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Home My Public Portal About5817 KAUFFMAN AVE_Building__ lei I6A 638A CE#803-10-56 A P 'P L C A T I �OR 8 6""I N G_ PERMIT-' . BUILDING AND SAFETY DIVISION BUILDING Department of County Engineer ADDRESS County of Los Angeles LOCALIT ` JOHN A. LAMBIE, COUNTY ENGINEER NEAREST I CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DIST_6.1.2T N�j GROUP, SEWER MAP FOR-APPLICANT TO FILL IN I Md TYPE , =K P G ICONS I Ino BUILDING STATISTICAL C ASSIFICATION ADDRESS 5$x.7 $amffman - - t/ .LOT NO. .� / !1' BLOCK - CLASS. NO.�DWELL. UNITS- . MAP .A _ STATE YE NO " NUMBER CJ � HWY .:- TRACT / USE ZONE SPECIAL NO. OF BLDGS. CONDITIONS - - SIZE OF LO h V I NOW ON LOT / USE OF EXISTING BLDG. kl�,- BUILDING EXIST. F. T _ SETBACK 'YARD HWY - STREET NAME WVDTH r OWNER • L• IDE S WilkOn � � FRONT ADDRESS MAIL 5817 -Kauffman SIDE TEL. P..L. - .. CITY Temple City NO. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. - ADDRESS p C CONTRACTORVirgin Roof GoTwE ATr/(050/r7 ADDRESS .600 S.San Gabriel. B1.S.G• DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - - SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES -USE OF STRUCTURE Re-roof House only APPROVALS - SIGNATURE OF APPLICANT - DATE INSPECTORS SIGNATURE ADDRESs600 S.SanGabriel B1.S.G. FOUNDATION: LOCATION - FORMS, MATERIALS . 3$5.00 P. C. $ FRAME: FIRE STOPS. FEE BRACING, BOLTS FURNACE LOCATION. _ VALUATION FEE GAS VENT, DUCTS — '1 HEREBY ACKNOWLEDGETH T 1 HAVE READ THIS AP- LATH. INT. ' PLICATION AND STAT THAT TH A($OVE IS CORRECT AND - AGREE TO COMPLY H A L UNTY ORDINANCES AND - STATE LAWS REG AT UILDING CONSTRUCTION. LATH. EXT, , SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTEDOVl" /�/ /! ADDRESS 600 S. San briel B1.S.G. FINAL IWI�'A��`� JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, ORINCiPAL STIR"Y49JURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH FERMI VALIDATION CK. M.O. CASH �r1• .2 -'WpRKERS'COMPENSATION DECLARATION eb' a`ttirm that t haye a cerf!ficate of consent to self ' ""_ , or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or o Cert:4ed copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company i - ❑ Certified copy is hereby furnished. j FOR APPLICANT TO,FILL IN BUDDING ADDRESS r-� /�R >� �'✓✓ // ❑ Certified copy is filed with the county building inspec- BUILDING j� //� �� tion department. ADDRESS �. [)�`// l/ Date Applicant ,J'/l�X2�� CITY i�Tt` l t' ZIP V ® LOCALITY G CERTIFICATE OF EXEMPTION FROM WORKERS' 'NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS S7. (This section need not be completed if the permit is for oneASSESSOR hundred dollars ($100)or less.) TRACT U 61_. BLOCK �r .�' L�O�TLNO..J MAP BOOK PAGE PARCEL OWNER ffw Q ��L/ 1[,..'Iyd� SEZ NE FNO. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS r IALso as to become subject to the Workers'Compensation Laws. DITIONS 0. CITY ZIP V Date Applicant 0' NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT ORIT -�� ` ' Z DISTRICT GROUP TYPE FIRE PROCESSED BY O / V /��1 . ZONE Exemption, you should become subject to the Workers' ENGINEER CONST / qpr / z J Compensation provisions of the Labor Code, you must forth- ADDRESS ��[s �� P SO,� �i�r+�� t V 0 ��J v ___5W with comply with such provisions or this permit shall be CL y9 / ,Q y ) / STATISTICAL CLASSI I ATION APT. ONDO. U) deemed revoked. CONTRACTOR G!