HomeMy Public PortalAbout5807 KAUFFMAN AVE_Building__ Temple City APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
ADD ESS K COUNTY
OF COUN YGENGINEER
CITY Temple City ZIP M Q1 780 BUILDING AND SAFETY DIVISION
7,51 NOW
SLOGS. BUILDING r
SIZE OF LOT, �, 7v. NOW ON LOT ADDRESS O
TRACIt// _�/ BLOCK LOT NO LOGALIT
TEL1 p NEAREST
OWNER Mr. D. Nichols NO. .226-418 CROSS ST.
507 Santa Teresa ASSESSOR
ADDRESS � � MAP BOOK PAGE PARCEL
DISTRICT IGROUPITYPE FIRE I SSED BY
CITY S p ZIP 910 0 � � CONST. ZON
ARCHITECT OR TEL. �rD(/ I
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. DWELL,UNITS C BK rte
CONTRACTOR ' & NOL _1 U E ZONE MAP
LIC. NO. �G
ADDRESS 712 So. Naren o Ave O. 2. 16 SPECIAL
LIC. CONDITIONS
CITY Alhambraf.a1 CLAssRoofing
• RO D DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BL G.SETBACK FROM
FR NT PROP.LI NE OF (STREET)
ADDRESS CITY HIGH AY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT, NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES 'ONE
DESCRIPTION OF WORK Small. Tile NEW ❑ + O
BLDG.SETBA
U
roofing & reset ADD ❑ SIDE PROP. LINE OF (STREET)
c:)
T T_ . ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TY OF EXISTING C~)
REPAIR SIDE PROP. LINE HIGH AY WIDTH Lu
USE OF t = G7Z
EXISTING BLDG. DEMOL ❑
APPLICANT TEL CORNER CUTOFF. YES ❑ NO ❑
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE _ YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION, n Q p�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE 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 1 WILL NOT EMPLOY.ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO -
WORKMEN'S CO MPENSATIONFiSgn)vET- .oulk
SIGNATURE OF
PERMITTEE ,
ADDRESS 1 Mgrerwo
FINAL BY
CITY Alhambra, Calif. NOL. 282-1958 DATE /-/v--;.7t:,
MAKE CHECkS P,41-ABLE TO FEE'w FEE .00
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN'CHECK VALIDA'T'ION CK. M.o. CASH � � PERMIT VALIDATIO CK. M.O. CASH
fi —.c) U m:o
76A638A CE#803 574
1
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 0110220012 -
PHONE: (626) 285-0488 EXT:
LEGA U: NO. OF CONS BUILDING-ADDRESS:
TR: 6561: LT: 513 . SQ. FT STORIES TYPE 5807 KAUFFMAN AV
STRUCTURE: VN TEMP CA 917802206
ASSESSOR INFORMATION NUMB R: NEAREST CROSS STREET: LAS TUNAS
8587-021-003 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIS BL G USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/22/01 JK 04/20/02
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL BY: CODE:
WERNER; HELEN F. (626) 447-4967 1 5,000
348 W. CAMINO REAL
ARCADIA 91007 FEES PAID DESCRIPTION OF WORK
REINFORCE GARAGE ROOF (RIDGE SAGGING), TERMITE REPAIR,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: REPAIR HOUSE;ROOf
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID _ 5000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O-,-EN--HCI:---_-_=5000.00 VAL 132.60
/i -7 TdT'AL�FEES 160.85
CONTRACTOR: TEL. N0: /.i''" /\\ APPROVALS DATE INSPECTOR SIGNATURE
i
SAME AS OWNER
LIC. NO /j/ �^/r LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH FORMS
JJ ��' SLAB/UNDER FLOOR
LIC. NO '� J �
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP UNDERFLOOR INSULATION
X 3 01 �' '- .�
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 � � - - � ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS \ �� G fir /i�, SHEAR P ELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO \ \ _ ' �/� FRAME INSPECTION
ILI 51
REQUIRED, TOTAL SETBACK FROM EXIST ��� i �� FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL-SIDE PL- \� °� 7�7j^ r� INSULATION/WEATHER STRIP
INTERIOR LAT /DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED S H AF T W OP INGS
TSAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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 0201080006
PHONE: (626) 285-0488 EXT:
LEGAL 10: NO. OF . CONST BUILDINGADDRESS:
TR: 6561 LT: 513 SQ. FT STORIES. TYPE 5807 KAUFFMAN AV
STRUCTURE: VN TEMP CA 917802206
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-021-003 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 PROCESSED BY: EXPIRES ON: .
