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Home My Public Portal About5233 KAUFFMAN AVE_Building__ 76A638: CE #803 ,Z/6APPLICATION FO UIL G PERMI4 COUNTY OF LOS ANGELES AssESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ..5^2 313 JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUP T•OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST ' CROSS ST, Print ort a only) BUILDINGDISTRICT NO. GR UP TYPE PRO ESSED BY ADDRESS 5'a 33 SO-- Bd CONST. STATISTICAL CLASSIFICATION SEIWER MAP LOT NO 3o BLOCK CLASS NO. DWELL,UNITS BK PG TRACT USE ZONE MAP 26/ NO.OF BLOGS. NO. SIZE OF LOT NOW ON LOT ./ SPECIAL USE OF CONDITIONS EXISTING BLDG %Q TEL �{ OW NE �' ;- No. -T B DG.SETBACK FROM ADDRESS _ F ONTPROP.LINEOF (STREET) TYP F EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY - HIGHW WIDTH FROM C.L. ARCH TECT ORJ/� n� TE .' / 7 } _ ENGINEER �J V Q / BLDG.SETBAC OM ADDRESS/ Q -/.�, L/� SIDE PROP.LINE O (STREET) -J TYPE OF EXISTING SETBA HIGHWAY } YARD = TOTAL CONT ' ''�� N0� �Q p T J�.Z Z HIGHWAY WIDTH FROM C.L. C. _ ADDRESS LI f LI } _ - d LIC. /�+ � CIT (, CL ASS<5 CORNER CUTOFF YES NO V dr- CONSTRUCTION LENDER CD NAME AND BRANCH 144 41-- SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS W� SQ. FT. NO. OF NO. OF !/7 y NEW Z SIZE J Q STORIES FAMILIES USE OF ADD ❑ STRUCTURE S ALT ❑ LIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATION S S& ry APPROVALS DATE INSPECTORS SIGNATURE FEES �/ FEE PC $ / s FOUNDATION: LOCATION FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE 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 THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN IOLATION OF THE LATH, INT. LABOR CODE OF HE STATE OF ING TO WORKMEN'S P LATH, EXT,�B �. SIGNATURl HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL S� JOHN F. LEWIS PRINCIPAL STRU RAL ENGINEER 'PLAN CHECK VALIDATION CK M-0 CASH _ PERMIT VALIDATIO CK M O CASH Vol I pr-.5,7 -4:2:9 'JUL 9 1 D 2`7:7 5 v 41101PARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES _� WM. J. FOX, CHIEF ENGINEER - - D ING FOR APPLICANT TO FILL IN. FOR OFFICE.USE ONLY /� DISTRICT NO. .'PLANCK//NO. PERMIT-NO. ADDRESSBUILDING O A M A �A ' V l 0 66 LOCALITY / lT RECEIVED BY DATE OF A;IPPPLL,P.`��/ cD.�ATE ISSUED NEAREST T TZiIS� L�/• L�'�/ CROSS-ST. _ - - / BUILDING OWNER 4 �M 'gott-CM7SLIP � X.I L . ADDRESS MAIL LOCALITY - _ " -/- •�I - ADDRESS D / L _-D- NEAREST TEL. A CROBB ST. •CITY ` E//L �. i T NO. I''1T (oO7 _ . _ FIRE ` NO.OF TYPE /1/ GROUP ARCHITECT OR 1' ('�� TEL ZONE PLANS -Y ---' L ENGINEER' V O alt NO. - BLDG. ADDRESS _ ! SETBACK LINE /� Y `l' APPROVED V 2 F3b►�! SV 1l.OERS ( STEL A / DATE CONTRACTOR NO. r d7- +� BY �ili�"`�--- y� USE APPROVED ADDRESS O• ASO O /r /y L b, ZONE BY _ DATE LEGAL 3 O BLOCK -'2 D (,P - CORRECTIONS - DESCRIPTION LOT NO. TRACT I cS 6=1D.OFBLDG SIZE-OF OT X I l I NOW ON LOTS L• bl.ie- // _. ! ' USE OF. NO.OF NO.OF V EXISTING,BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION ��{/�}� 1Y'"�/)� ,��, O REP'116- r,,...