HomeMy Public PortalAbout5802 KAUFFMAN AVE_Building__ 78A838A CE#803 9-67 •'
APPLICATION FOR ;BUILDINO PERMIT .
COUNTY- OF LOS'ANGELES.
[BUILDING
DEPARTMENT 'OF COUNTY .ENGINEER 'AooRESS'
BUILDING"AND "SAFETY-DIVISION'- Lo"ALITY
JOHN A. LAMBIE, COUNTY ENGINEER r�
COLEMAN,W. JENKINS, SUP T OF BUILDING NEAREST
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT G uP TYPE _ O E D v
(Print ort a only) CONST.
_ C:
BUILDING - STATISTICAL C SI FICA TION SEWER_>AP•
ADDRESS ® - CLASS NO. DWELL•UNITS - BK PG
LOT, NO. � - BLOCK USE ZONE MAP
NO.
TRACT _ '��? � SPEC•CONDIAL
IT ONS '
NO:OF BLDGS.
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. KBLOG.SETBACK FROM - -
�J TEL. ONT-PROP.LINE OF (STREET)
OWNER/yI'. •� pQ �Q NO. TYP OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS
HIGH WIDTH FROM C.L.
,� d�,� p
CITY ,B' 1... - BLDG.SETBACK OM + -
ARCHITECT OR, - TEL.f SIDE-PROP.LINE OF - (STREET)
ENGINEER - NO. TYPE OF EXISTING SETBACK `RIG`HWAY + '''YARD = TOTAL
ADDRESS, - FIIGHWAY WIDTH FROM C.L. `�•- '
,CONTRACTOR O
ADDRESS " •• LI 4d C. CORNER CUTOFF, YES [I --'ANO -❑.
CITY sv P,. c�Ass ,SEE,-REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK - a
z
N • ADD' ALTER. REPAIR DEMOLISH -
SQ.-FT. - .NO. OF' NO. OF
SIZE STORIES FAMILIES - -
USE OF -
STRUCTURE _
SIGNATURE OF
APPLICANT
VALUATION$• ° ,TLB - - -
APPROVALS- DATE INSPECTOR'S SIGNATURE ,
P.C. _ - PMT. FOUNDATION: LOCATION
FEE $ FEE $ FORMS, MATERIALS -
FRAME: FIRESTOPS,
.1,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 COUNTY ORDINANCES AND STATE LAWS, REGULATING GAS VENT, DUCTS
BV ILDING CONSTRUCTION. ,1 CERTIFY THAT IN DOING.THE'WORK-
AUTHORIZED
AUTHORIZED HEREBY I.WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF-THE LABOR-CODE OF THE STATE OF CALIFORNIA RELAT, LATH, INT.
ING TO WORKMEN'S COMPENSATION RANCE ` _ LATH, EXT..- - -
SIGNATURE OF HOUSE NUMBER COR
--
RERMITTEE_ 'RECT AND POSTED
ADDRESS G �FlNAL • /f-G
JOHN F. LEWIS:,PRINCIPAL'STRUCTURAL.ENG ER
PLAN CHECK VALIDATION. CK M o CASH _ PERMIT VALIDATION CK M O CASH
i;o`4 ? y'28 1 D
APPLICATION FOR- BUILDING PERMIT :
r •FOR'APPLICANT TO FILL I14 (Print or £Yee only)
BUILDING COUNTY OF,LOS ANGELES - •`••.
