HomeMy Public PortalAbout4926 PERSIMMON AVE_Building__ NT OF BUILDING AND S
D.?PART COUNTY OF LOS.ANGE ESAFETY BUILDING U ' LDING
WM. J. FOX, CHIEF ENGINEER APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. DR REc./N'o. PERMIT NO./yam
BUILDING
ADDRESS
LOCALITY C
T�.I-��,� /1// RECEIVED BY DATE OFAPPL DATE ISSUED
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NEAREST w(•G'�^� G Ci
CROSS ST. G.�A rD BUILDING C�� ^,J H�J J
OWNER �O N-AA v
G �o� ADDRESS '✓
MAIL ``��' , ((^'^ J� LOCALITY �l
_ADDRESS 7jAJL QrJQ, f//✓�.fe7- NEAREST
-_ TEL CROSS ST.
CITY -�`'� ? - NO. FIRE NO. OF I T`�ar.�-� OUP
ARCHITECT OR TEL ZONE PLAN _�.Y/- ✓!
ENGINEER _t.� NO.
BLDG. / pft NO.
_SETBACK LINE
ADDRESS. USE
APPROVED
TEL ZONE BY DATE
CONTRACTOR ` NO. HOUSE NUMBERING
ADDRESS MAP NUMBER U�� / NO. ASSIGNED BY
LEGAL / ���W, T 2�'f7FCORRECTIONS j
DESCRIPTION LOT NO. rp BLOCK
TRACT � � O �,
NO. OF BLDDS.
SIZE OF LOT .Tr,1C 1-PA I NOW ON LOT
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USE OF NO. OF
EXISTIN BLDG. I FAMILIES
DESCRIPTION OF WORK A
I � L7
NEW ALTERATION_L ADDITION -L Z
REPAIR DEMOLITION f'
SQ. FT. NO.OF
_SIZE �!p Q ROOMS STORIES
EXT.WALLROOF /1
COVERING �.,f7_4/C O I COVERING.7&PQ,r/ry/ ,
USEOF STRUCTURE ,
OX
f 17779 C V l -D-
INSPECTION FOR APPROVALS
OCCUPANCY AS _ - INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION �-
FORMS, MATERIALS
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS,
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS J
SIGNATURE O LATH, INT.
PERMITTEE
LATH. EXT.
ADDRESS-
�� ,� Sty -j'✓/✓..tr
�. PLASTER, INT.
AUTHORIZED AST. _
PLASTER, EXT.
P.
FEE HOUSE NUMBER COR- "
$� ?
RECT AND POSTED
VALUATION t�E8 :;?-37!/d FINAL �G
76A63Hq DBS 3 7-51
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9705200060
PHONE: (818) 285-0488 EXT:
LEGAL 0 -CONST UILDI ADDRESS:
TR: 4902 LT: 6 BL: E SQ. FT STORIES TYPE 4926 PERSIMMON AV
STRUCTURE: 0 V TEMP CA 917804114
ASSESSORN T NEAREST CROSS STREET:
8574-024-009 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
TENANT: T L US : R ID USE ZONE: R-1 ISSUED N: PROCESSED S .
EXIST OCC GRP: 05/20/97 TC 05/20/ 8
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY .
RUIZ, CARMEN 0. (818) 350-0106- 1 1,000 2,Z
4926 PERSIMMON AV _ T
TEMP 917804114 FEES PAID DESCRIVl
REMOVE EXISTING ROOF AND RECOVER WITH 20 YR. COMP SHT%lf,'c
FEE DESCRIPTION: NTI@ AMOUNT: (EXISTING SHEATHING)
APPLICANT: TEL.
SAME AS OWNER - AA BLDG PERMIT ISSUAN�� �( 27.75
AC STRONG M011ON RESID'{ l 0.50 SPECTV 7ONDITIONS:
D2 PERMIT W/O EN-HC;*- 1 65.25
S 93.50
CONTRACTOR: TEL. NO: `\ ' T \ A PTROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO L 1011 AND SETBACKS
u n n V 1+p y j SOILS E14GINEER APPROVAL
ARCHITECT OR ENGINEER: TE S N u Q! Y \ I V i !C FOUNDAT' N/
LIC. NO: SLAB/UN')ER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
147H277 3 01
'1• OF�rIEATH I NG
NO. OF FAMILIES: DWELLING NTS: OND: STAT CLASS:
NO 21 ROOF SHEATHING
O `
H L WITHINH `N_ HEMA ELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME IIiSPECTION
REQUIRED TOTAL SETBACK FROM EXIST f R` SPRINKLER H G RS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- NTE 012 LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED-SHAFTS/OPENINGS
T-BAR CEILINGS
LOT D AINAGE
REPORT ID: DPR261 ROUTE TO: BS0508