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Home My Public Portal About5954 KAUFFMAN AVE_Building__ ]eA636A CE 80310-SB •�l PIe.,ICA`TIO-N rFOI� BUILDING _'PERMIT COUNTY OF LOS ANGELES- 111R . " ADDRBUILDEssG ' DEPARTMENT OF COUNTY ENGINEER• _ BUILDING- AND SAFETY''DIVISION , LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST r i. CASSATT D.GRIFFIN Sup OF BUILDING 'CROS S ST.. - L r•r", i DISTRICT NO., OU , TYpE.' EBBED BYc FOR APPLICANT TO'FILL IN XCONST.;- 5' BUILDING - ADDRESS _ STATISTICAL CLASSIFICATION w SE ER MAP-• '_• "� • CLASS:NO. •'•DWELL. UNITS+ �' :I`V-- .,E - LOT NO., - - BLOCK MAP STATE' `-Y,ES•-' NUMBER HWY•' TRACT USE ZONE SPECIAL NO.OF BLOGS. - - CONDITIONS, SIZE OF LOT-- - - I -NOW ON LOT USE OF EXISTING BLDG. A - BUILDING .~ EXIST:` YARD' -HWY:•• STE'REET. AM - - SETBA'CK WIDTH' - - - ---- - - -- - FRONT - .t�� ADDRESS ,SIDE Y, ' - TEL. 'P.0 - - clrY - No INSPECTION RECO -,'ARCH ITE OR TEL.�- ENGINEER' ' NO. 'ADDRESS - ._ � ., ., , _ E- - •-' .`/'�{/� - -'...-. ',`�`/•:, -�1-�:b. �y A 12 TEL. '7 r j a'?•'P �,t,11+0 IA�I4/C o'C.'•,' CONTRACTOR O. '3,�aZ� ri, r .•�-y-•q'<• "' t`_T• DE TION OF-WORK_ NEW ADD ALTER4 97PAIR DEMOLISH SQ.FT. F N _OF NO.OF •4 •I - SIZE O ES .FAMILIES - USE OF STRUCTURE _ /7-7' - •SIGNATURE OF �� APPROVALS .I .• "- APPLICANT DATE INSPECTOR'S SIGNATURE- ADDRESS - - FOUNDATION: LOCATION _3• - ' I-' _ '-.FORMS.MATERIALS— P. $ `�� - - P.C. $ FRAME: FIRE STOPS: -- _ FEE BRACING. BOLTS VALUATION v - $ , Q- .FURNACE: LOCATION.-' - ,"' •• -- - FEE. Zap GAS VENT.-DUCTS - - - -" ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS'AP- k •` ' PLICATION AND.STATE THAT THE AB VE IS CORRECT AND LATH;INT. -> •- AGREE TO COMPLY T LL C-U O NANCES AND • STATE LAWS R 1 STRUCTION. LATH. EXT. " SIGNATURE OF HOUSE-NUMBER COR- - - - PERMITTE RECT AND POSTED•' " ADDRESSAZ FINAL Z� CLYDE N. DIRL'AM, PRINCIPAL:STRUCTURAL,E PLAN CHECK VALIDATION cK. M.O. CASH FEBMIT VALIDATION cK. M:o. aastl TEMPLE OTY i.AG38Acs#ao>s• +v APPLICATION FOR BUILDING PERMIT' 'COUNTY OF LOS ANGELES LDING' ADDRESS LJ DEPARTMENT.OF;COUNTY -ENGINEER BUILDING AND SAFETY DMSION LOCALITY, JOHN A. LAMBIE,'COUNTY ENGINEER NEAREST WILLIAW A. JENSEN SUPT OF,BUILDING CROSS ST. FOR APPLICANT TO FILL-IN Dls�gl N °ue, CON Y R_ � CONST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP{{{�� - - ADDRESS �� .� � - �'_ .{C'a CLASS. NO.---(?-'DWELL.UNITS J LOT NO.� - BLOCK WATER NOT REQUIRED'' RECEIVED • - CERTIFICATE: TRACT MAP. HIGHWAY _ - NO:OF BLDGS.• NO (CIRCLE) STATE.MAJOR LOCAL SIZE OF LOT }� I,tNOW ON LOT USE ZONE PECIAL USE OF pGLYL/ A / J ,N CONDITIONS EXISTING BLDG. C, „L'�'C �.�TEL.