EXIST OCC GRP: 01/ JK 8 FINAL BY: 07/CODE?
PIREC
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINA
WERNER; HELEN F. (626) 447-4967- 1 1,200
348 W. CAMINO REAL
ARCADIA 91007 FEES PAID DESCRIPTION OF WORK
VOLUNTARY FOUNDATION BOLTING
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT. TEL. N0:
SAME AS OWNER AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 1200.00 VAL 82.20
TOTAL FEES 110.45
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
X 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-:
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASS M.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
< COUNTY, OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
NEW RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0711270003
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS:
ITR: 6561 LT: 513 I SQ. FT STORIES TYPE OCCUP GROUPI 5807 KAUFFMAN AV - I
I (STRUCTURE: 640 1 VN R3 I TEMP CA 917802206 �• 1
(ASSESSOR INFORMATION NUMBER: I GARAGE: 499 1 VN U1 I NEAREST CROSS STREET: I
18587-021-003 1 OTHER: 226 1 VN Ul I THOMAS PAGE: 597 GRID: A3 LOCALITY_ : TEMPLE CITY, Cl
I � I
(TENANT: I USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: 1
I 1 102/13/08 SR 08/11/08
I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF L DATE FINAL Y: CODE: I
ILAM, QUANG (626) 215-7412- I 114,120
15807 KAUFFMAN AVENUE 1
I
ITEMPLE CITY CA 91780 I FEES PAID ID CRIPTION OF WORK I 1
INEW 1-STORY 2ND: UNIT 2BR/1BA W/ATTACHED 2 CAR GARAGE 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IW/LAUNDRY SPACE, FRONT PORCH 40 S.F. & COVERED PATIO 226 S.F1
(APPLICANT: TEL. NO: I
ILAI (626) 288-2651- IB1 PLANCHECK W/ENERGY 114120.00 VAL 1,297.59 1 1
18748 VALLEY BLVD. #K IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: 1
IROSEMEAD, CA 91770 IAC STRONG MOTION RESID 114120.00 VAL 11.41 1
1 IB2 PERMIT W/ENERGY 114120.00 VAL 1,526.58 I I
TOTAL FEES 2,863.33 1 I
1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IQUANG T LAM (626) 215-7412- I
IXIAO YING MAI LIC. NO I ILOCATION AND SETBACKS I I
19303 RALPH STREET NONE I
_
IROSEMEAD, CA 91770 I ISOILS ENGINEER APPROVAL
I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I I
ILEE, PETER (626) 280-9000- 1 / I I
18748 VALLEY BLVD. #L LIC. NO: 1 ISLAB/UNDER FLOOR I ,
IROSEMEAD CA 91770 NONE * I
IRAISED FLOOR FRAMING I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I
I 640 E 113 3 Oil
11ST LEVEL FLOOR SHEATH I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
1 NO O1 1 12ND LEVEL FLOOR SHEATH I 1 I
I SCHOOL WITHIN HAZARDOUS IROOF SHEATHING I 1
1AIR QUALITY: 1000 FEET MATERIALS
