HomeMy Public PortalAbout6216 KAUFFMAN AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN- (Prinr tvae=oi lY) �.
BUILDING COUNTY OF, LOS ANGELES
ADDRESS o�-��o -KaF ' - - Y' • •DEPARTMENT OF COUNTY ENGINEER
clrY j e►vu le C-11SCI zl P C/1-7 S'o - BUILDING AND SAFETY DIVISION
-^t �'NO.-OF BLDGS. BUILDING
SIZE OF LOT
-7v� X �S V' NOW ON LOT ' , vZ ADDRESS /,�7
TRACT '��' J•�� BLOCK LOT NOS µ LOCAL TY-- - - - •- -
}�
�/ 'TEL •p NEAREST
,DICI -
OWNER , oAri O Irt C.T7 _NO. Z. 3Zo CROSS.ST
,/ ASSESSOR '
ADDRESS �p� 16 r /�a-t-1 RSL✓ MAP BOOK: - - PAGE- 1 PARCEL
Tc �1e ZIP 7�(� M1 "DISTRICT GROUP TYPE' FIRE PRO SSED BY '
CITY / f --,�.. CONS TI, ON -
ARCHITECT OR --- - - TEL.
ENGINEER _ NO. _
STATISTICAL C-LASSIFICATION - 'SEWER KrAP
ADDRESS 'CLASS NO. �_DWELL,UNITS (' �K� G
.. TEL. _
CONTRACTOR- Ml-Sed - ---NO -- -- --••. -USE ZONE MAP
LIC NO.
ADDRESS - _ NO• ...2� SPECIAL
LIC. CONDITIONS '
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED - Y•ES❑ iN0 ❑
CONSTRUCTION LENDER y
NAME AND BRANCH BLDG.SETBACK FROM- a
•^ - -- - - - - - - - - - - --- - FRONT PROP.LINE OF -(STREET)- V
ADDRESS - CITY HIGH AY t YARD TOTAL SETBAql< FROM TYPE OF EXISTING
,SQ FT I. NO. OF, _ -' .,NO. OF. _ CHEC-K FRONT PROP-: LINEI HIGHWAY WIDTH
SIZE I a x� STORIES FAMILIES p� ONE U
W
NEW- 0'
DESCRIPTION OF WORK - - ❑ - Z
LDG.SETBAC
�(/l 'I l--ate /-ePVCf SCS - ADD ® g}DE PROP. L NE OF (STREET)
TI YL / ALTER ❑ TOTAL S ACK FROM TYPE OF EXISTING
I`d�h4 HIGHWAY -t - -YARD - = - -
-/ LQ REPAIR[I - ' SIDE PROP. E HIGHWAY WIDTH
EXISUSE TING BLDG. I�Q"S"dorl4L CEMOL ❑ -t _ _ .
APPLICANT Q Z� // L� TEL CORNER CUTOFF YES ❑' NO
(PRINT) /Y • ,JJ J ILOV LGiT NO.a$&-/37•e
BY (SIGNATURE) / IN OPEN SPACE _ YES ❑ NO ❑
IN COASTAL ZONE YES,❑ NO ❑
-VALUATI - - CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE ';4 T 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 (DATE) -
-HEREBY I WILL NOT EMPLOY-ANY PE ON IN VIOLA ION-OF-THE -
LABOR CODE OF T E STATE OF LI ORN IN ELATING TO �e� }� /� �• }'' ,�j ,} A•� �/ 6]y '
WORKME'N'S COMP S TION INS ,E I JCP�'��/ L1U�/ '. C!W ✓meq IZ I �O�^t����1,UYtF'�`*��
SIGNATURE OF
PERMITTEE / /cc
/cw
ADDRESS & I(! t-`
/7 �J/ ( _ p p FI NA L _ B•Y
C I T Y �e Nil�O�(� CIL Vim/ N O.' i�O 136 DATE L3
3" Q
C.
