HomeMy Public PortalAbout5210 KAUFFMAN AVE_Building__ 'APPLICATION FOR BUILDING PERMIT
FOR-APPLICANT-TO FILL IN (Print o type-only)-
BU I LD1 NG
ypeonly)BUILDING COUNTY OF LOS ANGELES
ADDRESS -5210 No.- Kaufman DEPARTMENT OF COUNTY ENGINEER
CITY Te •le City - - -ZIP 91780 - - BUILDING AND SAFEY DIVISION
NO.OF BLOGS. BUILDING
SIZE OF LOT. NOW ON L'OT - ADDRESS- O
TRACT 1p-3 I BLOCK r LOT NO .,;2• LOCALITY (/
TEL. 11..p NEAREST
OWNER e-Sanchez NO. �L}L)_ 90- CROSS ST.
ASSESSOR
ADDRESS- an MAP BOOK PAGE PARCEL
1 DISTRICT �ROUPJTYPE FIRE SED BY
CITY ZIP_ ^ CONST. ZONEARCHITEC OR 'TEL.
ENGINEER NO.
_STATISTICAL CLASSIFICATION WER MAP
ADDRESS CLASS NO.C2J�_DWELL.UNITS BK (-4.G
CONTRACTOR Alhambra:-'Roofi TEL.282- •1 8 ONE MAP /
'LIC. NO'
ADDRESS NO. ✓� SPECIAL
Calif. LIC. CONDITIONS _
CITY Alhambra i CLA SSROofing: ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION-LEND ER
NAME AND BRANCH - BLDG.ISETBACK FROM-
FRONT PROP.LINE OF (STREET) d
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING O
SQ. FT NO OF - NO. OF CHECK HIGHWA } YARD - HIGHWAY WIDTH
FRONT PROP. LINE U
SIZE STORIES FAMILIES ONE
CD
D E S C R I P T.I ON,OF
O
WRK Re-I`Oof HOuse• NEW ❑ - U
- - dBLDG•SETBACKF -
e ADD OFO e SIDE PROP.
(STREET) z
ALTER-LJ HIGHWAY } YARD - TOT-P,L SETBA ROM TYPE OF EXISTING
. REPAIR
SIDE PROP. LINE HIGHWAY WIDTH,-
USE OF - DEMOL ❑ }
.EXISTING BLDG. -_
APPLICANT . TEL CORNER CUTOFF YES ❑ ' NO ❑
I
-(PRINT) NO.
BY (SIGNATURE) _ - IN OPEN SPACE YES ❑ NO ❑
Q IN COASTAL ZONE YES ❑ NO ❑
VAL-UATION J' 8'� 00 - - CATEGORICAL EXEMPTION _ YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL -
AND STATE THAT THE ABOVE IS CORRECT AND A-GREE-TO COMPLY IMPACT EXEMPTION DECLARATION,SIGNED - (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING-THE'WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY IWILL NOT EMPLOY ANY PERSON IN VIOLATION OF-THE- -
LABOR CODE OF THE STATE OF CALIFORNIA' IN_ RELATING TO
WORKMEN'S COMPENSATION INSURANCE yy� �q-�
SIGNATURE OF - _ - !�Z 76 •�� ,U&—/�?06:-X cs V_ V.
PERMITTEE y--� _ -
ADDRESS -, - - _ p -a p �J� awl tea" per,
NAL
CITY • Alanbra, Calif. .ND`-'282-1958 DATE -
Q C_ –
ILIhE CIILCI\S P.1}":1I3L✓ '70: FEE $ FEE FpmT, Y 1L�'-�
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION'_ CK-' M•0 CASH - PERMIT VALIDATION CK o CASH
• ,�' - ` .:1' - .'..` ''i:.u, 5:4512Jill' 21 1..b- •1 S.V U d"o
78A638A CE#803.12/72 f,y _jtv-•_'" -
79A636A CQ 111903. 1-61 APPLICATION FOR BUILDING • PERMIT
COUNTY OF LOS ANGELES BUILDING
-
DEPARTMENT OF COUNTY ENGINEER ADDRESS 1
BUIL-DING AND SAFETY DIVISION - LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST.
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST.• iL '
DISTRI T NO. GROUP TYPE 6 SED BY
FOR APPLICANT TO FILL'IN �r 5� ���: CONST.
_ BUILDING STATISTICAL CLASSIFICATION - SE ER MAP
B PG
CLASS. NO.�DWELL.UNITS ��' •.
r 4 BLOCK WATER"CERTIFICATE• NOT REQUIRED RECEIVED
MAP - HIGHWAY STATE MAJOR SECOND, CAL
NO.OF BLDGS. NO. (CIRCLE)
SIZE'OF LOT , I NOW ON LOT USE ZONE SPECIAL
USE OF j - , CONDITIONS
EXISTING EI G. '
TEL.