1 NO NO NO 1 IFIRE DEPT. FRAME INSPECT( 1
IREQUIRED TOTAL SETBACK FROM EXIST 1 (BLDG DEPT. FRAME INSPECT( 1 I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1
I FRONT PL- 1 11 q�(F�(�"�' (f 0 ( c ?(tk� SHEAR PANELS I 1
I SIDE PL- Lt� it`�Efr�4 ,E X451 1 0
1 1
an11 1 INSULATION/WEATHER STRIP&,1j
_ 1
``YY
1Ckt
(INTERIOR LATH/DRYWALL ,
I I
I I 1EXTERIOR LATH 1
1 1 ILOT DRAINAGE I I I
1 1 ISMOKE DETECTION DEVICES
IFIRE DEPARTMENT APPROVAL( I I
I 1* ADDITIONAL DATA ON FILE I I I I
1
P"ody
1REPORT ID: DPR261 ROUTE T0: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 110508 0810160021
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
JTR: 6561 LT: 513 SQ. FT STORIES TYPE OCCUP GROUP 5807 KAUFFMAN AV 1
I ISTRUCTURE: 714 1 V-B R3 I TEMP CA 917802206
ASSESSOR INFORMATION NUMBER: GARAGE: I NEAREST CROSS STREET:
18587-021-003 OTHER: 58 1 V-B U THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
TENANT: JEXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 111/03/08 SR I
OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FIN BY: CODE:
ILAM, TU QUANG (626) 215-7412- 1 104,120 -�
15807 KAUFFMAN AVE. I 1,
ITEMPLE CITY CA 91780 FEES PAID IDESCRIPTION F WORK I •` �-� ;
I 11-STORY ADDITION 2BR/1BA, FMLY RM, 714 S.F. PORCH 58 S.J. 1
I 1FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IREROOF (E) HOUSE WITH EAGLE ROOFING LIGHT WEIGHT TILE`ICC- *1 -
JAPPLICANT: TEL. NO:
1LAI (626) 288-2651- 1B1 PLANCHECK W/ENERGY 104120.00 VAL 1,235.88 I 1
18748 VALLEY BLVD. #K IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
IROSEMEAD, CA 91770 IAC STRONG MOTION RESID 104120.00 VAL 10.41 I I
JB2 PERMIT W/ENERGY 104120.00 VAL 1,453.98 I I
TOTAL FEES 2,728.02
ICONTRACTOR: TEL. NO: J (APPROVALS DATE INSPECTOR SIGNATURE
IQUANG T LAM (626) 215-7412- 1 1 I
JXIAO YING MAI LIC. NO 1 1LOCATION AND SETBACKS J
19303 RALPH STREET NONE J I / s
IROSEMEAD, CA 91770 J JSOILS ENGINEER APPROVAL
I I
1ARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS 1�/� I
LIC. NO: JSLAB/UNDER FLOOR ,
I I I
J IRAISED FLOOR FRAMING I I
I
1MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( _ (UNDERFLOOR INSULATION II I
J 3 011 I J I J
'1ST LEVEL FLOOR SHEATH I (�
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: rn� YV I I l
1 NO 21 1 C J "' v 1 `�� �V � 1 2ND LEVEL FLOOR SHEATH
111111 } I
J SCHOOL WITHIN HAZARDOUS ILS ', ��y� ��ti' ?a IROOF SHEATHING J
JAIR QUALITY: 1000 FEET MATERIALS I
J NO NO NO IFIRE DEPT. FRAME INSPECTI /� ^ I
I REQUIRED TOTAL SETBACK FROM EXIST ` �;� "I moi' I BLDG DEPT. FRAME INSPECT o
J +�
ISET BACK YARD: HWY: PROP LINE: WIDTH: (((!!!