-' _ .OWNER. .N0.1-- BU LDING' - _ EXIST. • SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECT OR TEL. _ P. L. ENGINEER - NO. SIDE . P.L. ADDRESS TEL. INSPECTION' RECO p CONTRACTOR ,�/ )”NO. - V- ,�L Mr7 JIMADDRESS DESCRIPTION OF ORS � � � 9. Lu NEW ADD ALTER REPAI DEMOLISH - N SO.FT. NO. NO.OF - IZE STORIES FAMILIES USE OF STRUCTURE ✓" SIGNATURE OF "elor - APPLICANT VALUATION$ -O DATE'ATE' INSPECTOR'S SIGNATURE - FOUNDATION: LOCATION FEE t, FEE $ ' .J�. FORMS•MATERIALS FRAME: FIRE TOPS, , 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 " BUILDING CONSTRUCTION I CERTIFY THAT IN.DOING THE WORK AUTHORIZED HEREBY I•WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,.INT. TION OF,THE LABOR CODE`OF EMPLOY' F THE STATE F CALIFORNIA RELAT- - - ING TO-WORKMEN'S MP S!7,NS _ LATH, EXT. SIGNATURE'OF _ HOUSE NUMBER COR- PERMITTEE _ RECT AND POSTED ADDRESS •.S - L I - - FINAL _ •... �� 16�J////!///1� - yJD,`jt CLYDE N.,DIRLAM, P�INCIFPAL STRU U AL,ENGINEER ' PLAN CHECK VALIDATION cK: 'M.o. CASH =PERMIT VALIDATION cK.' M.O. CASH 3;2,6°7�% AUG 2,Q._.�.. 1 Q 1 ,1.55'0 l DIVISION OF BUILDING AND SAFETY BUILDING Department of County Engineer Clounty of Los_Angeies IA W 291953 APPLICATION WM. J. FOX, COUNTY ENGINEER FOR APPLICANT TO FILL IN ! FOR OFFICE USE ONLY BUILDING .� DISTRICT NO. PLAN CK. ORAEC.No. PERMIT NO. ADDRESS J / : 33 3 c 4/g� LOCALITY r-e.rjt / iRECEIVED BY DATE OF APPL. DATE ISSUED NEAREST G�✓A CROSHST. V BUILDINGL�gS^T G Ale, ADDRESS MAIL LOCALITY ..6 MAIL ,� 01 ADDRES� 1 NEAREST / f , nJ/J EL_ CROSS ST. C/(/ • B f- 1/ l �C CITY NO FIRENO.OF �q TYPE GROUP/3 ZONE PLANS ` �3 ARCHITECT OR TEL ENGINEER NO. BLDG. `d/ ORD. NO. ADDRESS BET SACK LINE ate!n S4/ USE D� > APPROVED n CONTRAQ L ZONE lj BY li- DATE NO H 'SE NUMBS LJ_ _ OL _ ADDRESS r MAP NLIM ER ��IV NO. ASSIGNED BY LEGAL ? CORRECTIONS DESCRIPTIONLOT NO. BLOCK TRACT 6 Q- zCL OF BLOBS. ♦ �6 SIZE OF LOT A -2& NOW ON LOT EUBEOF NO.XISTING BLDG _e FAM G[e �'� !) / '- U e/Wolr6 T d ,ems DESCRIPTION OF WORK ° NEW �1� ALTERATION ADDITION REPAIR DEMOLITION SQ.FT. NO.OF / SIZE ROOMS STORIES EXT.WALL ROOF / COVERING USE FHT COVERING /�- i?d (,.//A.0 C - A1,0-r��r/lbW URE r3//f /%%L INSPECTION FOR APPROVALS OCCUPANCY AS INBPECTOR'BSIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND 13TATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, CORRECT. BRACING, BOLTS ( �S 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FU : LOCATION, AND STATE LAWS REGULAT S G BUILDING CONTRUFURNACE:RNACET,DUCTS SIGNATURE O LATH, INT. PERMIT"r1r, 2 L LwTH, EXT. ADORES / ' PLASTER, INT. AUTHORIZED ABT PLABTER, EXT. /P FEE a,' HOUSE NUMBER COR- (f RECT AND POSTED VALUATION 3 �E ,/z FINAL 76A638A DOS 3 1-52 1 II I I DEPARTMENT OF BUILDING AND SAFETY ' APPLICATION FOR PERMT COUNTY OF LOS ANGELES BUIL® � NG WM. J. FOX, CHIEF ENGINEERova FOR.APPLICANT TO FILL IN .FOR OFFICE USE ONLY DISTT NO. •., PLAN CK. NO. ` PERMIT NO. BUILDING ADDRESS LOCALITY /RR9CC]JEI{�VEEDjBY DATE OF APPrL., DATE ISSUUEEDD NEAREST Jf - 7 I�I.C/--�•, /r' -fid �� ++ CROS38T. �� BUILDING r v/ Y 'ADDRESS J �� OWNER • .