HomeMy Public PortalAbout4809 KAUFFMAN AVE_Building__ .. i
FOR A FPLI CANT TO FILL IN (Print or type only)
' COUNTY OF LOS ANGELES
BU•j�DING
ADDRESS O `J') 1✓ DEPARTMENT OF COUNTY ENGINEER
CITY ` zIP BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT X• 9 pj NOW ON LOT ADDRESS (�
TRACT f BLOCK LOT NO. LOCALIT
TEL. NEAREST 01 r
OWNER NO. r CROSS ST.
ASSESSOR
ADDRESS MAP BOOK PAGE PARCEL
*DISTRICT GROUP TYPE FIRE PRO ED BY
-CITY ZIP G' CO T ZONF�
ARCHITECT OR TEL. �'i
ENGINEER,--, - NO. STATISTICAL CLASSIFICATION SEWER MAP
-ADDRESS CLASS NO. 01-P DWELL.UNITS BK PG
CONTRALTO NO USE ZONE MAP
IC.. NO. / (0
ADDRESS p SPECIAL
LIC. CONDITIONS
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION-ENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
.ADDRESS - CITY TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE- HIGHWAY WIDTH
SIZE_- STORIES FAMILIES ONE }
DESCRIPTION OF WORK NEW + CL
O
ADD ❑ BLDG.SETBACK FROM
7ffSIDE-PROP.LINE OF (STREET) O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
�!I 3- r..c(_�' v HIGHWAY + YARD = SIDE PROP.LINE HIGHWAY. WIDTH
USE OF REPAIR ❑ Z
EXISTING BLDG. DEMOL ❑ +
APPLICAN� t� TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) 1 .NO
IN OPEN SPACE YES ❑ NO ❑,
BY(SIGNATURE) s
-IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION - /O��
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE -7 t_
THAT THE ABOVE ISCORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATI NG BUILDING CONSTRUCTION.1 CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF vv -
THE LABOR CO2E;
OFE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- - -
PENSATION INSIGNATURE `
PERMITTEE' r
ADDRESS
r FINAL BY
TEL. DATE /i� 7�•- �^�l.-e,.t�
CITY NO.
HARVEYTABRCNDTSCOUNTYCK -PAYABLETENGINEER FEE FEET �` J
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT1 6 N K. M.O. CASH
�u
1.5.0.0 ,&i98
Os 76A638A CE#803 3.75
Al�PL'ii�A "p®�I 1� I B�D 11LDMGPERfi�il H�I'
F_ R 4'PLICANT TO FILL IN 'aPnnt ortypeonl'y)
COUNTY OF LOS ANGELES
BU1fDING
ADDRESS D "' Y ' E ✓� DEPARTMENT OF COUNTY ENGINEER
Y ' BUILDING AND SAFETY DIVISION
CITY /7—r; ZIP f D
NO'OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOTL d ADDRESS C)
TRACT BLOCK LOTgNO. �. LOCALITY
-TEL. NEAREST
OWNER ,
W;�bevl , aevoe Ni�. Z�3 G�IJNL C OSS ST. -
�• ASSESSOR'.
ADDRESS ' 2 r / f�J MAP BOOK PAGE PARCE4ty:
DISTRICT. JGROUP ITYPE FIRE PRO $SED BY
CITY" J.CONST)'/.. ZONC3.
ARCHITECT OR TEL. !/ / �/ �� Y Y
ENGINEER- NO. STATISTICAL CLASSIFICATION W S ER MAP
ADDRESS,- /2 CLASS NO. D� DWELL.UNITS BK PG
V
'CONTRACTOR clr ,e-T LzB62&/� ONE- MAP
Co..
. ?O�/ �jQ NO.'