MAKE CHECKS PAYABLE TO` F E� FEE $
HARVEY T. BRANDT'. COUNTY ENGINEER ^F w �
:PLAN CHECK VALIDATION . . CK 'MO CASH _.` PERMIT VALIDATION ,CK Mo(�H,_"
- oZ'--JUL 29 1 D% 2 8.5 0 A"'8
76A638A CE#803 7/73 '
DEPARTMENT OF COUNTY ENGIId M
iDMSION OF"BUIMING AND SAFETY ,
`�°� °; COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER.: APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING'
FOR APPLICANT'TO. FILL IN FOR OFFICE "USE ONLY
BUILDING Oje / DISTRICT NO. 7 CIS./2-4!;' PRMIT NO,�
ADDRESS ., � 7(/� !� 7�
LOCALITY i F?E IVED B DATE F AP L. D E ISS ED -
NEAREST _ �� Z
CROSS S -DDRE
A
2
OWNER• "l k ADDRESS
•MP:IL LOCALITY • �'' '
ADDRESS 'NEAREST"
CROSS ST,
CITY
ARCHITECT OR V TEL. 6O I NO. OF TYPE w. GROUP
ENGINEER NO PLANS ,
�, BLDG.
ADDRESS SETBACK LINE
CONTRACTOR USE APPROVE yea
ZONE BY / DATE G
ADDRESS 4!91i HO//U��SE'NUMB1T�tING
LEGAL - MAP NUMBER �w•� n10. ASSIGNED BY. �.�
DESCRIPTION LOT N BLOCK
TRACT = CORRECTIONS
2 �
NO OF BLDC38: /
SIZE OF LOT SO NOW'ON LOT
USE y FNAMIOgs
EXISTING BLDG.
'R ze—cmd
DESCREMON OF"WORH /Z/SGT' o
REP IR DEMOL TION ITION � ' ADDITION I —� Q
Z —9 5�1 L�1�1y �:� a
r
SQ. FT. NO. OF C�•�J�IZ C,'�' J G C�I�U AZ110.1��
SIZE ROOMS STORIES' 11
EXT. WALL
ROOFi
COVERING COVERING jo
_ Al!R A ,�`s7, �j-19,4A,
USE OF STRUCTURE l/ /C 1�
„�, �.- ' . V ,f3Y lyi�, /A�F2/'.�iR� R•f..L'�i�i`�s�
APPROVALSv n`
INSPECTO IG ATURE DATE•
f f - FOUNDATION: LOCATION 1
FORMS, MATERIALS
'I HEREBY ACKNOWLEDGE THAT I 'HAVE READ THIS AP-' FRAME: FIRE STOPS, F �'".
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS wk?AT 7
CORCT
A REE TO COMPLY WITH,ALL COUNTY ORDINANCES FURNACE: LOCATION, r f'
AND STATE LAWS ;RE EATING BUILDING'CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF
LATH, INT. -
PERM ITTE 11
t� ,►. r LATH. EXT. . - �f•l`
ADDR
PLASTER,,INT.
AUTHORIZED AGT.
PLASTER, :XT.
O'DOFEE. HOUSE NUMBER COR- .
--••���� RECT AND POSTED
VALUAT ON •FEE w. - FINAL
76A686A DNS 3 9-D2 .
•76A63A ..
CE#803(REV 1 1!78).- GJ ;
APPLICATION FBUILD( PE_
COUNTY OF LOS ANGELES _ , BUILDING-AND SAFETY _ -
FOR APPLICANT FILL IN . BUILDING /
ADDRESS
BUILDING g
ADDRESS LOCALITY/�
4 C / ZIP -� NEAREST
�
CITY - � / O CROSS ST
�/ NO OF BLDGS• ASSESSO
51 OT• J` iz-O NOW ON LOT MAP BOOK PAGE• L
DISTRICT G UP' TYPE FIRE P�SSED BY
A QQ' BLOCK /+ � Tcyl I L� ZON
fTJ �C� TEL \J�a�~ -3 v i
OWNER
NO I37
`
STATISTICAL CLASSIFICATION' ',• SEWER MAP _7
ADDRESS 2I L/IFMA—/c� CLASS NO DWELL'UNITS,. L BI� ,PG,,,•,
CITY ZIP':
ARCHITECT OR TEL VALUATION,
ENGINEER r NO /� "?�•
ADDRESS." BLDG SETBACK FROM ✓✓ ��
TEL FRONTPROP LINEOF (STREET)
CONTRACTOR NO TOTA BACK FROM TYPE OF EXISTING '
LIC HIGHWAY + YARD = FR PROP LINE' HIGHWAY WIDTH
ADDRESS NO
ffVV LIC +
CITY' CLASS
CONSTRUCTIO •LENDER BLDG SETBACK FROM
NAME AND BRANCH SIDE PROP LINE OF = ((STREET)
HIGHWAY + YARD _' `TOTAL SETBACK FROM ,TYPE OF EXISTING
ADDRESS CITY' SIDE PROP LINE HIGHWAY WIDTH.
