HomeMy Public PortalAbout5003 KAUFFMAN AVE_Building__ 78A638ACE#803-e-57 APPLICATION FOR BUILDING PERMIT,;
COUNTY OF-LOS ANGELESBUILDING
DEPARTMENT OF COUNTY ENGINEER. ADDREss
BUILDING AND SAFETY DIVISION - LOCALITY
JOHN A.LAMBIE.•COUNTY ENGINEER" NEAREST
CA'SSATT D.GRIFFIN,SUPT OF'SUILDING CROSS ST. -
DISTRICT NO. I GROUP TYPE .- EWER MAP
FOR APPLICANT TO FILL IN
BUILDING
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ADDRESSy . � . �
STPTISTICAL'CL •SIFICATiON T
CLASS.NOC •DWELL.UNITS'
LOT,NO. BLOCK MAP STATE
.. .. - NUMBER d.I "HWY. YES O "
TRACT d " '• - - f USE Z NE SPECIAL
NO.OF BLDGS. CONDITIONS
SIZE OF LOTJ� I" I NOW ON LOT•
USE OF
EXISTING BLDG. 9'9 Cl�r.� - BUILDING - EXIST.
SETBACK YARD HWY ,STREETNAME WIDTH
OWNER _ - .� FRONT e
MAIL' .,
P.L:
ADDRESS S C'.C? �w-. a.�p..�n SIDE
TEL. P.L.:
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ARCHITECT O TEL.' -
ENGINEER - NO.,
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DESCRIPTION VF WORK �r�' IN l� "e� n 'eka�'l2-rte , y►
NEW ADD ALTER' REPAIR DEMOLISH 0
SQ. FT. NO.OFNO.OF.
"SIZE STORIES FAMILIES ,
USE.OF STRUCTU
SIGNATURE OF '- - APPROVALS .
APPLICANT
DATE '4NSPECTOR'S•SIGNATURE
ADDRESS- FOUNDATION:. LOCATION - - -
LS
FORMS.MATERIA -
. .
C, S e...�.� FRAME: FIRE STOPS.
FEE BRACING.'BOLTS -
VALUATION $ ` dqFURNACE: LOCATION.
- FEE (moi+ .� GAS VENT.DUCTS.
t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP. LATH,INT. - -
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO CO PLY WITH ALL COUNTY ORDINANCES AND - -
STATE LAWS REGULATING BUILDING CONSTRUCTION. `; LAT,H,.EXT.
SIGNATURE - HOUSE NUMBER COR- _
PERMITTE - RECT AND POSTED'-
ADDRESS FINAL
JOHN A. LAMBIE.COUNTY ENGINEER: CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL T�RPLAN CHECK VALIDATIONCK. M.O. CASH PERMIT'VALIDATION CK. m,O.
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76A638A CE# 03n3-66 APPLICA II I®N FOR BU�LM1 G PERW�
CTY OF LOS ANGELES BUILDING
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DEPARTMENT OF COUNTY ENGINEER A D DRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST . -
COLEMAN
EAREST . -COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST.
DISTRICT O. GR TYPE IZO
FOR APPLICANT TO FILL IN
CONST.
BUILDING �R, STATISTICAL (FICA TI ON SEWER MAP
ADDRESS®V ASS NO. DWELL UNITS. - -' BKPG G
II�JJJ
LOT NO. BLOCK USE ONE MAP-
y 3zNO.'
TRACT SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT / -/(00 NOW ON LOT
USE OF
EXISTINGBLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF _ (STREET)
.OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS6'003 W,
HIGHWAY WIDTH F.OMC.L.
(fes +
CITY
BLDG. SETBACK FROM
ARCHITECT TEL.
ENGINEER a NO. SIDE PROP. LINE OF - _ (STREET)
TYPE OF EXISTING'. SETBACK HIGHWAY + YARD - TOTAL
ADDRESS Q
HIGHWAY WIDTH FROM C.L.
•
TEL._ +
CONTRACTOR C� NO �i
ADDRESS .Q Lp .3 CORNER CUTOFF. YES NO CL
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CITY cic v SEE REVERSE SIDE FOR SPECIAL APPROVALSCr
DESCRIPTION OF WORK
LL
a
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF - NO. OF
SIZE STORIES- FAMILIES
USE OF
STRUCTURE
n
SIGNURE O
APPLICAN o
VALUATION$ �yyy� ��j/,'V .00 O
'� "' ✓1' APPROVALS DATE INSPECTO SSIGNATURE
P.C. PMT. �7FOUNDATION, LOCATION -
FEE$ FEE$ � V FORMS, MATERIALS
FRAME, FIRE STOPS,- � „
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT Z - I'/
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION '� �✓
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILOING CONSTRUCTION. ICERTIFY THAT. IN DOING THE WORK - - -
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TOWORKMEN'S COMPENSATION INSURANCE.! LATH. EXT.
