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Home My Public Portal About5823 KAUFFMAN AVE_Building__ #2968 TEMPLE CrITY 76A6.38A CE0803 8.64 APPLICATIO 0 , WLDING PERMIT COUNTY OF LOS.-ANGELES i BUILDING DEPARTMENT OF 'COUNTY_ ENGINEER ' ADDRESS'- - - - BUILDING AND SAFETY DIVISION L O c A L I T Y" _ JOHN A. LAMBIE, COUNTY ENGINEER 9 NEAREST COLEMAN W. JENK'INSSUP'T OF BUILDING CROSS ST. DISTRICT NO. G T•YPE-•; R C S BY - FOR APPLICANT TO FILL IN �.y coNsr: _ BUILDING -STATISTICAL C SIFICATION- . SE ER MAP - ADDRESS 5823 No. Kauffman ''' - - CLASS NO DWELL UNITq `BKPG LOT NO % BLOCK USE ZONE .MAP No TRACT - SPECIAL NO. OF BLDOS. - CONDITIONS - SIZE'OF LOT NOW ON LOT ,USE OFI ' IST N0 BLDG. BLDG. SETBACK FROM TEL FRONT PROP. LINE OF • (STREET) -OWNER NO. TYPE OF EXISTING SETBACK. HIGHWAY YARD TOTAL HIGHWAY ID 'F M C.L. - ADDRESS 8 3' No. Kauffman - - - CITY 'C' V BLDG SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER NO -TYPE OF EXISTING SETBACK HIGHWAY -F•' YARD -= TOTAL ADDRESS -' HIGHWAY WIDTH FROM C.L. d O CONTRACTOR Virgin Roof CoN0L' 'AT 70507 + U ADDRESS 6OO S. San GabrieVo !6o650.,- CORNER CUTOFF YES NO El 0 LIC CITY ' San Gabriel C,6ASS _SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK h NEW ADD ALTERXX REPAIR DEMOLISH r ' SQ,FT. NO. .OF NO. OF _ SIZE STORIES FAMILIES , USE OF STRUCTURE Residence - - Reroof house and 'attached garage SIGNATURE OF - - I APPLICANT - { V'ALUATION$ 63 .00 APPROVALS DATE INSPECTOR'SSIONATURE P.C. PMT. FOUNDATION, LOCATION FEE$ �7 FEE$ 8.00 FORMS,-MATE RIA LS_, FRAME,-FIRE STOPS,. _ 'I HEREBY ACKNOWLEDG THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABO IS CORR4HN AGREE-TO COMPLY FURNACE: LOCATION ' WITH ALL COUNT OR I ANCES ANDLAWS REGULATING GAS VENT. DUCTS 'BUILDING CONSTRU N 1 CERT�FY I THE WORK - AUTHORIZED HEREBY I OT EMPIN VIOLA- LATH.•INT.TION OF THE LA O A NI RELAT.ING TO WORKMEN n I IN LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RE •T AND POSTED " ADDRESS 00 S. San '�aY�ri el Rl va_ F I N AL. _ an Gaurlei, Calliornia JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION CK. M O CASH PERMIT VALIDATION CK M.O CASH LACo 1 3 4 3 ,APR 18 1 D J APPLICATION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS• BUILDING D RESS hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance,ora rtifiCITYZIP copy thereof(Sec.38,00,Lab.C.) s'�'A�('�• 0..rTNLOCALITY AD Poli NO� T� Company v�1 D SIZE OF LO NO.OF BLDGS.NOW ON LOT Certified copy is hereby furnished. N NEAREST CROSS ST. Certified copy is filed with the county building inspection TRACTBLOCK LOT NO. department. USE ZONE MAP NO. J A OR MAP BOOK P P C DateppliCant SPECIAL CONDITIONS EFT- CERTIFICATE OF EXEMPTION FROM WORKERS' YES I NO COMPENSATION INSURANCE L WITHIN 10DO FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred DISTRICT /GROUP TYPE CONST.' FIRE ZON PRO ETBY dollars($ hat or less.) CITY ZIP /� ►)' I certify that in the performance of the work for which this permit U K Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL.NO. become subject t0 the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APTCGKDO Date Applicant IADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become 3UbJBCt to the Workers' �O RPCJOIO C I t ��p , ELN a&r7_ Its' SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ` YV 11 N�.:� ORO FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE >_ LICENSED CONTRACTORS DECLARATION _ PL O� I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP S (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SI NO.OF STORES NO.OF FAMILIES C Professions Code;and my licens is in full force and eff t. NEW - ❑ BK PG '�� DESCRIPTION OF WORK ADD ❑ VALUATION W License Number 'Lic.Class, a Cont ctor Date �"' � ALTER ❑ $ Z ❑ I am exam- der REPAIR ❑ $ BARC.fog this reason DEMOL ❑ LDMA P/C N Date: USE OF EXISTING BLDG. URM ❑ t Signature APPLICANT(PRINT) TEL.NO. LDMA Perm Y = ( r T g ❑ I, as owner of the property, or my employees with wages as - -•- C z• 'I °8 their sole compensation,will do the work and the structure is ADDRESS F07 151.95 not intended or offered for sale (Section 7044, Business and FlNAL OA C Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 ITEMS El I, as owner of the property, am exclusive) contractin With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN Y g THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TI ITAL :15 :1 ® 95 licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES 11 No CHECK ( I WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING JUUCHECK 151 a.r t OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROMTHESOUTH I'S i CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST CHANGE L FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NOW the performance of the Work for Which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION,GUIDE AND THE SCAQMD ''y(''�(�(} (}��--�{� ""J�'1''7 j[y�• 3097,CIV.C.J. - PERMITTING CHECKLIST.I UNDERSTAND My REGUIREMENTS UNDER THE LOS ANGELES ),ILJVIJ�LISJL11 �f•r_+=/7i.1 COUNTY CODE,TITLE Z CHAPTER 2 20 SECTIONS 220100 THROUGH 220140 CONCERNING �{ a Lenders Name DOLS MAT IALS R G AND F TAI G A MR FROM THE SCAOMD O6v0 Ai t n Lenders Address MINER OR AGENT o I certify that I have.read this application and state that the above ej— information is correct. I.agree to comply with all county P.C.FEE PERMIT FEE ordinances and State laws relating to building construction,and hereby authorize representatives of this County to enter upon ISSUANCE FEE the ab.Qve-m ntione party r i pec ion purposes. INVESTIGATION FEE TOTAL FEE f ci A9W�nIX ApwK OW SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0403150032 PHONE: (626) 285-0488 EXT: LEGAL I : N0. OF CONST BUILDING ADDRESS: TR: 6561 LT: 516 SQ. FT STORIES TYPE 5823 KAUFFMAN AV STRUCTURE: 1800 VN TEMP CA 917802206 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS 8587-021-006 _ THOMAS PAGE: 597 GRID: A3- LOCALITY: TEMPLE CITY, C IST BLDG : RESID USE Z NE: - ISSUED ON: PROCESSED BY: EXPIRES N: EXIST OCC GRP: 03/15/04 VG 03/10/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DD&TE F BY: CODE: MA WALLACE Z;JEANIE (626) 292-1915- 2,500 GG 5823 KAUFFMAN AV TEMP 917802206 F PAI ES RIPTIO OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T/0 EXIST ROOF, RESHEAT AND NSTALL COMP SHINGLES APPLICANT: T SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 2500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 2500.00 VAL 99.00 TOTAL FEES 127.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO 1 LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR GIN . NO: FO NDATIO / LIC•. NO: SLAB/UNDER FLOOR RAISED.FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING / F FAMILIES: DWELLING UNITS: APT OND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED -7MTL--9ETBACK FROM EXIST FIRE SPRINKLERHANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR L- INT R OR LATH/DRYWALL EXTERIOR LATH RATED FL CEIL ASS5M. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508