HomeMy Public PortalAbout6207 KAUFFMAN AVE_Building__ APPLICATION FOR BUILDINN PERMIT.
FOR,-AP,i�LICANT TO FILL IN (Print or type'only)
BUILDING.•/ !I: COUNTY' OF LOS ANGELES_
ADDRESS " ' ' DEPARTMENT OF COUNTY ENGINEER' '
CITY 7, zIP /` b '- BUILDING AND SAFETY DIVISION '
NO.OF BLDGS BUILDING I
SIZE OF''LOT NOW ON LOT / ADDRESS ��•
.(/ t
TRACT /1/ -P BLOCK - LOT NO LOCALIT - '
TEL NEAREST `
OWNER (j NO._ CROSS ST
(,� ASSESSOR '
ADDRESS&.107 & A MAP BOOK PAGE PARCEL
DIST RICT, jGROUR.-jTYPE- FIRE O SE BY
CITY ZIP
CONST: _-ZONE
ARCHITECT-OR TEL. -
ENGINEER NO
STATISTICAL CLASSIFICATION ; EWER MAP
ADDRESS r 'CLASS NO.�/ _DWELL UNITS ,/ BFr� , ,
CONTRACTOR I�J4 NO 7 -- J� USE ZONE MAP - -
p LIC. e NO. DO 1 -
ADDRESS 7i� Es �QjP NO. ,f Zi SPECIAL -
LIC. CONDITIONS i
CITY ll CLASS s" - '
ROAD DEPARTMENT APPROVAL REQUIRED YES NO ❑'
CONSTRUCTION LENDER:
' NAME AND BRANCH - Bl_CJp.SETBACK FROM
-- - - - 'FRO TPROP.LINEOF (STREET) c
ADDRESS CITY' W
C7
HIGA YRTOTAL SETBACK FROM
SQ FT - NO OF NO. OFCHECK FRONT PROP. LINE HIGHWAY - WIDTH _ C
-SIZE STORIES FAMILIES- ONE -
ILL
-DESCRIPTION OF WORK - NEW El } a.CA
X Am
ADD BLDG.SETBACK FROM - CA
SIDE PROP.LINE OF (STREET)
ALTER [:1
HIGHWAY '} YARD _ T!OTAL SETBAC�K FROM TY OF EXISTING
-
REPAIR❑ SIDE PROP. LINE HIGHNAY WIDTH
USE OF
NG,BLC.G. j/ - -/ DEMOL ❑ +
EXIS ,
" CORNER CUTOFF; YES ❑: NO ❑
APPLICANT Q TEL - _
(PRI N_T) J N0.
BY (SIGNAK"R , IN OPEN SPACE YES ❑l NO E]
IN COASTAL ZONE YES ❑ NO ❑
'-•VALUATION -200 - .,�,- - -
-' C'A'TEGORICAL' E%E MPTION YES❑ NO;❑-
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE.IS CORRECT AND AGREE 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 I (DATE) ;
HEREBY.1 WILLWPT EMPLOY ANY PERSON IN VIOLATION-OF THE -
LABOR CODE F THE *ST TE OF CALIF RNIA IN RELATING TO / 1� 1) f/ �r �A p _/•' �i
WORKMEN'S C M NSATIO I URA NCE ��� C../.I lrY7 .f�J i .2 �A'Z ..�O •_fl�Pv/
SIGNATURE l? Av Y. 27,AVA_ ,,,,
PERMITTEE _
•ADDRESS
TELFINAL BY,
•
CITY �� NO. �10 CDATE- Q' �
MAKE CIIEKS PAYABLE TO- PMT
pEE FEE ( I
HARVEY T. BRANOT. COUNTY ENGINEER
1
'PLAN CHECK VALIDATION CK M o CASH _ PERMIT VALIDATION CK N o CASH _
- 2 6- 6c"z-JUL— 1' 2 8.5 G �s� -
76A638A CEa B03 7/73
►D
7616'SA CE#80S 3-66 APPLICATION FOR BU I LDI G PER GRo7-0 J
COUNTY OF LOS ANGELES BUILDING 620 Kauffman 'T C
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY Temple City
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST-
'COLEMAN W. JENKINS•SUP'T OF BUILDING CROSS ST Longden
DISJXICT N 1 0 UP TYPE / _ P E• B
FOR APPLICANT•TO FILL IN ; Q CONST. /-
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESSG6207
Kauffman' Temple�,� Cit CLASS NO.�DWELL UNITS � BK �FG
yy
LOT NO. - _ BLOCK USE ZONE' MAP"
NO.
TRACT Santa vAnita L � � SPECIAL' - - -
OXl 0 NO OF BLDGS -` CONDITI N
\ SIZE OF LOT 5 - NOW ON LOT 1 ,• _ _
USE OF ,_ ng a am y res.EXISTING QLDG, BLDG. SETBACK FROM
OWNER .JOhn Marsha NOL - FRONT PROP. LINE OF - (STREET)
TYPE OF� E%1971 N6 9ETBACK GHWAY• 'YARD - •' TOTAL .
