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Home My Public Portal About5729 KAUFFMAN AVE_Building__ 76A638A CE 4803 I/7APPLICATION FOR BUILDING ERM COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a only) CROSS ST. BUILDING DISTRICT N GRO TYPE R B ADDRESS CONST. Q STATISTICAL CLASSIFICATION S WER MAP LOT T BLOCK CLASS NO.�DWELL.UNITS BK TRACT 10 USE ZONE MAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT �f( SPECIAL USE OF CONDITIONS EXISTIN LDG. ' TEL 07�. OWNE O BLDG.SETBACK FROM ADORES VL FRONT PROP,LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CIT HIGHWAY WIDTH FROM C.L. ARCHITECT Oof TEL. + _ ENGINEER NO. BLDG.SETBAC M ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK H Y + YARD = TOTAL a- CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. OU LIC. - ADDRESS LNO.IC + CD LIC. V CITY CLASS CORNER CUTOFF YES ❑ NO ❑ L..1 CONSTRUCTION LENDER °- NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS z ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES ❑ USE OF ADD STRUCTURE ALTER ❑ REPAIR SIGNATURE OF APPLICANT DEMOL ❑ VALUATION S�� , APPROVALS - DATE INSPECTOR'S SIGNATURE P,C. PMT. FOUNDATION: LOCATION FEE S FEE $ � 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 MPLOY ANY PERSON IN V LATI ON OF THE LATH, INT. LABOR CODE OF HE STATE OF -CALIFORNI IN REELL�ATI NG T0: WORKMEN'S CO EN TION INSURANCE. �/� -� LATH, EXT. SIGNATURE OAl HOUSE NUMBER COR- A C� PERMITTEE RECT AND POSTED yy l ADDRESS FINALA� 07 I JOHN F. LEWIS. .PRINCIPAL STRUCTU A N ER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. CASH f 0 7 ,7 nN I1 6 1 D 9.00N 76A638A CE.#803S�6I APPLICATION FOR BUILDING PERIT COUNTY OF .LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING\AND SAFETY DMSION LOCALITY JZ/ ,JOHN A. L}�MBIE, COUNTY ENGINEER NEAREST T WILLIAM A. ENBEN SUPT OF BUILDING CROSS ST. ZC.� DIST�ICT GROWP TYPE OC ED FOR APPLICANT TO FILL IN P L NOf / CONST.' STATISTICAL CLASSIFICATION SEWER M P . ADD ess 5 7 2 9 N.`. Kauf f man' S t . CLASS.NO._6ffDWELL. UNITS LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: ' TRACT MAP %} HIGHWAY t `/ STATE MAJOR SECOND, LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT I NOW ON LOT USE ZONE 1PECIAL USE OF / CONDITIONS EXISTING BLDG. rpRi (Ip?p(?p / OWNER. G. Livingston TEL U LDING YARD HWY STREET NAME EXIST. ADDRESS 5729 N. Kauffman SE BACK WIDTH FRONT ARCHITECT OR TEL - P..L. a ENGINEER .NO. SIDE O P. L. V ADDRESS TEII,,....,, INSPECTION RECORD Ed CONTRACTORStrong Roofn N0182-1 5 O ADDREss710 S. Garfield, Alhaffi ra V LU DESCRIPTION OF WORK Z NEW ADD ALTER REPAIRX DEMOLISH SQ. FT. NO.OF NO.OF . SIZE STORIES FAMILIES USE 0F'1 STRUCTURE geroof using 1 layer . $0# felt, 2 layers 15# and #5 SIGNATURE OF crushed rock. APPLICANT VALUATION 11372.00 2 0 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS,MATERIALS FRAME: FIRE STOPS, '1 HEREBY ACKNOWILEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL'COUNTV-�ORDINANCES AND STATE LAWS REGULATING GAS VENT C DUTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOINGi THE WORK AUTHORIZED,HEREBY I WILL,N EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE OR CODE OF, H STATE OF CALIFORNIA RELAT- ING TO WORK E C INSURANCE. I - / LATH,EXT. �c SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER PLAN CHECK VALIDATION cK. M.O. cAsH PERNIIT VALIDATION cK M.O. CASH LAA: X6346 WG 9 1 0 910rN APPLICATION FOR BUILDING PERMIT COUNTY OF LOWANGELES BUILDING AND SAFETY FOR APPLICANT TO FELL IN i -BbLILDING D E WORKER'S COMPENSATION DECLARATION /y,,�O FI �i/, /l. I hereby affirm that I have a certificate of consent to self insure, BUILD, D E� /< � '` v �V//7 or a certificate of Workers' Compensation Insurance,or a certified ��-7-�_ rT" copy thereof (Sec.3800, Lab.C.) OIFT']"y.,�A��i�' ZIP LOCALITY /" �. Policy No. Company SIZE OF LOT NO.OF BLAyI4 D 11 Certified copy is hereby furnished. 60 Lv lop ` � NEAREST CROSS STIF VE— �/`G—c 11Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. � department. USE ZONE FSPECIAL N ol- 6Date A licant ASSESSOR MAP BOOK PAGE PARCEL /)PP �"7 d/ 0v � „(/ / CONDITIONS - CERTIFICATE OF EXEMPTION FROM WORKERS' OWNE�` J �N TEL NO. i ;"� COMPENSATION INSURANCE v WITHIN 1000 FT.OF SCHOOL? YES No This section need not be completed if the permit is for one hundred ADDRESS ( !'