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HomeMy Public PortalAbout5822 KAUFFMAN AVE_Building__ A P PL I CATION FOR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER �• BUILDING PERMIT BUILDING ANDSAFETY DIVISION BUILDING FOR-APPLICANT TO FILL IN ADDRESS :5-; a2.2 ✓ BUILDING ADDRESS S O -ZZ A LOCALITY NEAREST " CITY ZIP Q CROSS ST. NO.OF SLOGS. ASSESSOR SIZE OF LOT',45'*'X NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT [GROUP ICTOYNSE ' FIRE ESSEDBY T. Zp TRACTg-41 BLOCK � LOT NO �✓ �Q � � • JJTEL^^ OWNER- I4Y"G1JO.pt TATISTICAL CLASSIFICATION SEWERXAP ADDRESS/�- .LL n! CLASS NO,.�DWELL.UNITS IJ!5-BK 2,/PG CITY /.L IP 9, /- O 'O US ZONE MAP J N O. CX ARCHITECT OR TEL. SPECIAL _ ENGINEER NO. CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ �" BLDG.SETBACK FROM CO AC00,T R NO LIC. FRONT_PROP.LINE OF (STREET) ,. ADDRESS /7- e-4, �� NIGHW + YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH, CIT YTL - CLASS _ ,CONSTRUCTI N LENDER + / o� NAME AND BRANCH BLD SETBACK FROM ^ ADDRESS _ CITY SIDE NP. LINE OF (STREET) ,SQ. FT. NO. OF NO. OF CHECK 'HIGHWAY ARD = TOTAL SETBACK FROM TYPE OF EXISTING O SIZE STORIES FAMILIES ONE IDE PROP. LINE HIGHWAY WIDTH DESCRIPTION OF WORKNEW E] + a' �r p ADD ❑ CORNER CUTOFF YES ❑ NO ❑ Z X � " �s ^~ EPA RI ❑ IN OPEN SPACE YES ❑ NO ❑ USE OF EMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG, - APPLICANT TEL - (PRINT) "' NO. BY (SIGNATURE) - LRE REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ALL ORDINANCES AND LAWS REGULATING BUILDING CON- S ON- - ION.-1 CERTIFY THAT IN DOING THE -WORK AUTHORIZED 'I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE CODE OF THE STATE OF CALIFORNIA IN RELATING TO ' SIGNATURE N'S:COMPE NSATION INSURANCE. URE OF FINAL 1-27-2,7BYTTEE DATE - SS Z-• ��� T-E L p.C. Fee$ - Permit Fee Z I�-�� -C NO. OIssuance Fee$ S-wo ATION - - Total Fee III PLAN CHECK VALIDATION CK o CASH PERMIT-VALIDATION CK M'o 0. 6•r JAN -3 1 D 1 2 0.0 .� ' 76A638A CF-#8038 12/75 76A638ACE0803.8-64 APPLICATION F R BUILDI G PERMIT COUNTY OF LOS"-ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER - ' ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST _ COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST. ' DISTRICT NO. -GROUP- T-YPE P ESSED BY FOR APPLICANT TO FILL IN �-� / " CONST.` BUILDING STA_ ISTICAL LASSIFICATION 'SE ER MAP° ADDRESS 'NO - BKPG CL ASS . DWELL-UNITS r _ , LOT NO. ,S BLOCK USE ZONE MAP tI NO. TRACT /. . SPECIA-L NO. OF SLOGS. 311 CONDITIONS SIZE OF LOT Sp O NOW ON LOT USE OAll F - _ - - NG B6129. 49f BLDG. SETBACK FROM TE FRONT PROP. LINE OF (STREET) OWNER,-.I,,,--,6h _ TYPE OF EXISTING SETBACK H AYE YARD — TOTAL ADDRESS �— •� HIGHWAY WIDTH Q� 'FR9M C.L. + CITY ARCHITECT OR EL. BLDG. SETBACK FROM ENGINEER - NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L. CL TEL. + 0 CONTRACTOR �/ O LIC ADDRE L•� NO CORNE AYTR�t&UiRED NO 0 LIQ V CI Y f o -' SEE REVERSE SIDE"FOR $,PE I PaP VB ch ilw CL DESCRIPTION OF WORK stallations should be taken out aF ins L. A. Co. Road Dept.,' a r� NEW ADD ALTER REPAIR DEMOLISH Uttice, Or o. n 1 - 'SQ.FT. NO. OF NO. OF -^ u• Desi n wolk tales time and is not sta eti SIZE STORIES FAMILIES until Permit has been issued. Apply for par ay fea,perm a G USE-OF �j STRUCTURE Y. '/�/G�7�/7 ' Ifp �'�f Y� r�Y i 4s-''� (f 1 ����yq^^rt•-ry-7�� SIGNATURE OF APPLICANT VALUATION --Q-Q ^- / + / - - APPROVALS 'DATE, INS 'Br810�1'ASUR P.C. PMT. U—d :FOUNDATION, LOCATION FEE$ . ~� FEE$ FORMS, MATERIALS _- 'F% 4> O ;FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION � WITHALL COUNTY ORDINANCES-AND, STATE LAWS REGULATING GAS VENT. DUCTS 9UILOING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK - J AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. - • 9� TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. �I f INC TOW ORKMEN'S C MP ION IDOSURANCE. LATH. EXT. Y v O .SIGNATURE d - HOUSE NUMBER COR- ' PERMITTEE RECT AND POSTED ADDRESS p F1 NALr 4h JOHN F. LEWIS. PRI CIP L ST r AL ENGINEER PLAN CHECK VALIDATION CK. MO CASH PERMT VALIDATION Q CK U M''.0 CASH � t%o2 5 8 3'%0-' 15-00,.Z"I 14 1' a j 7BAS38A APPLICATION FOR BUILDING PERMIT - DIVISION,OF BUILDING AND SAFETY AADDDRESDRESS G' f I ; " � V /"' • • Department of County Engineer 'County of Los Angeles LOCALITY JOHN A. LAMBIE . COUNTY ENGINEER NEAREST Y t CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. ' FOR APPLICANT TO FILL IN DISTRI T NO. P TYPE SE.BK MA PG ' CONST. 'vt' BUILDING •.� MAP /111 _ STATEr ADDRESS �-'?/ NUMBER d 6 HWY• YES t30 LOT NO. BLOCK USEZONE SPECIAL CONDITIONS TRACT• I _ NO. OF BLDGS. SIZE OF LOT I NOW ON LOT BUILDING -YARD HWY SEXIST. TREET NAME SETBACK ,WIDTH USE OF EXISTING BLDG. FRONT - P. L. OWNER �� SIDE - •. MAIL' ADDRE 8T`•Y J - O, TRACT DWELL." 1 UNIT ' T7ACT INDUSTRIAL TEL. : DWELL. 1 UNIT CITYNO. 6 PUBLIC BLDG. - ARCHITECT OP41 TEL. 2 t DUPLEX 2 UNITS 7, ADDN.,ALT.,.ETC. ENGINEER - NO. - 3 'APT. - UNITS - S MISCEL. ADDRESS 4 COMMERCIAL - - TEL• INSPECTION RECORD- CONTRACTOR - NO. - • ADDRESS ,r - DESCRIPTION OF WORK NEW ADD _ ALTER REPAIR DEMOLISH N _ - SO. FT. -'r' NO. OF NO. OF SIZE STORIES FAMILIES •• USE OF STRUCTURE - SIGNATURE OF - APPLICANT APPROVALS' ADDRESS' - - DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION ' P. C. S FORMS.MATERIALS FEE FRAME: FIRE STOPS. - VALUATION $ BRACING. BOLTS . FEE FURNACE: LOCATION. {{�� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT;DUCTS �� ..-C� S� CS•C <.J�a.�C� APPLICATION AND STATE THAT THE ABOVE IS-CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. ,. AND STATE LAWS REGULATING BUILDING'CONSTRUC- TION. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE A RECT AND POSTED. .ADDRESSa. FIIJAL JOHN A.WABIE. COUNTY ENG NEER VAqDATIION CLYDE N. DIRLAM. CHIEF BLDG. INSPECTOR' CK O CASH 2-.0.0 �� WORKERS'COMPENSATION DECLARATION . hereby affirm.that I have a'-certificate of consent to self A P P L I ATI N f F R U I L D I N G -P E RM I T insure, or a certificate of Workers'Compensation Insurance, O O or•a ceHifiedr�cop�yjthelreof (Sec. 3800, Lab. C.),, COUNTY OF LOS_ANGELES BUILDING AND SAFETY Po c7[tSom an ��.�J• fi�Q��� CertifiedBUILDING -copy is hereby furnished ' FOR APPLICANT TO-FILL,IN ADDRESS t1r7�XI Certified'copy is filed with'the'county building inspec BUILDING 7 S� tion;depariment. ADDRESS G ! LOCALITY G �l NEAREST Date' Applicant t-fCITY GC G t?' ' ZIP CROSS ST F' CERTIFICATE OF EXEMPTION FROM,WORKERS', NO OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW'ON LOT MAP BOOK PAGE PARCEL (This section need not.be completed if the permit is for one USE ZONE MAP 80 ; hundred dollars•($100)or,less.)": TRACT BLOCK LOT NO NO. T s�- SPECIAL } I certify that in the performance'ofi the work for which'ihis OWNER . Q b CONDITIONS'permit is issued, I shall not employ an person in an manner DISTRICT GROUP TYPE FIRE PROCESSED.BY O o as to become-subject to the Workers'Compensat on Laws ADDRESS Z �7C/ CONST. ZONE �, CITY Cl ZIP - O Date Applicant S ATISTICAL,CLASSIFICATION T. CONDO. H NOTICE TO APPLICANT: -If, after making this Certificate' of ARCHITECT OR TE ENGINEERW JL?D�/ � CLASS NO. DWELL. UNITS ` 'Exemption, you, should become subject to the-Workers' VY Compensation provisions of the Labor Code, you must forth- ADDRESS �� G SEWER MAP with comply with such provisions or this permit•shall be e - deemed revoked. CONTRACTOR TE BK' PG, VALIDATION LICENSED CONTRACTORS DECLARATION IC •� I hereby affirm that I am licensed under provisions of Chapter.9 ADDRESS l�� O !