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HomeMy Public PortalAbout5758 KAUFFMAN AVE_Building__ DE_,,,PI��MENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES U ' WM. J. FOX. CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FIL IN BUILDING - DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS -L.� Z 77 LOCALITY RECE D BY - DATE OF APPL. DATE ISSUED roll NEAREBT CRO ST BUILDING OWNSgir ,{ ADDRESS �..7 C3 d .O v` '" MAIL ADDRESS !/ LOCALITY NEAREST CIavdaL&c- "OL � CROSS ST. FIRE NO.OF TYPE GROUP ARCHITEC TEL. ZONE PLANS -y.L.. ENGINEE NO. BLDG. ORD.NO. ADDRESS SETBACK LINE APPROVED TEL By DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO.OF BLOCS. 'I SIZE OF LOT I NOW ON LOT USE OF NO.OF I NO.OF EXISTING BLDG. FAMILIES I ROOMS DESCRIPTION OF WORK ' NEW ALTERATION ADDITION O REPAIR MOVING DEMOLISH p_ Sq.FT. NO.OF Z SIZE ROOMS STORIES D r WALL I ROOF ' COVERING COVERING USED NEW - BUILD G I 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 LAWSG TING BUILDING-CONSTRUCTION. ff FRAME: FIRE STOPS, ' SIGNATURE OF BRACING,BOLTS PERMITTE LATH, INT. AUTHORIZED AST' LATH, EXT. 7GA63aA-3 7-49 $ P.C.$ PLASTER,INT. FEE PLASTER,EXT. / VALUATION $ O O Z FINAL / /- FEE i Gi' WORKERS,',COMPENSATION DECLARATION - >, - k. .• - - ` i'r ihereby a firm that I haver certificate of consent to self APP'�I• .ATI 'N FORBUILDING insure or a certificate of Workers' Compensation Insurance, � O O PERMIT . or a certified copy thereof (Sec 3800, Lab C.) - ^ COUNTY-'0F LOS•ANGELES BUILDING AND SAFETY PPol+cy No. Company ' Certified copy is hereby furnished FOR APPLICANT TO FILL.IN BUILDING ADDRESS ' ADDRESS 'Certified copy is filed with the county building inspec-- BUILDING �O tion department ADDRESS' O /v�a:f✓, :-Date Applicanl4 . CITY JOAt ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF-BLDGS NEAREST COMPENSATION INSURANCE SIZE OF x NOW ON LOT CROSS ST (This section need not,be completed•rf the permit is for•one ' - ASSESSOR hundred dollars ($100)-or less.) TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL TEL `7/� USE KE MAP OWNERj/' OI"PN�/.tV . NO J '/C7wI certify that in the performance,of the work for which this. NO permitis issued:I'shall'not e'mplo'y ' erson in any manner �/ SPECIAL y so as to b come subject to Wor r 'CompensaTi ^a ADDRESS/ 75/, , �/ �[3 ��1 / CONDITIONS IC =• CITY' �CyfGfj� ZIP Date Applicant LY; NOTI T APPLICANT• If, after.making t is ertifica ARCHITECT OR TEL TEL _ DISTRICT ROUP TYPE FIRE. PROCESSED BY, O- ENGINEER CiGv/!`JE�/Y- NO. /; CONST. ZONE Exemption,'you should become. subject to the. Wor ers' U 0. Compensation p"roG+s+ons•of the,Lcibor Code,;you-must forth y with.comply with,such provisions or this permit shall be ADDRESS Vt. V. ai deemed,revoked., ���D�/ TEL. STATISTICAL'CLASSIFICATION APT. �ONDO.­ Cn CONTRACTOR _ NO z LICENSED CONTRACTORS DECLARATION. r . . LIC ' CLASS NO.' DWELL UNITS I hereby affirm that'l am licensed under provisions of Chapter 9 ADDRESS 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 CLASS VALIDATION SQ. FT' NO.OF - NO OF _. CHECK BK: PG. License Number Lic.Cldss' SIZE STORIES' FAMILIES -'ONE .i VALUATION a rJ' Contractor Dare DESCRIPTION OF WOR ` /�7 , NEW ❑ •. e tJ r ❑ rQ 1:64A eze pt under Sec.' C T' Gpr�PC '�G1CY�t..Tit/j2 / Ilp ADD i B.BP.C:for this reason .