HomeMy Public PortalAbout6037 KAUFFMAN AVE_Building__ 78A898ACE#809••f0•S6•AP•PLICATI0N FOR BUI L®' NG" E M IT-,
BUILDING, AND SAFETY DIVISION BUILDING. / 7 /,/ l
ADDRESS -if 0„J/ /Yi K2 J,J;iA
Department of County Engineer
County of Los Angeles LOCALITY'
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST j
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.DISTRICT . GROUP. .LYPE - SEWER 'MAP,' - -•-
FOR APPLICANT TO.FILL IN . —BK' PG
' '- I -
BUILDING
ADDRESS
- I
ADDRESS�� J '�/' STATISTICAL-CLAS IFICATION
LOT;NO./�/' Q i^ ,/� BLOCK CLASS. NO. DWELL'. UNITS
�•f 'MAP -STATE -YES NUMBER �MAP -9,T
+
TRACT, p C2 - USE ZONE SPECIAL -
NO.�OF.BLDGS. p CONDITIONS - -
SIZE OF LOT i NOW ON LOT .• - - __,
USE OF
EXISTING BLDG. BUILDING EXIST.
//C�/JJ.
YARD• HWY STREET NAME
SETBACK WIDTH'
OWNER /�301%/ T /YC�LajI_LL//T+/h F.RONT
MAIL rJ i':L.
ADDRESS ( I a7V SIDE
��' TEL. P. L. -
CITY NO. ''� INSPECTION RECORD
ARCHITECT OR TEL. -
ENGINEER - NO. . . - U7'
-T f is CSC'
ADDRESS / ���/ - y�/ - _ �• -
/�/1 /.s'I /J TEL.
CONTRACTOR � �1P �1^' N,fO.�]•�•� LL77 1 '�J�l n�v��Yj h / c Y�f � .'/''
ADDRESS S��9�i•/r�.1�Lrii+/... NYQ .% C. -• /1/ - - /�./(y
DESCRIPTION OF WORK ����� ^��
NEWDD ALTER REPAIR DEMOLISH
Sq. FT. /- NO. OF ) NO. OF r
SIZE - J �� STORIES [ FAMILIES
USE OF STRUCTURE t=�A1_ /�B7i'-rin-rl
"O:•e�i..� P.
q D
_ APPROVALS
SIGNATURE OF
APPLICANT 7-,4f.
-i•- DATE INSPECTOR'S SIGNATURE
l
ADDRESS ��"/� �h, f§�.lw-�.. •eve ,4f. FOUNDATION: LOCATION -(,�_�r•�� j-'•/ -�I�t`-
FORMS, MATERIALS. 0 �i
P. C. S _ FRAME: FIRE STOPS,- Q1 / �'•"
7 �e
FEE - 'BRACING. BOLTS- •LOCAYI
-VALUATION
$ FURNACE:
GAS VENT. DUCTS
N s'Y f•Z' -JQ
FEE
I•HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH, INT. Df.q 9�i�� FS�"L+'lal,►./o/%/d�
,. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND , - U fr(/ U,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ND LATH. EXT. -
STATE LAWS EGULAT ILDIN 'C STR ON
r SIGNATURE OF HOUSE NUMBER,COR-
RECT AND POSTED
PERMITTEE / ,
ADDRESS FINAL /- Z-Z 6/7 MW Y -
JOHN A. LAMBIE, COUNTY ENGINEER, CL-YDE.N. DIRLAM, PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION y CK. -M.O. CASH PESMIT VALIDATIONK' M.O. CASH
0,,9 3. 9°� AUG =�-
�. _..
76A638A CE#803-10.86 APRLlCATl®N F0'k , B'Ul L•®8-NG P'E,RMIT
BUILDING AND SAFETY DMSION -aoo elsN '
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Depaitment of County Engineer
County of Los Angeles LOCALITY ` jji_l/� tiJ`ri
JOHN A. LAMME, COUNTY ENGINEER NEAREST
_ . CASSATT D. GRIFFIN, SUPT OF BUILDING 'CROSS ST.
