HomeMy Public PortalAbout4913 PERSIMMON AVE_Building__ BUILDING
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APPLICATION LOCALITY A=,
NEAREST
DIVISION OF BUILDING AND SAFETY CROBB ST. Gtr Z 1
Department of Ceuxty Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles .3 7,;?- 7 f'c)
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DATE ISSUED
CASSATT D. GRIFFIN, SUPT or BUILDING
FOR APPLICANT TO FILL IN TYPEga—HBT, RECEIVED BY ISSUED BY
OWNER ' : /.c�{C�r.--.,,� MAP STATE y4 O
MAIL / NUMBER 2 D HW'Y
ADDRESS UHEZONE SPECIAL
TEL. �. CONDITIONS
CITY NO.
ARCHITECT OR TEL. -
ENGINEER NO.
BUILDING YARD HWIY STREET NAME EXIST.
ADDRESS SETBACK WIDTH
FRONT
CONTRACTOR R G.7 lot-J ISA NO. � 7"�3�� SIDE
r
ADDRESS 7 >,�� CL), 66.J
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6.
BUILDNG 77 1 MO. DATE
L.
Aj CORRECTIONS INSPECTOR
ADDRESS
LOTNO.JD
LaT 3119 BLOCK _
TRACT O
�1 NO.OF SLOGS.
SIZE OF LOT �/ NOW ON LOT
USE OF
EXISTING BL
DESCRIPTION OF WORK A
Q
NEW_ ADD ALTER REPAIR DEMOLISH Z
BO. FT. _. ND. OF NO.OF D
SIZE STORIES r FAMILIES / r
USE OF STRUCTURE
EMPLO
NO. OYEESF
_
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN 18 APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS RE13ULATIND BUILDING CONSTRUCTION. FORMS,MATERIALS
/i FRAME: FIRE STOPS,
SIGNATURE OF �� ` �,.I,.� BRACING,BOLTS
PERMITTEE ' FURNACE: LOCATION,
✓/�
��L1 �L/_ GAS VENT, DUCTS
ADDRESS LV
LATH, INT. 1
AUTHORIZED ABT. T
LATH, EXT.
t>~ 0 �� P.0« HOUSE NUMBER COR-
ricRECT AND POSTED _
VALUATION S «�
FINAL
76A638A DBS 3 4-54
'6A638A DBS•39.5 APPLICATION FOR BUILDING PERMITEU'L 1
DIVISION OF BUILDING AND SAFETY ADDRESS
/
Deportment of County Engineer 7—
County of Los Angeles _LOCALITY / C�
WM.J. FOX, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN. SUPT OF BUILDING CROSS ST. l.•' �' �� '/ L..S
DISTRICT NO. GROUP TYPE BEWBER MA P
FOR APPLICANT TO FILL IN t I CONST I 1`^
BUILDING MAP `�C STATE YES N
ADDRESS ��9/.��i ��vA.��. rr�LLt-Y..�'i�•�� NUMBER >7� �J/ HWY
! USE ZONE SPECIAL
LOT NO. ��11 7G, BLOCK CONDITIONS
TRACT �S%�ry
NO. OF BLDGS. BUILDING EXIST.
SIZE OF LOT a i�Zf NOW ON LOT _ SETBACK YARD HWY STREET NAME WIDTH
USE OF
_EXISTING BLDG./ )/ L-'-•� FRONT
PROL ,..• s//1iV��/� •C�1
_OWNER [lt �[,G' �1/ SIDE
P. L.
MAIL
ADDRESS I ,f7 O TRACT DWELL. 1 UNIT
S INDUSTRIAL
ir TEL. /� 1 DWELL. I UNIT
CITY NO. LT+G 6 PUBLIC BLDG.
ARCHITECT OR TEL. 2 DUPLEX 1 UNIT 7 ADDN., ALT.. ETC.
ENGINEER NO. 3 APT. UNITS
8 MISCEL.
ADDRESS 4 COMMERCIAL
TEL. INSPECTION RECORD
CONTRACTOR NO.
DESCRIPTION OF WORK i
[EW)e ADD ALTER REPAIR DEMOLISH
T. r� NO. OF NO. OF
STORIES FAMILIES
OF STRUCTUREATUREPLICANT APPROVALS
ADDRESS DATE INSPECTORS SIGNATURE
FOUNDATION: LOCATION
$ P. C. $ FORMS. MATERIALS
V"
FEE FRAME: FIRE STOPS,
VALUATION $ BRACING, BOLTS I--
FEE ,� FURNACE: LOCATION, _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT, DUCTS _
APPLICATION AND STATE THAT THE ABOVE IS CORRECT 1.
