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HomeMy Public PortalAbout5728 KAUFFMAN AVE_Building__ 78At36A 6BB.98.5 APPLICATION FOR BUILDING PERMIT _ rY $DIVISION OF BUILDING AND SAFETY BUILDING - ADDRESS :2 Deportment of County Engineer County of Loa Angeles LOCALITY -t...�- WM.J. FOX, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.o 11:a DISTRICT NO. GROUP TSEWERBmf/ FOR APPLICANT TO FILL IN G I cYPE ONSTJ I BUILDINGp� � TATE /�1.1 1"'�f✓ ADRESS X7.2 O /+A � NUMBER MAP --771O® , S DHWYAmg `O 1/�;1V� F J=. LOT NO.Otp S7o' .44 "j1o"I BLOCK USNE SPECT L CONDITIONS -TRACjd/�• /�\y SIZE OF LOT „� O x '7 ! NO. OF BLDGS. BUILDING EXIST. .C_ZrLi 11! NOW ON LOT , SETBACK Y4ARD STREET NAME WIDTH USE OF FRONT % / EXISTING BLDG. iC� .�i 1'�L�/tom C r P. L. f — _ , 0 OWNER (�S': � 11 J����/✓ �s 1 % a%�I SP. L.MAIL i ADDRESS l I�0`8 Y\.A U � /+4-p)l� O TRACT DWELL. 1 UNIT i- 5 INDUSTRIAL CITYTEL - 1 UNIT .fl T NO. L J 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 ADDN.,ALT., ETC. ENGINEER NO. 3 APT. UNITS 8 MISCEL:. ADDRESS J.,t ^� 4 COMMERCIAL CONTRACTOR I"' �!`./L IV `S, NOD G 7-3)L,n - INSPECTION RECORD f�u�a ZA (b A-,) ACa DESCRIPTION OF WORK ; NEW ADD ALTER REPAIR DEMOLISH t` moo/ �p �O hr,,.a tk SQ. FT. NO OF i NO. OF 6. 't y SIZE STORIES / FAMILIES } USE OF S r4.RUCTURE a t- �''L" L r-r-P " L _ SIGNATURE OF f � APPLICANT ? Q.:-lr© APPROVALS ADDRESS DATE INSPECTOR'S SI( 101 URE FOUNDATION:LOCATION $ e P.C. $ '.FORMS, MATERIALS cn a •� Of FEE FRAME: FIRE STOPS, �,y VALUATION $ tNJ BRACING,BOLTS `�',•,I �S .-. FEE �� `J FURNACE: LOCATION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. AND STATE LAWIITINGBH,EXT.BUILDING CONSTRUC- TION. ({ L"(,r _.. .l�_-.. -,. LAT SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL WM.J.FOX, NTY ENGINEER VALIDATION C. N. DIRLAM.CHIEF BLDG. INSPECTOR ACa 8 2 4 4S SEP 2 2 1 10.0 0 7.6 A638#'krB@3 II-f"1F Z+.Y APPLICATION FOR BUILDING P MIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS 9 HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. Print ort a only)' DIST ICT NO. GROUP TYPE ROCE 5E Y BUILDING _�J CONST, _ ADDRESS - Kaufman ��VJJ Y/ STATISTICAL CLA SIFICATION SEWER MA LOT NO. BLOCK 2-� CLASS NO. DWELL.UNITS BK PG TRACT 7 '� 3 3 U ZONE MAP NO.OF BLDGS. q NO. C/ / SIZE OF LOT 7i p7i�V NOW ON LOT 1 SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. OWNER NO. BLD .SETBACK FROM ADDRESS No Kaufman FRO T PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CITY 't Calif HIGH AY WIDTH FROM C.L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG,SETBACK FROM Or.. ADDRESS - SIDE PROP.LINE OF (STREET) O AT�EL. pry p TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL CONTRACTOR bra RoofingCc. Eo 282-1 58 HIGHWAY WIDTH FROM C.L. O ADDRESS So. Marengo - No' 253163 } W CITY Alhambra Calif. CLASS C-39 CORNER CUTOFF YES ❑ NO ❑ z CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES USE OF ADD ❑ STRUCTURE Re-roof Two Flat Sects. �jLTER ❑ LVALUATION. 