D1STRICTNO
'FOR APPLICANT.TO FILL IN 0'NO.- GROUP YPE SEWER MAP ,
--0' �B K
I CONST_ I "I
BUILDING -
ADDRESS IJJy /y '�.:J lJ »'Jd'k STATISTICAL . •
SIFICATION. -
//� i �./,L- CLASS. NO. DWELL.' UNITS
LOT NO. ,/V. S 1 ��7 BLOCK MqP d ,STATE
TRACT ,YES ANO
S—� - - NUMBER - HWY -
.: - USE Z NE SPECIAL-- _
^! NO. OF'BLDGS. CONDITIONS
ks - - - - -
SIZE OF LOT O / — NOW ON LOT '
USE OF �/
EXISTING BLDG. CJ L+►p `e/ BUILDING YARD' HWY - STREET NAME - EXIST.
,SETBACK - WIDTH -
OWNERFRONT '
MAIL 19".2
✓
ADDRESS 6,092 /V /ry i,05- 4 -a-ft SIDE -'
TEL
P. L.-
CITY % )b-�i�P C!J 5/ NO.
ARCHITECT INSPECTION RECORD,
R TEL.
,ENGINEER NO.
ADDRESS -�// , ..TEL. F - - / .:�. /� l� 'LLl'1U/
CONTRACTOR (Ji�T10G-'D�lC /
777)
13,
ADDRESS �+ '
DESCRIPTION OF WORK J 7EF L D'J-bv/5GJ - l/o
NEW - ADD2 ALTER REPAIR DEMOLISH
SQ.IZ FT. �• TORIES. FAMILIES
SIZE 3/
USE-OF STRUCTURE
Y
- - - APPROVALS
SIGNATURE OF ,
APPLICANT �t DATE_:- INSPECTOR'S SIGNATURE
ADDRESS .S.IPVf�. ¢�� ✓ F FOUNDATION:
FORMS, MATERIALSION /"7Jo r
�.
$ .�. v� P, C. S FRAME: FIRE STOP_S. .- _ _
-FEE BRACING, BOLTS �'O 7• A - //
FURNACE: LOCATION. + -
VALUATION a` �
FEE GAS VENT. DUCTS'
,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH.lNT., `
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - - - '--
AGREE TO COMPLY WITH ALL C TY ORDINANCES A 'LATH. EXT:
STATE LAWS RE L'LATIN INNS=RUC ,
SIGNATURE OF jSij HOUSE NUMBER COR-
PERMITTEE RECT AND-POSTED -
ADDRESS_=t?? FINAL y '/ s•- -� -y
/•.
JOIiN'A. LAMBIE."COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STRU TURAL ENGINEER
PLAN CHECK VALIDATION cK. M.o. CASH PERMIT VALIDATION M.o. CASH
40.
F
!.
'7118.A863.9'6A D88.9 - A D®L I V A7'®N - FOR O V IL®' NG PERMIT ' , ,
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DIVISION OF BUILDING AND SAFETY- B U 1 LD i NGIK iv,
Deportment of County Engineer ADDRESS,,
County of Los Angeles LocALiTY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST �.
CASSATT D.GRIFFIN,_SUP'7 OF BUILDING'. CROSS ST.
FADDRESS
OR 'APPLICANT TO FILL IN DISTRICT:NO. GROUP ,TYPE SEWER. MAP '
1 �/ r K P
,mfr CONSTY -
//�� QQ 'q w`p,,w' MAP - STATE..' - YES
(l/�/7 flt,°F/yl"/' NUMBER HWY'•-•S IDITIO BLOCK" USE ONE •CON ECTAL SNO. OF BLDGS.T- I NOW ON LOT BUILDING YARD HWY STREET NAME EXIST.
