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HomeMy Public PortalAbout5733 KAUFFMAN AVE_Building__ APPLICATION FOR • ,.., _ - BUILDING PERMIT BUILDING FOR APPLICANT TO FILL IN ADDREss - -BUILDING ADDRESS LOCALITY \ NEAREST ZIP CROSS ST ���^ I. .1, "`.=4 J NO OF BLDGS ASSESSOR SIZE OF LOT;J ,b_ NOW ON LOT .MAP BOOK' PAGE' PARCEL - - DISTRICT OUP TYP FIRE`" OC $ DBY TRACE BLOCK LOT NO 5 ZONE ` TELA OWNER T ,{ NO/D- ,� STATISTICALCLASSIFICATIQN SEWER&44P ADDRESS CLASS NO DWELL UNITS BK ' PG CITY ZIP U ONE MAP .rJ ' ` 06) ARCHITECT OR- ��' TEL IN OL ENGINEER /�.x— NO3- -'O� —,�,.' SPECIAL ' ` CONDITIONS ADDRES d/O /` —�I H ROAD DEPARTMENT APPROVAL REQUIRED, -• YES.❑- '-NO ❑ ��-....�Af TEL CONTRACTOR,&,t!;-4- .-/ N 3 BLDG_ BACK FROM j LIC FR PROP-LINEOF "'ISTREETd ' - ADDRESS/ d �a NO 3 "HI HWAY + , YARD = TOTAL SETBACK FROM TYPE OF EXISTING LIC--- FRONT PROP LINE - HIGHWAY WIDTH CITY _ CLASS C— '3'^ CONSTRUCTION LENDER + - } ,NAME AND BRANCH.. ' BLDG TRACK FROM .- - - OU ADDRESS CITY SIDE PRO E OF (STREET) SQ FT NO OF NO OF CHECK HIGHWAY +• YARD = B K TYPE OF EXISTING SIZE STORIES FAMILIES ONE SI E HIGHWAY WIDTH,_ DESCRIPTION OF WORK NEW S � Iy! - ADD• `❑ CORNER CUTOFF YES •❑ NO ❑ O ALTER IN OPEN SPACE YES ❑' 'NO ❑ REPAIR ❑ USE "N e DEMOL E] IN COASTAL PERMIT ZONE YES ❑ NO ❑^ EXISTING BLD (/� 111 ��� ' APPLICANT TEL �,/7 �/ (PRINT -P4NO BY(SIGNATURE) I-HER EBY•ACKNOWLE�GE THAT tI HAVE REA AND STATE p' t "`� ar THAT THE ABOVE IS CORRECT AND AGR LY WITH ALL _ .. AND LAWS REGULATING BUILDING CONSTRUCTION I AT DOING THE '- 'WORK'AUTHORIZED•HEREBY'I WILL NOT EMPLOY ANY PERSON ' OLATION OF THE LABOR CODE OF THE STATE O LIFORNIA IN RELATING TO WOR EN'S COM- - - - 'PENSATION INSURANCE ' SIGNATURE OF FINAL B PERMITTEE.' DATE. ADDRES$/ _-• TEL , P C.'Fee$ -�Q Permit Fee S`—�.:��•:- CITY.' ^•�'v N Q Issuance Fee y VALUATION ' - Total Fee �v "PLAN CHECK VALIDATION cnsH PERMIT VALIDATION '• cK ; M o CASH t` '2-'2 5�OC� 4 '3 -� 3 3.3 G S� B '/ 76A838CE8038 6/76 '• ?-' -2 2-'6�'l�QV 1•' V ® � .. 61 _�, , •5 .5 O`�r� ' t.76A6381&,CE 4803 t/`APPLICATION .FOR Ekfi LD1 N,G'-PERM IT � _' F -►'COUNTY OF LOS•ANGELES T ASSESSOR, 'DEPARTMENT OF COUNTY=ENGINEER MAP BOOK PAGE PARCEL �t BUILDING AND SAFETY ,DIVISION AooRESS- COLEMAN•'W. JENKINS, SUPT OF BurLDIHG LOCALITY /�Z t -FOR APPLICANT TO.FILL.IN NEAREST Print ort a on-1 CROSS ST.• BUILDING DISTRICT N . -GRO TYPE'_! P. BY - ADDRESS 3 3N� r f • V9C. CONST. STATISTICASIFICATION - S WER MAP LOT NO �Q =,•BLOCK - - CLASS,NO. DWELL,UNITS BK�,PG , TRACT USE'ZONE EMAP'`' /^/ ' NO.OF SLOGS. NO. . `� SIZE OF LOT- NOW•ON LOT - 'SPECIAL,." USE OF. - _ •CONDITIONS ' EXISTING BLDG., %QIP q, FADDRESS TEL.•..