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HomeMy Public PortalAbout4905 PERSIMMON AVE_Building__ 76A638A CE#803 8-64 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING 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. DISTRICT N G TYPE S.ED BY FAO.RESS APPLICANT TO FILL IN CONST. STATISTICAL C ASSIFICATION S ER MAP `, CLASS NO. DWELL UNITSBK PG �- - 7 BLOCK USE ZONE MAP 1 NO. � TRACT SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT o NOW ON LOT USE OF -- EXISTING BLDG.- BLDG. SETBACK FROM NOL47-6190 / FRONT PROP. LINE OF L` -✓� EET) TYPE OF EXISTING SETBAHIGHWAY + YARD - TOTAL HIGHWAY WIDT FROM LC.KL. ADDRESS � � � LLg1 `` _ C I T Y 6 � o GC C.4 .SU/ u•.J --_ + ?o - d ARCHITECT OR TEL. BLDG. ETBACK FROM ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. n TEL. + = C CONTRACTOR _ NO L LIC CORNER CUTOFF YES NO a ADDRESS NO C CITY CLAS SEE REVERSE SIDE FOR SPECIAL APPROVALS u DESCRIPTION OF WORK n v :2 NEW ADD ALTER REPAIR DEMOLISH SQ.FT. `�J �j NO. OF NO. OF SIZE /jam c1 STORIES FAMI LI FS I USE OF 7 / STRUCTURE L � V —67 SIGNATURE O J %-`i d:•t /-• APPLICANT " VALUATION$ APPROVALS DATE I NSP EC TOR'S S I G NATU RE FOUNDATION, LOCATION FEE -� � FEE$ 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 -M/ `/ WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS /' ✓// ' - f 9UILOI NG CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. ' TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATI N INSURANCE. LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- ,y PERMITTEE -��% - RECT AND POSTED / "- ADDRESS �' LT — F I N A L „ ;�ij✓`! JOHN F. LEWIS. PRINCIPAL STIR TURAL ENGINEER PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION CK. M.O CASH Lt�Cfl526 � OCT 13232.00A Ltu�O 5 5 6 1 OCT 31 1 D 64.00— cv 76A638A CEn803 8-64 APPLICATION FOR BUIL 1 NG PERM COUNTY OF LOS ANGELES BUILDING ` /) - DEPARTMENT OF COUNTY ENGINEER ADDRESS C/ BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP'T OF BUILDING CROSS ST. DISTRICT N GRr I TYPE PR BY FOR APPLICANT TO FILL IN �' CONST. BUILDING _ STATISTICAL SSI FICATION SEWE MAP /// ADDRESS CLASS NO. UNITS BK�'y PG // 2 LOT NO. BLOCK USE ZO E MAP /j �J s l' NO. L'� TRACT SPECIAL N0. OF SLOGS. CONDITIONS SIZE OF LOT .S^ t�e NOW ON LOT USE OF �? XISTLN �- BLDG. SETBACK FROM TE FRONT PROP. LINE OF (STREET) OWNE NO. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS �- HIGHWAY I F M C.L. CITY REEL + BLDG. SETBACK FROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF E%1TIN0 SETBACK HIGHWAY �} YARD = TOTAL 9 } ADDRESS HIGHWAY WIDTH FROM C.L. a TEL. + = C CONTRACTOR _ NO I u LIC ADDRESS NO CORNER CUTOFF YES NO C ♦— CITY LI A SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK z NEW ADD ALTER REPAIR DEMOLISH SQ,FT. �J NO. OF NO. SIZE O STORIES j FAMILIES ' USE OF STRUCTURE SIGNATURE OF � APPLICANT VALUATION /i c APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. �y.� FOUNDATION, LOCATION FEE yFEE ! (i' L� FORMS, MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TOWORKMEN'S ��lp� ATION INSURANCE. LATH. EXT. SIGNATURE O ,_� HOUSE NUMBER COR-PERMITTEE ��G..JJJ��� RECT AND POSTED ADDRESS 7� LSC 7` F I N A L JOHN F. LEWIS. PRINCIPAL ST C RAL ENGINEER PLAN CHECK VALIDATION CK. M o. CASH _ PERMIT VALIDATION CK. M.O CASH L5 5 5 0�8 OCT31 1 D 4.00~ t -le, E#8D _ APPLICATION F 6A 638A C 3 8 63 APP R BUILDING PERMIT� � COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT N G TYPE P S BY FOR APPLICANT TO FILL IN 0 1 coNsr. BUILDING ^ f� STATISTICAL CLASS FICATION SEWER MAP ADDRESS 1. 