SETBACK - WIDTH
USE OF
EXISTING BLDG. FRONT
P. L.,
,OWNER �: lf✓'I�'�K I/.7 •SIDE
MAIL - �j_ /�s� �+ ,y
ADDRESS O TRACT DWELL. !'UNIT
�i/�i�LE C hT NO TEL. 'I DWELL./ 1 UNIT 5 - INDUSTRIAL
CITY 6XJ .6- PUBLIC,BL'DG.'- '
ARCHITECT OR• TEL. Z DUPLEX 2 UNITS "
ENGINEER NO. 7 ADDN.,ALT.,,ETC.
3 APT. UNITS
$ MISCEL. -
ADDRESS 4� COMMERCIAL' " _
-CONTRACTOR W] •�I 1 C TEL�Y NO.��:'� ;� INSPECTION RECORD
ADDRESS . /6, y?o :.N. Rosa_ M1=Rp
DESCRIPTION OF WORg
NEW ADDAO"e ALTER REPAIR, 'DEMOLISH
--SO. FT: - NO:•OF NO.•OF �O Lt !/ .IY��_ 4 � Bliii,6.-
SIZE STORIES FAMILIESn�� ,5 j
USE OF STRUCTURE A7/
_ 04
- _/A�?fOA""'4'i
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS'- DATE INSPECTOR'S`SIGNATURE
FOUNDATION: LOCATION
P:C.-'s, FORMS.MATERIALS J -
� � FEE FRAME: FIRE STOPS, '
VALUATION , , S �' .!BRACING, BOLTS
FEE ,FURNACE: LOCATION.
1- HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT, DUCTS
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, L _ HOUSE NUMBER COR- _ f
PERMITTEE RECT AND
ADDRESS ��� FINAL
'.JOHN A-.LAM-81E, COUNTY ENGINEER V LIDATION• CLYDE N. DIRL.AM:CHIEF BLDG. INSPECTOR
MO CASH -
LAC
3 9;7.--*3 JANf3 1 2.O 0 In
_ - ' _-
WORKERS'COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self
insure, or a certificate of Workers' Compensation Insurance, APPLICATION FOR BUILDING PERMIT
or a certified copy thereof (Sec. 3800, L C.) COUNTY OF LOS ANGELES 1 BUILDING AND SAFETY
Policy No. OS� Company K1J�
❑ C rtified copy is hereby furnished. FOR APPLIC T TO FILL IN BUILDING
ADDRESS
Certified copy is filed with the county building inspec- BUILDING i
tion epartmy(`/e/nt. ADDRESS
Date —OApplicanT CITY ZIP LOCALITY
CERTIFICATE OF EXEMPTION M WORKERS' NO. 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 BLOCK LOT NO. MAP BOOK PAGE PARCEL
TEL USE ZONE MAP
I certify that in the performance of the work for which this OWNE NO. NO. p
permit is issued, I shall not employ any person in any manner ADDRESS Q � SPECIAL
so as-to become subject to the W4Png
s'Compe ation Laws. CONDITIONS
u
CITY ZIP
Date Applicant
NOTICE TO APPLICANT: If, after is er ificate of ARCHITECT OR TEL. DISTRICT. GROUP TYPE FIRE PROCESSED BY
Exemption, you should become subject to the Workers' ENGINEER NO !}� z CONST. ZONE
A0 U
Compensation-provisions of the Labor Code, you must forth- ADDRESS /"`� ✓ �Q .�
with comply with such provisions or this permit shall be-
deemed revoked. TEL. �-�a� STATISTICAL CLASSIFICATION T. C NDO:
1. CONTRACTOR' NO '�J G� c1 s
LICENSED CONTRACTORS DECLARATION / 'LIC. TI� CLASS NO._DWELL. UNITS
1 hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO./ a -53
(commencing with Section 7000)of Division 3 of the Business and / LIC. .,�O SEWER,MAP
Professions Code, and my license is in full force and effect. CITY o 0/ CLASS BK PG- VALIDATION
_ SQ. FT. NO.OF NO. OF, CHECK
License Num er /ef.�-'7 Lic.ClassNEW SIZE STORIES FAMILIES ONE
VALUATION
Contract ate — DESCRIPTION OF WORK 40 1
ADD
❑ s
❑ I am exempt under Seca
ALTER ❑ ,
B.BP.C. for This reason r< REPAIR ❑ $ "
D
USE/Of
Date: DEMO,
EXISTING BLDG. � -
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO. DATE
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL r''.Q • l P.
