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HomeMy Public PortalAbout6218 KAUFFMAN AVE_Building__ ae•a n-as ssm sera APPLICATION FOR PEI011T DEPARTMENT OF BUILDING AND SAFETY j� 4 ' COUNTY OF LOS ANGELES , ;��IL�j� WM. J. FOX, CHIEF ENGINEER 1 NO.OF BLDG. ORD.NO. DISTRI O. PLAN/CK�O� PERMIT NO. PLANS SETBACK LINE ry- 6� �tO1' 'Ld .• FIRE APPROVED ZONE BY DATE AR EIV BY DATE16F APL: DA E ISSUEb f ` f USE , APPROVED �i /Fm/, Z ONE BY DATE ' LLL"` APPLICANT FILL IN HEAVILY OUTLINED PORTT•ON I N.yX a q BUILDING / NAME ADDRESS a • ADDRESS LOCALITY ��� F 0' 1 1 NEAREST . V Z CITY CROSS ST. Q STATE TEL. LICEN E NO. NO. NAME C' Z MAIL y 3 0 / NAME ADDRESS ` O TEL ADDRESS CITY NO_ ~ 1 HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS Z V CITY APPLICATION AND STATE THAT THE ABOVE IS CORRECT STATE TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LICENSE NO. NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION. U SIGNATURE OF LOT NO. 8126 OF LOT72xI��11 n .I!� OWNER Z�..' < NO. OF BLDGB. AUTHORIZED AGT� ��� ' BLOCK - NOW ON LOT � J U TRACT `' -3 -7 ' i`� CORRECTIONS f D USE OF BLDGS. NOW ON LOT i/i�r��°'//_O � Lr�•,'-/.'7 GI Ji•��`: ,moi DESCRIPTION -OF WORD= USE OF --�-� BUILDING " in irinlation of This cmv��e�Aen P241 War-Production Board orders. You are cautioned o consu t wi i0 R r P- �T�'COrZt 1BnG` t'r�P work aulhorized iri this e'rmii.. � v r NEW TYPE GROUP NO.'OF ✓ NO.OF / ALTERATION ROOMS FAMILIES-, • ADDITION SIZE Q ® I REPAIR STORIES MOVING WALL COVERING DEMOLISH ROOF-COVERING 7 '� •."- FEE $ FINAL APPROVAL `� `�. ®► �_GfJ/ INSPECTOR'S / -VALUATION / FEE DATE / , 'NAME DEPARTMENT OF BUILDING.AND SAFETY" ', " APPLICATION FOR PERMIT COUNTY OF LOS ANGELES J E "VIIM. J.' FOX, CHIEF ENGINEER 1 L FOI3 APPLICANT TO.-FILL IN FOR OFFICE USE ONLY,., BUILDING t+ _ `' �/�,1 DISTRICT NO.', PLAN CK. •NO. PERMIT NO. ADDRESS +lV'/-f �`\I`r IJ f-- 1L •V 1" , `r`.:�'�7?.:w;• i/r�/ ��'••t i+: , LOCALITY., I /y �kf C `• 7+ �- I RECEIVED BY- DATE OF APPL. NEAREST _q� A\ / �a ,-.,� �'4/6. ST. CROB ST. 001, BUILDING OWNER,,,- '.. F�.YY!'°tiff D LL ADDRESS. MAIL �p - •� - - ADDRESS LOCALITY - ' - -S •NEAREST• :TEI.2 'CROSS L. ST. .FIRE ' NO.OF TYPE GROUP ARCHITECT OR' ,. 'TEL', O ZNE PLANS ' • ENGINEER - NO. '-�- Imo. h - .. BLDG. ADDRESS _ - SETBACK.'LINE'.- - - 5 ,TEL. 'APPROVED CONTRACTOR _ NO:` °BY- ,' DATE _ •, ,USE- ,/'� APPROVED •'� ,- -ADDRESS` ZONE(�, BY` - •DATE _ I LEGAL ' DESCRIPTIO' N' LOT NO. "'I BLOCK' � ' � CORRECTIONS • TRACT.` SIZE OF, LOT- / I NOWOON LOT F ',/% I F OI� EXISTING. D [e I .ROOMS . EXISTIND.BLDG.' DESCRIPTION OF WORK NEW' ' ALTERATION - .ADDITION - O REPAIR - '.'MOVING DEMOLISH' a.•- O NO.OF •• SIZE ROOMS" STORIES r. •' WALL /_ ROOF' - - • COVERT ND /!O.iCy '� I COVERING' USE.OF•NEW BUILDING, �..�- ^/'T''+ '1 •..�C�6r" , • .t I HEREBY 'ACKNOWL'EDGE THAT I HAVE READ THIS.:. - �. APPROVAL'S APPLICATION' AND'STATE-THAT,THE ABOVE IS CORRECT_: FOUNDATION: LOCATION, INSPECTOR• DATE ' AN--D-AGREE TO COMPLY'WITH ALL COUNTY-13RDINANCEB FORMS, :MATERIALS .'AND'STATE LAWS•REGULATING BUILDING CONSTRUCTION. FRAME:.FIRE .BTOPS,;- - - ..SIGNATURE OF, BRACING, BOLTS OWNER• _ ' 0. LATH, INT.:. ' '. _ AUTHOR LATH,-EXT.: IZED•-AGT `� D ' wd• ' - - - - p•. C. PLASTER, ,I NT. FEE _ - _ - PLASTER;-EXT. _VALUATION FEE4`C;Y' ' FINAL' ' 'i2 t DEPARTMENT OF BUILDING AND SAFETY 'APPLICATION FOR PERMIT' COUNTY OF LOS ANGELES � ' `WM. `J'.' FOX,.