5 .L�(, r BK G r J CLASS. NO. DWELL. UNITS� WATER V / LOT NO. 50 to k LOCK CERTIFICATE: NOT REQUIRED ❑ RECEIVED ❑ TRACT Q MAP / HIGHWAY STATE MAJOR SECON , LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT X�7(�•�4 NOW ON LOT USE ZONE SPECIAL USE OF / CONDITIONS EXISTING BLDG. EL OWNER [/ NO. 2 -/"� BUI DING EXIST. _ YARD HWY STREET NAME SETBACK WIDTH ADDRESS O S �f Q"y-L FRONT .1-0ARCHITECT OR TEL. P. L. ENGINEER NO. SID,E P. L. >_ ADDRESS d TEL. z O CON Im ADDRESS / O DESCRIPTION OF WORK/ " v.: G CL NEWADD ALTER REPAIR DEMOLSH N Z SQ. FT. NO.OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ So C/ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT ./ FOUNDATION: LOCATION FEE $ FEE $ r,� 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. WITHALL 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- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S CO E ATION I LATH. EXT. .057,7R ft SIGNATURE OF HOUSE NUMBER COR- PERMITTEE OL RECT AND POSTED ADDRESS FINAL .-( .•�i, (r•� JOHN F. LEWIS. PRINCIPAL STR J URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Li0447-1--o- z P 5 0 2 2.5 0 t 76A638A CE#803 8-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING //Of/d DEPARTMENT OF COUNTY ENGINEER AooREss ^�`f/ BUILDING AND SAFETY DIVISION LOCALITY �- JOHN A. E, COUNTY ENGINEER NEAREST A. JEN WILLIAM A. JENSEN, SUPT of BUILDING CROSS ST. G- DIS ICT NO. GRO TYPE PR SSED BY FOR APPLICANT TO FILL IN CONST. l BUILDING O� / >)/ ����/�M� ) STATISTICAL CL SIFICATION SEWER MAP ADDRESS< �V / /✓ CLASS. NO. DWELL. UNITS BK PG LOT NO. 50 L) 43 SCOT 2 BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ /� TRACT ��l(G''►2/'7 NO. G`'� / HIGHWAY iCIG(CIRCLE) STATE MAJOR SECOND. LOCAL SIZE OF LOT�j h ' `d� Z-�o NOW ON LOTS USE ZONE SPECIAL USE OF prs EDGE S ,/f CONDITIONS EXISTINGBLDG. OWNER (:/OQ)OAIC i,�ZO7M fr TO YZ 7K(, BUILDING EXIST. /, SETBACK YARD HWY STREET NAME WIDTH zG ADDRESS D /U/ EeS)�A&,) ' Lrugjf // FRONT 9 �J �.���i ARCHITECT OR TEL. P. L. c/- 57 ENGINEER NO. SIDE ADDRESS CONTRACTOR TEL. N O. U ADDRESS � / / V DESCRIPTION OF WORK W CL NEW ADD ALTER oe REPAIR DEMOLISH N SQ. .FTypO.OF NO. OF ? SIZE =Z0 STORIES / FAMILIES/USE STRUOCTURE CO a"-Ed AL 7-16 '��UTilcr r:oW d foil-&Ar d SIGNATURE OF APPLICANT VALUATION $ 600 at; 14?0-05< APPROVALS DATE INSPE T 'S SIGNATURE P.C. PMT. -d FOUNDATION: LOCATION ✓ FEE $ FEE $ FORMS. MATERIALS FRAME: FIRE STOPS,D /� 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 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- LATH. INT. TION OF THE LABOR COD- OF THE STATE F CALIFORNIA RE T. TO WORKMEN'S COMP NSATION INSU E. LATH. EXT. r SIGNATURE OF � � HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENG PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 9 2 3 ?Q6 .Uy22 1 0 9.00- J W RKERS' COMPENSATION DECLARATION orm that I have a certificate of consent to selfAPPLICATION FOR BUILDING PERMIT tnsur , or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND Y Policy No. Company Certified copy is hereby furnished. BUILDING ❑ p y FOR APPLICANT TO FILL IN ADDRESS QJ ❑ Certified copy is filed with the county building inspec- BUILDING L' tion department. ADDRESS v / 1 LOCALITY NEAREST Date Applicant CITYTf-U` t C-11 ZIP C/ / �J CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' ZI / NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT IF MAP BOOK PAGE IPARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT BLOCK LOT NO. / J NO. } TEL. �( �[t / SPECIAL d I certify that in the performance of the work for which this OWNER QNO. � ` CONDITIONS o permit is issued, I shall not employ any person in any manner ��/,In j DISTRICT W TYPE FIRE P ES D BY V so as to become subject to the Workers'Compensation Laws. ADDRESS v ��/ TJ (&i r CONST. Z E ? C Cf—) Cdr Date Applicant CITY LC 1 ZIP STATISTICAL CLASSIFICATION I ARCHITECT OR TEL. APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of W Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO. DWELL. UNITS N Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be deemed revoked. CONTRALTO TEL'11/t j B PG VALIDATION NO_ . LICENSED CONTRACTORS DECLARATION LIC. '17 I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 2 _ Z f1i� r L NO. Z C{ `f [ VALUATION (commencing with Section 7000)of Division 3 of the Business and L: LIC. Professions 6' Professions Code, and my license is in full force and effect. CITY �' U{ CLAS s— $ SQ. NO. OF NO. OF CHECK License Number Lic.Class SI STORIES FAMILIES ONE Contractor Date DESCRIPTION OF WORK � 6JAQ , NEW ❑ $ ❑ S I` ADD E]I am exempt from the licensing requirements as I am a _ t� licensed architect or a registered professional engineer ALTER ❑ FINAL �2 �r?