HomeMy Public PortalAbout4815 KAUFFMAN AVE_Building__ FOR APPLICANT TO.FILL IN (Print or type only)
COUNTY OF LOS ANGELES
BUILDING
ADDRESS yP�,� �' �E'i DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAF TY DIVISION
CITY ` Q e/ zip j J
BUILDINGAO.OF BLDGS'
SIZE OF LOT / NOW ON LOT ADDRESS
TRACTM) BLOCK LOT NO. LOCALITY V ^
y�
TEL NEAREST
OWNER e �P� V e% NO. CROSS ST.
• ASSESSOR
ADDRESS rp— LYt, �� j{C , MAP BOOK PAGE PARCEL
CITYQ• ZIP l 7 L/ DISTRICT
UP PEFIRE
ST ZONE SED BY
ARCHITECT OR TEL. lJ G ' —
ENGINEER J NO. STATISTICAL CLASSIFICATION SEWER MAeff
ADDRESS w / / CLASS NO. � DWELL.TEL UNITS BK PG
CONTRACTOR6 &11111 NO. US ONE LMALIC.ADDRESS NO.. ✓ IAL
LIC.- DITIONS
CITY - CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION.LENDER
NAME AND BRAN %1 BLDG.SET ACK FROM
v/
FRONT P.LINE OF (STREET)
ADDRESS K-K- /K CITY j/C _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWA + YARD
SQ.FT.i�M NO.OF NO.OF CHECK FRONT PROP.LINE HIGHWAY WIDTH
-SIZE - STORIES FAMILIES ONE
DESCRIPTIO K NEW ❑ + p
ADD BLDG.SETBAC M oe
GI J C� SIDE PROP.LINE OF (STREET) O
ALTER '❑ HIGHWAY + YARD = T CK FROM TYPE OF EXISTING
USE OF REPAIR ElSIDE PRO HIGHWAY WIDTH Z
EXISTING BLDG. DEMOL ❑ +
•APPPRLICANT TEL 2. , CORNER CUTOFF YES NO ❑
B., c
`� IN OPEN SPACE YES' ❑ NO ❑
BY(SIGNATUR - IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION
I 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 I WILL NOT EMPLOY ANY PERSON.( IOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO RKMEN'S COM-
PENSATION INSURANCE.
SIGNATURE OF
PERMITTEE J
ADDRESS �L �� -"
FINAL r� ` BY
TEL.
CITY .e ,�C / C/ / NO.. DATE
�
-MAKE CHECKS PAYABLE TO: FEE FEET
HARVEYT.BRANDY,COUNTY ENGINEER '
Q o
PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATION <CK7. M.O. CASH
.5 T3-jt .2 := 1••2.0 0 0
Os 76A638A CE#803 3-75 `
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APPLOCATOON F®R .BUOLDI G PERMOT
w.610-IR APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES` .
BUILDING- �? 11 DEPARTMENT OF COUNTY ENGINEER
GINEER
Q
CITY zip BUILDING AND'SAFETY DIVISION
NO.OF BLDGS.," BUILDING .
SIZE OF LOT NOW ON LOT Oyf ADDRESS ��
TRACT BLOCK. LOT NO. ': LOCALITY
TEL NEAREST
OWNER I , , NO �' `:��1 CASSESSOR
ROSS ST. LC
"ADDRESS L4j -C !�_ �/ !V ✓ MAP BOOK PAG PARCEL
-CITY, �►( ZIP DISTRICT GROUP ZON
TYPE FIRE RO ED BY
l3 D. o� '� CONST. v E:Z.
ARCHITECT OR TEL. C/ v
ENGINEER- NO. STATISTICAL CLASSIFICATION .. SEN/ERMAP
ADDRESS CLASS NO. DWELL.UNITS BK PG
_
CONTRACTOR
� !TEL NO.Z��L13 f ONE NO. `
IC.