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT. ✓ .-L _
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. �
�i { LATH, EXT.
SIGNATURE OF/J ��,, G/ HOUSE NUMBER COR-
PERMITTEE-�- tZZ' l�� &/li"-C RECT AND POSTED
ADDRESS FINAL
WM.J.FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR
._; 03 5 0 7,-? FEB27 1 8.0 (;: n
APPLICATION FOR ,tibUNTY OF LOS ANGELES
'BUILDING PERMIT DEPARTMENT ENGINEER
BUILDING AND SAFETY DIVISIONBU LDING
FOR APPLICANT TO FILL IN ADIDRESS
BUILDING n L•s /� �y
ADDRESS LOCALITY / G (r� /
NEAREST �+
CITY ZIP CROSS ST. C(y U(J J9
NO.OF BLDGS. ASSESSOR
SIZE OF LOT d NOW ON LOT 2 MAP BOOK PAGE PARCEL
TRACT BLOCK LOT NO. (ZISTRICT ROUP CONST.
OWNER /TYPE FIRE E E
TE ���dQ � rl�.
Z!L
c
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS k,64 4 CLASS NO. _DWELL.UNITS ^- /rj BK ZPG
CITY ZIP % USE ZO MAP
ARCHITECT OR EL. L N (9-013
O.
ENGINEER NO. �j" SPECIAL
CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED Y NO ❑
TEL.
CONTRACTOR NO. BLDG.SETBACK FROM
LIC. FRONT PROP.LINE 0 A (STREET)
ADDRESS NO. TBACK FROM TYPE OF EXISTING
LIC. HIGHWAY + YAR - ONT PROP.LINE HIGHWAY WIDTH
CITY CLASS
CONSTRUCTION LENDER /� + a
NAME AND BRANCH ST/ BLDG.SETBACK FRO 0
ADDRESS CITY SIDE PROP.LINE O (STREET)
SQ.FT. NO.OF NO.OF CHECK HIGHWAY YARD = TOTAL SETBACK FROM TYPE OF EXISTING U
SIZE STORIES FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH N
❑ + = Z
DESCRIPTION OF WORK NEW
ADD ❑ CORNER CUTOFF YES ❑ NO ❑
ALTER IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
USE OF ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. O IDEMOL
APPLICANT PR NT) FC C'R NO.L/L/ —6 � ��, i�Y L''"'C
BY(SIGNATURE)
IHEREBY 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 CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELAtING TO WORKMEN 5 COM
PENSATION INSURANCE. /
SIGNATURE OF FINAL / � V' BY E
PERMITTEEDATE
ADDRESS
TEL. P.C. Fee$ Permit Fee "�
CITY NO.
1 V Issuance Fee
VALUATION$ /�5 O V+ M
Total Fee v vD
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 8 6 ` JUN 2b j U G 7.J U •_a
r
�S 76A638A CE N803A 8/77
N,
x ,
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`,a 91780 BL 0508 1008020048 '
PHONE-A620 285..70488 EXT: .: .
ILEGAL ID: I NO. OF CONST :I BUILDING ADDRESS: I
TR: 4902 IT: 30, BL: F UN: .002 I SQ. FT. STORIES TYPE I 4913 PERSIMMON AV
I (STRUCTURE: V-8 I TEMP CA• 917804105. I
ASSESSOR INFORMATION NUMBER: I :. NEAREST CROSSSTREET: ;LOWSR AZ
USA
I THOMAS PAGE: 59,7, ;GRID:,D4 LOCALITY: TEMPLE CITY, Cl
IFE-NMT- (EXIST BLDG:USEh RESID USE ZONE:-R-1 (ISSUED ON: ' PROCESSED BY:
1 (EXIST OCC GRP: 108/02/10 SR.
(OWNER: TEL. NO: - BLDGS. NOW ON LOT: VALUATION:
HECKMAN, TIM I (FINAL DATE FINAL:BY: CODE:
1406 S. INDIAN HILL (949) 290-5656= I 2,700 I
I
ICLAREMONT CA 91711 I I
FEES PAID - ,'IDESDES -R�OF WORK, I
REPLACE •10-WINDOLPS AND 1 SLIDER AND 5 DOORS I.