•� ' acting in my professional capacity (Section 7051, REPAIR [J DATE I 1-0 Business and Professions Code). USE OF 2 tAC)dA-(-C DEMOL ❑ FINAL EXISTING BLDG. ✓ B Lic.or Reg.No. Date APPLICANT �L {�� TEL. OWNER-BUILDER DECLARATION (PRINT �/� C,r'`t NO. I hereby affirmthat I am exempt from the Contractor's License �O, Z Law for the following reason (Section 7031.5, Business and ADDRESS Z, P f ssions Code): PRESENT I, as owner of the property, or my employees with BUILDING ADpRESS wages as their sole compensation,will do the work and 1 7 5.7 A the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. # • • • • • 1 ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- 2 • • 9 tion 7044, Business and Professions Code). ADDRESS 7.00 REQUIRED TOTAL SETBACK FROM EXIST. 9 7 O O v CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH • • I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this 0.2 9-81 p permit is issued P.L. � (Sec. 3097, Civ. C.). SIDE P,L, Lender's Name 3 P.C. Fee$ Permit Fee - Lender's Address I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ' i and hereby authorize representatives f this County to enter I up o he Above-m nti n d erty inspection purposes. �r SEE REVERSE FOR EXPLANATORY LANGUAGE \ Signature of Applicant or A Dote ©s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT ' DEPARTMENT OF„PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING ANI) SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0302260025 a PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CWS7 TR: 4902 LT: 29 BL: F SQ. FT STORIES TYPE 4905 PERSIMMON AV STRUCTURE: VN TEMP CA 917804105 ASSESSOR 0 'NEAREST CROSS•STREET: LOWER AZUSA 8574-025-022 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY TENANT: 5 G S S USEZONE: 0 : PROCESSED P 0 EXIST OCC GRP: 02/26/03 JK 02/21/04 OWNER: 0: BLDGS. NOW ON LOT: VALUATION. FINAL DATE FINALBY: CODE: WASZUT ADAM P;CHRISTINE W - 21,000 4905 PERSIMMON AV - C6 d� TEMP 917804105 FEES PAID UNEUMON Of WORK REPAIR FIRE-DAMAGED GARAGE FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T O: J F S CONSTRUCTION GROUP (805) 531-6363- AA BLDG PERMIT ISSUANCE 27.75 7141 WOODLEN AVE AC STRONG MOTION RESID 21000.00 VAL 2.10 SPECIAL CONDITIONS: VAN NUYS 91406 D1 PLANCHECK W/-O--EN-HC--- _,21000.00 VAL 341.19 D2 PERMIT W/0"EN.-HC_= -_•21000.00 VAL 401.40 TOTAL:FEES 772.44 CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE J F S CONSTRUCTION GROUP INC. (818) 785-9925- 7141 WOODLEY AVE LIC. NO VAN NUYS CA 91406 757360 g �' %/r �. '-; LOCATION D SETBACKS •: �i r, �, �,`, !'� � •; SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: rr I`' ''��," \' TE 0: FORM 3 �Jr I 1 � 67 6 LIC. NO V' rr SAB UNDER FLOOR RAISED FLOOR G HAP 0: SEWER MAP BOOK: PAGE: FIRE ONE: 144H277 3 a '01' I = i - NDERFLOOR INSULATIO +1 11 1-' , __';=)�I !, s1. �R S NG 0. 0 ILIES: L G NITS: S CO . A C SSe - NO 21,= -- _-�- --- - .--_ ROOF SHEATHING SCHOOL DOSSHEAR ANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO INSPECTION i, y-2Z. ; v REQUIRED 0 SETBACK FROMS �•;t,_. I_� ,I_:T�S ."- SET BACK YARD: HWY: PROP LINE: WIDTH: �4'C►j\_!!r '`'� SPRINKIER ARGERS FRONT PL- .1 INS LON/WR STRIP SIDE PL- �`A �`��'!`VSC� _{=`=•' MTIEA Er 01 INTERIOR LATH/DRY A y �1 EXTERIOR LATH 14a_1 RATED F' RATE A L ASSEMBLIES r RATE D T-BAR;ChLINGS 0 I A REPORT ID: DPR261 ROUTE TO: BS0508 A