HomeMy Public PortalAbout4843 KAUFFMAN AVE_Building__ APPLOCATHO I FOR B U QLD ONG P Ifs IM QT
FOR-APPLICANT TOfiLLIN (Print or type only)
COUNTY OF LOS ANGELES
aol�REss DEPARTMENT OF COUNTY ENGINEER
CITY [// ZIP . BUILDING•AND SAFETY DIVISION
NO.OF N LOT BUILDING
NOW ON LOT
SIZE OF LOT /Z Q ADDRESS "Jr '�j� Ct�✓v
TRACT31 YJ BLOCK LOT NO. �j LOCALITY
TEL. NEAREST
OWNER J. .NOZ.B CROSS ST.
J r ASSESSOR
ADDRESS-
-4 je�sl /� ,e j" j&/f.;'el MAP BOOK PAGE PARCE
=CITY _e ji l' / _.ZIP / 7 K) S�-Q6 G ROUP CONST: 1/ ZON•E'�TYPE FIRE RO ED BY
ARCHITECT OR TEL. �/ v
.ENGINEER .: NO. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS; _ CLASS NO. DWELL.UNITS / BK PG
((�� /� TEL p
CONTRACTOR (J eY E'+tf. (,e) NO��/ZC� � NE NO. �UI
J / LIC.
ADDRESS L�� G�lf1 /1='FV NO. 7 p SPECIAL
CONDITIONS
_
CITY_ CLASS
CONSTRUCTNDER I -/ ROAD DEPARTMENT.APPROVAL REQUIRED YES ❑ NO ❑
NAME AND BRANCH /a o�S &a I BLDG.SETBACK FROM
-ADDRESS"�7j� uk�'iIt Q• 'pjCITY 4U�f�, FRONT PROP.LINE OF, (STREET)
HIGHWAY + 'YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ.FT, NO.OF NO.OF CHECK. =-
FRONT PROP:LINE HIGHWAY WIDTH
SIZE ��' - STORIES FAMILIES ONE
r .
DESCRIPTION OF WORK NEW + d
ADD ❑ BLDG.SETBACK FROM
f SIDE PROP.LINE,OF (STREET) O
ALTER' ❑ HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING d
REPAIR ❑ SIDE PROP.LINE • HIGHWAY WIDTH w
USE OF'. . Z
EXISTING BLDG. +
DEMOL ,❑
APPRINAINT .'T ''
TEL .�p%�j CORNER CUTOFF YES ❑ NO ❑
J `Ot IN.OPEN SPACE YES ❑ NO ❑
BY(SIGNATURE)
- - IN STAL PERMIT ZONE YES ❑ NO. ❑
VALUATION$ �- Q _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE'IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES /
SAND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE '
WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLATION.OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATIrNG TO WORKMEN'S COM- '
-PENSATION INSURANCE. ---I.. � -
SIGNATURE OF- - r
PERMITTEE
ADDRESSFINAf/�j _
TEL. �G�/C! DATE L BY
MAKE CHECKS PAYABLE TO: F E -7 FET
HARVEY T.BRANDT,COUNTY ENGINEER 76 /,. v &2- 7
CK
PLAN CHECK VALIDATION cK. M.O. CASH PERMIT VALIDATION K. M.o: ./CASH
4: 8.4�. PR .3 1 6 7.4.G " . 2 4:;semi . ::,� 4� 2:7 9.{ a
r
.4S 76A638A CE#803.375" f
V 6 ,A?
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 9912070038
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST IBUILDING ADDRESS:
TR: 31181 LT: 6 SQ. FT STORIES TYPE 14843 KAUFFMAN AV
STRUCTURE: 0 VN TEMP CA 917804245
ASSESSOR INFORMATION NUMBER: jNEAREST CROSS STREET: LOWER AZUSA
8589-016-036 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/07/99 UT 06/04/ D-
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL,DATE FINAL CODE:
CHEN BENNY K;HSIANG M (626) 287-4565- 1 12,800
4843 KAUFFMAN AV Z
TEMP 917804245 FEES PAID DESCRIPTION 0 ORK
TEAR OFF THE EXISTING, INSTAL 1/2" PLYWOOD AND DURALITE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 2000 ICBO#2094
APPLICANT: TEL. NO:
C & A ROOFING CO. (626) 285-7107- AA BLDG PERMIT ISSUANCE 27.75
4927 FIESTA AC STRONG MOTION RESID 12800.00 VAL 1.28 SPECIAL CONDITIONS:
TEMPLE CITY, CA D2 PERMIT W/O EN-HC12800.00 VAL 267.00
� �����TO�®FEES 296.03
CONTRACTOR: TEL. NO: , � APPROVALS DATE INSPECTOR SIGNATURE
C AND A ROOFING - �® �11.
4927 FIESTA AVE LIC. NO LOCATION AND SETBACKS
TEMPLE CITY CA 91780 NONE
SOILS,,ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: J FOUNDATION/TRENCH FORMS
LIC. N0: I 1111111 SLAB/UNDER FLOOR
L RAISED FLOOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:. UNDERfL00R INSULATION
144H269 3 � ly U P L \ QIr)K 3 FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS':- ILLL��� ��VV"
NO 21 \� O 0 ROOF SHEATHINGIl
SCHOOL WITHIN HAZARDOUS 19 0 — SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS O. Q ®�
NO NO NO �, FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST Cs� �. �� FIRE ,SPRINKLER HANGERS
SET APL YARD: HWY: PROP LINE: WIDTH:
FRONTe�C 8ervic -01 �tl INSULATION/WEATHER STRIP
SIDE PL
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
I
LOT DRAINAGE
. REPORT ID: DPR261 ROUTE TO: BS0508