- " - MOVING DEMOLISH /,(j/�Q /1�/— -• _ p 9q,FTS s' ND.OF / Z SIZE -Q•_Cf`O ROOMS STORIES ' J ,Q, �, ,f i�!/ih P'" "' r WALL-_- - -- - I ROOF G 4PA&pp O - _ - °1 COVERING STL�GG� COVER ING �Idlb.lC�L�S /��I//,�Q"/� �• .v,�,;c�..�� - ,-, USE OF NEW - - •�r- BUILDING - a•,:a I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT! FOUNDATION: LOCATION IN DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -;,FORMS,MATERIALS - Cf-C f AND•STATE LAWS REGULATING BUILDING CONSTRUCTION. - , `FRAM E: FI RE STOPS. 9y1GNATUREOF ' /y _ ; BRACING,BOLTS ''i - ^_:r;'r '�'-^-'�" ^.��1//� •,� PERMITTEE v R` _ 'LATH,INT.: AUTHORIZED AGT - - LATH,EXT.: ,.•, �''• - - -�ir?/s-o oeS-a SOM SETS 1-48 y P.C.S � PLASTER,INT. - f FEE I Z �_ PLASTER,EXT. �/ 4 VALUATION FEE Z , FINAL rs'/Y�/yi�•4G----'/1/�y'� BUILDING ADDRESStsUIL ® I G 1 V APPLICATION LOCALITY l�}�'� `• �J'� �s ,DIVISION OF BUILDING AND SAFETY NEAREST CROSS ST. �C / �ip7 C_ l/.2 Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Los Angeles f• �� '� \ WM. J. FOX, COUNTY ENGINEER ./ GROUP DATE RECEIVED SATE EIISSUED CASSATT D.'GRIFFIN, SUPT OF BUILDING' -FOR APPLICANT TO FILL IN \ TYPE CONST. RECEIVED BY IISSUED BY � -OWNER � b ®,J YES NO MAIL S �� •_ NUMBER SHWYE ADDRES ' - •USE ZONE SPECIAL CITY e-tM Cl NC] . CONDITIONS . ARCHITECT O TEL. ..ivoo ENGINEER .NO. i BUILDING YARD HWY STREET NAME 'EXIST. ADDRESS SETBACK WIDTH �},� r FRONT P. L. CONTRACTOR NO. 1 SIDE P.L. ADDRESS BIIIt:pING DATE CORRECTIONS INSPECTOR ADDRESSSc 3 d ��ctW�------ LOT NO.• �� BLOCK .m TRACT \. - 0. OF BLDG SIZE OF LOT ( � g I, � NOW ON LO IL USE OF 7' 4. IR� 1JF+*b4.:.:ix.ice-•` e�:ar EXISTING BLDG. ' DESCRIPTION OF WORK G 0 ,NEW' :ADD =ALTER REPAIR DEMOLISH Z ` . 19q.FT L/ ^NO. OFNO.OF D SIZE (( ,J/li a�� STORIES FAMILIES r USE OF STRUCTURE- ' t NO.OF EMPLOYEES I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE,INFORMATION GIVEN ISy APPROVALS 'IN9PECT0 '881GNATURE DATE CORRECT. •1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCESFOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION., FORMS,MATERIALS /�Jlllb•«�•�"'' / , FRAME: FIRE STOPS, V SIGNATURE OF BRACING,BOLTS / d.t— PERMITTE FURNACE: LOCATION, I GAS VENT, DUCTS ADDRESS( p c LATH, .INT. "„"'� �•I-��'� ( l� _ AUTHORIZED AOT. G.cp --YGUG�^' LATH, EXT. $ P.C.$ HOUSE NUMBER COR- VALUATION FEE IV RECT AND POSTED \ —FEE � FINAL Sr„ 76AS38A DB9 3 12-53 78A838ACE08038'64•APPLICATI,ON FOR B.UILDIN _PERII/IIT.- COUNTY OF LOS ANGELES BUILDING-• DEPARTMENT OF-COUNTY ENGINEER ADDRESS •_ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST- - ' COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS-ST. DISTRICT`NO_ 1GR0 P•' TYPE' e R S FDR OR APPLICANT TO FILL IN �, ;coNsi: t _ STATISTICAL C SIFICATION `;•^ SE E AP - -�,3-3. /<I9(I �Rn/ CLASS-NO. WELL�UNITS ,•,BK. 