(FEE DESCRIPTION: QIIANTITY: IIOM: AMOUNT:( '' 1
- :
(APPLICANT: TEL. N0: `
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80
I IAB STATE GREEN BLDG FEE 2700.06 VAL 1.00 SPECIAL CONDITIONS:
I AC STRONG MOTION RESID 2700.00 VAL 0.50 • 1
I 1D2 PERMIT W/O EN-HC 2700.00 VAL 99.10.
I IFR INV WORK,W/O PERMIT 257.00 DOL'. 257.00, I
ICONTRACTOR: TEL: NOe I TOTAL FEES. 385.40 (APPROVALS'' DATE INSPECTOR SIGNATURE I.
(SAME AS OWNER 1
I
LIC.. NO LOCATION.AND SETBACKS: I. . . . I
AN
„ 1 SOILS ENGINEER APPROVAL 1
(ARCHITECT OR ENGINEER: TEL. N0: I
(FOUNDATION/TRENCH.FORM3 I 1 I
. I LIC: N0: I 1SLAB/UNDER FLOOR I :'
RAISED FLOOR FRAMING .
IMAP N0. SEWER MAP BOOK: PAGE: FIRE ZONE:' CMP:( 1UNDERFLOOR-INSULATION'. I.
1144H277 3 . 001 - '
(FLOOR SHEATHING I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
1 NO • :> 2i. ROOF SHEATHING.; .
.I SCHOOL WITHIN HAZARDOUSI lISHEAR' PANELS I I
AIR .QUALITY: 1000 FEET MATERIALS, c J`�/0 I 1
NO NO NO I 1
_ - _ 1 D �(FRAME'INSPECTION •. J
"?DL FIRE_SPRINKLER HANGERS. I.
tt
. �o(.l`tk'�� V4(5e' IINSIILATION/WEATHER STRIP( 1
-e r ���� �`�� I INTERIOR LATH/DRYWALL I
I I IEXTERIOR LATH I I 1
(RATED;,-FLOOR/CEIL.ASSEM.
'Ll 5'w-, I RATED-WALL ASSEMBLIES
I 1 +RATED SHAFTS/OPENINGS
NO ,'C`t l ,ti��� , IT-BAR CEILINGS I I 1
DRAINAGE. I!
I IREPORT• ID: DPR261 ROUTE TO: BS0508 ' I I I I
I I r 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 1008310052
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 4902 IT: 30 BL: F UN: .002 SQ. FT STORIES TYPE 4913 PERSIMMON AV
STRUCTURE: V-B I TEMP CA 917804105
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LOWER AZUSA
18574-025-024 1 I THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl
IT T° [
EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY:
1 EXIST OCC GRP: 108/31/10 SR
OWNER: TEL. N0: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE:
1 N, TIM (949) 290-5656- 2,500 1
[406406 S.S. INDIAN HILL � -
CLAREMONT CA 91711 FEES PAID IDE RIPTION OF WORK
I I IBATHROOM REMODEL IN GARAGE AND REPLACING 4 WINDOWS 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
(APPLICANT: TEL. NO: I
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80 I I
IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
1 1AC STRONG MOTION RESID 2500.00 VAL 0.50 1
B2 PERMIT W/ENERGY 2500.00 VAL 109.00 1 1
TOTAL FEES 138.30
ICONTRACTOR: TEL. N0: I 1APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER -
1 LIC. NO 1 1LOCATION AND SETBACKS 1 1 I
1 1 ISOILS ENGINEER APPROVAL 1 1 1
1ARCHITECT OR ENGINEER: TEL. NO: 1 [FOUNDATION/TRENCH FORMS I 1 I
1 LIC. NO: 1 1SLAB/UNDER FLOOR [ I I
IRAISED FLOOR FRAMING 1 1 [
I I [ I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 (UNDERFLOOR INSULATION I [
1144H277 3 001 11
I I 1FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
NO 21
IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS I [ I
(AIR QUALITY: 1000 FEET MATERIALS I I I 1
1 NO NO NO I IFRAME INSPECTION
1 I 1FIRE SPRINKLER HANGERS I I I
1 1 [INSULATION/WEATHER STRIP( [ 1
1 1 [INTERIOR LATH/DRYWALL [
I [EXTERIOR LATH I
1 1
1 1 1RATED FLOOR/CEIL ASSEM. [ I I
[ [ I
1 [ [RATED WALL ASSEMBLIES [ I I
1 1 1RATED SHAFTS/OPENINGS I 1
[ [ IT-BAR CEILINGS
[ [ 11.OT DRAINAGE
I I
1 1REPORT ID: DPR261 ROUTE TO: BS0508 1 I I [