{ O. f0:7L�1 D 6 f 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 and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK L PG , � VALIDATION SQ. FT. . NO. OF NO. OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VAL ATION 977. NEW FAIK fgnRl'h.5 T¢/j } Contractor Date DESCRIPTION OF WORK ADD $ 1 ° 4 5 5,�� O v F-1I am exempt under Sec. ALTERPool ° ° 4 5 5 1 8 5 B.BP.C. for this reasonREPAIR ❑ $ 0 6.03-88 Date: USE OF a DEMOL ❑ EXISTING BLDG. . PRINT Signature APPLICANT q�D 0 Q FINA # �/ 4 U OWN -BUILDER DECLARATION DATEZ— � I hereby affirm that I am exempt from the Contractor's License 08 0 9 i— Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT BY BUILDING i ❑ 1, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY the structure is not intended or offered for sale(Section 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). # o 0 0 0 ° REQUIRED TOTAL SETBACK CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FROM EXIST. FRONT ., ° 5 4 0 the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE f ,° ,00,0 P.L. �7, •0 a Lender's Name _ _ LDMA.Ref. # 0 8,0 9-8 8 Lender's Address P.C. Fee$ V I Permit Fee /�)L V I certify that I have read this application and state that the Issuance Fee C "L LDMA P/C# c above information is correct. I agree to comply with all County Investigation Fee I? ordinances and State laws relating to building construction, Total Fee t 16 LDMA Perm. # N and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of App scant or Agent Date t -- t • 'X, WORKERA'COMPENSATION DECLARATION hereby' affirm that I havecertificate of consent to self i APPLICATION FOR BUILDING P E RM I T nsure, or a certificate of Workers' Compensation Insurance, ora certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company n ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ESS Certified copy is filed with the county building inspec- BUILDING t�� /' /� �!� tion department. ADDRESS S jam//�/ (! 1-r I'- I//7� /6�]7 Date Applicant CITY r �JC c-•-/ ZIP ( / V LOCALITY If A CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. &J (This s ion need not be completed if the permit is for one ASSESSOR hun Ilars ($100)or less.) TRACT p BLOCK L�TOT NO D MAP BOOK PAGE PARCEL flExemption, at in the performance of the work for which this OWNER v'�C IO/ I�MT��CNO,.//G`�� y USE NE1 MOP sued, I shall not employ any person in any manner ADDRESS S l �{�Y / /"/� /'T (� SPECIALi CONDITIONS come subject to the Workers'Compensation Laws. p '7 D O; CITY / �i/'/ P�C (i� ZIP / l / O e ApplicantARCHITECT OR TEL.APPLICANT: If, after makingthis Certificate of ENGINEER NO. DISTRICT GROUP TYPE FIRE PROCESSED BY O you should become subject to the Workers' CONST. ZONE U Compensation provisions of the Labor Code, you must forth- t/ W with comply with such provisions or this permit shall be ADDRESS deemed revoked. TEL. STATISTICAL CLASSIFICATION APT. JONDO. fn CONTRACTOR NO. ,� � LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY + CLASS BK PG VALIDATION SQ. FT. /1( O. OF NO. OF CHECK License Number Lic.Class SIZE O 3 STORIES FAMILIES ONE `' , VALU TION�� I am exempt under Sec. OF F —�[/ NEW DESCRIPTION ❑ L///j/j Contractor Date �Li- O ADD � $ ❑ ❑ ALTER B.&P.C. for this reason REPAIR ❑ $ O$Q 1 A Date: USE OF • EXISTING BLDG. DEMO" ❑ Lure APPLICANT �+ /tl J�k # o o,0 0 0 PRINT ! 6 ///7 T�� U/YAQO. Z 5 7Y FINAL _ O ..OWNER-BUILDER DECLARATION DATF� ) ° - 68,63 1 y affirm that I am exempt from the Contractor's license ADDRESS �t�r7 K/' C e a for the following reason (Section 7031.5, Business and FIN o ° a b 8 b 3= U scions Code): PRE N BY BUILDING 9,30-88 s owner of the property, or my employees with ADDRESS s as their sole compensation,will do the work and t e structure is not intended or offered for sale(Section LOCALITY �, y 7044, Business and Professions Code). MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY SET�BACK YARD HWY UIRED TOTAL SETBACK NE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. # P.C. Fee$ Permit Fee L nd ' ddress 3 I f that I have read this application and