SQ FT /� NO OF' NO OF CHECK +" _ ` V
' at
SIZE 7 STORIES FA"MILIES' ONE t A
USE ZONE NO _Q
DESCRIPTIO OF WORK NEW - ❑
FADDCONDITIONS'-SPECIAL 9L
All T (//�� N
t ALTER ❑ FINAL Z_
REPAIR DATE
USE OF . ❑
EXISTING BLDG DEMOL- _ _ - .-2 •.
APPLICANT TEL ' G •� -
(PRINT) NO I-
^
- C
BY Aa&[SIGNATURE( 1v& ;&&Y-MQ
- >
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS ]CATION AND STATE ux L`'
THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY, ITH ALL.ORDINANCE$
AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE _
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF t.! •'� -'� '� A
THE LABOR CODE OF THE STATE•OF CALIFORNIA IN RELATING TO,•W,ORKMEN S COM__ _ _ _ 1 , _ 2
PENSATION INSURANCE
.# 0'010 OSIGNATUR
O t
PERM TTEEE•OF 2'o 1 `6 0,0.0
ADDRESS 1 '6
TEL-
CITY
EL CITY ��-NO G 0 771 ;1 i.°O
o
PC Fee$ Permit Fee S >
Issuance Fee
ry. Total Fee
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DFPARTER,FNT OF PUBLIC WORKS 9701 LAS.TUNAS
_ALTERATION/REPAIRz
! S1 SF' e f wry .'csi '"S�+ti
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 = -SBL 0508-99.10200002 •
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST - -BUILDING ADDRE S:=.:
.ON:FILE SQ. FT STORIES TYPE 6296 KAUFFMAN.AV
STRUCTURE: . 0 VN. - T;EMR, CA 91;7801.745
ASSESSOR INF RMAT ON_ NUMBER: NEAREST CROSS STREET... .
5385-021-021- a THOMAS PAGE` 59Z'' GRID: A2' . LOCALITYd TEMRLE CITY_
TENANT: .USE 0%_� EXIST BLDG USE ` ESFDi: USE ZON R ISS ED ON., PR CESS
.. D-BY: EXPI,.R S N
:.UTEXIST OCC GRP.. l; 04/17/00
u..:
OWNER: VSfLUAI is TEL. O: BLDGS. NOW ON LOT: VALUATION FINAL :DATE FINAL/( CODE
DAJKOVICH RADOVAN..P '} - 2 ; 3 000
_6216 kAUFFMAN AV I Or�`�'� •,
TE— M— P�Lf7801745 FEES PAID. DESCRIP I N OF WORK s'
TEARAFF, NEW COMP. SHINGLE 30 YR. ELK AND BUILT UP FLAT
FEE DESCRIPTION: QUANTITY: UOM AMOUNT
APPLICANT: TEL. 0: ;: r s s a
CONSTRUCTION - (213) 380-7556-\ AABLDGPERMIT ISSUANCE
RPC
162F15b'.SL1EWPEOVE AC STRONG MOTION RESID 30001.00 VAL 0:50 SPECIAL CONDITJONS:
HAfl)D EM.-HEIGHTS,-CA>, D2 PERMIT W/O_EN;�HC =300 00 VALE'~` 99.00
1
?AL FESS TUTAL FEES 127.25 x
� (Lo -4
CONTRACTOR: TEL. N0: APPROVALS,-, DATE INSPECTOR SIGNATURE
SON YONG HWANG (213) 380-7556--
DBA:R P CONSTRUCTION LIC. NO LOCATIOT AND SMACKS
16209 GLEN COVE 656855 C39
HACIENDA HEIGHTS CA (� \. SOILS ENGINEER APPROVAL
- ��� \ \/` FOU DAT ION/TRENCH FORMS
ENGINEER: TEL. 0: ! \\
LIC. NO: "• ( � I - � SLAB/UNDER FLOOR
ARCHITECT OR �
RAISED FLOOR MA
MAP.NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP / / UNDERFLOOR INSULATION
153H269 3 01 �'� -�
FLOOR SHEATHING
0. OF FAMILIES: DWELLING TUR ITS: PT/C ND: STAT CLASS:,--
NO 21 - ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS �� ��- SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS - `���''
NO NO NO 1
�� �.� // I i" FRAME INSPECTION
L
EQUIRED TOTAL SETBACK FROM EXIST \� o / Q,� FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: �0 L
FRONT PL' INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL:
EXTERIOR LATH
RATED F.L OR/C IL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508