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HomeMy Public PortalAbout4937 PERSIMMON AVE_Building__ 72 41 f 76A638A CE :8034-APPLICATION FOR BUILDING PERMIT r. 10 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