ADDRESS >, NO. SPECIAL
LIC. CONDITIONS
CITY �' CLASS. s
ROAD'DEPARTMENT.APPROVAL REQUIRED YES ❑ NO
CONSTRUCTION ENDER j/�, {f `
NAME AND BRANCH ,rt �JJ I1� BLDG.SETBACK•FROM
�N a FRONT PROP.LINE OF (STREET)
ADDRESS)f,;,5-Illi y' �!1 Gli CITY, j"E- !.e•L/ TOTALS ETBACK FROM. TYPE OF EXISTING
HIGHWAY +. YARD
SO.FT. NO:OF NO.OF CHECK FRONT PROP.LINE HIGHWAY WIDTH
SIZEZ STORIES FAMILIES ONE
DESCRIPTION OF WORK NEW + d
_ O
ADD
BLDG:SETBACK FROM cl�
�- --• (jZ✓(.,�„� �- �/,✓Ct •'� � SIDE PROP.UNE OF (STREET( O
ALTER ❑ TOTAL.SETBACK FROM TYPE OF EXISTING w
ElHIGHWAY + YARD = SIDE PROP.LINE • HIGHWAY WIDTH .�
USE OF
REPAIR
EXISTING BLDG. + - ?
APPLICANT e NOz9�j t CORNER CUTOFF YES 'NO 13
IPRINTI ! r O 1
IN OPEN SPACE YES NO
BY(SIGNATURE( Ag
�lLl ASTAL PERMIT ZONE YES NO
VALUATION $ 3 S 0 ®Q
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE .t
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 I-WILL NOT EMPLOY ANY PERSON IN VIOLATION OF `
THE LABOR CODE OF THE.STATE OF CALIFORNIA IN,RELATING O WORKMEN'S COM-
PENSATION INSURANCE: . -PGC�_ T;fl�'- 57r .
SIGNATURE F,
PERMITTEE -
ADDR SS - Z
FINAL BY
CITY DATE
NO. (o�lJ
MA CHECKS PAYABLE TO: FEE.$ FEEr
HARVEY
`'Tp RANDT,COUNTY ENGINEER 4 1 j . v � 3�f
PLAN CHE tlALIDATION OK. M.O. CASH ei PERMIT VALIDATION CK. M.O. CASH
GG U
Itt$ 76A638A CE#803 3-75'
_ - ^ v ^
.: APPLL 0CAT0ON FOR COUNTY OF LOS ANGELES
DEPARTMENT OF-COUNTY EN_ (NEER
S U 0 L D O N G FIE R_ M QT BUILDING AND SAFETY DIV ION
FOR APPLICANT TO FILL IN BUILDING
ADDRESS
BUILDING
ADDRESS LOCALITY
NEAREST
CITY ZIP CROSS ST
�7 NO.OF BLDGS. ASSESSOR .
SIZE OF LOT / �C Y NOW ON LOT MAP BOOK PAGE PARCEL
J DISTRICT GRO TY FIRE SED BY
TRACT / BLOCK LOT NO. C ST. ZONE
TEL.
D -,
OWNER A NO.
STATISTICAL CLASSIFI ION SEWER M
ADDRESS mks CLASS NO. , DWELL'UNITS BK PG'
CITY�� � ZIP
JOIN,E MAAP /ARCHITECT TE . 1�ENGINEER N (aJ SPECIAL
CONDITIONS
ADDRESS •Z-7 S3 rcAb"tk4 IZ4 ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
TE .
CONTRACTOR 1rl)� �kLb� BLDG.SETBACK'FROM
LIC FRONT PROP.LINE OF (STREET)
ADDRESS NO. TOTAL SETBACK FROM. TYPE OF EXISTING
LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAYI WIDTH.
CITY E, CLASS
CONSTRUCTION LENDE +
NAME AND BRANCH Q}'
BLDG.SETBACK FROM O
ADDRESS CITY SIDE PROP.LINE OF (STREET) V
SQ.FT. NO.OF NO.OF CHECK- HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING
SIZE .� STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH 0
DESCRIPTION IF WORK IS wl } yp NEW ❑ (�
ADD ❑ CORNERCUTOFF YES ❑ IN ❑ d
ALTER
_2_/� ` - ❑REPAIR ElIN OPEN SPACE YES ❑ NO ❑ z
USE OF IN COASTAL PERMIT ZONE YES. ❑ NO ❑
EXISTING BLDG. DEMOL ❑ //7 c/ p
APPLICANT TEL
(PRINT)
BY ISIGNATU
IHEREBY 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 I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF "
THE LABOR CODE OF THE STATE OF CALIFORN IN RELA FING TO WORK 'S COM-
PENSATION INSURANCE/
SIGNATURE OFA, FINAL' z� BY (iD
PERMITTEE DATE
ADDRESS _
TEL. P.C.Fee$' Permit Fee
CITY NO.
