HomeMy Public PortalAbout6127 KAUFFMAN AVE_Building__ 78A 638A CE#803 9-87
APPLICATION F BUILDom G PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT Off` COUNTY ENGINEER ADDRESS y
BUILDING AND SAFETY-DIVISION
LOCALITY % (�
JOHN A. LAMBIE, COUNTY ENGINEER 'NEAREST
COLEMAN W. JENKINS; SUP T of BUILDING CROSS ST, s
FOR APPLICANT TO FILL IN DISTRIc�T�N9 cacauP T NS E BY
' (Bnni ort pe only) c�!
V CONST.
BUILDING STATISTICAL CL SSIFICATION 'SEWER MAP
ADDRESS - 'CLASS NOA�DWELL•UNITS BK4
LOT N ,! BLOCK - USE ZONE MAP
NO.
TRACT ,SPECIAL
NO.OF BLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT e
USE.OF ^/
EXISTING BLDG. _ `i-, BLDG.SETBACK FROM '
of
-TEL FRONT PROP.LINE OF - (STREET?
OWNER /� NO TYPE OF EXISTING SETBACK HI } YARD = TOTAL
ADORES p( HIGHWAY WIDTH FROM G.L.
drK � � _7 •
CIT - - i CJ - }• (�Q
BLDG.SETBACK FROM - -
ARCHITECT ORTEL. SIDE'PROP.LINE OF - (STREET)
ENGINEER 6r NO.
TYPE OF EXISTING SETBACK HIGHWAY } YARD- _ '-TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. } _
CONTRACTOO
ADDRESS NO CORNER CUTOFF YES ❑ NO U
CITY CLASS •SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
z
ADD ALTER REPAIR DEMOLISH _
Q. FT.- NO. OF NO. OF
MAI
SIZE STORIES FAMILIES '
USE OF -
STRUCTURE
SIGNATU OF
APPLICANT
f�
VALUATION $ APPROVALS D E INSPECTOR'S SIGNATURE
P.C. v PMT. r.7( FOUNDATION: LOCATION /
FEE $ FEE $ -,a (/ FORMS, MATERIALS i
,FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION BRACING, BOLTS l
AND STATE THAT THE ABOVE ISCORRECTAND AGREE TO COMPLY ,FURNACE' LOCATION, '7
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK _
AUTHORIZED'HEREBY'I WILL NOT EMPLOY ANY PERSON IN VIOLA.
TION OF THE LABOR CODE OF'THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE -
LATH, EXT. -
SIGNATUREO 'HOUSE NUMBER COR-
Pi TTEE RECT AND POSTED
ADDRESS FINAL '-
PLAN CHECK VALIDATION CK M o CASH JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENO_, R PERMIT VALIDATION CK- MO
- DEPARTMENT OF COUNTY ENMiE Tv / L-'�--c�
- -7DWfEf ON OF BUILDING' AND SAFElo
COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, ,COUNTY ENGINE�i l APPLICATION . .
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE •USE ONLY
BUILDING - DISTRICT NO. PLAN CK.OR REc.No. ; PERMIT NO. -
ADDRE88 b(S
LOCALITY RECEIVED BY - DATE OFA L. DATE 18 UED
NEAREST'.
CROSS ST �� BUIL•DING-
OWNER ADDRESS n
MAIL ' .;� s - LOCALITY G I - -
ADDRESS' ) •� - , -
• NEAREST
CITY 7 /
IT
p - CROSS ST.
ENGI{NEE )��yTEL, ZONE PLANS - •I FIRETYPET.,,__; I GRO -
- r BLDG. L } --
ADDRESS - SETBACK'LINE L. cM
TEL. USE- APPROVED I
CONTRA _ a �c �� O, ' -) J� .ZONE BY DATE Z i
HOUSE NU EKING
ADDRESS 41 s: _(•f J �__ ,-
, LEGAL MAP NUMBER 200 3 NO. ASSIGNED BY
DESCRIPTION LOT NO.
B K _ CORRECTIONS . "'
TRACT . w ,
a " t
NO. OF,BLQ
SIZE OF LOT NO ON L
USE OF NO.*OF 1-
EXISTING BLDG. AMiLis
DESCRIPTION OF WORK o —
NEW ALTERATION ADDITION ��7;
REPAIR DEMOLITION - �—�jT-�� .�I�-�/'- --Sppa'r ,�1 '•D
SQ. FT. J NO. OF / B V Af Ahr H J T�,E�,C 72 Ae I' _...