Professions Code): PRESENT BY
❑ BUILDING o o,0 0 0
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 , /v S� 2 0 0.5 9 2 5
7044, Business and Professions Code). MOVING - TEL.
❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. o 0 0 1:7 9 2 5 U
with licensed contractors to construct the project (Sec- ADDRESS () [>. 0 3— [�
tion 7044, Business and Professions Code). .
CONSTRUCTION LENDING AGENCY SETT BACKD YARD- "HWY TOTAPREOTPAINEFROM 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 poll -
I certify that Ihave-read this application and state that the Issuance fee U �� LDMA P/C# -
above information is correct. I agree to comply with all County Investigation Fee
m ordinances and State.laws relating to building construction, Total Fee -i 't LDMA Perm. # -
v and hereby authorize representatives of this County to enter
m upo t above- entioned property for inspection purposes.
a I SEE REVERSE FOR EXPLANATORY LANGUAGE
o
Signature of 1- cant or Agent Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
t DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9804100013
PHONE: (818) 285-0488 EXT:
- LEGAL ID: NO. OF CONST BUILDING ADD S :
TR: 6561 LT: 114 SQ. FT STORIES TYPE 6037 KAUFFMAN AV
STRUCTURE: 0 VN TEMP CA 917801742
ASSESSOR INFORMA 0 NEAREST CROSS STREET:
5385-018-006 THOMAS'PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: - S D 0 PROCESSED P N:
EXIST OCC GRP: 04/10/98 UT 04/10/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE, FINAL B D
DABNEY ROBERT F;SHARON L (626) 286-3949- 1 2,720
6037 KAUFFMAN AV �Iww 66
TEMP 917801742 FEES PAID D IP WOR
T/0 3 LAYERS EXISTING ROOF AND 1 STALL 3 PLY BUILT UP ROOF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
C L.
TPJ ROOFING (714) 984-4299- AA BLDG PERMIT ISSUANCE 27.75
240 W. WILSON 'AC STRONG MOTION RESID 2720.00 VAL 0.50 SPECIAL CONDITIONS:
PLACENTIA, CA D2 PERMIT W/0 EN=HC- -`2720:00 VAL 99.15
Gf L T2,T L FEES ' 127.40
ONTRACTOR: EL. ��� I; APPROVALS DATE INSPECTOR SI A URE
T P J ROOFING OF PLACENTIA (714) 579-1753- �� "' .• f
240 W WILSON LIC. 'NO �,J�y LOCATION AND SETBACKS
PLACENTIA, CA 92870 733997 C39 �Y `3
SOILS ENGINEER APPROVAF
C GIN TEL. N ��� \ Fb�G )N/TRENCH FORMS
LIC. N0: BLUNDER FLOOR
RAIS50 FLOOR FRAMING
1 1 / V `i
MAP 0: SEWER MAP BOOK: PAGE:
FIRE ONE: CMP: ) r/� 1/�,,->' J,I i\` UNDERFLOOR INSULATION
150H269 3 01 �1L���_�� -` FLOOR SHEATHING
OF FAMILIES: DWELLING S:. APT/CO : STAT C - - -- - - - - - - - - -
<NO 21 ROOF SHEATHING� 1/
-HAZARDOUS
HOOL WITHIN
SH R PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ��C �E�� �f=', A` - FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST
SET BACK YARD: HWY: PROP LINE: WIDTH: INSULATION/WE P
FRONT PL- �� �'� �:�
SIDE PL-
INTERIOR LATH7ffWY9AUL
EXTERIOR LATH
RATED L .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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