- i r. MAIL I LOCALITY .''.1' ' •_, '^, ADDRESS NEAREST- - .. TEL. j CROSS.ST. rV gi T - - CITY NO. ; .. .ZONE -` 'PLAN8�� -I FIRE NO. OFT'1FP2T' I GR/ a. ARCHITECT OR _ TEL. ! ENGINEER NO. S BLDG. / /•�01 /NO. ADDRESS - SETBACK LINE APPROVED BY a o CONTRACTOR4/�1 �NO. � ��'1; USE qQ APPROVED: -" ZONE +J BY DATE ADDRESS IZO HOUSE NUMBERING ' LEGAL _ �D 0. ' DESCRIPTION LOT NO. _ BLOCK MAP NUMBER t�FIELD CHECK BY TRACT ./ply- �, O.. NO.'ASSIGNED BY /Jl DATE aa NO. OF BLDGS. CORRECTIONS -SIZE OF LOT • �.O S Q V I NOW ON LOT '• ' ' •. *USE OF - y/ I NO. OF LB EXISTING BLDG; O'li'IG►^^'* 4".. ¢ - FAMILIES �� ,. � ��,,%, „�� ' C oN �c T1' iy n al DESCRIPTION OF WORK ' NEW I I ALTERATION I I ADDITION 0 _ REPAIR I� I DEMOLITION I I I -••- �• - _A SQ. FT. NO. OF 0' SIZE - ROOMS STORIES EXT. WALL ROOF r COVERING ('COVERING USE OF STRUCTURfi pB APPROVALS INSPECTOR'S SIGNATURE, DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP` FOUNDATION: LOCATION PLICATION AND.STATE THAT THE INFORMATION GIVEN IS� FORMS, MATERIALS CORRECT. - - - ' 1 AGREE TO .COMPLY WITH THE CORRECTIONS LISTED. ,FRAME: FIRESTOPS, HEREON AND WITH ALL COUNTY.ORDINANCES AND STATE' BRACING, BOLTS LAWS REGULATINGCONSTRUCTION, v • _ I FURNACE:-LOCATION, SIGNATURE OF ( GAS VENT, DUCTS PERM ITTE �' ' LATH, INT. / .LnnCo..�• /2 e_1 r L-- ADDRESS _ - LATH, EXT. AUTHORIZED AGT. - PLASTER, INT. 7ewesaA• DD138216iso ��19G® 6�, P. C. op FEE PLASTER, EXT. VALUATION FEE $ .��" FINAL2- { APPLICATION FOR- BUILDING :PERMIT COUNTY OF LOS ANGELES BUILDING-ANDS_AFETY FOR;APPLICANT TO FILL IN BUILDING DDRESS • • WORKER'S COMPENSATION DECLARATION � hereby affirm that I have a certificate of consent to self Insure; BUILDING ADDRESS ; or a certificate of Workers'Compensation Insurance,or a certified - copy thereof(Sec.3 ,Lab C.) CIS r. /�� C if i ZIP J-7 g ^1 LOCAUT Policy No 5 7r Company( /Ar, F UNC }SIZE OF LOT- NO OF BLD S.I�OW ON LOT ri/lL Certified copy is hereby furnished ` 'r -; �✓[= NEAREST CROS ST ❑ Certified copy is filed with the county budding Inspection TRA / BLOCK. LOT.