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HomeMy Public PortalAbout6217 KAUFFMAN AVE_Building__ •3 .. , TEMPLE CITE 7GA636A CE y669 i.160 APPLICATION FOR BUILDING .PERMIT COUNTY OF LOS ANGELES. Bfj,lLDING ADDRESSoZ DEPARTMENT OF COUNTY ENGINEER BUILDING AND_SAFETY,DIVISION LOCALI JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS S ISTRICT NO. OUP TYPE PR CESSED BY FOR APPLICA7qr CONST,_ BUILDING y� TATISTICAL CLASSIFICATION SEWER.M_AP ADDRESS I. '� I 1 K �' CLASS.NO.�DWELL.UNITS 0 LOT,NO. �_ MAP STATE YES O UMBER HWY. TRACT F ZONE SPECIAL- SIZE OF.LOT , d k O �� - CONDITIONS USE OF,EXISTING BLDG. OhYt.QILDING EXISYARD HWY • STREET NAMEETBACK W DTH OWNER ' a RONT t P. L. / ADDRESS SIDE - ARCHITECT OR TEL. ?.L. ENGINEER No. INSPECTION RECORD ADDRESS - TEL. _ W CONTRACTOR NO. � O ADDRESS DESCRIPTION OF•WORK � PM 7 -7 -4*c, : O F NEWX ADD ALTER REPAIR " DEMOLISH• _ SQ.FT. Q'C.NO.OF NO.OF a SIZE dJ ! STORIES FAMILIES N USE OF STRUCTURE Fa SIGNATURE O , 'e.B, APPLICANT v - .- VALUATION$ APPROVALS .DATE INSPECTOR'S SIGNATURE P.C.' PMT. �/ S"C� FOUNDATION:LOCATION FEE $ FEE $ / s FORMS, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAMEBRAC: FIRE STOPS, 0 ' ING, BOLTS � � PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FURNACE.LOCATIDUCTSON," IxO' / STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT 1 CERTIFY'THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT. , e WILL NOT EMPLOY ANY PERSON' IN VIOLATION OF THE 4,' IF E. WORKMEN'S COMPENSATION LAWS OF CALIFORNIA. - LATH,EXT. . IGNATURE OFT � � HOUSE NUMBER COR- PERMITTE RECT AND POSTED ADDRESS FINAL a• �O 'Ll / A��Gl�6�B� CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION,' CK. M.O. CnsH PERNIIT VALIDATION CK. M.O. GASH l. .C�2, � �. Ott � o 21 -.00 �® P 76AG38ACE#803-,o-geAPPLICATION FOR BUILDING PERMIT 1 BUILDING AND SAFETY DIVISION BUILDING ADDRESS Department of County Engineer - County of LOS Angeles LOCALITY -JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT-L6®'. I GRO SEWER- MAP FOR APPLICANT TO FILL IN 16 r'K• CONST. BUILDING f STATISTICAL SIFICATION - ADDRESS ' LOT-NO. - BLOCK. CLASS. NO. DWELL. UNITS ' MAP ' 29910 . STATHWYE NUMBER YES. _ TRACT - .I1�J - USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE-OF LOT - I NOW ON LOT - USE OF '- EXISTING BLDG. - BUILDING EXIST. SETBACK- YARD, HWY _ STREET NAME WIDTH OWNER C-- $ Ht;gB - FRONT ! - - MAIL 6`217 NKauffman - P- L. AQ - �/ ADDRESS • SIDE CITY Temple City NO`.Ki 63942 - P. L. ARCHITECT OR TEL. INSPECTION RECORD ENGINEER - NO. - - ADDRESS TEL. _2 J / �Q Q CONTRACTOR N75-33 ADDRESS 309 B. Valleyt - - DESCRIPTION OF WORK - •,?n is 9 Gt`�*Gv! �tl-�r�C �',�f,T NEWT. - ADD. ALTER NO. NO REPAIR DEMOLISH - _ y,.•� /� �o / _ SIZE- STORIES FAMILIES USE OF.STRUCTURFj"35,000 BTU - Wall Heater - r APPROVALS SIGNATURE .APPLICANT f 7 DATE- INSPECTOR'S SIGNATURE ADDRESSey S=7j05 E. VallG FOUNDATION: LOCATION -• FORMS, MATERIALS - $ CX^ " P. C. S FRAME: FIRE STOPS. " - FEEBRACING. BOLTS - S FURNACE: LOCATION. VALUATION - M/y� GAS VENT. DUCTS FEE .vV 1 HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS AP- LATH. INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND - = STATE LAWS REGbJLATING BUILDING CONST C,TION. LATH.