SIGNATURE O -00, HOUSE NUMBER COR-
PERMITTEE RE AND POSTED
ADDRESS FINALe
JOHN F. LEWIS. PRIdCIPJCL STRUCTURAL GlNEER
PLAN CHECK VALIDATIO CK. M.O. CASH _ PERMIT VALIDATION CK. M.o CASH
L 7 8 8 -s__ APR 3 1 0 1 8.5 ON c.
4" "OUNTY'OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1004050030
PHONE: (626) '285-0488 EXT:
ILEGAL ID: NO. OF CONST NEW 1 BUILDING ADDRESS:
ITR: 14832 LT: 8 I SQ. FT STORIES TYPE OCCUP GROUPI 5003 KAUFFMAN AV
I ISTRUCTURE: 1593 2 V-B R-3 I TEMP CA 917803944
(ASSESSOR INFORMATION NUMBER: GARAGE: 651 - ' 1 V-B U 1 NEAREST CROSS STREET: 1
18589-017-009 OTHER: /S9;' t" ' 1 V-B U THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
(TENANT: IEXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY:
IEXIST OCC GRP: 107/07/10 SR
10WNER: TEL. NO: IBLDGS. NOW ON LOT: - VALUATION: IF NAL AT FI BY: CODE: 1
KWAN, YUK-LIN (626) 285-9697- 1 282,220 1 1
15003 KAUFFMAN AV I 1
(TEMP 917803944 FEES PAID IDE'SCI ION F WORK
I 11ST & 2ND FLOOR ADD: MASTS RM, 3BEDRMS, 2 BATHRM, DININGRM
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IKITCHEN, FAMILYRM, DEMO (E) GARAGE BUILD (N) 3 CAR GARAGE * _
1APPLICANT: TEL. NO: I I
ICHAN,'-TERENCE (626) 379-4900- IB1 PLANCHECK W/ENERGY 282220.00 VAL 2,334.32 1
1200 N. HUNTINGTON DR IAA BLDG PERMIT ISSUANCE- 27:80 ISPECIAL CONDITIONS: 1
IALHAMBRA, CA 91801 _ IAB STATE GREEN BLDG FEE 282220.00 VAL 12.00 I.
1 1AC STRONG MOTION RESID 282220.00 VAL 28.20 1
I 1B2 PERMIT W/ENERGY 282220.00 VAL 2,739.50 I I
(CONTRACTOR: TEL. NO: 1 TOTAL FEES 5,141.82 (APPROVALS DATE INSPECTOR SIGNATURE
IKWAN, YUK LIN (623) 285-9697- 1 1 1
19034 NEWBY STREET LIC. NO ILOCATION AND SETBACKS
IROSEMEAD, CA 91770 NONE 1 2
- 1 -
I - I (SOILS ENGINEER APPROVAL -
1ARCHITECT OR ENGINEER: TEL. NO:. I (FOUNDATION/TRENCH FORMS 1 1
LIC: NO: I ISLA3/UNDER FLOOR I 1
I I IRAISED FLOOR FRAMING 1
I t I I I I
,IMAP NO: SEWER MAP BOOK: PAGE: FIRE. ZONE: CMP: ( - (UNDERFLOOR INSULATION I
3 00 1 1-1 1
I1ST LEVEL FLOOR SHEATH 1
INC. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
I NO 21 12ND LEVEL FLOOR SHEATH 1 1
SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING
(AIR QUALITY: 1000 FEET MATERIALS 1 I
1 NO NO NO IFIRE DEPT. FRAME INSPECTI
I I I i I I
I 1BLDG DEPT. FRAME INSPE TI
ISHEAR PANELS". 'I
I (INSULATION/WEATHER STRIPI 1 1
1 I (INTERIOR LATH/DRYWALL
-I I
1EXTERIOR LATH
I
1 1 ILOT DRAINAGE
I I I
i I ISMOKE DETECTION DEVICES 1
IFIRE DEPARTMENT APPROVAli[-
1 * ADDITIONAL DATA ON FILE I
I IREPORT ID: DPR261 ROUTE TO: BS0508 1 1 1
I I I I I I