state that the o Y PP� Issuance Fee �+ �/ LDMA P/C'# , a o information is correct. I agree to comply with all County Investigation Fee / o d nces and State laws relating to building construction, Total Fee �j J� r 6� LDMA Perm. # authorize representatives of this County to enter ove-mentioned property for inspection purposes. O^ SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date l " WORKERS'COMPENSATION DECLARATION 11'4Nere& alfirrr tiaat,,!' ve a certificate of consent to self ,inVrl�F_ or a CWVicote aI'Tf'ojkers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT or a certified copy 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 ff /[� tion department. ADDRESS /7 oI wa Date Applicant CITY rZdC C/: ZIP v® LOCALITY s_ 1 CERTIFICATE OF EXEMPTION FROM WORKERS' N& OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCKQ�t'�1 LOT NO. �J �jp MAP BOOK PAGE PARCEL OWNER �tG�/t7fD� VL' l l 11Z NO. Z 1/� 777 USE ZONE MAP 1 certify that in the performance of the w k which this NO. ��_ permit is issued, I shall not employ any e o -manner SPECIALi so as to b om s ct to the Work s' nsation Laws. ADDRESS CONDITIONS 0. CITY ZIP V Date Applicant ARCHITECT OR TEL. NOT TO APPLICANT: If, after aki this Certificate of DISTRICT GROUP TYPE FIRE PROCESSED BY 0 ENGINEER NO. CONST: ZONE I" Exemptiori, you should becom subject to the Workers' U Compensation provisions of the abor Code, you must forth- ADDRESS ,. with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. ONDO. N deemed revoked. CONTRACTORUvi NO. 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 and LIC SEWER MAP ' Professions Code, and my license is in full force and effect. CITY CLASSBK X22/ VALIDATION SQ. FT, NO. OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW "' A ADD § I am exempt under Sec. ALTER B.BP.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ ature APPLICANT /��/ h P�/f 742, / TEL. /, OWNER-BUILDER DECLARATION PRINT �K//��Y� IAC 742,�NO. v S�� DATEL z 1 ;1 7.2 A I a irm that I am exempt from the Contractor's License L w r the following reason (Section 7031.5, Business and 1_ ADDRESS cJ FINAL # 0 0 0 0,0 o sions Code): PRESENT BY �Jzz BUILDING 3 3.0 O v s owner of the property, or my employees with ADDRESS o 0 0 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY I �, 1 7 8 8 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). REQUIRED TOTAL SETBACK MMM 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 P.L. Lender's Name LDMA Ref, # Lender's Address P.C. Fee$ Permit Fee I certify that I have Dead this application and state that the Issuance Fee (!. J l/ kLMA P/C fl Pool o above information is correct. 1 agree c ply with all County Investigation Fee P� 0 ordinanc s and State laws relati wilding construction, Total Fee `j v LDMA`Perm. # R an h y authorize epresent. i s of this County to enter < u e above-me coned pr p y for inspection p pose i� m SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applic 1 o KA6 en t Dater WpRKERS' COMPENSATION DECLARATION inst�^*o a certificate that I have r certificateoof consent to self AP P L I CATION FOR BUILDING PERMIT . inspe,`or a certificate of Workers' Compensation Insurance, �, or a c@rtified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company _ ❑ Certified copy is hereby furnished. FOR,APPLICANT.T•O FILL IN BUILDING ADDRESSV ❑ Certified copy is filed with the county building inspec- BUILDING S e/�.. - �,(IC�� ,/ `!