�j�,l,+k ¢rv/cicafe La-_ ./ems./� ALTER $ ° .. /�tC�/ `L�p7 REPAIR ❑ Date: USE OF F 6 BLDG.- �(/ /(� 7=t/tc l/ !C� DEMOL ❑ i• APPLICANT TEC l' Signature �.r L FINAL i 2 0 6 a 4 A OWNER-BUILDER DECLARATION PRINT LD/"P/V�/A// NO. DATE 0 J . ' '�I hereby affirm that I am exempt from the Contractor's License yo s:e is o Law for the following.reason (Section 7031.5,'Business and ADDRESS FINA ' / # Pr'fessions.Code):f BY •,2 a,5 O BUILDING I I; as owner of-the'property,' or my employees with ADDRESS- wages o'• wages as their sole compensation,will do 2 8 5 Q the work and �f the'structure is not intended or offered for sale(Section. LOCALITY 7044, Business and Profes`sions,Code). 4 "' MOVING TEL ® l9 Q 9, 0 9;�8 I, as owner of the property, am exclusively,contracting CONTRACTOR NO „with,licensed contractors to'construct the project (Sec- ADDRESS. ^ J' tion'7044, Business and Profe'ssions,Code).-• : V REQUIRED_ YARD HWY TOTAL SETBACK y ��• t`( ;'�„ ”•t. CONSTRUCTION LENDING AGENCY- 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 L. w Lender's Name . LDMA Ref fi P.0 Fee$ - - - Permit Fee m Lender's Address - - I certify that I have read this application and state that the Issuance Fee . LDMA P/C N above information is correct. I agree to comply with all County Investigation Fee o ordinances and State laws relating to building construction, 9 Total Fee LDMA perm. H R and ereby authorize representatives of this County to enter up he above-m d property for inspectio poses. SEE REVERSE FOR EXPLANATORY LANGUAGE Si9 on urs A lican or9 ent" / /Date PP _WORKERS':&OMPENSATION DECLARATION r - ' sure, o affirm' 'r that I .hove a certificate of consent to self �P L ���I®� "BUILDING, 1 1 �'®' G^ RM �° Insure, or a certificate of Workers'-Compensation,insurance, (� e or a certified•copy thereof (Sec..3800, Labr'C.,) COUNTY OF LOS ANGELES .BUILDING AND SAFETY P.ollcy No f+Company .. . Y-•,:. - _� Certified copy is hereby.furnished. ;Frt FOR APPLICANT TO FILLIN ADDRE BuiiDINSSG 6 O a Certified copy'i's,filed with the county"buim building spec- BUILDING tion department: ``> + ' ADDRESS ' Date Applicant CITY ZIP "J LOCALITY CERTIFICATE OF EXEMPTION FROM'WORKERS'. NO OF'BLDGS:. NEAREST' '.r COMPENSATION INSURANCE - SIZE OF LOT n x 7 NOW ON LOT•' CROSS ST { ASSESSOR ' 1,- (This•section,,need.not.be completed'if The permit is for one 'TRACT, BLOCK LOT:NO`S' '' `" hundred dollars ($100)or'less.). MAP BOOK PAGE: r• PARCEL. ;"' .TEL OWNER �3"�iV IAJl; r - N0 p USE ZONE MAP p : I ceftify4hat,`.m the'performancerof the,vJork'for''which this NO. ����"�' ; permit is'issued; (sHoll nnof•employ any person in any manner•,I - 9 SPECIAL •.