'P'G'= . Q BLOCK - USE ZONE MAP //{ �. 'S•:•' �� 3 ! SPECIALN0. OP BLDGS. CO DI IONS OT NOWON LOT BLDG. SETBACK FROMTEL. °� yy t FRONT PROP. LINE OF (STREET) ko 'GE C'.'Z' ALL NO: Ar 7 av/ TYPE-OF� - � � -EXISTING-IS,ETBK^ ,HI AY• YARD, ' TOTAL, WIDTHC.L.HIGHWY ADDRESS � CITY j-� - t� -._ .+ ., .�J = .., _• ARCHITECT OR TEL. - BLDG:SETBX"F OM AC _ - ENGINEER - 67cv/V NO.- SIDE PROP. LINE OF' — (STREET) • _ TYPE OF EXISTING SETBACK HIGHWAY + ,YARD — TOTAL } ADDRESS 9 HIGHWAY WIDTH. FROM C.L. _ _ I d TEL. + = O CONTRACTOR {v6 R NO - ,u Ind ADDRESS - LICNO CORNER CUTOFF YES NO •0IC , -CITY CL SEE REVERSE SIDE-FOR SPECIAL APPROVALS' w DESCRIPTIONi OF WORKT/13111 // ; n NEW D ALTER REPAIR DEMOLISH SQ.FT. NO. OF - NO. OF SIZE STORIES FAMILIES USE OF f//At !el ��yy /�i•/�l �L� STRUCTURE R r a': ✓ [ c `� ' ��2c- ter' ° SIGNATURE O F ,;/._•o-�tMZ.� � "^.�'*. ��" APPLICANT ,� VALUATION$ CTV/ APPROVALS DATE INSPECTOR'SSIGNATURE P.C. - PMT. •� FOUNDATION, LOCATION � r �"`-• FEE$ A - FORMS, MATERIALS FgE$ 1� 'FRAME,-FIRE STOPS, {{ss�� ! t„ /' "1 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THIS APPLICATION BRACING BOLT N.6R I�� ae7:3 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:'LOCATION WITH ALL COUNTY ORDINANCES AND STATE-LAWS REGULATING GAS VENT. DUCTS 9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING,THE WORK' r - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY.PERSON IN VIOLA. LATH INT. V�v- TION OF THELABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. Y 4r �,� _ SIGNATURE OF ,HOUSE NUMBER COR_- ° r PERMITTEE REC•T AND POSTE - •• ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STRU TURAL ENGINEER "-PLAN CHECK- VALIDATION CK M O -CASH PERMIT VALIDATION CK. M O CASH \ � -r/ 76A638A CE #803 12/69 APPLICATION! FOR BUILDI G PER COUNTY OF-LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING , LOCALITY _ FOR APPLICANT TO FILL IN CROSS NEAR EST- FOR Print ort a only)' CROSS ST. ' DIST,IJCT N 'GROUP TYPE P O BY G CONST, ` , 5233 N. Kauffman, - �• _ STATISTICALCLA SIFICATION S ER- 3O BLOCK15683 CLASS NO. DWELL.UNITS PG USE ZONE MAPNO.OF BLDGS. NO:LOT 6O�,X 12O NOW ON LOT2SPECIALUSE G BLDG. H"Ouse.& Gara eCONDITIONSeor e C. Zufall No. 287-4865 - BLDG.SETBACK FROMS 5233 N. Kauffman FRONT PROP.LINE OF (STREET) TYPE OF EXISTING _SETBACK HIGHWAY +•= YARD - = TOTAL em le City HIGHWAY WIDTH FROM G.L. .