. f}'mE DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100) or less.) CITY ZIP / I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become sub'ect to the Workers'Compensation Laws. ARCHITECT OR ENGINEER TEL NO. A$ ,�� P �1_, _ STATISTICAL CL�TION DWELL UNITS APT CONDO Date `�-�3 ApplicantyySrn. rfriG � ADDRESS CLASS NO. NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become Subject to the Workers' CONT ACT R c_ L / c SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith � t' (J� O FRONT comply with such provisions or this permit shall be deemed revoked. ADD SS 57 -/ LI ND P L LICENSED CONTRACTORS DECLARATION K2 a �moN 0( Z3 SIDE CITY LIC.CLASP L I hereby affirm that I am licensed underprovisions of Chapter 9 /T�- SEWER MAP (Commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my licens is in full force aryl effect. Q NEW ❑ BK PG , o- License N ber Lic.Class f� p DESCRIPTION OF WORK -/ ADD Z- VALUATION � Q n,, �� I 3 DI TID/V ALTER ❑ 'r/ ✓�D `��' U Contract�UOlic�l�c Date cc ElI am exempt under Sec. REPAIR 11 $ 0 BAP.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXI IN�G. URM ❑ _ 0- Signature APP CANT R/IIy'T TEL 7/��/ _LDMA Perm# _ _ _ Z ❑ I, as owner of the property, or my employees with wages as d ii -� - f r their sole compensation, will do the work and the structure is ADDR SS,r/— O not intended or offered for sale (Section 7044, Business and er�-% FINAL DATE Q ==11 15f]e 3 - - `;i Professions Code.) ' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ I, as owner of theproperty, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE vv a _ Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > !.k licensed contractors to construct the project (Section 7044, = YES❑ NO ^•r { 3 Business and Professions Code.) _ 303'� WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING .A1:F4.1.1 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 VES❑ No m IE' the performance of the work for which this permit is issued(Sec. TOTAL 26- m _5 I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING. .. ..... .. . ..... _ ._ �� 3097,CIV.C.) CHECKLIST.I UNDERSTA MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, !HE .I; o � ai a N TITLE 2,CHAPTER SE NS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS ` i - Lender'S Name MATERIALS REP TI TAINING A PERMIT FROM THE SCAQMD. -- -' IL Lender's Address .;i{� r?3 n s 11 I C) OWNER OR AGE o I certify that I have read this application and state under penalty P.C.FEE PERMIT FEE 7 of perjury that the above information is correct.I agree to comply S'Q f Ejllf -! }II i 1'�j�`' = N with all county ordinances and State laws relating to building Q /�� constructi ereb authorize representatives of this Count ISSUANCE FEE 17: e c� CD v P v a�r4 � 1 P(`i r co to ent p mentioned property for inspec'on ur ses. [O• _ -o OQ INVESTIGATION FEE TOTAL FEE ^ srepamr piicani pr SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 050e BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR - BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9907080041 PHONE: (626) 285-0488 EXT:. LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT:.508 SQ. FT STORIES TYPE 5729 KAUFFMAN AV STRUCTURE: 0 VN TEMP CA 917802506 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8587-022-007. THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED 0 PRO ESSED BY: EXPIRES ON: EXIST OCC GRP: 07/08/99. UT 1/04/00. OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY. CODE: TU BENJAMIN B;MARIAN LEE (626) 285-5592- 1 2,100 n 5729 KAUFFMAN AV . F-2_0 TEMP 917802506 FEES PAID DESCRIPTION OF WORK' REMOVE ONE LAYER OF ROOFING AND ECOVER WITH 25 YR. COMP. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RES.ID__ 2100.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN=HC -X2100..00 VAL 99.60 �9r': <( ATO ® ES 127.85. CONTRACTOR: TEL. N0: �® G1�� APPROVALS - DATE. INSPECTOR SIGNATURE. , SAME AS OWNER - LIC. NO _ LOCATION AND SETBACKS . SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TE . N0: l/% y FOUNDATION/TRENCH FOR S LIC. NOwv, _ ! 111„ SLAB/UNDER FLOOR RAISED FLOOR FRAMING - -t MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:! ( j( i ii j��1� �'�� 1 Frff)I' �� i UNDERFLOOR INSULATION 150H269 3 FLOOR SHEATHING N0. OF FAMILIES: DWELLING UNITS: APT/CONDI STAT CLAM—. - - - -- - ----- NO 21 ROOF SHEATHING . SCHOOL WITHIN HAZARDOUS \ `Ft SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS \ L / � ' - - NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK. FR M EXIST �0� ®d / FIRE SPRINKLER HANGERS APL . YARD: HWY: PROP LINE:, WIDTH: FRONT INSULATION/WEATHER STRIP SIDE PL- vp-_-_��/ =- 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