IFRONT PL- I ISHEAR PANELS I J
I SIDE PL- 1 I 1I I
I 1 (INSULATION/WEATHER STRIP J
i
J JINTERIOR LATH/DRYWALL I, J I
I
I 1EXTERIOR LATH
I I I
I 1 ILOT DRAINAGE 1 I 1
I I I
I ISMOKE DETECTION DEVICES I
J IFIRE DEPARTMENT APPROVAL( I I
I I* ADDITIONAL DATA ON FILE J 1 1 1
' IREPORT ID: DPR261 ROUTE TO: BSO508 1 I I I
I I I I J 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 0908050014
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 6561 LT: 513 I SQ. FT STORIES TYPE I 5807 KAUFFMAN AV J
I (STRUCTURE: V-B TEMP CA 917802206
ASSESSOR INFORMATION NUMBER: 1 NEAREST CROSS STREET:
18587-021-003 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 108/05/09 SR
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL DfffATE FINAL BY: CODE:
ILAM TU QUANG, MAI XIAO Y (626) 215-7412- 1 2,100 if� 1 /7�/ 1
5807 KAUFFMAN AVE. t '` I l 'y
TEMPLE CITY CA 91780 I FEES PAID ID SCRIPTION bF WORK i
ICHANGE OUT 14 WINDOWS SAME LOCATION
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( I
JAPPLICANT: TEL. NO:
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1
JAB STATE GREEN BLDG FEE 2100.00 VAL 1.00 ISPECIAL CONDITIONS:
JAC STRONG MOTION RESID 2100.00 VAL 0.50 I
I ID2 PERMIT W/O EN-HC 2100.00 VAL 99.00 1 I
I TOTAL FEES 128.25 1 I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE J
ISAME AS OWNER - I I I
LIC. NO ILOCATION AND SETBACKS I I I
I I ISOILS ENGINEER APPROVAL 1
JARCHITECT OR ENGINEER: TEL. NO: J IFOUNDATION/TRENCH FORMS I
I - I
LIC. NO: ISLAB/UNDER FLOOR I
I I I
IRAISED FLOOR FRAMING I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: I JUNDERFLOOR INSULATION I I
1150H269 3 001 1 1-1 I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
NO 21 1 IROOF SHEATHING I I
SCHOOL WITHIN HAZARDOUS J ISHEAR PANELS
JAIR QUALITY: 1000 FEET MATERIALS 1
NO NO NO IFRAME INSPECTION
I I I
IREQUIRED TOTAL SETBACK FROM EXIST I - IFIRE SPRINKLER HANGERS I.
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONT PL- JINSULATION/WEATHER STRIPI I I
I SIDE PL- 1 1-1 I
I I IINTERIOR LATH/DRYWALL
I I I
I IEXTERIOR LATH
I I I
J I (RATED FLOOR/CEIL ASSEM. I I
i I IRATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
I I I
IT-BAR CEILINGS
I I I
ILOT DRAINAGE I I
I I I
—(REPORT ID: DPR261 ROUTE TO: BS0508 I I I
I I I 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 0901150010
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 6561 LT: 513 SQ. FT STORIES TYPE 5807 KAUFFMAN AV
1 (STRUCTURE: 45 V-B TEMP CA 917802206
(ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18587-021-003 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1TENANT: JEXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY:
1 EXIST OCC GRP: 101/15/09 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IF NAL DAT FINAL BY: CODE:
ILAM TU QUANG, MAI XIAO Y (626) 215-7412- 900 1
15807 KAUFFMAN AVE. I
(TEMPLE CITY CA 91780 I FEES PAID ID SCRIPTIO OF WORK I1
1 1 (EXPAND FRONT PORCH FROM 58 S.F. TO 103 S.F. SEE ALSO PERMIT I
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: IBL 0810160021 1
(APPLICANT: TEL. NO: I I I
ILAI (626) 288-2651- IAA BLDG PERMIT ISSUANCE 27.75 1 1
18748 VALLEY BLVD. #K IAB STATE GREEN BLDG FEE 900.00 VAL 1.50 1SPECIAL CONDITIONS: 1
1ROSEMEAD, CA 91770 1AC STRONG MOTION RESID 900.00 VAL 0.50 1 1