-'HIE' ENGINEER FOR APPLICANT TO FILL IN, ,FOR. OFFICE USE ONLY _ / �A DISTRICT O.�" PLAN CK:'NO. •PERMIT NO. NG ADDSS �,:•a, J. r, /l Kms' ���� V / RECEIVED .r� BYDATE OF APPL. DATE IS UE/D(REST �!'- LOCALITYN EA ". / f�'4 f /• C Q��/.' )j CROSS ST. �j ��o ..;r q �• - /F t+mak't' BUILDING j / rp f ADDRESS 21 ��-�/d /`9�-v OWNER �✓ �•' t -,"T MAIL � LOCALITY E �p ` / _ NEARESTADDRSS L ' / r' /�C �' TEL°. pl CROSS ST. N /� QrAe CITY •11+`..r/•�.ti.:(% 7, NO. �•�14I �,;yt,611. FIRE .NO. OF 'TYPEE"�I GROUP �' ARCHITECT'OR '' ' 1' ` TEL. / ` ZONE PLANS ' ENGINEER NO. BLDG. *.- •• SETBACK LINE �• V T ADDRESS APPROVED • L/ TEL. BY - DATE CONTRACTOR, NO. USE APPROVED: • ZONE BY - DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTIONI LOT N�.R L/L BLOCK n•I MAP NUMBER a V FIELD CHECK BY TRACT NO. ASSIGNED BY Llc DATE ' /'7 NO. OF BLDGS. Ort , -- CORRECTIONS SIZE OF LOT 17:7)•r,"xv 5� I NOW ON LOT USE OF NO..OF � , EXISTING BLDG. ���, FAMILies� ; ',DESCRIPTION•OF WORE NEW I . ,I ALTERATION I I ADDITION . . ..I , I I I - O REPAIR DEMOLITION - - - --•_. ..-..».. .. . - y. 8Q. FT. NO. OF O SIZE ROOMS STORIES .Z EXT. WALL •• - ROOF f L COVERING I COVERING USE OF STRUCTURE v ' APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY `A CKNOWLEDGE THAT t HAVE READ THIS AP- FOUNDATION: LOCATION , PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS - CORRECT. :�' - I AGREE TO COMPLY WITH THE CORRECTIONS' LISTED FRAME: FIRE STOPS,, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS B LAWS;'REGULATING UILDING CONSTRUCTION. J��'�y / FURNACE: LOCATION, i 81GNATURE OF' %/'(r�. .r-��r l•' �`�J GAS VENT,, DUCTS' PERMITTEE / V.l ��!!!/// V f LATH, INT. ADDRE68 ( _ ' LATH, EXT. . AUTHORIZED•AGT. PLASTER, INT. 70A678A DBff 10-80 - $ P. C. O �'^ FEE PLASTER, EXT. VALUATION FEE '$ / �® FINAL '�eAa98A`Cs#eo3a-as APPLICATION FOR BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDREss BUILDING AND SAFETY DMSION LocaurY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN SU P•T OF BUILDING CROSS ST. 0 DISTRICT NO. GROUP TYPE P SED BY FOR APPLICANTTO FILL IN CONST. -BUILDING/ STATISTICAL CLASSIFICATION SE ER MAP ADDRESS -BK PG •/ CLASS. NO. DWELL. UNITS�I LOT NO. 5`- 72 6f/V �'�¢ cif� ¢ BLOCK�� MAP STATE YESO NUMBER HWY. TRACT : (v USE ZONE SPECIAL - NO.OF'BLDGS. CONDITIONS SIZE OF-LOT I NOW ON LOT USE OFy L EXISTING BLDG. BUILDING EXIST., SETBACK YARD HWT E'Y STREEME WIDTH OWNE FRONT 'MAIL -P.L. ADDRESS SIDE TEL. P.L. I I NO. INSPECTION RECORD ARCHIT OR TEL. -ENGINE NO. ADDRESS - TEL. CONTRACTOR' NO. ADDRESS I. DESCRIPTION'OF WORK2- E T NEW .ADD ALTER REPAIR DEMOLISH - - SO.