• -•� ARCHITECT OR - TEL ' } -Y ENGINEER NO. . CJ�- BLD ETBA K FROM ADDRESS SIDE PROP.LINE OF (STREET) CONTRACTOR Owner, NOL- 2874865 HIGHWAY TYPE OF EXISTING SETBACK FROM C.L. HIGHWAY ~. + YARD = TOTAL LIC. } ADDRESS - NO, LIC. U CITY CLASS CORNER CUTOFF, 'YES-,'[-] NO- ❑ CONSTRUCTION LENDER, O NAME AND'BRANCH SEE REVERSE SIDE FOR'SPECIAL APPROVALS W ADDRESS SQ. FT�/�,t NO. OF NO. OF NEW SIZE STORIES FAMILIES USE OF. STRUCTURE Block Wall 5'hi 'h ADD ❑ - ALTER ❑ . REPAIR,❑ .... - , SIGNATURE OF APPLICANT DEMOL ❑ w „• VALUATION$ APPROVALS , -DATE INSPECTOR'S SIGNATURE 4. P.C. PMT, f� FOUNDATION: LOCATION O� FEE'$ 4 FEES ��/ FORMS, MATERIALS 7—z FRAME: FIRE STOPS, a I'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT ANO'AGREE-TO COMPLY FURNACE: LOCATION, - - WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. I CERTIFY, THAT ,IN DOING THE WORK AUTHORIZED HEREBY i WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. ' .L'ABOR CODE OF THE STATE OF 'CALIFORNIA IN RELATING TO .WORKMEN'S COMPENSATION INSURANCE.,, LATH, EXT, SIGNATURE•OF �� HOUSE NUMBER COR- PERMITTEE RECT AND POSTED 11 7 ADDRESS FINAL �� PLAN -CHECK VALIDATION CK M o cnsH JOHN F LEWIS. PRI CIPAL STRUCTURAL EN _ PERMIT VALIDATION 'CK M•oCASH ►Far yo.Q �2..a 9;o-oN a WORKERS' COMPENSATION DECLARATION insure, oraffirm certif cathat te of Workers'certificate' ensaconsent ons insuranc, APPLICATION FOR BUILDING PERMIT 1 or a certifie copy thereof (Sec. 3800, Lab. C.) �- N COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N .9V.44to Company `5'- ,0.TK �-FWV ,BUILDIN Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESSG , /G ❑ Certified copy is filed with the county buildi inspec- BUILDING �7► ` tion department. ADDRESS /l Jz //} �^�� CITY C ZIP LOCALITY DateLL� Applicant NO. OF BLDGS. CERTIFICATE OF EXEMPTION FRO ORKERS' SIZE OF LOT NOW ON LOT NEAREST CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100) or less.) TEL. y,� OWNER�j �- (j( ��,NO Y USE ZONE MAP I certify that in the performance of the work for which this NO. SPECIAL >_ permit is issued, I shall not employ any person in any'rranner ADDRESS "" CONDITIONS 0- so so as to become subject to the Workers'Compensation Laws. O U CITY ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE P BY Q NOTICE TO APPLICANT: If, after makingthis Certificate of ENGINEER NO. _ CONST. ZONE U Exemption, you should become subject to the Workers' ,,{{�� W Compensation provisions of the Labor Code, you must forth- ADDRESS �r(/ 0- with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. C O. Z CONTRACTOR �y n / DWELL. UNITS deemed revoked. f�l�'/ l r NOGG R '/ p — LICENSED CONTRACTORS DECLARATION ` /! LIC. CLASS NO. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �V / L•I NO 913112 SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force hand effect. CITY ��,(� CLASS �.� BK PG VALIDATION �z / C(3 SIIZEFTo`tq No.STORIOES F MILLIIES ONE K License Number // .T�/ ( Lic. Class/ ,p �! VALUATION Contractor W �/ �ftrk Date le—U2.51 OF WOR /�(yf(f(ri — y% NEW s� /y� ❑I am exempt under Sec. CPO ❑ B.&P.C. for this reason1') REPAIR $ USE F EXISTING BLDG. DFMOL ❑ Signatureayae- ate: APPLICANT TEL.