.ADDRESS •`=" DEPARTMENT :OF.'COUNTY ENGINEER
CITI' �j rT'- .ZIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING•
E ^ •
SIZ 'OF LOT ' -/ NOW' N OLOT I° ADDRESS _w
TRACT ,�j' BLOCK "' COT NO - LOCALITY`
Tc TEL". _NEAREST
OWNER I t'i NO. �/ C�' CROSS ST. ' a,
j ASSESSOR
ADDRESS' ` C �i1 MAP BOOK PAGE j1A11C EL
CITY' jZr J'' ZIP / 4 DISTRICT GROUP TYPE FIRE PROC SSED BY
/) CONST.•• ZON
.ARCHITECT OR• TEL:" .(/
ENGINEER NO.,,.' -
STATISTICAL'C'L�)ASSIFICA TION SEWER P
ADDRESS '•CLASS1NO(>�DWELL,UNITS BK�� PG'
_ /
TEL.-
CONTRACTOR Q���r� - NO USE ZONE NoP�- O
LIC.
ADDRESS NO, SPECIAL - -
LIC. CONDITIONS .
CITY CLASS• - '
ROAD DE PARTMENT APPROVAL REQUIRED YES❑ NO,❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FR T PROP.LINE OF (STREET)•,
ADDRESS CITY NIGH AY- }• YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SQ.-FT" - NO.'OF NO. OFC HE•C K- _ FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
CRIPTION OF WO
ORK
y NEW ❑ }
ADD BLD SETBACK FROM '
U
A14 ea SIDEOP. LINE'OF (STREET)
j92 6 F# O
.,ALTER ❑ - TOTAL SE,T BACK FROM TYPE OF EXISTING
❑
HIGHWAY\+ YARD- = U
REPAIR SI E PROP. LINE HIGHWAY WIDTH a
USE OF +... _ - N
EXISTING BLDG, 10EMOL ❑ � '
Z
APPLICANT - TEL CORNER U F.F 'YES ❑ NO ❑•.
(PRINT) NO.
BY-(SIGNATURE)' s IN OPEN SPACE YES ❑_ NO ❑
. IN COASTAL PERMIT ZONE '.� YES.❑ - NO ❑, '
VALUATION�$ m,3 0,61
1 HEREBY ACI{ LEDGE THAT I HAVE READ THIS APPLICATION
AND,•STATE THAT THE ABOVE IS CORRECT AND AGREE.TO COMPLY - - +-
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- �• ,
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED -
HEREBY I-WILL•NOT EMPLOY ANY PERSON IN VIO ON-,OF THE - - -
LABOR •CODE OF THE STATE 'OF CALIFORNIA ELATING TO i'S•�
WORKMEN'S COMPENS URANC / -
SIGNATURE -
PERMITTEE f�
ADDRESS 4:
FINAL BY
TEL.
CITY NO. DATE
N,1 KE CHECKS PA}ABLE 7O: P.C. = J,PMT:;t
FEEFEE •P
HARVEY T. BRANDT, COUNTY ENGINEER
2 C)
PLAN'CHECK VALIDATION ck M O CASH PERMIT 'VALIDATION. 'CK;.: M'O CASH
_
JUL, 29' 1 D 4 2:.G 0 0
76A638A CE#803 5174 '
VCOMkNSAT'ION DECLARATION
hereby
ncertificate
self -BUILDING:L DI N G. PERMIT ' ,
RM I Tae oforkersCompensatn Insurance, . APPLICATION T'
ra cWOR
or a certified copy thereof (Sec. 3800, Lab.-,C.)
:•, r COUNTY OF LOS ANGELES BUILDING AND,SAFETY .
Policy No. :' rCorripany "' -
❑ rtified,copy is hereby furnished. ••T• FOR APPLICANT-TO FILL IN•- BUILDI
Ces �;Jd
• Certified copy is'fil'ed with the.county"•"building•inspec- BUILDING
tion department.. a- ADDRESS
• _ -
CITY ZIP LOCALITY
Date Applicant NO OF BLDG
NEAREST
CERTIFICATE•OF•EXEMPTION FRONT"WORKERS';'. SIZE OF'LOP'. ' r NOW ON'LOT' " " CROSS ST' LIP—
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)br less.) OWNER• TEI(S� USE ZONE 'MAP
Lc•. ; NO.