Issuance Fee
=VALUATION /1 Q o
(1 Total Fee � Q
PLAN CHECK VALIDATION <::: M.O. CASH m PERMIT VALIDATION CK. M.O. CASH
1 6 4-cl,-MAR- 2v -1 0 3 5.2 3 .4
1 6 5�fiRnR cv 1 t�: 7 G..iJ U 4's
76A638A CE N803A 6/76
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 1408130034
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I
ITR: 31181 LT: 2 I SQ. FT STORIES TYPE 1 4815 KAUFFMAN AV I
I . ISTRUCTURE: V-B I TEMP CA 917804245 1
(ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET: LOWER AZUSA
18589-016-026 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY CAI
I I
(TENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
IEXIST OCC GRP: 108/13/14 SR
I I I I
10WNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE- FINAL Y: CODE: 1
ILEE, KATHY (626) 566-0377- 1 24,000
14815 KAUFFMAN AV
ITEMP 917804245 I - FEES PAID ID SCRI TION OF WORK 1
I IKITCHEN AND 2 BATHROOMS RE DEL
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
(APPLICANT: TEL. NO: . I . I I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 1 I
IAB STATE GREEN BLDG FEF. 24000.00 VAL 1.00 ISPECIAL CONDITIONS: I
I IAC STRONG MOTION RESID 24000.00 VAL 2.40 1 i
IB2 PERMIT W/ENERGY 24000.00 VAL 497.00
I ID7 ADDNL PLANCHECK FEE 1.00 HOU 109.40 1 I
(CONTRACTOR: TEL. NO: IFR INV WORK W/O PERMIT 171.90 DOL - 171.90 (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I TOTAL FEES 809.50 1 I
1 LIC. NO I ILOCATION AND SETBACKS
I I I I I I
I ISOILS ENGINEER APPROVAL
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS I I I
I LIC. NO: I _ (SLAB/UNDER FLOOR I I
I I I I I I
IRAISED FLOOR FRAMING I I I
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE:, FIRE ZONE: CMP: ( ' 1UNDERFLOOR INSULATION
1 3 001 1 11 1
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
I NO 21 1 (ROOF SHEATHING I I I
I I I I I I
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS I I
1 NO NO NO 1 IFRAME INSPECTION I I I
I I I I I I
I - IFIRE SPRINKLER HANGERS I
I I I I I I
I=NSULATION/WEATHER STRIP[
I (INTERIOR LATH/DRYWALL
I (EXTERIOR LATH I
I I IRATED FLOOR/CEIL ASSEM. I I I
I i I I I I
IRATED WALL ASSEMBLIES I I 1
I I I I I I
I IRATED SHAFTS/OPENINGS I I I
i I I I I I
I IT-BAR CEILINGS I 1
I I I I I I
I ILOT DRAINAGE I I I
I I I I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I
- � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 �9� BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709160058
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING A DRESS:
TR: 31181 LT: 2 SQ. FT STORIES TYPE 4815 KAUFFMAN AV
STRUCTURE: 0 VN TEMP CA 917804245
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8589-016-026 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
r
TENANT: EXIST BLDG USE: RESID USE ZONE: R- ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/16/97 UT 4/16/98
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL! DATE FINAL BY: CODE:
LEFLER DANIEL A (818) 286-8238- 1 7,500
4815 KAUFFMAN AV
TEMP 917804245. FEES PAID DESCRIPTION OF WO K
REMOVE AND INSTALL",1/2" SHEATING, TALL LIFETILE ICBO 2656
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 50 YR.
APPLICANT: TEL. NO:
GORDON PERRY (909) 944-3884- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 7500.00 VAL 0.75 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HCI (� E- OTAL FE 0 VAL 183.40
TOTAL FEES 212.40
CONTRACTOR: TEL. NO: {�� APPROVALS DATE INSPECTOR SIGNATURE
GORDON PERRY CONSTRUCTION (909) 944-3884- \U�i�
8448 VICARA DR LIC. NO /� �. LOCATION AND SETBACKS
ALTA LOMA, CA 91701 588976 C39
OSOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: p FOUNDATION/TRENCH FORMS
LIC. NO: \/ n� 1 SLAB/UNDER FLOOR
flf-�`UI IUI ilt�'�
RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE:. CMP: � UNDERFLOOR INSULATION
0i144H269 3 nUBCnnF 'S
FLOOR' SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 0 0
NO 21 0 „ 0 ; !i �^ ROOF SHEATHING
a
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 10N0 NO
0FEET MATERIALS
NO
FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXISTD^ FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: �ll
FRONT PL- INSULATION/WEATHER c INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
-
REPORT ID: DPR261 ROUTE TO: SS0508