• r Q Q �(C ��Iq,S NO. BLDG:SETBACK'FROM• AA �/ 4 �7, �''1i' /�•/�U �.F, -r FRONT PROP.LI,NE OF (STREET) M/4V r _- - TYPE OF EXISTING i SETBACK _HIGHW_AY' }.,'YARD• _= - TOTAL HIGHWAY WIDTH; FROM;C.L.. - f - •OR TEL. - } — - 'NO., BLDG'.SETBACK F _ - SIDE PROP. LINE OF (S.TREET) �� f TEL.�g7�gy H GHWAYTYPE OF EW DTHG FROM C L. H AY }-' YARD = TOTAL 0 OR �f1i' NO. / J U. LIC. NO:' }. _ O LIC. - " ' - - CLASS CORNER CUTOFF YES ❑ NO ❑ _ W' CONSTRUCTION LENDER h NAME AND BRANCH SEE REVERSE SIDE FOR.SPECIA APPR •V LS ADDRESS. - - _ = - ' SQ. FT NO OF NO:,•OF 7 ` •SIZE ���D v''D STORIES y� 'FAMILIES NEW ❑ - r ; iJJSE OF NA7�y ADD o STRUCTURE L , ALTER 'SIGNATURE O REPAIR❑ - -• - - APPLICANT DEMOL ❑ ,, _ - s• . VALUATION $ - - - APPROVALS, 'DATE INSPECTORS SIGNATURE ' P.C. - PMT. FOUNDATION- :-L"OCATI'ON,,, FEE $ • - _ FEE$ ( FORMS,•MATERIALS FRAME:•FIRE STOPS, /}�^ -- I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS'APPLICATION BRACING BOLTS D 'ice 4- ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:-LOCATION, WITH ALL `ORDINANCES AND LAWS' REGULATING BUILDING ,CON- _GAS VENT,'DUC TS - •STRUCTION I CERTIFY 'THAT IN DOING THE WORK• AUTHORIZED , `HEREBY ,I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF-THE ,LATH, INT;, ' ' LABOR CODE OF THE STATE OF CALIFORNIA' IN RELATING TO _ -WORKMEN'S COMPENSATION INSURANCE'., d• , LATH, EXT, SIGNATURE OF U HOUSE NUMBER-COR- E PRMITTE�Er -!L `! wn'r/� - RECT. AND PCSTED,,:z ADDRESS) �•33I��dX/gU'��/�J/�P/ ,.' FINAL JOHN,F.'LEWIS°PRIrycIPAL STRUCTURAL•ENGINEER .PLAN CHECK VALIDATION" CK M o CASH _ PERMIT VALIDATION cK M o CASH 7 9' ,s .1`N'•,JAN 17 `1, D 4 2. N ' APPLICATION°`FOR BUIL ING PERMIT FOR APPLICANT TO FILL IN (Print or rvoe OnIY) BUILDING J �.j - y .{� h ADDRESS / ..w.7• .fY �'7' ,�' ~�"% f' BUILDING .,.;•"'� �, ,a " ADDRESS +� �r C I T Y ;.,� LOCALITY •a r .e',� ,,.y.;- �`.,.:''°`".,.� ,;,..:t? tgr,,..n�::�"�'"`�. NO.OF BLDGS. NEAREST SIZE OF LOT15 1C J NOW ON LOT CROS S S T /f ¢ ASSESSOR TRACT�.I'I E %l BLOCK LOT NO.:7µ,i.„ , MAP BOOK PAGE PARCEL k ,�+y�. ,�C//� �«` ,`y TEL DISTRICT GROUP,:'TYPE FIRE -PROCESSED BY OWNER „�� ,/ P.Ji"k� �✓/,p°I r'! NO. r .''CONST,;t ZONE „,,..,.. ADDRESS +.fir' /” ..:�.�/ '�:' a"tit�`f.(,�` '• �'`o1k1 .. STATISTICAL CLASSIFICATION SEWER MAP CITY CLASS NOn_- ZIP .«�' r' %� '_,T _DWELL.UNITS BKr'✓�� G ` ARCHITECTOR TEL. ENGINEER NO. USE-`ZONE MAP NO.. ADDRESS _ • f SPECIAL '" `� TEL. - CONDITIONS CONTRACTOR - ;,r-1/\..r NO ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO LIC. ❑ ADDRESS .t � f NO. BLDG.SETBACK FROM 'q,F' ✓"'�� LIC. (FRONT PROP,LINE OF (STREET) CITY " ,.•' CLASS 4HI GHWAY } YARD — TOTAI SETBACK FRTING OM TYPE OF EXIS CONSTRUCTION LENDER FRONT PROP. LINE HIGHWAY WIDTH NAME AND BRANCH } — O ADDRESS CITY N, w SQ. FT. NO. OF NO, OF CHECK BLDG.SE`TBACJ<_.FROM J SIZE STORIES FAMILIES ONE SIDE PROP. LINE OF�`""'" "l`'""""`^"^`•^• % `t _ (STREET) L� V DESCRIPTIO OF WORK,'` 1 j� " '} ,e.