I certify that in the performance of"the work•for which.this SPECIAL
permit•is issued, 1.shall not employ any-person in any'manner ADDRESS j�TZ2 CONDITIONS a
so as to become subject to the•Workers' Compensation Laws: _ O
' CITY-..I f ZIP U
Date Applicant, ARCHITECT OR' TEL. rY
NOTICE TO'APPLICANT: If, ofter'makin this ENGINEER.: NO DISTRICT. GROUP TYPE FIRE PROCESSED BY
g v CONST' ZONE'
Exemption„ you''should become .subject to the- Workers', �G4 U-
Compensation provisions•of,the Labor Code,,you'must,forth- ADDRESS' _ ' GROUP]
a '
STATISTICAL CLASSIFICATION APT CONDO to
.with comply with such .provisions-or this permit shall' be -TEL- Z
deemed revoked.; CONTRACTOR NO J _
;. . , LICENSED CONTRACTORS DECLARATION :,; LIC. CLASS NO. '•'•�/ 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 LIC SEWER MAP
and Professions Code,and my hcense.is in full force and effect. CITY" CLOS BK e5_ PG.%a-� VALIDATION
t SQ FT NO. OF _ NO OF CHECK
License Number' Lic Class ' ' SIZE STORIES FAMILIES' ONE
VALUATION M.
Contractor - Date
DESCRIPTION'OF WORK NEW
ADD. ED] s O86 d.C� D 7
_E]I am exempt uncler`Sec. t Y iQ—eLdi // ► i
ALTER ❑
B.&P.C. for this reason Petr REPAIR ❑ $
Date:. USE OF i
EXISTING BLDG' DEMOL-❑
Signature APPLICANT" TEL _ FINALr�
OWDATE
OWNER-BUILDER DECLARATION. (PRINT) " NO. 7Z—1
I hereby affirm that 1'am exempt from the.Contractor's License „-
Law for the following reason (Section 7031.5, Busines's and ' ADDRESS FINAL QOO
Professions Code): PRESENT
By-
1, as•owner'of theproperty, o? m em to ees with BUILDING _
Y' P Y ADDRESS - > .,a
wages as their sole compensation„will do the work•and
the structure is not intended or offered'for sale(Section- LOCALITY
70.44,'Businesss-and Professions�Code.) MOVING _ . TEL. .. _..
I, as owner of the' ro ert CONTRACTOR. NO. -
', p p y,`am exclusively contracting
with-licensed contractors',to construct'the'project'(Sec- EADDR
tion 7044, Business.and Professions Code.)
D TOTAL SETBACK FROM :, :EXIST.
CONSTRUCTION LENDING AGENCY YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a.constructiori lending agency for`•the performance of'the-work for Which this permit is issued ” ' ` i
(Sec. 3097, Civ: C.).
- —
Lender's-Name
If",
f� LDMA Ref. # ,
Permit Fee
-,Lender's Address
a I certify that I have read this application and state that the Issuance Fee �'I LDMA'PiC 4-
8 above inforrriation is correct.,I agree to comply with all County n Fee
ordinances and State laws relating to building construction, Total Fee / 3P•(O 'LDMA Perm #
a and hereby authorize representatives of this County to enter
upon•the a• ve-mentioned'property for inspection purpoges. e
�D�Iri N Z2 _ SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature o Appl`i'cant or Agent Date `
APPLICATION FG-II-BUILDING PERMIT
COUNTY OF LOS ANGELES '�' "� BUILDING AND-SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING afvss, ;
I hereby'affirm that I have a certrficate of consent to self Insure, K
DDRESS
or a certificate of Workers' Compensation Insurance,or a certified
copy thereof(Sec 3800,Lab C), ZIP
� LOCALITYPolicy No r�lp s �— Company y
T NO OF LDGS-NOW ON LOT
ertlfied Copy is hereby furnished. -NEAREST CROSS ST
❑ Certified copyls filed wdh'the c nty,buildin s 'Ction TRACT BLOCK LOT NO
department USE ZONE MAP NO
ASSESSOR MAP,BOOK - PAGE PARCEL
Date plicant SPECIAL CONDITIONS /y, — 7 .