°-FT.: NO OF NO.OF - SIZE-- STORIES FAMILIES USE OF STRUCTURE �/ SIGNATURE O � APPROVALS APPLICANT - C DATE INSPECTOR'S SIGNATURE ADDRESS ne FOUNDATION: LOCATION f FORMS:MATERIALS ' P.C. S FRAME: FIRE STOPS, .. ' v FEE BRACING. BOLTS• VALUA_TION - S - FURNACE: LOCATION. FEE 'GAS VENT,DUCTS ' I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH; INT. - - PLICATION AND STAT THAT THE ABOVE IS'.CORRECT AND AGREE TO COMPLY TH LL COUNTY ORDINANCES AND ' STATE„LAWS RE AT BUI N ON LATH. EXT. - SIGNATURE•OF• HOUSE NUMBER COR-, _'PERm[TTrFP RECT AND POSTED y ADDRESS ✓-' FINAL •O-'CS CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL INE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ,., .2 ".., - 3 r WORKERS'COMPENSATION DECLARATION hereby affirm that P have r certificate of consent to self-- r elf jt�P P I CAY I O N FOR U I L D I N G P E RM I'T insure, or a certificate of Workers' Compensation Insurance, " r a•certified copy thereof (Sec 3800, Lab. C.) - Polic �T T'E COUNTY OV LOS ANGELES BUILDING AND SAFETY-- Policy racy »3' Company JN� 1` BUILDING ® Certified copy is hereby furnished. FOR APPLICANT•TO'FILL IN ADDRESS `�v�:� ,Certified copy.is filed with the county building'mspec- BUILDING, T� tion.depariment. ADDRESS 6.Lt$ . :rF J . LOCALITY , 1.• An r NEAREST - Date A&' Applican CITY C. , ZIP 4%% CROSS ST a CERTIFICATE OF,EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT Z �'SO NOW ON LOT MAP BOOK PAGE PARCEL (This section need not•be.completed'if the permit is for one USE ZONE MAP p ' hundred dollars ($100)or'less.) TRACT BLOCK, LOT NO. NO 0 ' ' TEL r SPECIAL •I certify that in'the performance of"the work for which this OWNE V NO.A, " 7 6d� CONDITIONS d ;permit is issued,',I shall not employ any person in any manner - DISTRICT - .GROUP TYPE- FIRE PROCESSE�BY O sous to become subject to the Workers'Compensation.Laws. ADDRESS CONST ZO E U Date Applicant CITY y�T ZIP STATISTICAL CLA IFICATION APT. CONDO V NOTICE.TO'APPLICANT: If,.after making this Certrficate'of ARCHITECT O TEL ENGINEER N CLASS NO DWELL. UNITS W Exemption,'you should become,subject to the •Workers'- �` AIN ��, , s CL Compensation provisions of the Labor Code, you must forth- N ADDRESS SEWER MAP with comply with such provisions or'this permit shall be TEL Z - deemed revoked �' U. r, BK PG, �j VALIDATION CONTRACTOR LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO d VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect. CITYCLASS . $ . G Q _ _C SQ FT NO OF NO.'OF CHECK , License Number I VZ 3 Lic.Class%'A o SIZE STORIES FAMILIES ONE QQ i� NEW $ Coniractor��ly'II l Date ' O�1`S` DESCRIPTION OF WORK O I am exempt under Sec. ADD /� 7 ALTER ❑ DA EL-.Z —�4 -2 r B.BP.C. for this reason REPAIR ❑ FINAL DatUSE OF %OL n e: DE L • EXISTING BLDG. ❑ B ' SignaturAPPLICANji- TEL Y O NER-BUIL R DECLARATION PRINT NO' 72 0 Y3 I,hereby affirm that I am exempt from the Contractor's License CJ� 11`O �- Law for the following reason (Section 7031.5, Business and ADDRE 0 e V. Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees,with ADDRESS wages as their sole compensation,will do the work and 3 ' the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 9 7•Q a 8 A • j, as owner of the property, am exclusively contracting CONTRACTOR NO. _ with licensed contractors to construct the project (Sec- ADDRESS _ '0 0 0 0 0 tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST 2'- 7.8 2 5 O• , CONSTRUCTION LENDING AGENCY' SET BACK YARD-' HWY PROP LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT �/ � �T� o a 7 8 2 5 Q the performance of the work for-which this permit is issued P L (sec. 3097, c�y. C.). SIDE I iP L. Q''2 5-8 2 m : o Lender's