(PRINT) NOFINAL OWNER-B .R DECLARATION DATE I hereby affirm that I aptWxempt from the Contractor's License Law for the following reason (Section 7031.5,Business and ADDRESS FINAL Professions Code):. PRESENT BY 11, BUILDING _ ❑ I, as owner of the property, or my employees'with ADDRESS - wages as their sole compensation,.wiII do the-work and t the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. _ j 4'j_, with licensed contractors to.construct the project (Sec- ADDRESS /� _l i y(_ :L tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM- EXIST. `",( CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 1 Y I hereby affirm that there is a construction lending agency for FRONT \(/ F•t s�,:;: the performance of the work for which this permit is issued P.L. L'- =''1= (Sec. 3097, Civ. C.). SIDE " P.L. Lender's Name p� LDMA Ref. # -.�ii i - _10Js-S` ';L '_! v - Lender's Address P.C. Fee$ Permit Fee 3 _ `; IJU 0 1 certify that I have read this application and state that the Issuance Fee 'SO LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee - 8 ordinances and State laws relating to building construction, Total Fee O LDMA Perm. # a andher y authorize representatives of this County to enter upon t Bove-men�dned grope y for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE n Sign u o Applicant or Agent Date - WORKERS"COMPENSATION DECLARATION I hereby affirm that I.have a certificate of consent to self insure, or a certificate of,Workers'Compersation,Insurance, �: APPLICATION , FOIA- BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) t, COUNTY OF-LOS ANGELES ':i ` BUILDING AND"SAFETY Policy No'.., Company` t3 BUILDING - ± ,.❑ Certified copy is,hereby"furnished. =,:�, FOR APPLICANT TO FILL'IN 1 ADDRESS Certified copy is filed with the county building inspect r NG - tion department: ', a SS �Q Date Applicant, -* ZIPLOCALITYN OF BLDG NEAREST • "CERTIFICATE OF EXEMPTION FROM WORKERS"`, F LOT.' NOW ON LOT CROSS ST• •`COMPENSATION INSURANCE ° ASSESSOR (This'section.,,need-not•be completed if the permit isfor one i BLOCK LOT NO MAP BOOK` ', PAGE PARCEL hundred dollars ($100) or-less.)' `" TEL pR. C. k !�NO '�L� p� USE;ZONED eNO.I certifythat in,the performance ofAe-work for which this / r7 SPECIALpermit is issued;,I shall notemploy any person in any manner SS J / �� lbt4j j/! R-•�/: CONDITIONS aT so as to become subject to-the Workers-Compensation Laws. �j C-IT �`IW e- -f ZIP 7a O :t Date Applicant 'ARCHITECT.OR TEL.. r 0 DISTRICT GROUP' TYPE FIRE, PROCESSED BY" NOTICE,TO APPLICANT: If„dfter-'makm this ate of ENGINEER- ,'NO: �- g CONST. ZONE" Exemption, you. should`_;become 'sublect to. the Workers~ t �..' �n Q , ;./ ± i' LU Compensation provisions of the Labor Code;;you must forth- ADDRESS r with. comply with suchr,provisions or'this perm_ t, shall be TEL. STATISTICAL CLASSIFICATION fir;,; APT. CONDO. IIIIIIJ Z _ deemed revoked. - CONTRACTOR , C I.;' — LIC CLASS NO.t —DWELL.kUNITS' LICENSED;CONTRACTORS,DECLARATION,. NO. I hereby affirm that I am'licensed under provisions of Chapter 9 ADDRESS SEWER MAP (commencing with.Section,7000)of Diylsi'on 3.6f the Business LIC. ,and Professions Code,and'my'license is-in full force and,effeci. i CIN CLASS - BK PG VALIDATION ) �, SQ FT. NO OF IN OF CHECK ' License Number' —LIC'.' Class SIZE STORIES.