ADDRESS� II W7 Nr.F►HV 10 F�A�1 Rd - - - --CITY IGI'(pi.G �tT%j C��+I•t NO.�T4���J� DWELL.' 7 UNIT 5, INDUSTRIAL ^ - c 2 DUPLEX_UNIT .6 PUBLIC"BLDG. S ARCHITECT OR - 'rsTEL. _ ' ' . ' ENGINEER ���/(J `(2„- `F .NO. 3 APT. UNITS - '7, ADDN.,ALT., ETC. -- ADDRESS ' - - COMMERCIAL— 8 MISCEL.`` Asp' TEL., CONTRACTOR, CEJ AJg(L NO. 'INSPECTION RECORD .ADDRESS • � w Ll DESCRIPTION_ 'OF- WORK — . NEW D �Ag1)D. -ALTER*y REPAIR .•'DEMOLISH, ' _ Q T., T•. STORIES f FAMIILIES USE OF STRUCTURE - /a'mATX1;9- EAD10 SttAC.K SIGNATURE OF�.7w". w APPLICANT14- ^ ,APPROVALS. -' ADDRESS t�3T //r / _ 'DATE' INSPECTOR'SSIGNATURE FOUNDATION: LOCATION, $ ® - P'C•�S. ,FORMS, MATERIALS ' - FEE FRAME: FIRE STOPS.. ' 'BRACING, BOLTS- •II�-'f� .S4 ���C •:•�,,. VALUATION, - f' O,7- "• ' "FEE 1;:c'.— FURNACE: LOCATION.' _ - ,GAS VENT. DUCTS- - - I'HEREBY ACKNOWLEDGE THAT A HAVE READ. THIS _ - APPLICATION AND STATE THAT THE ABOVE IS CORRECT - AND AGREE TO COMPLY;WITH ALL COUNTY•ORDINANCES LATH; INT. AND STATE LAWS REGULATING BUILDING CONSTRUC - ' TION: LATH. EXT. = '�'"• 5 ' SIGNATURE OF "� HOUSE`NU MBER'COR .. :• •P.ERMITTEE ® - .RECT AND POSTED ' '!ADDRESS_�CL`� ® -/. �• FINAL ATION - ' wig. 'J. :FOx. CoulrrY-Fa,aureEe'-. _- VALID , BY t DEPUTY' _. C.-. �__ _ '• ./?•�• O-' .DEPUTY ' BY - BY - .. ® r DEPUTY DEPUTY �S� 7 6A638 Ce,#8 ffd'1/71 C3"R- B vwCi APPLICATION FILDIN PERMIT - �f+ COUNTY OF LOS ANGELES ASSESSOR `a• DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE - - PARCEL BUILDING AND SAFETY DIVISION' 'BUILDING ' ADDRESS,, /2 COLEMAN W. JENKINS, SORT OF BUILDING LOCALITY FOR APPLI ANT'TO'FILL.IN NEAREST Print'-ort a onl" 'CROSS'ST, 0ISTRICT,NO. O _ TYPE'.', P CESSED BY ,BUILDING _ A, � CONST,I ADDRESS �E - c U' ,A-i - STATISTICAL CLASSIFICATION SEWER MAP,- LOT NO < °_BLOCK__ _ a CLASS NO. DWELL,UNI,TS.�' BK PG TRACT ' = USE ZONE MAP ' NO.OF BLDGS. NO. , SIZE OF LOT NOW ON LOT ' ' jQ SPECIAL USE OF, brr CONDITIONS EXISTING BLDG, -OWNERM �(�< OL F - BLDG.SETBACK ROM FRONT PROP:LI NE OF EET) -TYPE OF 1EXISTING..SETBACK-; HIGHWAY- } YARD `= TOTAL CITY - - - HIGHWAY WIDTH ',FROM C.L. • •- ARCHITE T'OR TEL. } _ ENGINEER _ NO. BLDG.SETBACK FROM ' SIDE PROP.LINE OF (STREET) ADDRESS•f ,• � -- � ' A -%6AAv&& TEL TYPE OF EXISTING SETBACK HIGHWAY }. YARD• = TOTAL O CONTRACTOR NO ,�y HIGHWAY WIDTH (FROM C.L. U LIC. ADDRESS ' �M "NO: O CITY CLASS CORNER CUTOFF -YES G NO.. W CONSTRUCTION LENDER a NAME AND BRANCH SEE REVERSE SIDE•FOR.SPECIAL APPROVALS ' -ADDRESS 7 SIZE374— SQ. FT. NO. OF NO: OF NEW -'El �7 I 1 STORIES FAMILIES - USE OF - - ADD , ' STRUCTURE ALTER Q , /ter L REPAIRQ - ... SIGNA E, _ APPLICANT DEMOLEl +.r _ Q �• VALUATION $ oU�e, �'b APPROVALS DATE I N5PECTOR•S,SIGNA TURE + P.0 +PMT.. i=OUNDATION: LOCATI.ON ' ,FEE $. ' ° FEE $ FORMS, MATERIALS .Q, ,/ 114A°(.a: FRAME::FIRE STOPS, ,I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING,'BOLTS,. l " 'AND°YSTATE THAT THE ABOVE-,IS.CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, .WITH"ALL ORDINANCES AND, LAWS REGULATING BUILDING CON- -GAS VENT, DUCTS STRUCTION. I CERTIFY THAT IN DOING.JHE WORK AUT-HORIZED HEREBY I WILL NOT EMPLOY ANY P SON IN 2LATION OFA THE LATH, INTLABOR CODE, OF THE STATE OF C LIFO_RNI ZRATING* TO, WORKMEN'S C NSA TION I E. �LATH, EXT: �- SIGNATURE•OF' - HO_USE NUMBER -OR- __ ` PERMITTEE-- r D A RECT A'ND POSTED I - ADDRESS O/ /!