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Home My Public Portal About6018 KAUFFMAN AVE_Building__ 76A638A CE*803 8-63 APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DIS�,R ICT N¢�' TYPE P FOR APPLICANT TO FILL INn O CONST. 1!/ BUILDING / / �/` �/�'pL Q� STATISTICAL CL ICATION Y S WER MAP ADDRESS p �(® /_" V` _/J CLASS. NO. DWELL. UNITS It LOT NO. IJ"7 ,V - >b BLOCK WATER / CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT -I MAP 0 HIGHWAY STATE MAJOR SECON LOCAL NO. OF BLDGS. / NO. (cIRCLEI SIZE OF LOT NOW ON LOT £7USE ZONE SPECIAL USE OF //��I-/ > ,,��// CONDITIONS ' EXISTING BLDG. 4h��Gl/1/V 10CTEL. „/ r OWNER L- S�}I/LG�j NO Ar o/ BUIL G - EXIST. STREET NAME (( / SETBACK YARD HWY IOTH ADDRESS .4S /JJJ'/0O!/✓�- FRONT 0 A+��ECT OR TEL ENGINEER /pG !/J NO./V O� o 7a-174"'I SIDE ADDRESS 3f7 �, d CONTRACTOR ;d¢ t1A9;A47'- y NO Q ql(w, U ADDRESS O DESCRIPTION OF WORK ri W a NEW ADDVI ALTER REPAIR DEMOLISH h SQ. FT. NO. OF NO. OF Z SIZE sq-0 / _ySTORIES FAMILIESUSE / - -STRUCTURE F mag 6 p APPROVALS DATE INSPECTOR'S SI.G_NATURE PC PMT FOUNDATION: LOCATION / FEE $ FEE FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS / J BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA_ LATH. INT. TION OF ED HEREBY CODE OF THE STATE OF CALIFORNIA RELAT. } 11 ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT. I I J T1 O ” HOUSE COR- PERMITTEE-OFRECT AND POSTED ! ADDRESS < '.ISte^ fl�� ,� FINAL 13 1g to JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Lig `o' si ��.:;�✓�✓yam DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY NG BUILD ,/ �} A� DISTRICT NO. PLAN CK. OR REc.NO. PERMIT /NO. ADDRE169 ,�Lj{/�}j /Y• &.4�I�I®�7�� RFJIVED BY DAT F APPL. DATE ISSUED LOCALITYNEAREST CROSS ST. y BUILDING /�w � [n J OWNER �.7• NNft! , �7�I6{,,� ADDRESS �`'' V ` �G�•� MAIL / LOCALITY ( = Com. r ADDRESS �,O/e? ,A® NEARE13T 1 - 1` /P CROSS ST. CITYZ&J-.Es.�i+„T 4/r NO. FIRE NO.OF I TYPO-V-1. GROUP 8 ZONE PLANS (/,� ARCHITECT OR TEL ENGINEER NO. BLDG. 1 ORD. NO. SETBACK LINE / c® ADDRESS USE / APPROVED /�� O I�. / ZONE / BY DATE CONTRACTOR - L/Q (G� FjIOUSE NUMBERING ADDRESS D C7 �11'P-- MAP NUMBER 4'�'' NO. ASSIGNED BY MAL DEBORIPTION LOT NO. �� BLOCK CORRECTIONS TRACT os--61 NQ W OF BLDGS. SIZE OF LOT Q JL r�-O Q I NDON LOT USE OF NO. r EXISTING BLDG. ��Sy�,I,L�'NG�i I FAM OC9 DESCRIPTION OF WORK M 0 NEW ALTERATION ADDITION Z _ a `REPAIR ? �jDEMOLITION r SQ. ZE ✓ �!/ ROOMa STORIES EXT.WALL �,1 ROOF '/ } COVERING �VG,�rO COVERING USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCY AS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FORMS, MATERIALS r`� _��y��'` PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRESTOPS, CORRECT. BRACING, BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY;ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATIN BUILDI CONSTRUCTION. GAS VENT, DUCTS k%,”Z W t � SIGNATURE OF LATH, INT. PERMITTEE / - - LATH. EXT.,yn {l ADDRES8.1��"'�•' 'd4 � -+l ''&• J . PLASTER, INT. AUTHORIZED AGT. PLASTER, EXT. HOUSE NUMBER COR- //�) FEE RECT AND POSTED VALUATION C7'L��®t.A FINAL 76A636A D13S3t1-S2 V APPLICATION FVOILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN rLOCALIT G ADDRESS I hereby affirm that 1 have a certificate of consent to self insure, B)ILDING ADDR S 40or a certificate of Workers' Compensation Insurance,or a certifiedcopy thereof (Sec.3800,Lab. C.) ZIP �� Y Policy No. Company SIZE OF LCT NO.OF BLDGS.NOW ON LOT ❑ Certified Copy is hereby furnished. -5-0 /-�-o 1=11-1 NEAREST CROSS ST ❑ Certified Copy is filed with the county building inspection T ACT/ �e-� BLOCK LOT NO. department. S-(Q1 N J1 /07USE ZONE MAP NO. ASSESSOR P JWOK PAGE PARCEL Date Applicant c 3 f SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' o J R a ' V TEL No. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES No This section need not be completed if the permit is for one hundred D RES ( P /1� `/� DISTRICT GROUP TYP CONST. FIRE ZONE PROCESSED BY dollars ($100)or less.) TY ZIP I certify that in the performance of the work for which this permit n d /t is issued, I shall not employ any person in any manner so as to !/ a become subject to the Workers' mpen ti aws ARCHITECT OR ENGINEER TEL NO. STATISTICAL CL SIFICATION APT CONDO Date r ) � Applicant r ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after 'r aking this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers CONTRACTOR A A . 