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 ' `
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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