• - ?; so ds•to.be me ubject to the Wor Compen at al)bs. ,N ADDRESS. < �tJ ^tI' CONDITIONS CITY ZIPR , NOTICE O APPLICANT:-4'.after making his4' ertificot ARCHITECT OR TEL �j��� DISTRICT GROUP TYPE FIRE SSED-BY O • '' Exerription, you should-become su6jecl to' the Workers' ENGINEER CONST ;'ZONE "(`'� Com ensation, rovisions•of the,Labor,Code, ou,'must forth- a b + •U' , P P Y. ADDRESS S" G •�, Vl �/ �,,W. with comply with such,provisions or this 'permit,shall be 1 `` ' TEL STATISTICAL CLASSIFICATION APT CONDO.;: 3' _;deemed revoked; - CONTRAGTOR Gcl P��: " NO �LICENSED,CONTRACTORS DECLARATION LIC.' CLASS NO. Z / DWELL. UNITS I'hereby'offirni thdt'I am,ttcensed under'provision`s of Chapter 9 ADDRESS NO r (commencing wi0Sechon;7000)'of Division 3 of the_ Business and LIG''• SEWER MAP `• ' ..Professions,,Code, and my,license is'm_fuII-force and effect. CITY CLASS° BK r W VALIDATION' SQ FT. NO -OF, NO OF - .O CHECK' - License Number '^'" Lic.•Class SIZE' STORIES' 11. FAMILIES 'ONE VALUATION Contractor Date DESCRIPTION OF WORK• NEW', f -d - �i ,•. �' ADD , '� I am exempt-under Sec ALTER' B.&P.C:for,this reason y REPAIR Q $ r Date: USE OF - EXISTING BLDG` 1 c �' -�(cJ DEMOL Signature "r " APPLICANT % TEL I�� FINAL OWNER-BUILDER DECLARATION •r PRINT. LUJ"� /AOJNO. r`✓ DATE " I hereby affirm'that,I am exempt from the Contractor's License '-' '' '• , Law for the following reason'(Section 7031.5, •Business and ADDRESS FINAL' Pr essions-Code) .,. RE :By BUILDING•'• I,'as-owner-of the property, or-my employees with ADDRESS wage's as thei%sole compensation,will do-the work and the structure is,not•mtended or offered for sale(Section LOCALITY• `, •7044, Business and Professions Code). ,' MOVING• - •• TEL CONTRACTOR . NO I, as owner of the property, am'exclusrvely contracting , with•-licensed,contractors.to construct the project (Sec- tion 7044, Business and Professions Code), - ADDRESS 2-b 6 A 'REQUIRED. TOTAL SETBACK EXIST CONSTRUCTION''LENDING AGENCY•% "SET BACK'a' YARD HWY' PROP:LINE WIDTH, o 0 o r• pit T'*' I hereby affirm that there is a construction lending agency for FRONT the'performonce.of the work for,-w,Hich.this permit:is issued. .. :P'L- p -. ;`�rT•s• 5 9.26 (Sec 3097, Civ:C.). k' SIDE, ' P.i. a 5.q:C 5� Alender's Name, S • m. LDMA Ref',# }.'0 91,6' �'$$ Lender's Address P.0 Fee§ Permit'Fee •' Ircertify'th'at j.have.read•this application and"state that the Issuance'Fee Q r=�< LDMA P/C,# o above information is.correct. I agree'to•comply.with all County Investigation Fee q ordincinces^and State laws relating to'building construction, Total Fee `- LDMA Perm: #x o. and reby authors epresentatives of•thisCounty to enter up the abov - ned property for inspectio Puposes. SEE REVERSE FOR EXPLANATORY LANGUAGE S gn tur •of Ap is t or-Agent r bot. y . WORKERS'COMPENSATION DECLARATION I"hereby affirm that I haver certificate of consent-to self APP�' ATf ION = I I R ' I nsure, or a certificate of Workers' Compensation Insurance, or'a certified copy'thereof (Sec. 31 . lab. C ).1 •• =�' '` COUNTY OF LOS ANGELES .. BUILDING AND SAFETY - Policy No. Company = Certified copy is hereby furnished ""FOR:APPLICANT TO FILL IN BUILDING ADDRESS ,V Certified copy is filed with'the county building mspec-,,,,­ BUILDING tion department.' ADDRESS ,✓ r/�C� Q /s.-!/� , PpLOCALITY- Date CITY ZI �_ r `CERTIFICATE OF EXEMPTION FROM WORKERS' - )/` NO OF BLDGS t NEAREST, ' COMPENSATION INSURANCE SIZE OF LOT SU�C /.7: NOw ON LO7' - ° CROSS'ST.•.