� _ `FIN AL' - - JOHN.F '`LEWIS, PRINCIPAL STRU U AL ENGINEER PLAN CHECK VALIDATION CK MO C 'sH PERMIT VALIDATION cK CASH ' ; ,2 -�. 5: �:5 :2 T , D 3 5.2 5.1� . _ DIV1_1qIO�.MtOF BUILDING AND- SAFETY Y ' Department of County Engineer IL County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION- FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING `iJ �/ ��' DIBTRIC O. PLAN Cr- OR'REa.No. PERMIT No. ADDRESS APi (- �� 76 LOCALITY f R EIVED BY DATE OF ADPL. DA ISSUED . � ` _ `/�_ NXAREBT % /BUILDING ✓r� ROBS T. ADDRESS OWNER MAILtt�, _ LOCALITY " ADDREB9 p/ 2 NZAREBT 'TEL. CROSS ST. CITY ND. FIRE I NO.OFUP ZONE PLANS t ARCHITECT OR TEL. ENGINEER oft 4 NO. BLDG. SETBACK LINE (r ADDRESS UBE APPROVED TEL. - ZONE �/ BY DATE CONTRACTOR NO. HOUSE NUMBERING ADDRE$B MAP NUMBER 2—fid!nA NO. ASSIGNED By LEGAL CORRECTIONS DESCRIP/TIO[N / LOT }NO,U ' BLOCK TRACT L l>1C J LL-�p vv r NO. OF BLDGB. SIZE OF NOW ON LOT USE OF - �'` .1 NO. OF EXISTING BLDG. FAMILI[B (� - DESCRIPTION OF WORK a NEW \ ALTERATION I ADDITION 2 .......... 711 > REPAIR DEMOLITION SQ.FT. / 6 N D.OF SIZE / ROOMS STORIES EXT.WALL RODE `A! _COVERIN COVERING UBE OF BXRUCTURE INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION �J„/// FORM% MATERIALS JJ +�- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE IN GIVEN IS FRAME: FIRE STOPS, CORRECT. BRACING, BOLTS 1'Qi J 1 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FiJRNACE: LOCATIQN, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS\ C SIGNATURE OF � \Tc1LATH, INT. PERMITTED ADORES ` 6 LATH, EXT. i� P_LABTER, INT. AUTHORIZED AOT PLASTER, EXT. /17 P.C. OUSE NUMBER COR- RECT AND POSTED /. VALUATION �i FEE FINAL APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES, BUILDING AND SAFETY, WORKER'S'COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a'certificate of consent to self Insure, BUIL ING�pDRE S v a e t or a Certificate of Workers' Compensation Insurance, or a certified Copy there �( 00,Lab.C) RUC Z LOCALITY Polic Company lk� SI E OF•LO `./ NO OF BLDGS NOW ON LOT Certified Copy is hereby furnished NEAREST CROSS ST ❑ Certified copy is filed I th'the ty building' pection n TRACT BLOCK LOT NO department // ., '• _ USE ZONE MAP NO y vV„l. ASSESSOR MAP BOOK PAGE PARCEL Date pplicant - I SPECIAL CONDITIONS A�� D ,• CERTIF CATE OF EXEMPT FROM WORKERS' `,- OWNER TEL .r - G� COMPENSATION INSURANCE f WITHIN 1000 FT OF SCHOOL? YES NO (This section need not be completed if the permlt'is for one hundred ADD ESS n/J,f � DISTRICT GROUP T1'P CONST FIRE ZONE' 'PROCESSED BY '- dollars ($100)or less) d w Clr1 ZI I certify that the performance of the work for which this permit Is issued, I-shall not employ any person in any manner so'as to _ become subject to the Workers" P Com ensatien Laws A C I ECT R ENGINEER TEL O' STATISTICAL CLA SIFICATION APT CONDO Date Applicant ADDRESS CLASS NO 1 DWELL UNITS NOTICE TO APPLICANT It, after making this' Certificate of' REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to. the Workers CONTRACTOR TEL N SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor'Code, you must forthwith ✓ r/IJ FRONT comply with such provisions or this permit shall be deemed revoked WIDURESS, IC No P L1129 ' 7� 41;R113 LICENSED CONTRACTORS DECLARATION PILE t uc c P L I hereby affirm that I am