30# BS & 90# CS & Hot As RE�AIR® OF DEMOL ❑ $ C 3O APPROVALS DATEINSPECTOR'S SIGNATURE P,C. PMT, p� --II2FOUNDATION: LOCATION FEE $ FEE $ 1f ec FORMS, MATERIALS 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 VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE.. LATH, EXT, SIGNATURE OF �i' HOUSE NUMBER COR- PERMITTEE �L, - RECT AND POSTED ADDRESS Alh ra o0 ing FINAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. CASH 1 .1r, 11 1 673 CSC 1 7 1 D 1 2.O O A WORKER COMPENSAIION DECLARATION �. a/dEiei `stfirmr that I ;f,ave r certificate of consent to self APPLICATION FOR BUILDING P R'LIT insure, or a cer�t//{icate of Workers' Compensation Insuronce, or a certified cGpy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING 09 ADDRESSS 272,8 tion department.Applicant \ moi �e\ Date Y ` ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' OF BLDGS. NEAREST ST. �r COMPENSATION INSURANCE' SIZE OF LOT WON LOT C (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP I certify that in the performance of the work for which this OWNER NO. NO. permit is issued, I shall not employ any person in any manner SPECIAL so as'to become subject to the Wo r rs'Compensatio Laws. ADDRESS c�G�l'V� CONDITIONS CITY ZIP V Date Applicant NOTIC TO A PLICANT: If, after aking this Certificate of ARCHITECT 0R TEL. �} DISTRICT GROUP TYPE FIRE PROCESS D BY O Exemption, you should become subject to the Workers' ENGINEER �A G` G NO. q_1r �j Q(� CONS`T./ Z?j E U Compensation provisions of the Labor Code, you must forth- ADDRESS �, ✓" 9 r /� W- with comply with such provisions or this permit shall be �.' deemed revoked. CONTRACTOR JTASjSTICAL CLASSIFIC TION APT. CON.N LI LICENSED CONTRACTORS DECLARATION WCC/ASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Q NO. (commencing with Section 7000)of Division 3 of the Business and ` / LIC SEWER MAP Professions Code, and my license is in full force and effect. CITY g �VlY-,10 4_ CLASS k `t BK VALIDATION SQ. FT NO. OF NO. OF. CHECK License Number Lic.Class- SIZE 11ac.) ISTORIES IFAMILIES ONE 1��pJ1, yrVALLI ION ContraclorRGC-�'`� DESCRIPTION OF WORK NEW ❑ $ /(O ADD ❑ (J , I am exempt under Sec. ALTER :27 4 al A B.&P.C. for this reason 'G REPAIR ❑ $ # o o a o 0 1 USE OF CC I +1 4 3.'6 3 Date: EXISTING BLDG.v� 1 (� DEMOL ❑ Signature APPLICANT TEL' 240 'L o 0 1 43.635 (PRIOWNER-BUILDER DECLARATION DATE I hereby affirm that I am exempt from the Contractor's License (� ``�� (���','/, �,s K� 7, 1 7�.8 7 Law for the following reason (Section 7031.5, Business and ADDRESS �v V 1 �� I SGV 4A FIN Professions Code): PRESENT By BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and ' 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. with licensed contractors to construct the project (Sec- ADDRESS ' tion 7044, Business and Professions Code).' CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM SET BACK 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 P.L. Lender's Name 33,13/ �'{ LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee 3 J 3 g I certify that I have read this application and state that the Issuance Fee ((/ v V LDMA P'/# g above information is correct. I agree to comply with all County Investigation Fee JJ 0 ordinances and State laws relating to building construction, Total Fee (J� LDMA Perm. # and hereby authorize representatives of this County to enter u o the above-mention d property for inspection purposes. I �.� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date APPLICATION FOR BUiLDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDf3 Sr �� 1 hereby affirm that I have a certificate of consent to self insure, BUILDIN ADDRESS x/77 OV or a certificate of Workers' Compensation Insurance,or a certified oA�m � copy thereof(Sec.3800,Lab.C.) c CITY .� � fi 9/ZIP 7 t LOCALITY Policy No.