- (this 'need not be`completeid if thelpermit is for-one�- " ,. ASSESSOR- -section hundred dollars ($100)or,leis.), TRACT BLOCK LOT NO MAP'BOOI( '`'`'' PAGE' PARCEL- TEL. MAP _ OWNER' rP/V�/�I//;.,NO. S USE'ZONE' } , certify that.in the'peHormance of'the work for°which this NO: - permit is issued, I'shdll'hot employ any person in any manner // f - , SPECIAL • so as to bec rne'sukilect'to'the Wolk Compen ete.qaws. ADDRESS' 0 r CITY Od CA Date` q' Applicdnt ZIP.• NOTICE' O, PPLICANT:' If,-often making is'Certific a f' ARCHITECTOR,,oO) 'TEL LLj/�_ DISTRICT GROUP TYPE' FIRE PROCESSEDBY,;' ' 01, Exemption;_ryou• should become• subjec 'to the '•Wor ers" ENGINEER /v�y•' NO 77 CONST. ZON Compensation provisions,`,of the Labor Code„you mu"st'fotth- ADDRESS `•� L+-1 ovith comply with such provisions or this,,permit-shallbe '” '� ;deemed revoked. 9. /�P�i' TEL., STATISTICAL C IFI ATION APT C -DO. C/) a i,.i• x CONTRACTOR NO. : �: Z O' ' - LICENSED'CONTRACTORS.DECLARATION::•. _ - LIC., CLASS N . DWELL. UNITS I hereby affirm that I,am licensed under provisions-of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and : ;:LIC ;, SEWER MAP ' :Professions Code, and my licensests in•full force and effect. CITY , CLASS r'ii• aBK. PG'• ;VALIDATION • SQ..FT. NO. OF NO.'OF CHECK- License Number' Lic:'Closs' SIZE ISTORIES - FAMILIES" ONE VALUATION Contractor 'Date. DESCRIPTION OP WORK O✓' 94` �! Ew ❑ f I am exempt under Sec: Cil'/SZ�/- GLyGc' K4 fj' •DD' ❑ oC - - ALTER , B.BP.C. for this reason., REPAIR i;. Date: USE'OF DEMOL EXISTING BLDG. ❑ Signature e" APPLICANT `L�/V>�i�/.NO::C �!/�� FINAL OWNER-BUILDER DECLARATION •; DATE.. I hereby affirm that Gam exempt from the Contractor's License Law for the'followingreason'(Section 7031.5, Business and:., ADDRESSFINAL--, . ( Pr esslons Code) `t BUILDING I,'as owner�of'the property, or my employees with ADDRESS' wages as their sole compensation;will-do the,work and the 'structure isnot intended or for sale(Section LOCALITY 70A4,-Business and Professions Code):' is - - MOVING s _ TEL. ' CONTRACTOR NO. I,'as owner of'the property, am exclusively contracting,,' with licensed-cohtractors to construct the-project (Sec- tion 7044, Business and Professions Code). ADDRESS. �. • { °' REQUIRED -,TOTAL SETBACK _ f' CONSTRUCTION LENDING,AGENCY• .:c° SETBACK'` '*,YARDt HWY PROP:'LINE WIDTH' 2 I hereby affirm that there is a construction.lending agency for- FRONT; �• : the•pe formance of,.the work Gr,which this ermitris,issued P I. _ P "I•='r ,.� (Sec. 3097, CiJ.`C.) SIDE r t P.L Le,ide6,Name ZD _ P C Fee$ LDMA Ref # r Lencl&'s:Address' Permit,Fee +;' I,certify,that,l•have-read this,application grid state that the" _ Issuance.Fee• LDMA P/C g above information is correct.-I agree to comply with all County Investt ation�Fee ^ ,�,ofdinances and State laws relating to building construction, g d _ Total Fee LDMA Perm:#? and hereby author sentattves of this County to enter upon t above-ment' property for inspection urppses. `, r SEE REVERSE FOR EXPLANATORY LANGUAGE y " Signatur of Ipplican or gent 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 0609210031 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 500 UN: .003 SQ. FT STORIES TYPE 5758 KAUFFMAN AV