CERTIFICATE OF EXEMPTI F WORKERS' OWN R TE N
COMPENSATION. SURANCE n �r % / ' WITHIN 1000 FT OF SCHOOLS YES NO
(This section need not be completed If the permit is for one hundred ADDRESS
dollars ($100)Or IeSs) �j /i DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY i
C ZI 1
I certify that in the performance of the work for which this permit C/ �`1)� J 2
Is issbed, I shall not employ any person in any manner so as to 11 ,,;J• .
become subject to the Workers'Compensation Laws ITECT OR ENGINEER yTEL NO
STATISTICAL CLASSIFICATION 1"APTCo NDO
Date 'Applicant ADDRESS CLASS NO DWELL UNITS
NOTICE TO' APPLICANT. If,' after making' this Certificate of REQUIRED TOTAL SETBACK FROM EXIST-
Exemption,
XISTExemption, you should become• subject to the Workers' CONTRACTOR r�. L NO i SET BACK YARD HWY PROF.LINE WIDTH _
Compensation provisions of the Labor Code, you'must forthwith) 6 FRONT
comply with such provisions or this permit shall be deemed revoked. KESS ' LIC N - P L -
LICENSED CONTRACTORS DECLARATION SIDE
LIC CLASS P L
["hereby affirm that I am licensed underprovisions of Chapter 9 '
(commencing with Section 7000)Of Division 3 of the Business and SO SIZE NO OF STORIES N OF FA [LIES SEWER MAP
NEW ❑ BK PG F }
Professions Code,and my license is In full force and effect a
D ITION OF WORK VALUATION Number 41;15(71"77Lia Class 0� ADD
/ � �• Q^ / U
ContractorwDate AR ❑
o
❑ $ O
I am exempt under Sec REPAIR
88PC, for this?7n El V
00LDMA P/C.# (J,J
Date' USE TDP rzXISTIN(YBLDG . URM ❑ ' ii LL
SignatureCKYAPPLICANT(PRINT) _ TEL NO 'LDMA Perm# r 3 - Z
000,
CIA as'owner of the pr -or,-my employees with wages as OZ . t s
their sole compe ion, well do the..work and the structure Is ADDRESS �' } °g
not Intended or offered for sale (Section 133
7044, Business and FINAL DATE Q , 0 1�I7.10
Professions Code)
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL .- •I _IaI-t ,
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J •J, t`J
❑-1, as Owner Of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE1 FINAL B -
licensed contractors to construct the project (Section 7044, YES❑ T)� g
107
Business and Professions Code) C ¢yI(¢
[ WILL THE INTENDED USE OF THE BUIDLING BY.THE APPLICANT OR FUTURE BUILDING IL� �f°_+'-'
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALITY.MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR.
_ GUIDEUNES - -
I hereby affirm that there Is a construction,lending agency for YES El NO❑ CHANGE. .'CIO
w the performance of the work for which this permit Is Issued(Sec IHAVE READ THE HAZARDOUS MATERIALSINFORMATION GUIDE AND THE SCAQMD PERMITTING "
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 ' V�I�I�.,,,Ill'll'1 9 6./.13/95 i j 1CSC
3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD V JJJ,i l 1 17
o •Lender's Address 1: ! AM 9:52
O y OWNER GR AGENT -
o I certify that I have read this application and state under penalty
O Of perjury-that the above information is correct I agree to comply PC FEE - PERMIT FEE -
o with all county ordinances and State laws relating to building
m construc and hereby nze representatives of this County ISSUANCE FEE
co to enter Do he above-m nti ed property f Inspection purposes•a
a INVESTIGATION FEE TOTAL FEE
`0 - 7 /
�. sprewre of Aoa�m o,Deem oe ,
SEE REVERSE FOR EXPLANATORY LANGUAGE /
WORKERS'_'O4,FE^1ISATION DECLARATION ` i` W�
I hereby affvm that I have a certificate of consent to self' APP L I-CAT I®�_�®R ®L®I" G._ P�s R®B I0
nsure, or a certificate of Workers' Compensation Insurance, - 4-
or a certified copy thereof (Sec. 3800, Lab. C,), _--_ - _.- COUNTY OF 10S AhhELES -BUILDING AND
'S'AFETY
Policy No.
