HomeMy Public PortalAbout5754 KAUFFMAN AVE_Building__ Y
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERM
P' COUNTY OF LOS ANGELES _
WM. J.' FOX, CHIEF ENGINEER ,L� .1 it - u I L® I G
FOR' OFFICE USE ONLY
FOR APPLICANT TO,FILL IN DISTRICT NO. PLAN CCK7. NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY
RECEIVED BY DATE OF APL. DATE ISSUED ,
P,�
NEAREST
CROSS ST. ,'. r ���/L_,J BUILDING
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OWNERMAIL
ADDRESS" -��� LOCALITY ,G
NEAREST. r ,1
• [ TEL. ) CROSS ST. G zx/d
-- 'CITY"-`-Ff•vsC' ... NO. • FIRE NO. OF Z� •I TYPE I GROUP
ARCHITECT TEL / r7P ZONE PLANS _1-•
ENGINEER NO.,, 4V J V BLDG. / ORD. NO:
- _// SETBACK LINE
`/ r `?i�O• �- / L�G�C
ADDRESS T, � �&�/ ,CT-, �- APPROVED
BY DATE
CONTRACTOR ` � NO. � �� USEAPPROVED' '
't ZONE BY DATE
ADDRESS HOUSE NUMBERING
LEGAL'• I �'$O •I '
DESCRIPTION LOT NO.� 7� BLOCK MAP NUMBER ��v FIELD CHECK BY
TRACT NO. ASSIGNED BY �- ATE
r �• �[ NO. OF.BLDGS.--} CORRECTIONS
SIZE OF LOT J ./� ( I NOW ON LOT /�� •• '
USE OF - NO. OF
EXISTING BLDG, FAMILIES a t
DESCRIPTION OF WORK
NEW I \>< I ALTERATION I I ADDITION I
0
REPAIR I I DEMOLITION
SQ. FT. NO. OF v v
SIZE 3 ROOMS STORIES
EXT.,WALL ' ROOF /n� v D
COVERING'- I COVERING.A - r
USE OF STRUCTURE
APPROVALS9
INSPECTORS SIGNATURE DATE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATION: LOCATION
PLICATION AND' STATE, THAT THE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT. -
I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS,
HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS -
LAWS REGULATING BUILDING-CONSTRUCTION: 6 i
� � FURNACE: LOCATION, G-P/6' /
SIGNATURE OF
GAS VENT, DUCTS r
PERM/ITT'EIX r' ILA t•r a}
ADDRESS "i _Y* l��A., V'�}..�( wircra�: LATH, INT.
/[ LATH, EXT. y L�
AUTHORIZED AGT. /
' •'V-A
-13 PLASTER, INT.
76AG20A• DBss •'to-ao" $ Q d�� P. C. f
U .",• } - 00 FEE FilPLASTER, EXT. / �!
VALUATION / QOM FEE -� FINAL 5p7/
76A638A CE#803 9-68 I '
APPLICATION FOR BUILDIN PERMI 11J'
COUNTY OF LOS ANGELES BUILDINGS
DEPARTMENT OF COUNTY ENGINEER ADDRESS `/
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST _ -
COLEMAN W. JENKINS, SUP T OF BUILDING CROSS ST.
VENGINEaR
OR APPLICANT TO FILL IN DISTRICT NO. GR TYPE C S BY
(Print or type only) CONST.
ING ✓ STATISTICAL CLASSIFICATION SEWER MAP
SS r CLASS NO. DWELL.UNITS BK PGO. `�v BLOCK USE ZONE MAPNOzo.� CONDSPECIIT ONS
NO.OF BLOGS.F LOT NOW ON LOT
NG BLDG. BLDG.SETBACK FROM
TEL FRONT PROP.LINE OF (STREET)
7 �U . TYPE EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY IDTH FROM C.L.
S �. �1pj - +BLDG.SETBACK FR
TECT O TEL. SIDE PROP.LINE OF (STREET)
ER NO. ,TYPE OF EXISTING SETBACK HIGH + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. }
T E L.'6f + C.
NO. / C
C:
LIC.e �j J-',o') CORNER CUTOFF YES ❑ NO ❑
A S NO. Q �` C( C
LIC.
Y CLAI1
SEE REVERSE SIDE FOR SPECIAL APPROVALS u.
CONSTRUCTION LENDER CL
C".
NAME AND BRANCH Z
ADDRESS
SQ. FT. NO. OF NO. OF J NEW ❑ -
SIZE STORIES FAMILIES /
USE OF VADD ❑
STRUCTUR V/l
� u ALTER ❑
REPAIR
SIGNATURE_ ' '
APPLICANT DEMOL ❑
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. �'�D FOUNDATION: LOCATION
FEE $ FEE $ I 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: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
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 INSURAN E
LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED r�te. ,� A
ADDRESS �F I N AL 6�/7 d' /
I JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH
PERMIT VALIDATION -0-
1,
O.1, 4:59' 9v- AR22 1 D9.0 0 ' 'e-1
4
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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 9902180037
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONSTNG
TR: 6561 LT: 500 SQ. FT STORIES TYPE 5754 KAUFFMAN AV
STRUCTURE: 0 VN TEMP CA 917802505
ASSESSOR INFORMATION NEAREST CROSS STREET: WORKMAN
8587-023-017 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
ST BLDG USE: RESID USE : R-1 ISSUED0PROCESSED-BY: .
EXIST OCC GRP: 02/18/99 UT 02/18/00
OWNER: TEL. NO: BLDGS. NOW ON OT: VALUATION: FINAL DATE FINAL CODE:
GOULD WINIFRED L TR (818) 286-5709- 1 4,700 �_/r�
5754 KAUFFMAN AV J '
TEMP 917802505 FEES PAID SCR P WO
TEAR OFF., NEW SHEATHING, RECOVER WIT 25 YR. GAF COMP.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE - HOUSING REHABILITATION
APPLICANT:
NICK'S REMODELING (626) 442-7985- AA BLDG PERMIT ISSUANCE 27.75
9941 HOWLAND AVE. AC STRONG MOTION RESID-==-.__4700.00 VAL 0.50 SPECIAL CONDITIONS:
TEMPLE CITY, CA D2 PERMIT W/.O,ECHC:: 4700.00 VAL 132.60
CONTRACTOR: TEL. N0: ®� GEfl"�STO�TA®�� 160.85
� APPROVALS DATE INSPECTOR SIGNATURE
NICK'S REMODELING (626) 442-7985-
9941 HOWLAND DRIVE LIC. NO LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 409663 B
Q SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: DA 0 FO S
LIC. N0: / 11III�I SLAB,'UDER FLOOR
RAISED FLOOR FRAMINGL
150H269 3 01- v v v
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CmF n n�L c �n a D R LOOR INSULATION
SHEATHINGFLOOR
0. 0 G S: APT/CO : STAT CLASS: 12-1
NO 21 �\ O p ROOF SHEATHING
r" r
SCHOOLS a 0 *. S PANELS
AIR QUALITY: 1000 FEET MATERIALS L/ ���
NO NO NO �5 FRAME INSPECTION
REQUIRED 0 EXIST ���: El
E SPRINKLER
SET BACK FRONT PL- YARD: HWY: PROP LINE: WIDTH: �C le rvic e�����v INSULATION/WEATHER STRIP
SIDE PL-
IO 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