�Ct1L 3ab1 ' Company � �'`� SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. Certified Copy is filed with the co y buildi insp TRACT BLOCK LOT NO. depart n�t./ - USE ZONE MAP NO. Date��pplicant Z� ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' ow ER � ( TEL NO. pU/ ��/fJCJ YES NO WITHIN 1000 FT. COMPENSATION INSURANCE lL\/1�-7 C r d J OF SCHOOL? (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) CITY ZIP �� I certify that the performance of the work for which this permit tt ,t� _2 J is issued, I shall not employ any person in any manner so as to v0 /(_• TEL become Subject to the Workers'Compensation Laws. ARCHITECT O ENGINEER NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR r' TEL NO. ��SS� SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Ca oG5 Poor C—C) 9'/f' a7 9 p6 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION �5�1 C1 � � 4�3 Y�3 SIDE CITY D j�( � LIC.CLASS G�y P.L I hereby affirm that I am licensed underprovisions of Chapter 9 u ' "�� { �� I SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZ NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. r3 NEW ❑ BK PG a License Number y L(34 V-3 Lic.Class 61__� � D IPTION OF WORK ADD ❑ VALUATION , O Contractor Date ���/��t� t7 rte r-o- S ALTER ❑ $ �� C) U 0 u oLO El am exempt under Sec. �� REPAIR $ U BAP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ D' CD Signature APPLICAN (ePRINT) EQ T((EE����NO. � LDMA Perm# ACCT.9a' '❑ I, as owner of the property, or my employees with wages as PRp /�( Z3'�0`� 125.55 their sole compensation, will do the work and the structure is ADDRESS / ,/�/ 0 1 ITEMS 'to not intended or offered for sale (Section 7044, Business and USd( U TTVI 13 FINAL DATE /j a Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL L�l"�(� IS TOTAL 125 -55 ❑ 1, as owner of the property, am exclusive) contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Y g licensed contractors to construct the project (Section 7044, AMOUNTS SPE ON ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > CHECK 1.�•_`5° 5 YES C1 Nor l : •_5•_ Business and Professions Code.) !!! CHANGEeOO WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH 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/ OWD-0001 12/18/95l N the performance of the work for Which this permit Is Issued(Sec. IHAVE READ THE ARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097,CIV.C.) CHECKLIST. RSTAND MV�UIRER THE LOS ANGELES COUNTY CODE, LV20 j AM VoCO TITLE 2,G T 220 SECTIH 2.20.140 CONCERNING HAZARDOUS .t 7Lender's Name MATERIA REP NG ANDIT F OM THE SCAQMD. IL Lender's Address NEP OR AGENT O o I certify that I have read this application and state under penalty of perjury that the-above information is correct.I agree to comply P.C.FEE PERMIT FEE /J� o with all coup y ordinances and State laws relating to building ro constructio nd hereby uthori resentatives of this County ISSUANCE FEE V `) to enter the abov I ed property for inspection purpo es. co - Z k,7Al G rL_ G� INVESTIGATION FEE TOTAL FEE aw.e vFc ,a,Agem Dace rte`' •J �7 e 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 1201030027 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS: I ITR: 6561 LT: 503 1 SQ. FT STORIES TYPE 1 5728 KAUFFMAN AV I I (STRUCTURE: 1200 V-B I TEMP CA 917802505 1 (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: 1 18587-023-020 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 1 (EXIST OCC GRP: 101/03/12 SR I TOWNER: TEL. NO: iBLDGS. NOW ON LOT: VALUATION: iy\ (/�'FINL_ �\�DFZNAI, BY: CODE: LIU, PING TUNG 7,200 5728 KAUFFMAN AV ITEMP 917802505 I FEES PAID ID�PTION