Company - FOR �pv�
❑ Certified copy is hereby furnished. - 4 FOr =.PPLICANT __1 FILL IN ADLRESS D
_E] Certified copy is'filed with the county building inspec- ADDRES` r, i o P
tion department.
CITY 1 C_ ` ZIP ?n LOC4LITY _e ,
Date Applicant NC DF BLDG NE ,REST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF _DT r�' V_ GNC'v ON LOT CROSS ST
COMPENSATION INSURANCE ASSESSOR
(This-section need not be completed if the permit is for one TRACT iBLOCK LOT N� MA?BOOK PAGE PARCEL
hundred dollars ($100) or less.) �^ _� —f1E0�>` USE ZONE MAP
OWNER r NO
I certify that in the performance of the work for which this V SPECIAL }
permit is issued, I shall not employ any person in any manner ADDRES_ —� L e CONDITIONS
so as to become subject to the Workers' Compensation Lows.- 0
- CITY ! n 1- C< d ZIP
Date Applicant ARCHITE- OR TEL DISTRICT GROUP TY= FIRE PROCESSED BY 0
NOTICE TO APPLICANT. If, atter makingthis Certificate of ENGINEE= NO
CC',_T ZONE V
Exemption, you should become subject to the Workers' rf w
Compensation provisions of the Labor Code, you must forth- ADDRESS V)
with comply with such provisions or this permit shall be TEL- ST^TISTICAL CLASSIFICATIOr•• 'APT CONDO 7
deemed revoked. CONTRA OR =P NO I r —
LICENSED CONTRACTORS DECLARATION UC :'ASS NO. t� G,.'ELL UNITS
I '
I hereby affirm that I am licensed under.provisions of Chapter 9 ADDRESS NO SEWER MAP
.p
(commencing with Section 7000)of Division 3 of the Business LIC
and Professions Code,and my license is in'full force and effect. CITY CLAS; BK PG VALIDATION
t SQ FT. N- DF _ OF 1 CHECK
License Number Lic Class SIZE- S-::'E_ °-.VdLIES ONE
VALUATION
DES£RI 'ON OF WORD' EN
Contractor Date _ El
ADD
U I am exempt under Sec. r ALTER ❑ ->-/
�.
B &P C. for this reason �G � _-� --���+i�t-= REP ❑ �' -�?� -USE OF /
-Date: EXISTING- BLDG MOL ❑ °Signature
APPUC TEL =FINAL
i OWNER-BUILDER DECLARATION Rt..', _ 21 .
DATE G
I 'nereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL ` GCC_
Professions Code) PRESENT I BY
BUILDING
f I, as owner of the property, or my employees with ADDRES
wages as their sole compensation,will do the work and ,
( the structure is not mended or offered for sale(Section LOCALIT"
I 70A4, Business and Professions-Code ) MOVING TEL
i as owner of the property, am exclusively contracting CONTRA OR NO
twith licensed contractors'toconstruct the project (Sec- ADDRES_ f
non 70", Business and Professions Code ) REQUIRED TC- SETBACK FP_i�•� EXIST
CONSTRUCTION LENDING AGENCY SET B;-=K YAR- HWY _,SETBACK
LINE WIDTH -
I herebv affirm that there is a construction-lending agency for FRONT t t
the performance of the work for which this permit is issued PI J
(Sec. 3097, Civ C.). SIDE
{ Lender's Name t-
. �l�l DMA Ref #
P C'Fee S
Perm. -ee -
Lender's Address
I ceriif ave rea is application and state that the Issucn-e Fee � (L'DMA P/C# _
a e information is correct. ree to comply with all County I Investigcnon Fee
ordinances and State laws rela g to building'construction, Tote -ee 1 = (a ✓ LDMA Perm #
and hereby authorize representati es of this County to enter
`0
upon the rve-mentioned property for inspection purposes.
