HomeMy Public PortalAbout5109 KAUFFMAN AVE_Building__ R `
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76A633A CE#603 3-63 ,A.P_PLICA`I'ION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS _)
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTR T N GROUP TYPE P CESSED BY//
FOR APPLICANT TO FILL IN ' CONST. q
_.ADDREIN S I O I�4UFr ITlA STATISTICAL CLASSIFICATION •' S WER MAP
BK- PG
.. CLASS. NO. DWELL. UNITS
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT MAP 'NO.- HCI CLE) STATE MAJOR SECON L CAL
NO. OIGHWA
F BLDGS.
- SIZE OF LOT NOW ON LOT USE-ZONE SPECIAL _
USE OF ��i fl CONDITfONS
EXISTING BLDG. }� �aA.� (p9 p J/�,� /�
OWNER
(,$�aIJi R���Li"0�� NO (�Q r BUILDING EXIST.
SETBACK YARD HWY STREET E ">, WIDTH
ADDRESS �{f ��CK.�.� Y'� FRONT '
ARCHITECT OR pp���� "���/��f TEL P. L.
ENGINEER W dM, -�'iC1CK��N O. SIDE
P. L.
ADDRESS POP
TEL.g 7�i � ,.�Id2 [ 0
CONTRACTOR rC�Q'�.J r-, POP L-c- NO. t'�T&tL f. gyp � V
ADDRESS 1Er �. a ..
OC
DESCRIPTION OF WORK ' } utP1 ` `, 0I.—
Lu W
, a
NE ADD ALTER REPAIR DEMOLISH U (� (`! t -,Ag,, Y`/ W
. FT. ` NO. OF NO. OFtC.`�'f. � •fit .$.�. �A.�k Lei � a
SIZE ? STORIES FAMILIES
USE OF
STRUCTURE' /,�r.I-. ;�W✓If�Ii
104 It
SIGNATURE OF '
APPLICANT _
VALUATION $ �v
_ APPROVALS DATE (I' INSPECTOR'S.SIGNATURE
P.C. 1 PMT. ..(L�JIFOUNDATION: LOCATION
FEE $ FEE $ �...r�_ FORMS, MATERIALS
FRAME: FIRE STOPS. { -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS
AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY FURNACE: LOCAT-ION. ,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY 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 IFORNIA RELAT-
ING TO WORKMEN'S MPENSATI N N URA E.
LATH, EXT.
SIGNATURE OF .. HOUSE NUMBER COR- ,
PERMITTEE /') ��u III .RECT AND POSTED
ADDRESS - c/ �Ae17
JOHN F. LEWIS, PRINCIPAL STR URAL.,ENGIhlEER
PLAN CHECK VALIDATION cK. M.D. CASH PERMIT VALIDATION CK., J M.O. CASH
L�L0.7.,71 4� JAN 2 0 2 1 D 3.7
-- Lt7:7 '1 5 .Jr�! Q ''` 1 D 1 J�.0 N I
78ABHHA CE#Hoe e.HH APPUCA` ION FOR -BUILDING- PERMIT
COUNTY. OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIEr COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OE BUILDING CROSS'ST.
DISTRICT qp. GROUP TYPE _ PR ES
FOR APPLICANT TO FILL IN :�� I CONS , I
'BUIL ESS �ry//� a f� STATISTICAL SSIFICATION SEWER MAP
a ADDRESS f/ fo �T ��/w\ /4AI I BK P
CLASS:N0.--&-DWELL.,UNITS-
' LOT NO. . BLOCK - MAP STATE O••- -
- - - NUMBER /1\ �.� '.., HWY. YES
Ji� G USE ZONE
SPECIAL
TRACT
NO.OF BLDGS. CONDITIONS
SIZE OF LO V^a I NO ON LOT /
' USE OF �1
EXISTING BLDG. t7 Y' r BUILDI7JG -EXIST..
YARD HWY STREET NAME
SETBACK _ WIDTH
�s�/ /p // FRONT
'MAIL" ,sl/_! .0 N •I �Gl r--AA P.L. .
A'AlL" SIDE
TEL. P.L.
clTir NO. INSPECTION RECORD
ARCHITECT OR• TEL.
ENGINEER NO.' d
DDRESS
.i E _ TEL :�•a J '7 /%1.'l�" 'ti1T I`s-�-�s'r�:+
CONTRACTOR n
DDRESS ilifi' ~'�-d.��-n=y�rsi -. - 1�i •• c
DESCRIPTION OF WORK `
' NEW _. AD ALTER REPAIR DEMOLISH
S¢.-FT NO.OF NO.OF b -)
SIZE "• STORIES FAMILIES - — - - - -
USE OF STRUCTURE
SIGNATURE OF �' APPROVALS
APPLICANT - -
'a DATE INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION:"LOCATION I,
FORM S,'MATERIALS. Z" Tv. � to _
P. C $ FRAME: FIRE STOPS,
PEE' BRACING, BOLTS
VALUATIOND Q / Q Q-�, FURNACE: LOCATION.
, FEE: (, GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT. 3- ,.�~V �(`"11r'f1�4•.{']PA..�-QQ .
'PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
.c AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE`LAWS R GLATH, EXT.
BUILDING CTION. B" '3' �I '_ SIIAt 'A• h
SIGNATURE OF,, HOUSE NUMBER COR- J -
:PERMITTEE RECT AND POSTED•
ADDRESS= FINAL .7 161
} CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EHF � R,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CASH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF,PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9802180038
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 15683 LT: 41 SQ. FT STORIES TYPE 5109 KAUFFMAN AV
STRUCTURE: 0 VN TEMP CA 917803946
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8589-011-013 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 02/18/98 UT 02/18/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL Y: CODE:
NEDELCOFF JANET A (818) 286-7442- 1 2,000
5109 KAUFFMAN AV t(�
TEMP 917803946 FEES PAID DESCRIPTION OF WOR
TEAR OFF WHERE 3RD ROOF IS OW, BACK HALF ADDITION ONLY HAS 2
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LAYERS) INSTALL GAF 20 YR.
APPLICANT: TEL. NO:
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID._-_--X2000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN=HC�— 2000 :00 VAL 82.20
��&Q'ELLTOTAG� EES� 110.45
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO / �� �;'�� LOCATION AND SETBACKS
`yrl r \ SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: �/ FOUNDATION/TRENCH FORMS
LIC. NO �h\111111 SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,: ,` `' ` �'i\jr; �, l� UNDERFLOOR INSULATION
144H269 3 01
FLOOR SHEATHING
N0. OF FAMILIES: DWELLING UNITS: APT/COND: Si'AT CLASS
NO 21 ROOF SHEATHING
i
SCHOOL WITHIN HAZARDOUS ; ;ice tii ' Nye /'-i SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ���; i % `� j��ij� FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST ' r� /'� FIRE SPRINKLER HANGERS
SET BACK _YARD: HWY: PROP LINE: WIDTH: ?
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL - I
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: BS0508