SIZE 6 ROOMS �� STORIES /
EXT. WALL ROOF /
COVERING I COVERING �)" ��
AV
USE OF STRUCTURE
L .- APPROVALS'
INSPECTOR'S SIGNATURE . DATE
FOUNDATION: LOCATION ,`
- FORMS, MATERIALS ,�."�GJ
1 HEREBY ACKNOWLEDGE,THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE,INFORMATION GIVEN IS. BRACING, BOLTS
CORRECT.
IAGREE TO COMPLY WITH`,ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LA REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE LATH,'INT.
PERMITTE 2'
• LATH. EXT.
ADDRESS -
/'• PLASTER,•INT.
AUTHORIZED ABT.
O O- PLASTER, EXT, '
FEE �) O� HOUSE
AND POSTEDR
VALUATION -
FEE ��— FINAL
76A888A D"9 882
�'
WORKERS' COMPENSATION DECLARATION
hereby
o 'consentof - APPLICATION _ PERMIT insurer a certiftate ofWorkes' Compensation' u'ra� rFORFOR -LDING : .
or a certified copy thereof.(Sec. 3800, Lab. C,) COUNTY OF LOS ANGELES BUILDING AND SAFETY'
Policy No. Company UILDIN�G / ' _ ll
❑ `.Certified copy is hereby,'furnished. FOR APPLICANT TO FILL IN ADDRESS / J
)KCertified copy is filed with the county building inspec- BUILDING -
tion department: ADDRESS
'341-k W CJ �o YJ CITY ZIP d LOCALITY ..a
Dare Applicant^/// NO OF.BLDGS.
CERTIFICATE,OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST- -
CROSS ST
COMPENSATION'INSURANCE ASSESSOR '
(This'sechon'need not.be cornpleted;if'the p'ermrt is for,oneTRACT BLOCK LOT NO MAP BOOK,,; PAGE PARCEL
,hu ndred',dollars'($100)'or less.) TEL, t` q
OWNER CA- S Q NO T — I o0 USE ZONE - MAP
NO
I certify that in the performance of.the•work.for which this 11 G
.,permit is,issued,sl shall not em to an ersori in an manner -F ADDRESS �1 J64-tJ —r7m SPECIAL c,
p y Y'P y ' �� �� `. CONDITIONS '
so as to become subject.to the Workers' Compensation Laws. O
CITY ZIP (7 :rE
Date Applicant ARCHITECT OR TEL DISTRICT GROUP TYPE' FIRE CESSED•BY
NOTICE TO'APPLICANT. 'If,.after makm this Certificate of ENGINEER- NO
9' 1 CONST. ZONE O
•Exemption, you should become-•sublect',to- the Workers' S'D O Q-3 /f .f i w
Compensation.provisions of the Labor Code, you must forth- -- ADDRESS i a
with comply with,:such provisions br this permit shall be l W OL TEL .7 Q STATISTICAL CLASSIFICATION _ APT CONDO. Z .
CONTRACTOR'/ r.S V NO.S_3—O OO
• -deemed revoked: - ,: � . '.•• •,' .• - —
LICENSED CONTRACTORS DECLARATION //[ /f,� LIC. p CLASS NO DWELL UNITS
I hereby offjrm.that I am licensed under provisions of Chapter 9 - ADDRESS(v ( /`t,,:. NO' a 77 3 SEWER MAP
(commencing with Section 7000)-of-Division-3 of the-Busmess LIC
aTY Sin/ M AyLJ N.O CLASS
and Professtons Code,and my li ense,is in'fulI force a effect:• BK PG. VALIDATION
SQ FT NO OF' NO. OF CHECK
License Number `Lic. Cldss� SIZE STORIES FAMILIES ONE
1<2; �,/J S VALUATION
ContraclorJ � ��' Date ��� ,��i DESCRIPTION OF WORK NEW ❑ ; �° b
EDI am,exempt under Sec. r _. o / ADD ❑ �J y ►
ALTER.