-z _ SEE REVEZSE FOR EXPLANA'ORY LANGUF-5E I
_ i
i,
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 0101110012
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST BUILDING ADDRESS:
TR: 6561 LT: 499 SQ. FT STORIES TYPE 5802 KAUFFMAN AV
STRUCTURE: 0 VN TEMP CA 917802205
ASSESSORR UMBER: NEAREST CROSS STREET: WORKMAN
8587-024-028 " THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE'CITY
TENANT: XIST LDG U 09E ZONE: R-1 PROCESSED S ON:
EXIST OCC GRP: 01/11/01 UT 07/10/01
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION:' FINAL DATE FINAL BY: CO
HJERTSTEDT MARITAL TR (818) 286-2779- 1 2,100 !_ �S . C / s`
5802 KAUFFMAN AV / l G
TEMP 917802205 FEES PAID DESTR-fP—T—ION OF WORK
INSTALLATION OF FOUNDATION ANCHORS AND CRIPPLE WALL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: PER CITY OF LOS ANGELES APPROVED PLANS (VOLUNTARY)
APPLICANT: EL. NO:
SEISMIC SAFETY (626) 291-2300- AA BLDG PERMIT ISSUANCE 27.75
1410 N. LAKE AC STRONG MOTION RESID 2100.00 VAL 0.50 SPECIAL CONDITIONS:
PASADENA, CA 91780 D2 PERMIT W/O,EN=HCT- --2700.00 VAL 99.00
TOTAL-EES 127.25
CONTRACTOR: TEL. N0: f' \\ APPROVALS DATE INSPECTOR SIGNATURE
SEISMIC SAFETY (626) 791-2300-
1410
91-2300 1410 N. LAKE AVE LIC. NO �j % \\ TION AND SETBACKS
PASADENA, CA 91104 B/L 22882 * "
SOILS ENGINEER APPROVAL
ARMTEcTOR ENGINEER: TEL. NO: %'1 1�` FOUNDATION/TRENCH FORMS
LIC. NO���; SLAB/UNDER FLOOR
REED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150H269 3 �I 101
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: , - -------- -- -------- - -- --- - - --- -
NO 21 I ROOFS EATHING
SCHOOL TH NAZARDO �� �� °'�
SHEAR
AIR QUALITY: 1000 FEET MATERIALS 1 ' t / PANELS
i
NO NO NO �� I � FRAME INSPECTION
REQUIRED TOTAL SETBACK FROMT ��� ( \ FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL \ ~- "''��j INSULATION/W ATHER STRIP
SIDE PL- YT,
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FL R/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
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 0508.0001130015
PHONE: (626) 285-0488 EXT:
GAL D: N0. CONST BUILDING ADDRESS:
TR: 6561 LT: 499 SQ. FT STORIES TYPE 5802 KAUFFMAN AV
STRUCTURE: 0 VN •TEMP CA 917802205
ASSESSOR INFORMATION NU NEAREST CROSS STREET: WORKMAN
8587-024-028 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESS BY: EXPIRES ON:
EXIST OCC GRP: 01/13/00 UT 07/11/00
s'
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
HJERTSTEDT MARITAL TR (818) 286-2779- 2 6,000 �}/%,//,�ypfp
5802 KAUFFMAN AV
TEMP 917802205 FEES P ID DESCRIPTION OF WORK
TEAR OFF AND APPLY CELOTEX 30 YR. CLASS A COMP. SHINGLE.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