1 1AX BUILDING REVIEW FEE 54.70 1 1
1 ID2 PERMIT W/O EN-HC 900.00 VAL 65.40 1 1
1CONTRACTOR: TEL. NO: 1 _ TOTAL FEES 149.85 1APPROVALS DATE INSPECTOR SIGNATURE 1
1QUANG T LAM (626) 215-7412- 1 1 1
1XIAO YING MAI LIC. NO 1 (LOCATION AND SETBACKS 1 1 1
19303 RALPH STREET NONE 1 I 1 1 1
1ROSEMEAD, CA 91770 I (SOILS ENGINEER APPROVAL 1 1 1
I I I I I I
1ARCHITECT OR ENGINEER: TEL. NO: I 1FOUNDATION/TRENCH FORMS 1 1 I
I LIC. NO: 1 ISLAB/UNDER FLOOR 1 I 1
1 1 (RAISED FLOOR FRAMING I I 1
I I I I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 1 1UNDERFLOOR INSULATION I I I
1150H269 3 001 1 11 1
I I 1FLOOR SHEATHING 1 I 1
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 I 1 1 1
1 NO 21 1 (ROOF SHEATHING
I I I
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I 1
1AIR QUALITY: 1000 FEET MATERIALS 1 1 I 1 1
I NO NO NO I 1FRAME INSPECTION
I I I
(REQUIRED TOTAL SETBACK FROM EXIST 1 (FIRE SPRINKLER HANGERS I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I 1 1 1
(FRONT PL- 11NSULATION/WEATHER STRIPI 1 I
I SIDE PL- 1 I 11 1
1 1 11NTERIOR LATH/DRYWALL
I I I
1 I 1EXTERIOR LATH 1
I I I
1 1 (RATED FLOOR/CEIL ASSEM. 1 1 I
1 1 (RATED WALL ASSEMBLIES 1 1 1
I I I
1 I RATED SHAFTS/OPENINGS I 1 I
I I I
1 I IT-BAR CEILINGS 1 I I
I I I
I 1 ILOT DRAINAGE 1 I 1
I I I
1 1REPORT ID: DPR261 ROUTE TO: BS0508 1 1 1 I
I I I I I 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 0811030022
PHONE: (626) 285-0488 EXT:
(LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: 1
ITR: 6561 LT: 513 1 SQ. FT STORIES TYPE I 5807 KAUFFMAN AV
I (STRUCTURE: 324 V-B I TEMP CA 917802206 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18587-021-003 1 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
I I I I
(TENANT: (EXIST BLDG USE: GARAG USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
(EXIST OCC GRP: 111/03/08 SR I
1OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FIN/AL CODE: I
LAM, TU QUANG (626) 215-7412- I 2,500 I �� I v�
15807 KAUFFMAN AVE. I / 1
ITEMPLE CITY CA 91780 I FEES PAID IDESCRIPTION OF WORK I
I IDETACHED GARAGE TEAR OFF AND REROOF WITH EAGLE MOFIFY I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ILIGHT WEIGHT TILE I
(APPLICANT: TEL. NO: I I I
(SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 1 I
IAC STRONG MOTION RESID 2500.00 VAL 0.50 (SPECIAL CONDITIONS: I
I ID2 PERMIT W/O EN-HC 2500.00 VAL 99.00 1 I
I I TOTAL FEES 127.25 I I
ICONTRACTOR: TEL. NO: I - (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC. NO I (LOCATION AND SETBACKS I I
(SOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 ISLAB/UNDER FLOOR I I I
I I IRAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ( 1UNDERFLOOR INSULATION I I
I150H269 3 001 1 I I
I I (FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I II
I NO 21 1 IROOF SHEATHING % I
I SCHOOL WITHIN HAZARDOUS 1 (SHEAR PANELS I I ! I
(AIR QUALITY: 1000 FEET MATERIALS I I
I NO NO NO 1 (FRAME INSPECTION I
I I I I I I
IREQUIRED TOTAL SETBACK FROM EXIST I (FIRE SPRINKLER HANGERS I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I
FRONT PL- I (INSULATION/WEATHER STRIPI I I
I SIDE PL- I 1 11 I
(INTERIOR LATH/DRYWALL I I
I I I I I I
I (EXTERIOR LATH I I I
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