OWNER' NO BUILDING - .EXIST.
YARDFiWY STREE NAME•
' - SETBACK WIDTH
ADDRESS FRONT -
ARCHITECT OR TEL. P L. .0 J /
ENGINEER NO. SIDE
P.L.
ADDRESS TEL. '• INSPEC
TI
ON RECORD CL
CONTRALTO O.
/l /,`/ �9c" .^ 7�-� l�� /LLr •�.
ADDRESS • /�./ ` 1flAI 0
DESCRIPTION'•'OF•WORK
W
� A d
NEW ADD ALTER REPAIR DEMOLISH - h
SO. FT. NO.OF NO.OF •(I ,i ?
SIZE STORIES' . FAMILIES /
USE OF
STRUC URE
0 /All
SIGNATU OF -
APPLICA T �-
VALUATION
APPROVALS DATE I NSPECTOR'S SIGNATURE
_
FOUNDATION: LOCATION
P C „may- FEE $ AS,-'MATERIALS.
FEE $
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS d.' A �A
AND STATE-THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY FURNACE'LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS �f�•�/�F(s ,�I
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY IrWILL NOT EMPLOY ANY PERSON IN VIOLA- LATH;INT. 1
TION OF THE LABOR ODE OF THE STATE OF CALIFORNIA RELAT.
ING TO WORKMEN COMPENSATION INSURA C _ '
LATH,EXT.
SIGNATURE OF [, USE NUMBER COR-
PERMITTEE ��- 1 RECT AND POSTED / •I A
•ADDRESS FINAL VNET43 I _ -�
` CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN R
' PLAN CHECK VALIDATION . CK. M.O. 'CASH PERM VALIDATION cK, m.o. ►+
( .5.5 5 1 oI QCT 15 . 1 D 4.�0 q
., COUNTY 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 0203140021
PHONE: (626) 285-0488 EXT:
LEA ID• NO. OF CONST NEW BUILDING ADDRESS:
TR: 15683 LT: 24 SQ. FT STORIES TYPE OCCUP GROUP 5210 KAUFFMAN AV
STRUCTURE: 1001 1 VN R3 TEMP CA 917803947
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: BLACKLEY
8589-010-024 OTHER: THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
TENANT _.� EXIST LDG USE: USE ZONE: SSUED 0 ' PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/07/02 JK 11/03/02
TEL. NO: ^_ BLDGS. NOW ON LdTc VALUATION: -- FI E BATE FINAL BY: CODE:
SHI RONG GUI (626) 831-6555- 101,100 t(/�—_ 2-
5210 KAUFFMAN AV
TEMP 917803945 F ES PA DESCRIPTION OF WOR
ADD 2SR/26A & FAMILY RM; TOTAL WHEN DONE:4BR/3BA, 2094SF
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REFRAME ENTIRE HOME
APPLICANT: TEL. 0•
H P WU DESIGN & ASSOCIATES (626) 574-8907- 61 PLANCHECK W/ENERGY 79000.00 VAL 1,017.23
2215 LENTA LANE AA BLDG PERMIT ISSUANCE _ 27.75 SPEC'iAL CONDITIONS:
ARCADIA AC STRONG MOTION RESID 101100.00 VAL 10.11 FIRE SPRINKLERS REQUIRED
B1 PLANCHECK W/ENERGY •;, 101100:00 VAL 200.14
B2 PERMIT.W/ENERGY- 101100.00 VAL 1,432.20
CONTRACTOR: TEL. NO: TOTAL-FEES. 2,687.43 APPROVALS DATE I.NSPECTOR SIGNATURE
MURGUTA CONSTRUCTION INC (626) 966-4291-
718 #C E. EDNA LIC. NOLOCNTION AND SETBACKS
WEST COVINA, CA 91791`— 766953
- SOILS ENGINEER APPROVAL
ARCHITECT ORENGINEER: OUN I ON/TRTWCF FO
LIC. NO: - i SLAB JNDER FLOOR
RAISED FLOOR FRAMING
AP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
-
1ST LEVEL FLOOR SHEATH
0. OF IES: D : AP /C N : 7ND LEVEL FLOOR SHEATH
NO 21
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
Q
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ��`�� �• IRE DEPT. FRAME INSPECT
REQUIRED 0 A C `���'�_
SET BACK YARD: HWY: PROP LINE: WIDTH: BL Sam �-
FRONT PL- SHEAR PANELS
SIDE PL - INSULATION/WEATHER S R d
INTERIOR LATH/DRYWALLL �
EXTERIOR LATH
LOT DRAINAGE
- -
SMOKE DETECTION
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508