WEATHERITE ROOFING (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75
4016 TEMPLE CITY SL AC STRONG MOTION RESID 6000.00 VAL 0.60 SPECIAL CONDITIONS:
ROSEMEAD, CA D2 PERMIT W/O EN=HC--=--�—_6OOO.O0 VAL 149.40
OGELE
ST ®F{Et�ES 177.75
WEATHERIOTECONTRACTROOFING (626)N287-0669 APPROVALS DATE INSPECTOR SIGNATURE
4016 TEMPLE CITY BLVD LIC. NO LOCATION AND SETBACKS
ROSEMEAD CA 91770 423177C39
SOILS!ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: // FOUNDATION/TRENCH FORMS
LIC. NO 1111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
r--
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,1: UNDER;LOOR INSU
LATION
15OH269 3 ff: 0ELM V�J0K3 —FL-(TOR SHEATHING
N0. OF FAMILIES: DWELLING ITS: AP /COND: STAT ASS:
NO 21\c�� O ROOF SHEATHING
SCHOOL HIN HAZARDOUS i SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS 0 Q
NO NONO { 0 FRAME INSPECTION
EQUIR TOTAL SETBACKFROM EXIST �� I—' Q�� FI SPRINKLER HANGERS
SET FRONTACK PL- YARD: HWY: PROP LINE: WIDTH: �,�p������� ® N�INSULATION/WEATHER STRIP
SIDE PL-
IOR LATH/DRYWALL
EXTERIOR LATH
RATED F 0 R/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BSO5O8
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 1010110012
PHONE: (626) 285-0488 EXT.
ILEGAL ID: NO. OF CONST I BUILDING ADDRESS: I
ITR: 6561 LT: 499 SQ. FT STORIES TYPE 1 5802 KAUFFMAN AV I
ISTRUCTURE: r o t _'-f- V-B I TEMP CA 917802205 I
(ASSESSOR INFORMATION NUMBER: ! ' , I NEAREST CROSS STREET: I
18587-024-028 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ,' ,` (ISSUED ON: PROCESSED BY: ' 1
EXIST OCC GRP: 110/11/10 SR 1
1OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL D TE FINAL BY: CODE: 1
IHJERTSTEDT, LORENE (626) 286-2779- 1 2,500 1 _ --/
15802 KAUFFMAN AV I(O \
tQ) if
ITEMP 917802205 1 FEES PAID IDESCRIPTION OF WORK 1
I I ISECOND BATHROOM REMODELING
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 1
1APPLICANT: TEL. NO: I I 1
IBROTMAN, IFAT (818) 987-7277- IAA BLDG PERMIT ISSUANCE 27.80 1
15460 WHITE OAK IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
IENCINO, CA 91316 IAC STRONG MOTION RESID 2500.00 VAL 0.50 1
1 IB2 PERMIT W/ENERGY 2500.00 VAL 109.00 1
TOTAL FEES 138.30 1 1
ICONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1
IVIP HOME DESIGN (877) 847-9555- 1 1
14433 VILLAGE ROAD LIC. NO 1 ILOCATION AND SETBACKS I
ILONG BEACH, CA 90808 383579B I I 1 1
I 1 , I SOIL•4 ENGINEER APPROVAL 1 ' 1
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS ( I I
1 LIC. NO: I (SLAB/UNDER FLOOR 1 I I
I 1 IRAISED FLOOR FRAMING 1 I I
i
I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: .CMP:1 l ••(UNDERFLOOR INSULATION I I I
1150H269 3 001 I 1 I 1