-NO department' rS[! ®� USE ZONE MAP:NO, Date Applicant ASSESSOF�MAP BOOK PAQE _ P�� e U2✓Lw SPECIAL CONDITIONS' CERTIFICATE OF EXEMPTION,FROM WORKERS' OWNERt t A,m TEL No `•' _ COMPENSATION INSURANCE Ne.. U hBCLS D WITHIN-1000 FT O_F SCHOOL7 YES NO - (This section need not be;completed if the permit is for one hundred, ADDR S' �.e I DISTRICT' I GROUP-` TYP ONST FIRE ZONE PROCESSED-BY -- 'dollars($100)or less.) s I certify-that in the performance•of the`work for which this permit ZIP 7 Is Issued, I shall'hot employ any person In any manner so a_s to gRCHIT T/ENGINE TEL NO _ become sublBcf to the Workers'Compensation Laws°- _�: ' STATISTICAL-CLASSIFICATION --APT" CONDO - Date Applicant' ADDRESS CLASS NO- DWELL UNITS 'NOTICE TO APPLICANT.' If, after making this-Certificate, Of REQUIRED TOTAL SETBACK FROM, EXIST. Exemption; you. should 'become Subject to the Workers' CONTRACTOR VNO SET,BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith C"d I /i /7 G $ LEI 7 - 1 FRONT comply with such provisions or this-permit shall be deemed revoked ADDRESS LIC NO �y P L 13-6 T .-_!.3/ '. _ -_ -�— `T ' SIDE - - _ .-• - - - _ LICENSED CONTRACTORS DECLARATION CLLY LLQ-C Ass 'PL - I hereby affirm that 1 am licensed underprovislons of Chapter 9 7y C// /L 21-" (commencing with Section-7000)of Division 3 of the Business and SQ F SIZE NO OF STORIES NO OF FAMILIES SEWER MAP_} Professions Code,andmy license is In full force and effect NEW BK_ PG -• O License Number -51 1]'L-2 LIC Class ��' 3 DESCRIPTION QW Q WORK - ADD ❑ VALUATION - - $ D /dam L' /� S //✓G. 3 - 2 y 4� !2 _ I2 o U 1' ALTER ❑ 1 Contractor Date c.) a REPAIR El I am exempt under Sec $ rr B.&P.C.for this reason ` DEMOL _❑ LDMA e/.0# Date USE OF EXISTING BLDG URM ❑ - i. Signature APPLICANT(PRINT) TEL NO LDMA Perm# ❑.1,as owner of the-property, or my employees with wages as' Z - their,sole compensation, will do the work,and the structure•is.•,, _ADDRESS'. O not intended or offered for sale (Section 7044, Business and FINAL DATE a ti;'i< ;'-. la i Professions Code.) _ . WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 840 OR A MIXTURE CONTAINING A HAZARDOUS-MATERIAL EQUAL,TO OR GREATER THAN THE ❑ I,-as owner 0f the,property, am exclusively contracting with AMOUNTS SPECIFIED O THE HAZARDOUS`MATERIALS INFORMATION GUIDE'S FINAL By. licensed'contractors to construct the project (Section 7044, YES❑' "NO, �4.' )_ a — ae - - Business ana Professions Code) 'WILL THE INTENDED USE OF THE BUIDLING'BY THE APPLICANT OR FUTURE BUILDING- _ I . i•. i" k ' _ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR•MODIFICATION FROM THE SOUTH - '' CH ."s, - i•l'?