- NEW HIGHWAY } YARD =f+T TAL SET:B A'CK FROM'TYPE OF EXISTING f ,p •7+"' �'.S frfOL SIDE PROP. LINE HIGF�WAY WIDTH ADD ❑ } ALTER El CORNER CUTOFF YES ❑ NO ❑ REPAIR[I USE OF DEMOL EXISTING BLDG, ❑ IN OPEN SPACE YES ❑ NO ❑ ',AP.PLI CAN J ���/,J/7� S p ),,y� TEL,;Wf7 7 IN COASTAL ZONE YES ❑ NO ❑ (PRINT) / !lJ ..l.., :/ "� P [..,� N0. / 'k", CATEGORICAL EXEMPTION YES❑ NO �. 'BY (SIGNATURE) *� ENVIRONMENTAL a.? k'E IMPACT EXEMPTION DECLARATION SIGNED (DATE) VALUATION . t+`rx,, i IMPACT REPORT PROCESSED (DATE) I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STAT E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH. ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. 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 WORKMEN'S COMPENSATION INSURANCE. .k FINAL BY SIGNATURE O F{,,,." '"' *„ s"+`'° �.�, DATE PERMITTEE ,✓ .. ADDRESS P.C. $ FEE ,�+ T E L FEE CITY,F 1�"er jd T""" N O.,,.I f .«,• '.','' > .'•""n PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION' CK. M O. f4_'CASH 76A638B CE#803A 5/73 i 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 0210210063 PHONE: (626) 285-0488 EXT: BUILDINGLEGAL ID: NO. OF CONST TR: 6561 LT: 509 UN: .002 SQ. FT STORIES TYPE 5733 KAUFFMAN AV STRUCTURE: VN TEMP CA 917802506 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: WORKMAN 8587-022-008 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG S 0 0 . EXIST OCC GRP: 10/21/02 JK 04/19/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA D F AL Y: GARCIA;KIMBERLY - 13,500 5733 KAUFFMAN AV TEMP 917802506FEES PAID 0 MO COMP ROOFS INSTALL ELK 50YR(HOUSE & GARAGE);REMOVE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: MODIFIED FLAT ROOF INSTALL IB ROOFING SYSTEM ICB05405 APPLICANT: TEL. NO: LINTON (877) 997-6637- AA BLDG PERMIT ISSUANCE 27.75 24335 AIRPORTER WAY AC STRONG MOTION RESID_-_ 13500.00 VAL 1.35 PECIAL COND LAGUNA NIGUEL D2 PERMIT W/0-EN-HC= 13500.00 VAL 283.80 i_-'-T&AL:�FEE S 312.90 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE JAMES VINCENT (310) 848-5250- 10929 FIRESTONE BLVD #145 LIC. NO // rl �/+� ��� N TO SETBACKS NORWALK CA 90650 747172 B OILS ENGIN PPROVAL ARCHITECT OR ENGINEER: TEL. NO: q �_-i'� _ \ ,�� \����� OU AFORMS LIC. NO:","'/ �,_� - �(� SLA FLOOR RAISED FLOOR FRAMING M O: SEWER A BOOK:, PAGE: FIRE ONE: MP. I� �,�r1 �� /��• �', �i'�ii/i-�� �// � � UNDER R INSULA N 150H269 3 01; L G OF FAMILIES: U CLASS:- -- ---- - ---- -- - - NO 21 R00 SHEATHING ,x. - - - �` �.:• -�-� r�� SCHOOL WITHIN AIR QUALITY: 1000 FEET MATERIALS \ ,! NO NO NO ��� �� K,��� / FRAME INSPECTION REQUIRED TOTAL B /q P R SET BACK YARD: HWY: PROP LINE: WIDTH: X78 FRONT PL- LA ON/W TH SIDE PL- INTERIOR Y- LATH/DRYWALL EXTERIOR LAT RATED . RATED WALL M ES RATED SH T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508