OF WORK 1 (TEAR OFF AND REROOF WITH LIGHTWEIGHT TILE-SUNRISE BLEND 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I (APPLICANT: TEL. NO: I I I ISHIH, STEVEN (626) 688-9968- JAA BLDG PERMIT ISSUANCE 27.80 1 1 19147 OLEMA ST. IAB STATE GREEN BLDG FEE 7200.00 VAL 1.00 (SPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 1AC STRONG MOTION RESID 7200.00 VAL 0.70 1 1 1 ID2 PERMIT W/O EN-HC 7200.00 VAL 183.40 1 1 1 1 I TOTAL FEES 212.90 1 1 ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ISHIH MANAGEMENT INC. (626) 451-0763- 1 1 I 19147 OLEMA STREET LIC. NO 1 (LOCATION AND SETBACKS 1 1 1 (TEMPLE CITY, CA 91780 864481 1 1 1 I 1 I (SOILS ENGINEER APPROVAL 1 1 (ARCHITECT OR ENGINEER: TEL. NO: I (FOUNDATION/TRENCH FORMS I I I LIC. NO: I ISLAB/UNDER FLOOR I I I I I I I I I (RAISED 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 11SOH269 3 001 1 11 1 I I (FLOOR SHEATHING I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I_ 1 1 1 1 0 NO 21 1 IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I Iv I 1AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION 1 I I I I I I I I I (FIRE SPRINKLER HANGERS I 1 I 1 I (INSULATION/WEATHER STRIPI I I I_ 1 1 1 _ 11NTERIOR LATH/DRYWALL 1 I I I I I I I 1 IEXTERIOR LATH I I 1 I I_. -1-1 I 1 (RATED FLOOR/CEIL ASSEM. 1 1 IRATED WALL ASSEMBLIES I I 1 I 1- I I I I 1FATED SHAFTS/OPENINGS . IT-BAR CEILINGS 1 ILOT DRAINAGE I IREPORT ID: DPR261 ROUTE TO: BSO508 1 1 I 1 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 1205100052 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO, OF CONST BUILDING ADDRESS: 1 ITR: 6561 LT: 503 SQ. FT STORIES TYPE 5728 KAUFFMAN AV I (STRUCTURE: V-B I TEMP CA 917802505 1 (ASSESSOR INFORMATION NUMBER: j I NEAREST CROSS STREET: 16587-023-020 1 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I I (TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 105/10/12 SP, - TOWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: LFAL DATE FIN L Y: CODE: ILIU, PING TUNG - 1 5,000 15728 KAUFFMAN AVITEMP 917802505 1 FEES PAID 1CR PTION OF WORK ` . 1 I IRE-STUCCO ENTIRE HOUSE 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( 1APPLICANT: TEL. NO: I I ISHPH, STEVEN (626) 688-9968- IAA BLDG PERMIT ISSUANCE 27.80 1_ 19147 OLEMA ST. IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS: ITEMPLE CITY CA 91780 1AC STRONG MOTION RESID 5000.00 VAL , 0.50 I 1 ID2 PERMIT W/O EN-HC 5000.00 VAL - 132.60 1 I TOTAL FEES 161.90 1 ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1 ISHIH MANAGEMENT, INC. (626) 451-0763- 1 19147 OLEMA STREET LIC. NO (LOCATION AND SETBACKS I ITEMPLE CITY, CA 91780 864481-B * II 1 _ I I ISOILS ENGINEER APPROVAL 1ARCHITECT OR ENGINEER: TEL. NO: 1 1FOUNDATION/TRENCH.FORMS I I 1 LIC. NO: 1 ISLAB/UNDER FLOOR I 1 1 I (RAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 ('UNDERFLOOR INSULATION I 115OH269 3 001 1 I I I I _I IFLOOR SHEATHING I I INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1I T I 1 0 NO 21 I IROOF SHEATHING 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1AIR QUALITY: 1000 FEET MATERIALS I I 1 I NO NO NO IFRAME INSPECTION i I I IFIRE SPRINKLER HANGERS I I 1 I I 11NSULATION/WEATHER STRIPI I I ' I. - 11NTERIOR LATH/DRYWALL 1• I' I 1EXTERIOR LATH 1 I I IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES I I I I IRATED'SHAFTS/OPENINGS 1 I I IT-SAAR CEILINGS I I I I I I i 1* ADDITIONAL DATA ON FILE I- I I ILOT DRAINAGE IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I