Name r Lender's Address P.C. Fee$ Permit Fee I certify that I have read this application and state that the ' " Issuance Fee a above information is correct. I agree to comply with all County In estigation Fee t ,` • ordinances State jaws relating to building construction, - arid hereby authorize representatives of this County to enter Total FeeZ Al upon the abov entioned property for inspection purposes. ,_L 1�,7 CNI� N�I�'Cr� '�`� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent. Date •®s WORKERS'COMPENSATION DECLARATIOIyL I'here�ry affirm that I have certificate of consent to self ® P p L I: : AT I O N -FOR BUILDING PERMIT nsure, or a certificate of.Workers',Compensation Insurance, r\ , ` or a certified copy thereof (Sec. 3800,/Lab C ) ^ COUNTY OF,LOS ANGELES BUILDING AND SAFETY Policy No:L- ',fLt 13Company` S r11 ��V1�►�J• BUILDING Certified copy is hereby furnished FOR APPLICANT TO FILL IN • F.' ADDRESS 0 Certified copy,is filed with tF'ie county building inspec- BUILDING I �\ G ` `l tion'department.,' ADDRESS b)� I 1t�-� 1 LOCALITY 1 L_t �rt 1 t��`-� NEAREST Date C)�•�+�' ApplicantS� CITY PL �-1��' ZIP `��v CROSS ST L—C> CERTIFICATE OF EXEMPTION FROM WORKERS' �` � NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT off ) NON/ON LOT MAP BOOK :_ PAGE PARCEL' (This section need not-be completed if the permit is for one USE ZONE. MAP ©© hundred dollops-($100)or less.) TRACT BLOCK. LOT NO. NO • \ .• � TEL ��Q ''� SPECIAL• , y- I certi that performance of the work for which this" OWNER Ovl NO 13 �G CONDITIONS � d fY P I DISTRICT GROUP TYPE" _ FIRE PROCESSED BY O permit is issued, I shall,not employ any,person in any manner ADDRESS b� �� CONST` ZONE V so-as to become sublect'to the Workers',Compensation Laws. o � Date Applicant CITY Li`�\� f ZIP K O ' ' ARCHITECT ` TEL STATISTICAL CLASSIFICATION ' � / APT. CONDO„, V NOTICE TO,APPLICANT:,-If, after making this Certificate of ENGINEE 5 L NO CLASS NO: DWELL:UNITS !/ W Exemption, you 'should become subject to the Workers' N Compensation provisions of the Labor Code,i,you must'forth- ADDRESS�I �- � SEWER MAP with •comply with such-provisions 'or' this''permit'shall be deemed revoked. TEL BK_ PG,. VALIDATION • � _ CONTRACTOR�v� G13 Ix^ NO:� � �✓ -LICENSED CONTRACTORS DECLARATION ii �1 J hereby affirm that I am,licensed under provisions of Chapter 9 ADDRESSI��" TZ•UL�L ��/i NO �03 VALUATION- ' (commencing with Section 7000)of Drvisioo 3 of-the•Busmess and ,p LIC Profess ions'Cod'e;ond.my license is in,full force(a�nd�effect. Q CITY e��- �1 vd `CLASS ��y 1 `LTA U SIZE STORIES FAMILOIES CHECK License Number 2�! Lic.Class ; ❑ $ Contractori�L C( �1��• b Date DESCRIPTION OF WORK - NEW _ p- .. ADD I am exempt under Sec.. G� ALTER -FINAL ,,B.BDATE USE for-this reason REPAIR Date: USE OF _ IDEMOL_ By AL,• , EXISTING BLDG. ia-EP _ Signature - Lam' at �� APPLICAN TEL. OWNER-BUIL ER.DECLARATION PRINT' t:�.>'.nLA2S-t'1.) NO I hereby affirm that I am exempt,from the Contractor's License ADDRESS 3-G Law'for the following;reason (Section 7031.5, Bu"siness and "Professions Code): :" PRESENTq ❑ BUILDING- I, as'owner of the property, .or my employees with ADDRESS' 7 O a;9 A. wages as their sole compensation,-will do the work and b , the`structure is not intended or offered for sale(Section LOCALITY # 0 o(o 0 o . 