-EXT.' - SIGNATURE OF ( O` HOUSE NUMBER COR- PERMITTEE ��` RECT AND POSTED- - ADDRESS aahri 03 FINALJOHN A.A. LAMBIE, COUNTY ENGINEER. CLYDE N. DIRLAM. PRINCIPAL STR' TURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. r .^ '6.2 2_1,SEP 15 1 A DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELESL 1 WM. J. FOX, CHIEF ENGINEER NFOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ` �� A/ �� ADDRESS /(/ /�/s=,41!/,4/1; LOCALITY �¢=./'(����A [ /"�"t,/ REC/EIVVE�D� BY DATE OF APPPL.�/ 'DATE I/S/QQUED NEAREST CROSS ST. �"' " /J} // BUILDING �j / I�•��/�/ /� / OWNER (d } A � .0� _ ADDRESS (� /� ADDRESS / / '•'• lV / a 1=M,•,A) LOCALITY i Ci. _A v- - NEAREST TEL. CROSS ST. CITY � �.��•��� f=: r / `2T NO. ' FIRE NO.OF _ TYPE GROUP �+ ARCHITECT OR TEL. ZONE PLANS �� /� ENGINEER NO. f BLDG. ORD.NO. ADDRESS SETBACK LINE f,� ,/�1 -APPROVED CONTRACTOR ( . l� t/_I!� NO. ,/"]a� BY DATE USE APPROVED ADDRESS ��r 6 i/.�C.t,./• +-re.�.mr_. ZONE BY DATE LEGAL DESCRIPTION N LOOTT NO. ` A CORRECTIONS TRACT 4 �I '1 NO.OF S SIZE OF LOT .� .X / "I NOW ON LOT USE OF NO.OFNO.OF EXISTING BLDG. I FAMILIES I ROOMS DESCRIPTION OF WORK• . NEW ALTERATION ADDITION - O A REPAIR MOVING DEMOLISHcl Sq.FT. NO.OFZ SIZE �.,.��0.1 /ROOMS ]"�J STORIES WALLROOF COVERING �11i,:i 'J�//lI COVERING USE OF NEW �/��1 BUILDING / '/_ ll�__ ll� ' _ I � r 1 HEREBY ACKNOWLEDGE THAT 1 HAV4'C-� APPROVALS APPLICATION AND STATE THAT THE ABOVFOUNDATION: LOCATION IN'bPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTYFORMS,MATERIALS /! �!f ,-- FRAME: AND STATE LAWN REGULATING-BUILDING C �l FRAME: FI RE STOPS, 1��, I�� ,f �� SIGNATURE OF , /f/ �' [�,,, ///�1 n� BRACING, BOLTS 'l /�/� I� PERMITTE l 1�+ �/ (�X .JrLATH,INT.: � l 1 AUTHORIZED AGT LATH,EXT.: " Wit. •` DBS-3 soM seTS 7-47 $ rr Q � P. PLASTER,INT. /1 FEPLASTER,EXT.VALUATION FE ` —F_I NAL •f �O,0 "' BUILD NG ® ' ; ADDRESS. Lam! ` '`/ APPLICATION LOCALITY / C� Q DIVISION OF BUILDING AND SAFETY NEAREST CROSS ST. ' Department Of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO. County of Los Angeles -25_� 3111 y�T WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE SS CA89ATT D. GRIFFIN, 9UP'T OF BUILDING v TFOR APPLICANT TO FILL IN TYPE CONST. RECEIR OWNER( MAP - 6r/�� STATE YES NO MAIL NUMBERHWY ADDRESS �/ri1 - /� USE ZONE SPECIAL �� 0��,, TEL CONDITIONS CITY �;a /� N O. I - ARCHITECT OR TEL. ENGINEER NO. BUILDINGYARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS O / //�� 1 / ��7 FRONT CONTRACT /// NOjL/-�// 7� BIDE, M/'! P.L. ADDRESS DATE CORRECTION8 INSPECTOR BUILDING / ADDRESS LOT NO. / J� BLOCK TRACTNO.OF �Q,/I I NOW ON LOT -- USE OF SIZE OF LOT 2—&– U c� U 1/ EXISTING BLDG. �J DESCRIPTION OF WORK CL LS / m /-7-7- JT /� D �/�17' o_ NEW ADD ALTER REPAIR DEMOLISH // J� / Z -BE).FT. NO. OFj1 NO.OF r SIZE STORI,EB - FAMILIES - USE OF STRU TURE NO.OF EMPLOYEES I' HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS AP- , PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS /` 1 ' FRAME: FIRE STOPS, /v� SIGNATURE or -BRACING, �G►t/� BRACING,BOLTS (_ - PERMITTE� �GYYYY FURNACE: LOCATION, ADDRESS �`n GAS VENT,DUCTS �j LATH, INT. AUTHORIZED AGT. LATH, EXT. $ P.C.S ; HOUSE NUMBER COR- 'V FEE / RECT AND POSTED VALUATION FEE CCCUvv PINAL 76A63BA DBS 3 12-S3 TEMPLE COTY ,M!]Y.CE#8031✓60 :APPLICATION, FOR BUILDING PERMIT 1• ' COUNTY OF LOS ANGELES . BUILDING. DEPARTMENT OF COUNTY ENGU EER ADD ESS BUILDINGAND SAFETY DMSION LOCALI JOHN A. LAMBIE, COUNTY ENGINEER _ NEAREST WILLIAM A. JENSEN SUPT OF•BUILDING CROSS ST DISTRICT NO. UP TYPE PR CESSED BY - FOR APPLICANT TO FILL IN' vi ';6-�. CONI . I- B STATISTICAL CLASSIFICATION SEWER MAP UILDING- �q_ ,� BK' PG ADDRESS LL CLASS:NO.L(2LDWELL.UNITS" 7 LOT NO. _ BLOCK MAP_ '-) STATE NUMBER , (/ Ham. YES NO TRACT /�f,L(jCJ USE ZONE SPECIAL . SIZE OF LOT 5*©7- ' 0 13 I NO.OF BLDGS. (/(\\\J CONDITIONS NOW ON LOT USE OF EXISTING BLDG. 6BUILDING EXIST. TEL. SETBACK YARD HWY STREET NAME. WIDTH OWNER NO. FRONT - • ADDRESSSIDE ARCHITECT OR TEL , P.L. 10 ENGINEER No. INSPECTION RECORD ADDRESS TEL. a CONTRACTOR NO. O ADDRESS V DESCRIPTION OF WORK F O U NEW ADD ALTER REPAIR' DE ISH W SO.FT. NO.OF . Nb.OF Q1 SIZE STORIES FAMILIES y USE OF . STRUCTURE SIGNATURE OF •APPLICANT VALUATION$ APPROVALS` DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION P.C. PMT. •eD - - FEE '$ FEE ��- FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, - BRACING, BOLTS PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY-ORDINANCES AND - STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS I CERTIFY THAT IN DOING 'THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS OF'CALIFORNIA. LATH,EXT. SIGNATURE OF+ HOUSE NUMBER COR- SIGNATURE ..r' RECT AND POSTED ADDRESS ` FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN , PLAN- CHECK VALIDATION CK: 11 M.O. CASH PERM VALIDATION CK. M.O. CASH' - l ACDF 6 0 1 jutl 2 2 -1 D • 2.0-0. ®' _APPLICATION FOR.-BUILDING PERMIT 7 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION'- j FOR APPLICANT TO FILL IN eU LDING ADDRESS /�lJs+� /V ✓��E ' BUILDING ADDRESS Z/ I hereby affirm that I have a certificate of consent to self Insure, or a certificate of Workers' Compensation Insurance, or a certified CITY zIP }M,� � � copy thereof (Sec 3800,-'Lab'C)' TF� /�E (if T 9/71V D LOCALITY Policy NO Company SIZE OF LOT ^� J NO OF BLDGS NOW ON LOT ❑ Certified copy IS hereby furnished._' X/ /O •NNEAREST CROSS ST (,,y`— ❑ Certified copy IS fled with the county budding inspection TRACT / - BLOCK /�� LOT NO - `ON PZ;'V J/ department (,/. 6"/3 V 0 USE ZO E MAP NO i' ASSESSOR MAP BOOK PAGE FIARCEL - Date Applicant 3 S,,,Q/(,_Oj SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' O�0- //�/.�-,�-, TEL.NO No COMPENSATION INSURANCE- v4 2Z./23 L YES NE WITHIN 1000 FT OF SCHOOL*? (This section need not be completed If the permit Is for one hundred ADDRESS p w/• L1�C DISTRICT GROUP TY�J Py�CONST FIRE ZONE PROCESSED BY dollars ($100)or less) G 'I /7 c CITY ZIP Q I certify that In the,performance of the work for which this permit Q/ I?