= i- - CONSTRUCTION LENDING` AGENCY- COAST AIR QUALITV;MANAGEMENT DISTRICT(SCAQMDj SEE PERMITTING CHECKUST'FOR �,,,,,i' GUIDELINES - _ - Et1i9GE 'I hereby affirm that there Is a construction lending agency for- _YEs❑ No a ,the performance of the work for-which this permit Is issued(Sec -• ' - "' - r - rn - ,IHAVEREADTHE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING N 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 ;^i�w� ;-r`'fi Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD - - - Lenders Address 0. .. OWNER OR AGENT - _ e 'i"f•y:T,' [•_ .o I certify that I have read this application.and state under'penalty oPC.FEE PERMIT FEE of perjury that the above Information is correct I'agree to comply $ with all county ordinances and State laws relating to budding m construction, and hereby au horize-�epr tatives of this County hSSUANCE FEE �J � to enter n t abov e pf0 or Inspection purposes QC INVESTIGATION FEE - TOTAL FEE -- r` 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 1102160017 PHONE: (626) 285-0488 EXT ILEGAL ID: NO. OF CONST 1 BUILDING ADDRESS ON FILE SQ. FT STORIES TYPE 1 5954 KAUFFMAN AV 1 _STRUCTURE: 93 V-B I TEMP CA 917802234 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET, 18587-025-004 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl (TENANT: IEXIST BLDG USE: COMME USE ZONE: R-3 (ISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 102/16/11 SR 1 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1KAUF HISTOSOCIETY - 18,440 �p / 1 u,. , 5954 KAUFFMAN AVE. __7 N ITEMP 917800283 FEES PAID DESCR PTIO OF WORK 1 I IRECOVER 93 SF. SAME MATERIAL, 30 YR WITH COMPOSITION 1 1 _IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( (APPLICANT• TEL. NO: I I I IGARVEY ROOFING (626) 358-9208- IAA BLDG PERMIT ISSUANCE 27.80 1 1 1174 W. FOOTHILL BL IAB STATE GREEN BLDG FEE 18440.00 VAL - 1.00 SPECIAL CONDITIONS: - - IMOROVIA, CA 91016 IAE STRONG MOTION OTHER 18440.00 VAL 3 90 1 I ID2 PERMIT W/O EN-HC 18440.00 VAL 368.90 I 1 I -1 TOTAL FEES 401.60 1 1 CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE IGARVEY ROOFING CO., INC. (626) 358-9208- I 1 1 1174 W FOOTHILL BLVD LIC. NO LOCATION AND SETBACKS 1 IMONROVIA CA 91016 692839BC39 1 I 1 1 ISOI:,S ENGINEER APPROVAL I I I 1ARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS I 1 LIC. NO: 1 1SLA3/UNDER FLOOR I I I (RAISED FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP. ( IUNDRRFLOOR INSULATION I I 1150H269 3 001 1 - 11 I 1 -1 IFLOOR SHEATHING 1 1 1 INC. OF FAMILIES: DWELLING UNITS. APT/COND: STAT CLASS: I I I I NO 22 IROOP SHEATHING SCHOOL WITHIN HAZARDOUS _ ISHEAR PANELS 1 (AIR QUALITY: 1000 FEET MATERIALS 1 NO NO NO 1FRAME INSPECTION I I I 1 1 IFIRE SPRINKLER HANGERS 1 1 1 I I I 11NSULATION/WEATHER STRIPI I I 1 - 11NTTRIOR LATH/DRYWALL 1 I 1 IEXTERIOR LATH I 1 I I I I 1 1 IRATED FLOOR/CEIL ASSEM. I 1 1 (RATED WALL ASSEMBLIES 1 I I I I I 1 I IRATED SHAFTS/OPENINGS 1 IT-BAR CEILINGS 1 I 1 I I I 1 1 ILOT DRAINAGE I I I I 1 IREPORT ID. DPR261 ROUTE TO: BS0508 I 1 1 1 1 _I • I I I I