` FAMILIES •ONE VALUATION - Contractor Ddte DESCRIPTION OF WORK NEW �" $ �'� V i . ❑ ,` = Al I am exempt under Sec. ALTER .❑ ��n B.&P.C.�for this reason / D REPAIR Date: USE," EXIST Signature w7 �i JI `/ /l M. DEMOL ❑ Lr Si nature r APPLICANT - ' _ TEL• v �" FINAL" l/ g OWNER-BUILDER DECLARATION (PRINT)• DATE I hereby affirm that I am exempt from the Contractor's License f• Law for the following-reason~"(Section 7031':5, Business and ADDRESS �'•, "1�'1 FINAL', P ofessions Code): r PRESENT -+k`;'• - BY + l; cis owner of the ro ert^,,'or m` em loyees'with '" BUILDING . P. P Y Y P Y ADDRESS _ / D y-• wages as-their sole compensation,•will do the work and the structure-is not intended or:offe-red"for'sale'(Section LOCALITY , - 7044, Business-and Professions Code.) MOVING TEL. ' ❑ I, as owner of the property,am,exclusively contracting.. CONTRACTOR' NO. with licensed contractors to. ADDRESS tion 7044, Business and Professions Code.) ., •- ')' . REQUIRED=- TOTAL-SETBACK FROM EXIST: ' CONSTRUCTION"LENDING AGENCY .SET BACK' YARD •HWY -PROP. LINE ' WIDTH. I hereby affirm that there is a construction lending agency for FRONT- _ the performance of the work for which this•"permit is-issued -.P:L- - (Sec. 3097, Civ. C.) SIDE t ` Lender's Name P L ... O U LDMA Ref ik P,.0.Fee$ - Permit Fee Lender's.Address o I certify*that I have re'ad•this application and"state that the , Issuance Fee Of CDMA P/C•# 8 above information is correct. I agree to comply with-all Investigation Fee. ordinances and State laws relating"to,building construction, Total Fee p ✓` �'- CDMA Perm li a a and hereby,authorize representatives of,this County to enter" upon the above-mentioned property for inspection purposes. -SEE REVERSE FOR EXPLANATORY LANGUAGE ISign6lu f Applic t or gent. Dote- 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 0810230066 PHONE: (626) 285-0488 EXT• ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: ITR: 15683 LT: 30 I SQ. FT STORIES TYPE 1 5233 KAUFFMAN AV I I ISTRUCTURE: V-B I TEMP CA 917803948 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LA ROSA 18589-011-002 1 1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I I I I (TENANT: IEXIST BLDG USE: GARAG USE ZONE: R-1 (ISSUED ON- PROCESSED BY: EXIST OCC GRP: 110/23/08 SR IOWNER: TEL. N0: IBLDGS. NOW ON LAT: VALUATION: iAL T� FI CODE: SEAN TRAM (626) 329-8324- 1,2001\( /f�']11 15233 KAUFFMAN AV ITEMP 917803948 I FEES PAID ID SCRIPTI N OF WORK II IDETACHED GARAGE REPLACE 2 WINDOWS AND RELOCATE DOOR 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I 