ADDRESS 1�yN CIt�NO..I `f #, �/ SPECIAL LIC. R / 72"U CONDITIONS
CITY J CLASS �L!- ! ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION L NDER. /� ff
NAME AND BRANCH /°-/U &r1i k BLDG.SETBACK FROM
11_4:5:-114f
1 FRONT PROP.LINE OF _(STREETI
ADDRESS 11_4:5- Ll i'ITl`A �/(,4
ftI y ` / __ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
SO.FT r• NO.OF• NO.OF CHECK FRONT PROP.LINE HIGHWAY - WIDTH
SIZE��/�� STORIES ' FAMILIES ONE _
DESCRIPTION OF WORK NEW + O
BLDG:SETBACK FROM
ADD ALSIDE PROP.LINE OF (STREET) O
0
TER O TOTAL SETBACKFROMTYPE OF EXISTING w-'
HIGHWAY + "YARD = SIDE PROP.LINE HIGHWAY WIDTH
USE OF REPAIR'❑
EXISTING BLDG. _ +
- Z
DEMOL ❑ . _ -
APPRINTINT ! C f? TEL y�� Q�(j CORNER CUTOFF YES C] - NO ❑
�f / Ofd Q IN OPEN SPACE YES ❑ NO,,❑
BY(SIGNATURE) t(L J
I STAL PERMIT ZONE YES ❑ NO ❑,
VALUATION$ 0, 0 0
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION..I CERTIFY THAT,IN DOING THE
WORK AUTHORIZED HEREBY 1.WILL NOT EMPLOY-ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE.STATE OF CALIFORNIA IN RELATI GTO WORKMEN'S COM ♦
•PENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
..ADDRESS'. T�10"�! iL�l' Gr v
/z� FINAL . / BY
CITY ! NO;v4DATE /� -6-7�
MAKE CHECK PAYABLE TO: FEE � FET
HARVEY T.BRANDT,COUNTY ENGINEER i•
j' 7
PLAN CHECK VALIDATION U CK. .o. CASH a PERMIT VALIDATIONy�DK. M.O. CASH
1 2 4
i
OS 76A638A CE#803 3-75'
COUNTY OF LOS ANGELES TEMPLE CITY # 0508. BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA _ BL 0508 9709220079
PHONE: (818) 285-0488 EXT:
EGA ID: NO. OF CONST BUILDING ADDRESS:
TR: 31181 LT: 1 SQ. FT STORIES TYPE 4809 KAUFFMAN AV
STRUCTURE: 0 VN TEMP CA 917804245
ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET:
8589-016-025 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRE ON:
EXIST OCC GRP: 09/22/97 UT 09/22/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: DE:
CHENG CHUNG KUO 1 7,000 h
4809 KAUFFMAN AV VAnV
TEMP 917804245 FEES PAID DESCRIPT ON OF WORK
TEAR OFF, OSB SHEETING, PIONEER TITLE 0 YR'- ICBO#3748
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
GORDON PERRY CONS. (909) 944-3884- AA BLDG PERMIT ISSUANCE 27,75
AC STRONG MOTION RESID 7000.00 VAL 0.70 . SPECIAL CONDITIONS:
D2 PERMIT W/O EN HCSFC x7,000.00 VAL 166.95
�[[-TOTAL FEES 195.40
CONTRACTOR: TEL. NO: O� APPROVALS DATE INSPECTOR SIGNATURE
GORDON PERRY CONSTRUCTION (909) 944-3884-
8448 VICARA DR LIC. NO �^ LOCATION AND SETBACKS
ALTA LOMA, CA 91701 , 588976 C39 l�/�
O SOILS;ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: - \0 FOUNDATION/TRENCH FORMS
LIC. NO: \/ I r SLAB/UNDER FLOOR
J ��II� UJ ` RAISED FLOOR FRAMING
1MAP NO:44H269 SEWER MAP BOOK: PAGE: FIRE ZONE: CM01 �n �j MCDO (� (I� n n�011 0)4f�� UNDERFLOOR INSULATION
-I 'UJ IL�uyy U FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: . 0i
NO 21 � �0 jr � -i,Y�1 I� � ROOF SHEATHING 1
SCHOOL WITHIN HAZARDOUSSHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO o �/ O FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST �/� FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- k-9 INSULATION/WEATHER STRIP
SIDE PL- o
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/C IL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508