// Gr IS issued,,I Shall not employ any person In any manner SO as,t0 ARCHITECT OR ENGINEER - TEL NO 6ecome,subjec to,the Workers'Com/9'�ns Ion Laws' STATISTICAL CLA SIFICATION APT CONDO Dater % � Applicant 4c� �I � ADDRESS CLASS NO _ DWELL UNITS NOTICE TO'APPLICANT.• IC after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption;?' you Should become subject to the Workers' CONTRACTOR - TEL'NO SET BACK YARD HWY PROP LINE WIDTH Compensation.provisions,of the Labor Code, you must forthwith 'FRONT comply with such provisions or this permit shall be deemed revoked ADDRESS 'LIC NO' P L ' A, LICENSED CONTRACTORS DECLARATION SIDE �'V/� CITY LIC CLASS P L ' 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 SIZE NO OF STORIES NO OF FAMILIES d Professions Code,and my license Is In full force and effect NEW ElBK PG ► Q License Number Llc Class ' DESCRIPTION OF WORK ADD ❑ VALUATION V ✓r SCll3v j7E- Contractor Date ALTER. ❑ El am exempt under Sec 74 Z C �QAfE 'S REPAIR 1:1O t 0 i s $ U B&PC for this reason OS%%Lr XO 4E RooDEMOL ❑ LDMA P/C# W CL �. Date USE OF EXISTING BLDG URM ❑ N j Signature "� APPLICANT(PRINT)• EL NO 'LDMA Perm# f 'ir a ❑ I, as owner of the property, or my employees with wages as �� 'v �0 �8> -37 12 I Z 3 O their sole compensation, will do-the work and-the structure Is ADDRESS A�� w�— ^7 �,�0'J not Intended or offered for sale (Section 7044,Business and 7N •?'G GO' /// f3O- •FINALDATE- -- -. L7. •- - - Q ITEM Tpj` Professions Code) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL /O +i i ElI, as owner of the property, am exclusively contracting WITH AMOUNTS S EC FIIED ON HE HAZ RDOUSOR A MIXTURE CONTAINING A SMATERIALS MATERIAL ENFORMATUAL TIIONRGUIDE�, THAN,THE FINAL BY TOTAL 877 45 I icensed contractors to construct the project (Section 7044, YES❑ NO❑ CHECK' ' '.. 1�,y Business and Professions Code)' WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING - _ F{ OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH i.�..,�jl.�t1 e1, CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR nt W/11GUIDELINES I hereby affirm that there Is a construction lending agency for YES❑ NO❑ 4 _ e' i [/ �j �_{ the performance of the work for which this permit Is Issued(Sec [HAVE READTHE HAZARDOUS MATE RIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING' 11n-Ijo—GVo1 7I 29/ 3 3097,CIV C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, N TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS .1 �{ 22 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD 1907 1 AM SR VJ Q Lender's Address ; O OWNER OR AGENT $ I certify that I have read this application and state under penalty = of perjury that the above Information is correct I agree to comply PC FEE PERMIT FEE with all county ordinances and State laws relating to building ' a constru �on, d hereby'authorize repres tatives of this County 'ISSUANCE FEE �' toe r'Cipo eeb'ove-mentioned prop for inspection pur ses • m INVESTIGATION FEE TOTAL FEE 34 SEE REVERSE FOR EXPLANATORY LANGUAGE