STRUCTURE: 1700 VN TEMP CA 917802505 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN 8587-023-016 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09%21/06 JK 09/16/07 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FI1�TA7 D FINALBY:- - ODE: NAVARRO, JOSE/JOANNA (626) 614-9121- 5,200 O 5758 KAUFFMAN AVE TEMPLE CITY CA 91780 FEES PAID DE C PTION OF WORK TEAR.OFF EXISTING LAYERS OF ROOFING ON HOUSE & GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: INSTALL NEW ROOFING ACCORDING TO MANUFACTURES SPECS APPLICANT: TEL. NO: - SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 5200.00 VAL 0.52 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 5200.00 VAL 149.40 TOTAL FEES 177.67 _ CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS 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 150H269 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS: . i 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 i ' 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 0806120019 PHONE: (626) 285-0488 EXT: (LEGAL ID: I NO. OF CONST BUILDING ADDRESS: 1 ITR: 6561 LT: 500 UN: .003 I SQ FT STORIES ,TYPE 1 5758 KAUFFMAN AV 1 ISTRUCTURE: V-B TEMP CA 917802505 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: 18587-023-016 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, 1 (TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON:- •PROCESSED BY: EXPIRES ON- 1 IEXIST OCC GRP: 106/12/08 SR 12/09/08 I I I I (OWNER: TEL. NO: IBLDGS-. NOW ON LOT: VALUATION: IF AL DAZT,, FINAL CODE: 1 INAVARRO, JOSE - 3,200 1 _ 15758 KAUFFMAN AVE 1TEMPLE CITY CA 91780 1 FEES PAID RIPTTION OF WORK 1 I IVOLUNTARY FOUNDATION BOLTING/ IPPLE BRACING PER STANDARD 1 I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IPLAN 1 1APPLICANT: TEL NO. I I I 1COMPTON (626) 791-2300- 1AA BLDG PERMIT ISSUANCE 27.7571 11410 N. LAKE AVE IAC STRONG MOTION RESID 3200.00 VAL O.50fISPECIAL CONDITIONS: - 1 1PASADENA, CA 91104 ID2 PERMIT W/O EN-HC 3200.00 VAL 115.80 1 " I I TOTAL FEES 144.05 I 1 I I I I CONTRACTOR: TEL. NO: 1 - (APPROVALS DATE INSPECTOR SIGNATURE 1SEISMIC SAFETY, INC. (626) 791-2300- 1 - 1 11410 N LAKE AVE LIC. NO 1 1LOCATION AND SETBACKS I IPASADENA CA 91104 -'662926 B I I ' 1SOILS ENGINEER APPROVAL I I I I I I I I 1ARCHITECT OR ENGINEER: TEL" N0- I IFOUNDATION/TRENCH FORMS I I - I •' I I I I I LIC. NO: I _ (SLAB'/UNDER-FLOOR I I 1RAISED FLOOR FRAMING I I I I I I 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION 1150H269 3 O11 1 4I I I I (FLOOR SHEATHING I I INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: •I I_ I I NO 21 IROOF SHEATHING 1 I I I I I I I 1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 1 1AIR QUALITY: 1000 FEET MATERIALS I I 1 NO NO NO I 1FRAME INSPECTION I 1REQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS, I ` 1SET BACK YARD: HWY: PROP LINE: WIDTH: I I I 1 I IFRONT PL- I 11NSULATION/WEATHER STRIPI I I I SIDE PL- I 1 1 1 (INTERIOR LATH/DRYWALL I ;I IEXTERIOR LATH I I I- 1 I I • I I I - j IRATED FLOOR/CEIL ASSEM. 1 11 IRATED WALL ASSEMBLIES I I CI IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I I I I I I ILOT DRAINAGE 1 IREPCRT ID: DPR261 ROUTE TO. BS0508 1_• I