ADDRESS .101.0 E. 'Las Tunas -Drive HIGHW Y F M C.L '
Q �'� +
CITYS Ga ` BLDG. 9 TRACK FROM
ARCHITECT TE SIDE PROP. LINE OF'. (STREET)
ENGINEERS C• PursleyNOL286-3831
TYPE OF EXISTING SETBACK HIGHWAY + Y ,IAL
1014 as as Drive HIGHWAY WIDTH FROM C.L
ADDRESS "-
' - TEL +
CONTRACTOR NOLIc _
ADDRESS 101' •L NO 16 0l CORNER CUTOFF YES ❑ NO O
ITY an are LCLASSIC Bl SEE REVERSE'SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
• w
NEWX ((,, ADD ALTER REPAIR DEMOLISH CCn
SIZEkA 933 SOTORIE S FAMIOF OLIE2 Z
up eX attached
,
URE
a
URE OF
ANT J /
T. $ .00
APPROVALS DATE INSPECTOR'SSIGNATURE a FEE$ �S +J O FOUNDATION, LOCATIONtFORMS, MATERIALSFRAME, FIRE STOPS, '
EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS'VENT. DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LABOR CODE F THE STATE'OF CALIFORNIAaI
ING TO WORKMEN'S P ATION INSURANCE
H. EXT.
SIGNATURE OF SE•NUMBER COR-
PERMITTEE E AND POSTED
ADDRESS ~ NAL 1//'j
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
.PLAN -CHECK VALIDATION CK. M O. CASH ' _ : PERMIT VALIDATION CK. M.O CASH
NJ 29.2- 3 D:,' • .� C..9.O-A
C- ,6 4 5'6c SEP 1.8 1 D 1.5 1_:5_O�
�,
17,
74A899A CV_.BD9 9-49-APPLICATION FOR BU I LDI N PERMIT
r -
C'OUNTY OF LOS ANGELES BUILDING" +
DEPARTMENT OF COUNTY ENGINEER ADDRESS -
BUILDING AND SAFETY DIVISION LOCALITY'
JOHN A. LAMBIE, COUNTY ENGINEER 32NEARESTrr
COLEMAN W. JENKINS, SUPT OF BUILDINGo CROSS ST.,
DISTRICT NO.:`- G UP TYPE PR ESSED-BY.
FOR APPLICANT TO FILL IN CONST.
Print or type only)
FENG
NG ✓ STATISTICAL. CLASSIFICATION SEWER MA
r
SS CLASS NO._(� DWELL•UNITS'� < <•—BK.
. BLOCK USE•ZONE MAP
NO. ��J 4 '•tlft .r
T SPECIAL„' ri
NO.OL GS. / CONDITIONS
F LOT NOW,ON LOT
NG BLDG. BLDG.SETBACK FROM
T L. FRONT PROP.LINE OF' - s�L (STREET)
; O• TYPE OF EX I ST I NGI,,'SETBACK HI WAY", r}_ YARD- _ •TOTAL
HIGHWAY WIDTH 'FROM C.L.o" +BLDG,SETBACK FROM
ECT OR L :SIDE PROP.LINE OF (STREET)
EER - TYPE OF EXISTING SETBACK -HIGHWAY- , +' YA :-TOTAL
ADDRESS :HIGHWAY WIDTH FROM C.L. -
'
CONTRACTOR _ NO.
LIC. O
ADDRESS' �^ NO. CORNER CUTOFF -.YES-❑ NO ❑M U
CITY 'CLASS SEE REVERSE SIDE:FOR SPECIAL APPROVALS
DESCRIPTION OF WORK CL
NEW ADD ALTER REPAIR DEMOL_I
SQ. FT.- ,- NO. OF NO. OF !1
SIZE STORIES FAMILIES
USE OF ZC
STRUCTURE t o
SIGNATURE OF, l
APPLICANT
VALUATIO ,,rZf�
1,40:
APPROVALS• DATE IN9 PEC TOR'3 SIGNATURE
P.C. PMT, F0UNDATION:'LOCA T.ION
FEE $ FEE $ i FORMS, MATERIALS
FRAME: FIRE STOPS,
1 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 COUNTY ORDINANCES AND STATE_LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL-NOT EMPLOY ANY PERSON IN VIOLA*
TION OF THE LABOR CODE F T E STATE OF CALIFORNIA RELAT• LATH, INT. '
ING TO WORKMEN'S
C=SA N INSURANCE -
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE _ RECT AND POSTED
ADDRESS FINAL Q G_
51 L
- JOHN F. LEWIS.'PRIN IPAL STRU URAL ENGINEER
PLAN CHECK VALIDATION CK. MO CASH _ PE T VALIDATION CK. M.O CASH
Lfii3O
6 4 5' 7� HP 1 8 1 D 6.0 �,