1APPLICANT: TEL. NO: I I I IMICHAEL SUN (626) 288-9199- IAA BLDG PERMIT ISSUANCE 27.75 1 1529 E VALLEY BLVD. IAC STRONG MOTION RESID 1200.00 VAL 0.50 ISPECIAL CONDITIONS: ISAN GABRIEL CA 91776 ID2 PERMIT W/O EN-HC 1200.00 VAL 82.20 1 I I TOTAL FEES 110.45 I. I I I I (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ITAMMIE NGUYEN (626) 807-2456- I I 15233 KAUFFMAN AVENUE LIC. NO I ILOCATION AND SETBACKS I I I ITEMPLE CITY, CA 91780 NONE I I I I I (SOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I I (MICHAEL SUN .. (626) 288-9199- - 1 - I 1529 E. VALLEY BLVD. #228-A LIC. NO: I 1SLAB/UNDER FLOOR I I I ISAN GABRIEL, CA 91776 NONE I I I IRAISED FLOOR FRAMING I I I I I I I I IMAP NO- SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 (UNDERFLOOR INSULATION I I I 1147H269 3 001 1 1-1 1 I I IFLOOR SHEATHING I I I INO. OF FAMILIES. DWELLING UNITS: APT/GOND: STAT CLASS: I I 1 NO 21 1 IROOF SHEATHING I I I I I I I I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I 1AIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO 1 1FRAME INSPECTION V-3 IREQUIRED TOTAL SETBACK FROM EXIST I 1FIRE SPRINKLER HANGERS II 1SET BACK YARD: HWY: PROP LINE: WIDTH: 1 I IFRONT PL- I (INSULATION/WEATHER STRIPI I I SIDE PL- I I (INTERIOR LATH/DRYWALL� I I I I I IEXTERIOR LATH I 1 I' IRATED FLOOR/CEIL ASSEM. I I I I I I I I I 1' IRATED WALL ASSEMBLIES I I I I I I I I I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I IREPORT ID: DPR261 ROUTE TO BS0508 I I I I I I I I I 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 0405170044 PHONE: (626) 285-0488 EXT: LEGAL - CONST NEW BUILDING ADDRESS: TR: 15683 LT: 30 SQ. FT STORIES TYPE OCCUP GROUP 5233 KAUFFMAN AV STRUCTURE: 472 1 VN R3 TEMP CA 917803948 ASSESSOR INFORMATION UMBER: GARAGE: NEAREST CROSS-STREET: •BLACKLEY 8589-011-002 OTHER: 48 1 VN U1 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C EN L S N:- PROCESSED BY: E IRES 0 : EXIST OCC GRP: 11/18/04 JK 11/13/05 OWNER: 0: BLDGS. NOW ON LOT: VALUATION: FINAL DAT BY: CODE: LUK SUI F;CHAN WAI FONG (626)•287-7781- 52,000 5233 KAUFFMAN AV EXPIED TEMP 917803948 F PA D CRIP TION OF WORK EXTND 1BDRM,LVNGRM,KTCHN,ADD LNDRY,'BKFST NOOK,CNVERT BATH TO , FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CLST & PRTION OF BDRM TO BATH,REROOF RES WITH TILE ICBO 2656 APPLICANT: SAME AS OWNER - B1 PLANCHECK W/ENERGY 52000.00 VAL 767.31 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG,MOTION RESID 52000.00 VAL 5.20 B2 PERMIT W/ENERGY 52000.00 VAL 902.72 TOTAL FEES 1,702.98 CONTRACTOR: . N APPROVALS DATE I SPECT R SI NATU E SAME AS OWNER - LIC. .NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT EL. NO: FOUNDATION/TRENCH FORMS WU, JACK (626) 524-3164- 4205 E. LIVE OAK AVE. LIC. NO: SLAB/UND5R FLOOR ARCADIA, CA 91006 NONE RAISED FLOOR FRAMING MAP O: SEWER MAP BOOK: PAGE: IR Z CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR OF I : D EL /C D: STAT ASS: NO 21 2ND LEVEL FLOOR SHEATH S 0 HAZARDOUS EA H AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACKFROM SBLDG DEPT. FRA-MT-fN'9= SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- STRIP INTERIOR LATH/DRYWALL EXTERIOR LAT LOT DRAINAGE SMOKE DETECTION S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS05O8 L ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPAR7MENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0712110005 PHONE: (626) 285-0488 EXT: ILEGAL ID: NO. OF CONST NEW BUILDING ADDRESS I ITR: 15683 LT: 30 I SQ. FT STORIES TYPE OCCUP GROUPI 5233 KAUFFMAN AV 1 I '-� ISTRUCTURE. 296 1 VN R3 I TEMP CA 917803948 1 (ASSESSOR INFORMATION NUMBER: I GARAGE- I NEAREST CROSS STREET: LA ROSA 1 18589-011-002 OTHER 281 1 VN R3 THOMAS PAGE- 597 GRID: A4 LOCALITY. TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: 'USE ZONE- (ISSUED ON: PROCESSED BY: EXPIRES ON: 1 (EXIST OCC GRP: 107/08/08 SR 01/04/09 I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY- CODE: 1 ISEAN TRAN (626) 329=8324- 1 - 175,000 I 15233 KAUFFMAN AV ITEMP 917803948 1 FEES PAID ID SCRIPTION bP WORK I INEW KITCHEN, FAMILY RM, LAUNDRY RM, 296 S.F. INTERIOR REMODEI IFEE DESCRIPTION: QUANTITY- UOM: AMOUNT: IBEDRMS, BATHRMS, DINING RM, CLOSETS 1480 S.F. REFRAMING OF (APPLICANT: TEL. NO: I I (MICHAEL SUN (626) 288-9199- 1B1 PLANCHECK W/ENERGY 75000.00 VAL 980.20 I__ 1529 E. VALLEY BLVD. IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: ISAN GABRIEL CA 91776. IAC STRONG MOTION RESID 175000.00 VAL 17.50 I JB2 PERMIT W/ENERGY 175000.00•VAL 1,962.18 1 1 TOTAL FEES 2,987.63 (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE TAMMIE NGUYEN (626) 807-2456- 1- 15233 15233 KAUFFMAN AVENUE LIC. NO ILOCATION AND SETBACKS ITEMPLE CITY, CA 91780 NONE 1 I I ISOILS ENGINEER APPROVAL I (ARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS 1 IMICHAEL SUN (626) 288-9199- 1 1 �I 1529 E. VALLEY BLVD. #228-A LIC. NO: 1 - ISLAB/UNDER FLOOR ISAN GABRIEL, CA 91776 NONE I I - I I (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I 3 011 1— 11 I 1 11ST LEVEL FLOOR SHEATH INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS- I I 1 NO 21b\ t_ yl 12ND;LEVEL FLOOR SHEATH I SCHOOL WITHIN HAZARDOUS 1 r�y� p1�.,y��Lti}5,�,qp` 'o�y ,�. I ROOF SHEATHING JAIR QUALITY: 1000 FEET MATERIALS I i L ^ 1—' I 1 NO NO NO 1 Q. I-FIR3 DEPT FRAME INSPEC I I IREQUIRED TOTAL SETBACK FROM EXIST 1 v IBLLG DEPT. FRAME INSPECT( ISET BACK YARD: HWY: PROP LINE: WIDTH. I FRONT PL- 1 tel-{-- �� (�j��I- i-�� \je'�� SHEAR PANELS SIDE PL- V �+� I�yIl- i INSULATION/WEATHER STRIP ")}� J INTERIOR LATH/DRYWALL 4] 1 1 _ (EXTERIOR LATH I I I ILOT DRAINAGE 1 I ISMCKE DETECTION DEVICES 1 I IFIRE DEPARTMENT APPROVAL( I J I* ADDITIONAL DATA ON FILE I I IREPORT ID: DPR261 ROUTE TO- BS0508 I J I I J I I I I r.