HomeMy Public PortalAbout4836 KAUFFMAN AVE_Building__ Aka
PPL OCATOON FOR B U OLDING PE GTI Q if
FOR APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES .
BUILDING
ADDRESS �j? — !� DEPARTMENT OF COUNTY ENGINEER
CITYZIP BUILDING AND SAFETY DIVISION
�1cJ� NO.OF BLDGS: BUILDING
SIZEOF LOT " _ NOW ON LOT ADDRESS
TRACT3 / BLOCK LOT NO. LOCALITY '
TEL. NEAREST
OWNER * , v NO ( Zk• CROSSST.' Cr
ASSESSOR
ADDRESS �, / e� �f� MAP BOOK PAG PARCEL
fiV
DISTRICT. E FIRE ESSED BY
CITY ZIP 7 T' ZO
ARCHITECT OR.
ENGINEER NO. STAT ISTICAL CLASSIFICATION SEWE AP
y .,
ADDRESS !' CLASS NO. DWELL.UNITS BK PG
TEL
CONTRACTOR / NO. U ZONE MAP
_ ._. .. LIC. NO. j
-ol
ADDRESS NO.. _I SPECIAL '
LIC. CONDITIONS
CITY CLASS
CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
NAME AND BRANCH it BLDG.SETBACK FROM.
FRON ROP.EINE OF (STREET)
ADDRESS& P. TY" p- ,.� TOTAL SETBACK FROM TYPE OF EXISTING
HIGH AY + YARD
SO.FT. NO.O NO.O CHECK FRONT PROP,LINE HIGHWAY WIDTH
SIZE' STORIES FA (LIES �' ONE }
DESCRIPTION V ORK NEW .❑ + ' Q
V
ADD - BLDG.SETBACK F.
SIDE PROP.LINE OF. (STREET) O
ALTER ❑ HIGHWAY + YARD TOTAL CK FROM TYPE OF EXISTING a
USE OF . REPAIR 1:1 9V).
PROP. HIGHWAY WIDTH V)
EXISTING BLDG. IDEMOL ❑ +
APPLICANT / TEL CORNER CUTOFF YES ❑ NO
(PRINT) !J.- ' (� IN � j L713
" IN OPEN SPACE YES ❑ NO
BY(SIGNATOR IN COASTAL PERMIT ZONE YES ❑ NO ❑.
VALUATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - n
THAT THE ABOVE IS CORRECT AND AGREE'TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATINGBUILDING 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 TO WO MEN'S COM. -
PENSATIOWNSURANCE. --- - '
SIGNATURE OF
PERMITTEE
�. FINAL �I BY
/$J f TEL. �P' DATE
CITY �G� E' `rte NO.Z Fi�IJ
MAKECHECKS GYABLE TO: P.C.JFEE $ FEET$
HARVEY T.BRANDT,COUNTY ENGINEER'' /
PLAN CHECK VALIDATION ^ CK. M.O. CASH a PERARIT VALIDATION CK. M.O. CASH
Os 76A638A CE#803.3-75* -
,APPL9CAT90N .F0R BU 9LD�NG, PE RM HT
FORAPPLICANT`TOFILL!IN (Print or type only)
�j COUNTY OF LOS ANGELES
LDING
ADDRESS 7 ✓�6 LlGC`Ai L! P✓ 'DEPARTMENT OF COUNTY ENGINEER
CITY'7enlp f ziP Jc/Jed BUILDING AND SAFETY DIVISION
p/ ` NO.OF BLDGS. BUILDING'
SIZE OF LOT a Cl 7� NOW ON LOT clh ADDRESS--/8
TRACBLOCK LOT NO.. LOCALITY
TEL / NEAREST.
OWNER � ���� ell,a, 'NO.Z>�Lv/L � CROSSST. et
ASSESSOR
ADDReESSS,2GZ 6-TE t �� �i.t //!LJ•� MAP BOOK PAGE.' PARC
-CITY' - /?� /�_ �/. ZIP -91� SDISTRICT ; GROUP TYPE FIRE-CONST ZONE PR • SED BY�
ARCHITECT OR TEL.
ENGINEER >- NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. v 10• DWELL.UNITS .� BK PG
TEL2p `
CONTRACTOR C3�- �/ C4- DSV• NO. CC�z�I Gr �E NE NOP
ADDRESS S .26"-e�Vl �� O. I/� �2 SPECIAL
LIC. / 7�� CONDITIONS ..
CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑
CONSTRUCTION fENDER
NAME AND BRANCH D 5 N BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS P,-Ayy/) • CITY C TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY `+. YARD
SQ.FT. -7 NO.OF NO.OF / CHECK - FRONT PROP.LINE HIGHWAY WIDTH
SIZE / �- STORIES FAMILIES ONE
NEW
DESCRIPTION OF WORK +
O
ADD ❑ BLDG.SETBACK FROM,
SIDE PROP.LINE OF (STREET) O
ALTER ❑ TOTAL SETBACK FROM TYPE OF EXISTING w
HIGHWAY + YARD-, SIDE PROP.LINE HIGHWAY WIDTH N
❑
USE OF -� REPAIR. +, - Z
EXISTING BLDG.', DEMOL ❑
APPLICANT /}� TEL (y� CORNER CUTOFF YES ❑ NO ❑
(PRINT( t1 /!� Oji t ��[?. NO.ZtIc?pip
IN OPEN SPACE YES ❑ NO '❑
BY(SIGNATURE(
Q IN CO TAL PERMIT'ZONE -. YES ❑ NO ❑
VALUATION p v�
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 IN VIOLATION OF -
THE LABOR CODE OF.THESTATEOF CALIFORNIA IN RELATING TO WORKMEN'S COM-. -
-PENSATION INSURANCE.
.SIGNATURE OF
PERMITTEE
FINA
CITY NO.Z�6�-iJ �� DATEL . 17 ��-�d BY �/ 7 .�
P:C.F1
MAKE CHECKS PAYABLE TO: FEE $ T
HARVEY T.BRANDT,COUNTY ENGINEER /S"a..0-0 FEEJ
` .PLAN CHECK VALIDATION (.K,).m.0. CASH -PERMIT VALIDATION CK. M.O. CASH
4 8 o�An '2 3 u � 1 .5 3.0 O� J
2 ,55-40 0
,OS•.-76A638A CP#8033J5-�
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 0312110044
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST BUILDING ADDRESS:
TR: 31181 LT: 8 SQ. FT STORIES TYPE 4836 KAUFFMAN AV
STRUCTURE: VN TEMP CA 917804244
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8589-019-026 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ON : R- ISS ED O : PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/11/03 JK 12/05/04
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F,N B� CODE:
CHOW JAMES 10,000 j—Z�C
4836 KAUFFMAN AV d /
TEMP 917804244 FEES PAID DESCRIPTION Or WORK
T/O 27SQ; INSTALL 1/2"OSB BOARD, 2LAYERS 30#ASTM FELT &
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EAGLELITE PONDEROSA #320 ICBO 4660
APPLICANT: TEL. NO:
R B ROOFING AA BLDG PERMIT ISSUANCE 27.75
2702 W POMONA ST AE STRONG MOTION OTHER 10000.00 VAL 2.10 SPECIAL CONDITIONS:
SANTA ANA 92704 D2 PERMIT W/O EN-HC 10000.00 VAL 216.60
TOTAL FEES 246.45
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
R B ROOFING (714) 754-4107-
2702 W POMONA ST LIC. NO LOCATION AND SETBACKS
SANTA ANA, CA 92704 772680 HIC
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: 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 12
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
EXTERIOR LATH
RATED F OOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508