704 Business and Professions Code). MOVING TEL. ' I, as owner of the property, am exclusively contracting CONTRACTOR NO. ,with licensed contractors to construct the project (Sec- ADDRESS- tion 7044, Business and'.Professsions Code). P �.o,o 0,3.$,5 0 5 REQUIREDTOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH " I'hereby affirm that then is a construction lending•agency,for' FRONT I O'2.5-8+2 i the performance of the work for whicli this permit is issued. PL," (Sec. 3097, Civ.,C.) SIDE•. ..r . . P.L. { .Lender's Name p $ PC Fee$' Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee ' above information is correct. I agree to comply with all,County` Investigation Fee ordinances and State laws relating to building construction, Total Fee 5 . d and hereby authorize representatives of.this:County to enter upon the obo e-mentioned.property.for inspection purposes. + • � �''a�S SEE REVERSE FOR EXPLANATORY LANGUAGE . �.. (as Signature-of Applicant or Agent Date. - - _ - , - _ '• _ , 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 1112280041 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: J ON FILE I SQ. FT STORIES -TYPE 1 6218 KAUFFMAN AV 1 (STRUCTURE: 2200 V-B _ I TEMP CA 917801745 (ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSS STREET: 15385-021-021 - I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY CAI JTENANT: IEXIST BLDG USE: RESID USE ZONE: R-2 JISSUED ON: PROCESSED BY: 1 (EXIST OCC GRP: 112/28/11 SR (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFIN ATE FI AL Y: CODE:, 1 JDAJKOVICH RADOVAN P • (626) 627-5213- I 2 4,500 1 �� I 16216 KAUFFMAN AV 1 I ITEMP 917801745 1 FEES PAID ID SCR PTION OF WORK • 1 I I IREMOVE EXISTING COMP ROOF INSTALL CLASS A LANDMARK-LIFERTIMEJ I • IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ISHINGLE. NO SHEETING REQUIRED, HAS EXISTING PLYWOOD. 1 (APPLICANT: TEL. NO: (JOHN DAVIS ROOFING (909) 392-3904- JAA BLDG PERMIT ISSUANCE . . 27.80 I 12615 FULTON RD .JAB STATE GREEN BLDG FEE 4500.00 VAL, 1.00 ISPECIAL CONDITIONS: ILA VERNE CA 91750 JAC STRONG MOTION RESID 4500.00 VAL 0.50 I 1 JD2 PERMIT W/O EN-HC 4500.00 VAL 132.80 I TOTAL FEES 162.10 J_ �• - I ICONTRACTOR: TEL. NO: (APPROVALS- DATE INSPECTOR SIGNATURE IJOHN DAVIS (909) 392-3904- I _ 12615 FULTON ROAD LIC. NO I ILOCATION AND SETBACKS 1 ILA VERNE, CA 91750 738512C39 1 I I I 1 ISOILS ENGINEER APPROVAL 1 JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I _ 1 1 LIC. NO: ISLAJR/UNDER FLOOR. I I - IRAISED FLOOR FRAMING I I I I I II I I IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 JUNDERFLOOR INSULATION I I I 1153H269 3 001 I - I I I IFLOOR SHEATHING I I I INO OF FAMILIES. DWELLING UNITS,: APT/COND: STAT CLASS. I I I I I 0 NO 21 I _ IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS ISHEARSHEAR PANELS I (AIR QUALITY 1000 FEET MATERIALS - I I I I NO NO NO JFRAME, INSPECTION 1 IFIRE SPRINKLER HANGERS 1 I JINSULATION/WEATHER STRIPI I I _I JINTERIOR LATH/DRYWALL I I 1EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. I • IRATED WALL ASSEMBLIES I I - (RATED SHAFTS/OPENINGS I IT-RAR CEILINGS I I I I ILOT DRAINAGE I - IREPORT ID DPR261 ROUTE TO BS0508 d