B.&P.C. for this reason RE'PA '❑ $
Date: USE OF .' I
�
EXISTING BLDG. DEMOL L
Signature APPLICANT TEL. . FINAL
OWNER-BUILDER DECLARATION, '. (PRINT), NO DATE `
I hereby affirm that 16m exempt from the Contractor's License — - ca
Law for the follovvi'ng'reason (Section 7031.5, Business and ADDRESS FINA s
Professioris.Code): „ PRESENT By ANT it _
BUILDING ' •I�'y ) •t
❑ I,-,as owner,of the property,-pr.my.employees,with ADDRESS 1}(77 1L7 .■1J
wages a -their sole compensation,will do the work and 1 ITEMS
the structure is not intended or offered for sale(Section LOCALITY TOTAL
f T 1 •� ,�y
7044, Business and Professions Code.) - MOVING TEL - ,w 1 t11�L' b�Y 13 ,
CONTRACTOR NO a> 1 }; 1
,,, ❑ I, as owner of the property, am exclusively contracting i-NECK
with licensed,contractors to construct the,project,(Sec- ADDRESS �``
tion 7044,'Business and Professions Code.) _ (.1f'{tLl'tt3E_ ■I)I-4
REQUIRED TOTAL SETBACK FROM EXIST.." ,
CONSTRUCTION LENDING AGENCY SET BACK •YARD HWY PROP LINE WIDTH ' `� ++,`
5 r-
Ihereby affirm that there is a construction lending agency for FRONT v ?~�J ti="; � ' p 4~
the performance of the work for which this permit is,issued P L. './fir'
(Sec. 3097,,Civ C,•).- SIDE
Lender's-Name' ~t ~
-LD MA Ref #
P.C. Fee$ Permit Fee J/
Lender's Address >
0-
pp
o I certify'ihat,I have read this application and state that the Issuance Fee LDMA'P/�•#'.;_P•;'
ab information is,correct. I agree to comply with all County Investigation Fee_
8 U �,"■ 3t
ord' antes and St a laws rel ting to building,consiruction, Total-Fee LDMA•Peim. #
a a hereby, repre a i es of this County to enter _
on the n i e aper y--for insp ction purposes. '
< I . •
SEE REVERSE FOR EXPLANATORY LANGUAGE_,_
Signature of Applic nt or Agent Date
COUNTY OF LOS-ANGELES TEMPLE CITY # 0508 BUILDiidG PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0405270002
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST BUILDING ADDRESS: "
ON FILE SQ. FT STORIES TYPE 6127 KAUFFMAN AV
STRUCTURE: 2400 VN TEMP CA 917801744
ASSESSOR INFORMATION B : NEAREST CROSS STREET: GARIBAL_DI
5385-017-008 THOMAS PAGE: 597 GRID: 'A2 LOCALITY: TEMPLE CITY, C
EXIST BLDG SE: RESID USE ZONE: R-1 ?SSU 0 R .S P .
EXIST OCC GRP: 05/2-/04 VG 05/22/05
OWNER: EL. NO: 9LDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
GE SHUNDI;XI JIEYUN (626) 285-7138- - 3,500 C� ��
6127 KAUFFMAN AV _
TEMP 917801744 FEES PAID - DESCRIPTION
T,-'O EXIST ROOF 8 INSTALL COMP SHINGLES, MINOR DRYWALL REPAIR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
PPL C 0:
FABER (909) 949-4397- AA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION RESID 3500.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 3500.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
FABER, JOHN WM. (909) 949-4397-
ROOFING PLUS LIC. NO LOCATION AND SETBACKS
20 N. CENTRAL AVE 70820-BHIC
UPLAND, CA SOILS ENGINEER APPOVAL
ARCHITECT OR ENGINEER: -------T-�-O- ---MI5_uw9_FiCN T E CH FORM
LIC. NO: i °LAB/UNDER FLOOR '
I
RAiSLD FLOOR FRAMIT'.--
MAP NO: SEWER MAP BOOK: PA-G-ET FIRE ZONE: CF1P: UNDERFLOOR INSULATION
XX 3 0S
FL OR'SHEATHING
NO. OF FAMILIES: DWELLING URITS: APT ,.0 -
CLASS-.-No 21 ROOF SHEATHING
SCHOOL WITHIN-_ HAZARDOUS SHEAR PA WET
AIR. QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TO AL SETBACK FROMEXIST- FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- '
�_INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED L L ASSEt4.
RATED WALL ASSEMBLIES
RATED SHA /OP GS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508