— I VALUATION © p ' (commencing withrSection 7000)of Division 3 of the Business and LIC ,Professions Code, and my license is in full.force and effect. CITY � � CLASS ��,6�' $ sW , 23z� /�// SQ FT NO. OF / NO OF CHECK License Number �/y ��/!!'/� ( Lic.Classe Nj SIZE STORIES ( FAMILIES ONE Contractor / ���'�/�L� Date DESCRIPTION OF WORK NEW ❑ $ ADD. I am exempt under Sec. J� ALTER ❑ DATE FINAL B.BP.C. for this reason ' 1 REPAIR ❑ Date: USE'OF ^ s DEMOL,-❑ FINAL EXISTING BLDG. S•f-: u! By Signature ` APPLICANT /�_ TE� ' OWNER-BUILDER DECLARATION PRINT CJS N DDRESS ( y I hereby affirm that I am exempt from the Contractor's License y w ,1 4-A,� lQ13 ,7 x,9.2 7'9 A Law for the following' reason (Section 7031.5,-Business and A !i # °'°:,° ° 23 Professions Code): El I' r' I, as owner of the property, or my employees with ADDRESS `2 °!a 3.7,5,0 wages as their sole compensation,will do the work and - the structure is not intended or offered for sale(Section LOCALITY 3 7. 5 0 U• 7044;Business and Professions Code). MOVING TEL 1, as owner of the property, am exclusively contracting _ CONTRACTOR NO (] 2 2 O-8 4 with licensed'contractors to construct the project.(Sec- ADDRESS -� tion 7044, Business and Professions Code). = 9 2 a O-A REQUIRED TOTAL SETBACK FROM EXIST.- 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 :2 0+0 4 9 8 8;, (Sec. 3097, Civ. C.). SIDE .,P L. t Lender's Name °,° Lender's Address P.C. Fee$ (,/ Permit Fee 17 2,2 9:-.8 4 . ' I certify that I have read thisapplication and state that the Issuance Fee , above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws-relating to building construction, Total Fee ly and hereby authorize representatives of this County'4o enter upon then ve- a open�fmspecfion purposes. - - SEE REVERSE FOR EXPLANATORY LANGUAGE n _ Signature of Applicant or Agent Date ®s y, COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT • DEPARTMENT OF- PUBLIC,WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9609200022 PHONE: .(818 285-0488 EXT: LEGAL NO.- CONS ~�UILDI G ADDRESS: TR: 6561 LT: 495 SQ. FT STORIES TYPE OCCUP GROUP - 5822 KAUFFMAN AV 1 STRUCTURE: 0 1 V R3 TEMP CA 917802205 ASSMW INFORMATION NUMBER: GARAGE: 600 1 NEAREST CROSS-STREET: LAS TUNAS 8587-024-024 OTHER: THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: BLDG USE: USE ZONE:- T§SUED PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/20/96 - TC - - 09/20/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: E: LONGOBARUI JOSEPH L;FRANCES H (818) 287-1836- 2 14,400 y� 5822 KAUF FMAN AV V �l TEMP 91.7802205 FEES PAI D SCRIP ON OFAWRK GARAGE ADDITION 600 SQ. FT,. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: L. 0: SAME AS OWNER AA BLDG'PERMIT ISSUANCE 27.75' AC STRONG'MOTION RESID.- 14400.00 VAL 1.44 SPECIAL CONDITIONS: AX BUILDING REVIEW}EE ( ^ 54.70 D2 PERMIT W/O EN=.HC1� Q14' 400.00�L 302.55 TOTAL FEES 386.44 CONTRACTOR: TEL. NO: /l APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO �'^ //J� - LOCATION SETBACKS !�/,�/ A�• SOILS ENGINEER APPROVAL / ARCHITECT OR ENGINEER: FOUNDATION/TRENCH ORMS 6_�.N� LIC. NO: titin SLAB/UNDER FLOOR l G (j RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: Fo� � ���� VV� UNDERFLOOR INSULATION 3 C1 DT LEVEL FLOOR SHEKTR— NO. OF FAMILIES: DWELLING UNITS: APT/CO ASS: p� NO 21 O Q Vjaa- M1 �Qv��ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS �j� O �,,.. ®�\b ROOF -SHEATHING AIR QUALITY: 1000 FEET MATERIALS 0i NO NO NO D�� FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST (�ll �j� G DEPT. FRAME INSPEUI SET BACK YARD: HWY: PROP LINE: WIDTH: C FRONT PL- (� SHEAR PANELS SIDE PL- v� INSULATION STRIP INTERIOR LATH/DRYWALL p EXTERIOR LATH LOT DRAINAGE SMOKE DETECTION C S FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508