I IFLOOR SHEATHING 1 I
INC. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
NO 21 I IROOF SHEATHING I 1
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS I I I 1 1
NO NO NO I IFRAME INSPECTION I 1
I - IFIRE SPRINKLER HANGERS 1 1 I
I 1 (INSULATION/WEATHER STRIPI I I
I sof 11NTERIOR LATH/DRYWALL 1 I I
(EXTERIOR LATH 1��. h /f1
IRATED FLOOR/CEIL ASSEM. 1'fV//�11'11f
1 IRATED WALL ASSEMBLIES
I IRATED SHAFTS/OPENINGS 1 1 1
IT-BAR CEILINGS I I 1
I I* ADDITIONAL DATA ON FILE I I I I
I 1LOT,DRAINAGE I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 1 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 1009200014
PHONE: (626) 285-0488 EXT- s- - -
ILEGAL ID: 1 NO. OF CONST 1 BUILDING ADDRESS: 1
ITR: 6561 IT: 499 SQ. FT STORIES TYPE 1 5802 KAUFFMAN AV _ 1
ISTRUCTURE: V-B TEMP CA 917802205
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18587-024-028 1 ' _ THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 1 I 1
(TENANT: (EXIST BLDG USE: 'RESID, USE ZONE: R-1 (ISSUED ON: PROCESSED BY: .1
1 (EXIST OCC GRP: 109/20/10 SR 1
(OWNER: TEL. NO: JBLDGS. NOW ON LOT. VALUATION: FSNAL ATE FI AL BY: CODE: 1
JHJERTSTEDT, LORENE (626) 286-2779- '1 5,000
15802 KAUFFMAN AV 1 1 (f
1TEMP 917802205 •1 - FEES PAID IDESCR PTION OF WORK
I _ (BATHROOM REMODELING
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 1
(APPLICANT: TEL. NO: I - I
IBROTMAN, IFAT (818) 987-7277- IAA BLDG PERMIT ISSUANCE 27.80 I 1
IAB STATE GREEN BLDG FEE 5000.00 VAL 1.00 ISPECIAL CONDITIONS:
I IAC STRONG MOTION RESID 5000.00 VAL 0.50 1 1
1 'JB2 PERMIT W/ENERGY 5000.00 VAL 146.10
1 1 TOTAL FEES 175.40 1 1
.1 CONTRACTOR -- _ TEL NO JAPPROVALS DATE INSPECTOR SIGNATURE
IVIP HOME DESIGN (877) 847-9555- 1 I 1
14433 VILLAGE ROAD LIC NO 1 1LOCAT-ON P\D SETBACKS I1
ILONG BEACH, CA 90808 383579E 1 1 _ 1
1, 1 - ISOILS.ENGINEER APPROVAL I I - 1
JARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
1 LIC. NO: _ JSLAB/UNDER FLOOR I I
I I I
I IRAISED FLOOR FRAMING
11
NAP NO SEWER MAP BOOK- PAGE FIRE ZONE- CMP. , ', - - - � �- - UNDERFLOOR INSULATION I
115OH269 3 001 1 1 1 1
I I IFLOOR SHEATHING .
INO OF FAMILIES. DWELLING UNITS APT/COND STAT CLASS I { I 1
NO 21 1 1ROOF SHEATHING
I I I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS 1 1 1-1 1
1 NO NO NO 1 IFRAME INSPECTION
I I I
I I IFIRE SPRINKLER HANGERS I I
I I I
1 : 1 11NSULATION/WEATHER STRIPI I I
' - JINTERIO LAT /DRYWALL 0 i
1 IEXTERIOR LATH '
1 I I
1RATED FLOOR/CEIL ASSEM
I I I
I i IRATED WALL ASSEMBLIESI.
1I 1
aI RATED SHAFTS/OPENINGS 1
I I I I I I
I 1 IT-BAR CEILINGS 1 I 1
1 1* ADDITIONAL DATA ON FILE `
1 1 -1-1
1LOT DRAINAGE 1
EI 1 1 1 1
' REPORT ID: DPR261 ROUTE TO: BS0508
I 1 I I I I