HomeMy Public PortalAbout4937 PERSIMMON AVE_Building__ 72 41 f
76A638A CE :8034-APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE, PARCEL
BUILDING AND SAFETY DIVISION BUILDING '
'UAFE CHECKS PAYABLE 10: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY C I—
FOR APPLICANT TO FILL IN NEAREST �l I/
Print ort a T CROSS ST. V{/ U U A
BUILDING DISTRICT NO. I GROUP TYPE PROCESSED BY
ADDRESS7,37 O ( J _l CONST. F� t h
LOT NO. BLOCK STATISTICAL CLASSIFICATION SEWER MAP
'V I � � }-
CLASS NO. —OWELL,UNITS BK 'PG
TRACT �" L, USE ZONE MAP
NO.OF BLDGS. / NO.
SIZE OF LOT L{ I4-\ NOW ON LOT ? ' I SPECIAL
USE OFCONDITIONS
EXISTING BLDG. 12EL
/fL��> �jUT
OWNER D1"�1 1 tJr10.
BLDG.SETBACK FROM
ADDRESS Cj FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CITYC / HIGHWAY WIDTH FROM G.L.
ARCHITECT OR TEL. _
ENGINEER NO. BLDG,SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET) C
TYPE OF EXISTING SETBACK HIG ,'} YARD = TOTAL
CONTRACTOR '/ �1 Uy� 7 g �j HIGHWAY WIDTH FROM C.L. a
ADDRESS / NO.i3-1� ob + = W
LIC, n
CITY CLASS CORNER CUTOF YES F-1N0 ❑ V
Z_
CONST CTION LENDER
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS -�
SO FT. NO. OF NO, OF NEW ❑
SIZE STORIES FAMILIES )
USE OFADD ® /7
STRUCTURE _K_u L 14- fc y- _ R�
ALTER ❑ uA
L"_ E- IL REPAIR❑
SIGNATURE OF r
APPLICANT ^L � MOL ❑
VALUATION $ v �• APPROVALS DATE IN ECTOR' s NATURE
P.C. PMT, C - FOUNDATION: LOCATION
FEE $ FEE $ f .� FORMS, MATERIALS /7
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,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT,
LABOR CODE OF THE STATE OF -CA4,IFORNIA IN RELATING TO k7: 14
WORKMEN'S COMPENS/1T ON IN RA
LATH, EXT,
SIGNATURE OF �. HOUSE NUMBER COR-
PERMITTEE _ - RECT AND POSTED
ADDRESS
FINAL -7 .ce
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VA AON CK. M.O. CASH
• UJW. 0 7 57- tau 13 1 D 15.0 0 N
APPLICATION FOR BUILDING PERMIT
FOR P.FPLICANT TO FILL IN (Print or type only)
BUILDING COUNTY OF LOS ANGELES
ADDRESS DEPARTMENT OF COUNTY ENGINEER
CITYzIP R 7 BUILDING AND SAFETY DIVISION
!/ 7 NO.OF BLDGS. BUILDING
SIZE OF LOT y`�` � ♦ G NOW ON LOT / ADDRESS r�' p
TRACT BLOCK LOT NO. LOCALITY -.Y<^M— e—
TEL.0�J J' NEAREST
OWNER NO. I �I��W j� CROSS ST.ASSESSOR ju
ADDRESS �I/93 l�+L MAP BOOK PAGE PARCEL
CITY ZIP I7 g O DISTRICT GROUP TYPE FIRE P OCESSED BY
� I+ CON ZONE
ARCHITECT O TEL. 5. 0(/ .—.J�
ENGINEER NO.
STATISTICAL CLASSIFICATION EWER MAP
ADDRESS CLASS N0.�OWELL,UNITS BK PG
CONTRACTOR NOL' USE ZONE MAP
LIC. NO.
ADDRESS (t `[ NO.1� Y SPECIAL
LIC. CONDITIONS
CITY
CONSTRUCTION LENDER CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP,LINE OF (STREET)
ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. NO. OF NO. OF CHECK FRONT PROP, LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
+ - a
DESCRIPTION OF WORK NEW R L
ADD ❑ BLDG.SETBACK FROM - (STREET) Cr
w SIDE PROP. LINE OF C
LTER ❑ HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING C~,
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH L�
USE OF } = v
EXISTING BLDG, DEMOL ❑ Z
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
_ IN COASTAL PERMIT ZONE YE5 ❑ NO ❑
VALUATION$ /DOS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION n V
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED n
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S COMPEN66TION INSURA E. w.
SIGNATURE OF
PERMITTEE
ADDRESS `�-
'Y/ FINAL
RL
CITY NO. ( "� DATE BY
l
HAKE CHECKS PAIAHLE 7'0: FEE f PEE
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK. M.O. ASH
5 1 5 i;SEP 1 0 1 5.0 0 •tZ
76A638A CE-803 5/74
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 SL 0508 0008110069
PHONE: (626) 285-0488 EXT:
GAL D: NO. OF CONST BUILDING ADDRESS:
TR: 4902 LT: 32 BL: F SQ. FT STORIES TYPE 4937 PERSIMMON AV
STRUCTURE: 0 VN TEMP CA 917804105
ASSESSOR NFORHA ON NUMBER: NEAREST CROSS STREET: GRAND
8574-025-029 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
TENANT:..- EX ST BLDG USE: RESID USE ZOlff—. R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 08/11100 UT 02/08/01
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE F BY: CODE:
DEVITO RICK;RENEE (626) 852-1473- 1 5,000
4937 PERSIMMON AV 10g-�
TEMP 917804105 FEES PAID CR PTION OF WORK
TEAR OFF ROOF OF HOUSE AND GARAGE, INSTALL 25 YR. COMP.
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SHINGLE (CERTAINTEED) AND REPLACE 13 WINDOWNS
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESOD 5000.00 VAL 0.50 SPECIAL CONDITIONS:
rC=--
D2 PERMIT W/0 N! � GQQ.00 VAL 132.60
�NGE L E 0' FEE 160.85
CONTRACTOR: TEL. NO: �O�J �/�Ay APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: OUNDA ION/TR NC FOR S
LIC. N0: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO:
SEWER MAP BOOK: PAGE: FIRE ZONE: ClOkr n n D L
���1 ���O R
nom/ � UNDERFLOOR INSULATION
uuV luv FLOOR SHEA I G
NO. OF FAMILIES: DWELLING UNITS: /CO D: S T CLASS
NO 210 �_�"`Ii ROOF SHEATHING
N �Ii
SCHOOL W HAZARDOUS I'^ t•. SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS 0 ��.j7,
NO NO NO A El - 5 FRAME INSPECTION
REQUIRED OTAL SE BACK FROM ST l/6� El 0 FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT
PL- �C e rvic a Ths"t INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEI ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
OT DR INAG
REPORT ID: OPR261 ROUTE TO: BS0508