� tion epartment. %�[/{p ADDRESS yS ��77 U r �/T Y T M /' Date Applicant �✓w�- i� CITY ^ L h e Ti( ZIP ! LOCALITY / ��r` �,li /T v CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOTCROSS ST. (This section need not be completed if the permit is for one �'^'^ C^ ASSESSOR hundred dollars ($100)or less.) TRACTL4!516 BLOCK LOT NO. e7 MAP BOOK PAGE PARCEL I certify that in the performance of the work for which this OWNER ' l �Od E�Ln VFT2 �'�6�� USE ZONE NO. I v permit is issued, I shall not employ any person in any manner SPECIAL / t so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS O: CITY 6 16 v 1 U Date Applicant 0' NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT ORTA DISTRICT GROUP TYPE FIRE PROCESSED BY O Exemption, you should become subject to the Workers' ENGINEER INC, 1 L_ �/J p� CONST. ZONE V Compensation provisions of the Labor Code, you must forth- ADDRESS P(T_L" G g0. —/' " '`� ? W with comply with such provisions or this permit shall be TEL. �� STATISTICAL CLASSIFICATION APT. CO � deemed revoked. CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION U ku` 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 and LIQ SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASSL VALIDATION S . NO. OF1 BK. PG. �(/ License Number Lic.Class SIZE FT STORIIES / MILLIIES CHECK ;2 97 7.5 A K Contractor Date e_/-1 1� Z DESCRIPTION OF WORC VALUATION NEW 3� /i0&/� 3# a 0!0 a 2 3 ADD ❑ $ (/ pill. 1 - 2685 5. ❑ I am exempt under Sec. S-00 ❑ � ALTER o 026S85v B.i3P.C. for this reason 3 u5 !� 171 REPAIR ❑ $ DUSE OF Date: �IU�Qyyl,, DEMOL ❑ o 6,03, 88 i7 _�_� EXISTING BLDG. Signature (2,A .O. APPLIIC ANT �y,4 D fl rfr,^f)�,iBLQ FINAL OWNER-BUILDER DEC ARATION �/ G (lLWN9Y DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 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. ❑ A I, as owner of the property, am exclusively contracting CONTRACTOR NO. 0 3 9,0 with licensed contractors to construct the project (Sec- ADDRESS # 0 0 0 0 0 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK F 1 --323.25 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTHi. 1 hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. o 0 3'2 3 2 5 5 (Sec. 3097, Civ. C.). SIDE Lender's Name P L 0 a09-88 mLDMA Ref. # Lender's Address P.C. Fee$ 6 J (YS Permit Fee 3 a c S \ 3 1 certify that I have read this application and state that the o Y PP Issuance Fee Dt�� LDMA P/C# above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and hereby authorize representatives of this County to enter m upon the above-mentionedjp ty for inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY #r 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 04050700/8 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 6561 LT: 515 SQ. FT STORIES TYPE 5817 KAUFFMAN AV STRUCTURE: 4700 VN TEMP CA 917802206 ASSESSOR INFCRMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-021-005 THOMAS PAGE: 597 GRID: P.3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 05/07/04 VG 05/02/05 OWNER: _ TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: LIU, BEATRICE (626) 287-1358- 10,000 5817 KAUFFMAN AV Z� TEMP 917802206 FEES PAID DESCRIPTION OF WORK REROOF OVER EXIST 2 LAYERS ON 25 SCS OF EXIST ROOVER & OVER FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 LAYER ON 24 SQS APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 10000.00 VAL 1.00 TPECIAL CONDITIONS: D2 P'EERMIT W/O EN-HC 10000.00 VAL 216.60 TOTAL FEES 245.35 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOBATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: ,FOUNDATION//TRENCH FORMS LIC. NO: �5 RBi1INDER FLOOR . +ISi:U FLOOR FRAMING -I MAP NO:SEWER MAP BOOK: PAGE:^ TIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: FLOOR SHEATHING NO 21 iROOF SHEATHING SCHOOL WITHIN HAZARDOUS ISHEAF PPNELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO IFRAME INSPECTION I � 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 RATE% SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: SS0508