licensed•underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and O SI EW- NO OF STORIES 110 OF FAMILIES Professions Code,and lice n In full force and CIS ADD t NEW ❑ BK PG a License Number LIC Class L� RIPTION OF WORK. ADD ❑, VALUATION O Contractor Datewv:Fk �� �� LTER ❑ $A. REPAIR O ❑ I am exempt under Sec r p z $ BBPC for this reason ~� DEMOL ❑ V - A �ate USE OF EXISTING LDG - URM -❑ a a- Signature APPLICANT(PRINT) TEL NO LDMA"Perm# i•i °$ Z I1 ,•�0,i, as owner of t property, or my'employees with`wages as Z - ) their sole compensation, will.do the work,and the structure Is ADDRESS 0 33031 not intended.or offered for sale (Section 7044, Business and FINAL DATE Q Er- Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ✓q ~' OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE "J p� ❑ I, as owner of the property, am exclusively Contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY �!I�AL 137 - 40 licensed contractors to construct the project (Section 7044, -+-r + Business and Professions Code) Yes❑ No❑ t_�{ ti �f° I t WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING CHANGE,• OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH °tin CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES - - - I hereby affirm that there Is a construction lending agency for YES❑ No❑ a the performance of the work for which this permit is Issued(Sec I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING I ii�—Il0, I1 V/2 4 3097,CIV C) _ CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, •TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS 6/I v h-) '7 a C'� Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD f; `'r -1 kl (°.F Lender's Address e QNNER OR•AGENT 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 PC FEE PERMIT FEE with all county ordinances and State laws relating to building constr�r � and here authorize rep sentatives of this County ISSUANCE FEE 00 to est the abov entioned pr erty for Inspection purposes: O?(�� aa INVESTIGATION FEE - TOTAL FEE I vv �ewre a Md�+�« m � , SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0611290017 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 15683 LT: 31 ,SQ. FT STORIES TYPE 5227 KAUFFMAN AV STRUCTURE: VN TEMP CA 917803948 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-011-003 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 11/29/06 JK 11/24/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: DREW CHARLES R;SUZANNE L (626) 285-7235- 6,500 /-•" , 5227 KAUFFMAN AV TEMP 917803948 FEES PAID DESCRIPTION OF WORK KITCHEN REMODEL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: R.L. REMODELING (818) 917-0308- AA BLDG PERMIT ISSUANCE 27.75 22817 VENTURA BLVD. AC STRONG MOTION RESID 6500.00 VAL 0.65 SPECIAL CONDITIONS: WOODLAND HILLS 91354 B2 PERMIT W/ENERGY 6500.00 VAL 182.82 TOTAL FEES 211.22 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE RL REMODELING INC. (816) 917-0308- 22817 VENTURA BLVD. LIC. NO LOCATION AND SETBACKS - WOODLAND HILLS, CA 91354 885032 B 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 147H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 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: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH RATED- FLOOR/CEIL ASSEM. RATED WALL ASSEMBLIES RATED'SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508