HomeMy Public PortalAbout4819 KAUFFMAN AVE_Building__ APPL0CATllON. FOR SUIILDONG PLSRM0T
FOR APPLICANT TO FILL IN (Print or type onlyl
COUNTY OF LOS ANGELES
ooREss 4 cia a DEPARTMENT OF COUNTY ENGINEER
CITY `� f zIP %7 BUILDING AND SAFETY DIVISION
NO.OF BLDGS. BUILDING p 21
SIZE OF LOT 7 NOW ON LOT �� ADDRESS �(1p� ,
TRACT, ) BLOCK LOT NO. 3 LOCALIT
(� TEL.. NEAREST`
OWNER J.6 No/ CROSS ST. ��
ASSESSOR
ADDRESS ` & O �• 810,511— MAP BOOK•. PAGE PARC
p DISTRICT GROUP TYPE FIRE PRO ED BY
-CITY ZIP O , O CONST. )� ZOI�
ARCHITECT OR TEL. 1
ENGINEER NO. STATISTICAL CLASSIFICATION' SEWER MAP
ADDRESS CLASS NO. Oy -DWELL.UNITS BK PG
L. /
CONTRACTOR EUQ• Wit!/ rv, TENoLZ&2,?IOp
US NE MAP
y� y NO. O�
ADDRESS J Z� B le--� 1L O /./ Z. SPECIAL
LIC. 7, CONDITIONS
CITY CLASS ROAD DEPARTMENT.APPROVAL REQUIRED YES ❑ NO.
CONSTRUCTIO LE DER /S
NAME AND BRANCH [J y BLDG.SETBACK FROM
i "CITY V l6LJ FRONT PROP.LINE OF. (STREET)
ADDRESS f It�S �Tl>l4y�y d _ TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD
SQ.FT. Z NO.OF NO.OF I CHECK FRONT PROP.LINE HIGHWAY WIDTH
SIZE 6 STORIES. FAMILIES ! ONE _ y
DESCRIPTION OF WORK NEW + d
O
V
ADD ❑ BLDG.SETBACK FROM (STREET( O
e SIDE PROP.LINE OF 0
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
HIGHWAY + YARD. ._ SIDE PROP.LINE HIGHWAY WIDTH _ N
USE OF REPAIR ❑ Z
EXISTING BLDG. DEMOL ❑ + 71
APPLICANT f TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT( iJc N
IN OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION Q Don -
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - -
THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY WITH ALL ORDINANCES c
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 T WORKMEN'S COM- LG `r} ? s Q J
PENSATION INSURANCE. -J j�Q7,�Q
SIGNATURE OF
PERMITTEE !!JILL JJ
ADDRESS �!?7'
FINAL BY
TEL. DATE
CITY N
MAKE CHEC S PAYABLE TO: F E $ ' FEET
HARVEY T.BRANDT,COUNTY ENGINEER PI �
PLAN CHECK VALIDATION CK. M.O. CASH o PERMIT VALIDATION 4ZR7� M.O. CASH
47 u223 12 .20 ®
Os 76A63BAdIE79 03 J5' '�
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 SL 0508 0306250049
PHONE: (626) 285-0488 EXT:
--LEGAL ID: NO. Of C NS —BUILDING DD
TR: 31181 LT: 3 SQ. FT STORIES TYPE 4819 KAUFFMAN AV
STRUCTURE: VN TEMP CA 917804245
ASSESSOR INFORMATION-NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-016-027 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ONE: R ISSUED ON: ROC SED BY- EXPIRES ON:
EXIST OCC GRP: 06/25/03 JK 06/19/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
VAN;CAU LUONG - 4,000
4819 KAUFFMAN AVENUE ' 16 p o'3 c�
TEMPLE CITY 91780 FEES PAID DE�PTION UF WORK
T/0 WOOD SHINGLE; INSTALL 7/16"OSB & 30YR ASPHALT SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
FUNG'S CONSTRUCTION (626) 287-8075- AA BLDG PERMIT ISSUANCE 27.75
8449 ELM AVENUE AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
SAN GABRIEL D2 PERMIT W/O EN-HC 4000.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
FUNG'S CONSTRUCTION CO INC -
8449 ELM AVENUE LIC. NO LOCATION AND SETBACKS
SAN GABRIEL, CA 91775 753441 B
i
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
144H269 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:.
NO 21 ROOF SHEATHING /
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
D EXTERIOR LATH
7'3 '03 `c c,P_p_,.C.-o� 4 f A)i< 'A RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
OT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508