9 _ , TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith ( �c.G� FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP >_ (commencing with Section 7000)Of Division 3 Of the Business and SQ.FT.SIZENO.OF STORIES NO.OF FAMILIES 1 Professions Code,and my license is in full force and effect. }"CTZ7 / I-- NEW BK PG ► Q License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATIONN� U Contractor Date N ALTER El $ / d"g' cc ❑ I am exempt under Sec. S S EPAIR 1:1 BAP.C. for this reason �/1,1 DEMOL ❑ W LDMA P/C# LIJ Date: USE OF EXISTING BLDG. CL URM ❑ N Signature j f Z AP ANT(FZRINT !� L NO. LDMA Perm#15 - I, as owner of the property, or my employees with wages as207 z ; '•._ , their sole compensation, will do the work and the structure is ADDRESS _1 ,I /�ILL /� (/•� `G/% FINAL DATE F`!I< i I e not intended or offered for sale (Section 7044, Business and Q _r r �.�.u.'r•.: HAZARDOU ❑ 1, as Owner of the property, am exclusive) contractingwith AMOUNTS SPECIFIED^N/ON THE HAZARDOUS MAO TEAL QUAL TO O GUIDE?ATER MAT RIAL �iC. Q Professions Code.) WILLTHEAPPLICANTFUTUREILDINGCCUPANTHANDLE __ �.. • OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE � � �I I-'`'-r P p y' y FINAL BY licensed contractors to construct the project (Section 7044, 2 TOTAL 11�- 65 Business and Professions Code.) WILL ❑ No WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING it I�wY� _ f i�1 '� OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH I'�`/�j•+/oy�' "�HEt;,��' _ I J'8°y'I CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR `�r1�� L RI f 3 n�k, GUIDELINES. 'Pit CHANGE 0,! I hereby affirm that there is a construction lending agency for YES❑ No fd the performance of the work for which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING C`I3097,CIV.C.) CHECKTITLE 2LICHAP ER 2 20ASEDMY CTIOREQ.20E 00 THROUGH 2.20.14MENTS UNDER THE 0S ANGELES COUNTY CODE, 0 CONCERNING HAZARDOUS I I I ft f- fE I+ 9/23 PTF; Lender's Name MATS.;/ s REPORTIN ND O NG A PERtvW FROM THE SCAQMD L o Lender's Address /�S/C/'��/// ✓ ?.�._ 1 AIM f°=it OR AGENT o I certify that I have read this application and state under penalty O of perjury that the above information correct. I agree to comply P.C.FEE PERMIT FEE N with all county nd S to laws relating to building �� ALZ u orize representatives of this County ISSUANCE FEECO ioned roperty for inspection purposes. INVESTIGATION FEE TOTAL FEEa m a Agem oa�e 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 1308290018 PHONE: (626) 285-0488 EXT: (LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 6561 LT: 107 SQ. FT STORIES TYPE 6018 KAUFFMAN AV I .ISTRUCTURE: 2800 V-B 1 TEMP CA 917801741 1 (ASSESSOR INFORMATION NUMBER: 1 1 NEAREST CROSS STREET: WOODRUFT 1 15385-019-018 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY CAI I I I 1 (TENANT: (EXIST BLDG USE: RESID USE ZONE: R2 (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 108/29/13 SR I I I I I (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1F T ATE FIN Y I CODE: 1 IRODORACIO BEN P;BARBARA A (626) 450-5263- 1 4,500 16016 KAUFFMAN AV (TEMP 917801741 FEES PAID DE CRIPTION OF WORK I IREROOF OVER EXISTING ONE LAYA WITH ASPHALT SHINGLES I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( (APPLICANT: TEL. NO: i ]SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 1 IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS: I 1 IAC STRONG MOTION RESID 4500.00 VAL 0.50 i 1 ID2 PERMIT W/O EN-HC 4500.00 VAL 132.60 I 1 I TOTAL FEES 161.90 1 (CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ISAME AS OWNER - I- I LIC. NO I ILOCATION AND SETBACKS I I I I I I 1 (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS 1 LIC. NO: I (SLAB/UNDER FLOOR I 1 I IRAISF.D FLOOR FRAMING I I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATIONI I I I 3 001 11 I IFLOOR SHEATHING INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I1 NO 21 (ROOF-SHEATHING I 1 1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS i 1 (AIR QUALITY: 1000 FEET MATERIALS I I I NO NO NO i IFRAME INSPECTION I I I IFIRE SPRINKLER HANGERS I I I (INSULATION/WEATHER STRIPI I I ]INTERIOR LATH/DRYWALL 1 I I I . (EXTERIOR LATH I I I I I I IRATED FLOOR/CEIL ASSEM. j IRATED WALL ASSEMBLIES 1 I I I IRATED SHAFTS/OPENINGS 1 I I I IT-BAR CEILINGS I I I ILOT DRAINAGE I I I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I I I I