HomeMy Public PortalAbout4956 PERSIMMON AVE_Building__ J �J L
76A696ACEJ18031-67 APPLICATION FOR BUILDING�/�PERMICT Q 'fl
COUNTY OF LOS ANGELES BUILDING
DEPARTMENt OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DMSION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP'T OF BUILDING CROSS ST. tiLQ/
DISTR E CT NO. GR TYPP S B
FOR APPLICANT TO FILL IN )� CONST.
BUILDING STATISTICAL CLA IFICATION SEWER MAP
ADDRESS rjJ CLASS NO. DWELL UNITS SK PG
LOT NO. BLOCK USE ZONEMAP h .
TRACT SP
SPECIAL
NO. OF BLOBS.
CONDITIONS y
SIZE OF LOT NOW ON LOT
USE OF
Mmo RL BLDG. SETBACK FROM
FRONT PROP. LINE OF (STREET)
OWNER OEjff
gpop.glCt TYPE OF EXISTING I SETBACK HIGHWAY YARD = TOTAL
ADDRESS HIGHWAY WIDTH I FROM C.L.
CITY
ARCHITECT Otf TEL. BLDG. SETBACK FROM
ENGINEER NO. 81DE PROP. LINE OF (STREET)
TYPE OF EXI8TIN0 SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
9 TEL + _
O
ADNO ,JI CORNER CUTOFF YES NOE]
CITY
CL
LIC - SEE REVERSE SIDE FOR SPECIAL APPROVALS I
DESCRIPTION OF WORK
1
I
NEW ADD ALTER REPAIR DEMOLISH !
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE
i 1
egjOzjSIGNATURE O - it,
APPLICANT +
VALUATION$ 1 ,� •00 APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ Q FORMS, MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT$
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
9UILDI 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 CnMPENSATION I g4NCE
LATH. EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE REC AND POSTED
ADDRESS Fl NAL
JOHN F.�L�E�WIS.. PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0 CASH
3 .0 .52a i-A20 1 D 6.17. 0
76A6!;BA CE#803 9-68' 1 �� LJ .
• APPLICATION FOR BUILDING PERMIT '
COLIYIhY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS 1 �/' 22C�'IZ;�mn�✓
BUILDING AND SAFETY DIVISION LOCALITY ST �...
JOHN A. LAMBIE, COUNTY ENGINEER J
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN o,IST TCryo� G� CONST. LzijJ�{�
(Print or type only) � J
BUILDING STATISTICAL CLA IFICATION SEWER MAP
ADDRESS -110&6I/ 'CLANO. DWELL.UNITS BK Cr PG
SS /3
/1010;p
LOT NO..6,C2 BLOCK USE ZONE NOP
J/ r
TRACT ry 9Q✓ I SPECIAL
IT ONS
NO.OF BLOGS.
SIZE OF LOT_6jq / Q NOW ON LOT
USE OF /
EXISTING BLDG, ' p' BLDG.SETBACK FROM
EL. '9 FRONT PROP.LINE OF (STREET)
OWNER" -> O - flQa TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
HIGHWAY WIDTH FROM G.L.
ADDRESS' /JJ 7
CITY /L'jly,/j e_ ' t
BLDG�'SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. _
CONTRACTOR NO. + t
LIC.
ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ I
CITY CLASS 92E REVERSE SIDE FOR SPECIAL APPRVA
CONSTRUCTION LENDER /gy
i
NAME AND BRANCH A G , / �_
ADDRESS `! / ' /
SQ. FT. NO. OF NO. OF NEW ❑ /L
SIZE i STORIES FAMILIES
USE OF DO
STRUCTURE p ,;•.'I i
/ ALTER j
SIGNATURE OF i- / " REPAOIIR�
APPLICANT C
VALUATIONS APPROVALS DAT INSPE OR'S SIYNAYRE
PMT. FOUNDATION:UNDATION: LOCATION r
FEE S FEE 5 f FORMS, MATERIALS d (�
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION THE LATH, INT. �•`��' ' :)rJ (:�'/_�/J✓
LABOR CODE OF THE STATE OF -CALIFORNIA IN REL IF
TO
WORKMEN'S COMPENS.PTION INSURANCE. LATH, EXT. 0 6
SIGNATURE O HOUSE NUMBER COR- _
PERMITTEE �-j �JJ /
RECT AND POSTED
ADDRESS FINAL ' Ire (
JOHN F. LEWIS. PRINCIPAL URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO ST CK. M.O. CASH
[ fir^-_9 7 8 0"" r(iiY 6 ,1' D 1 7.2 5-
' DIVISION OF BUILDING AND SAFETY •:�t
DepozI ant of County Lbgtaees i
BUILDING
County of Loa Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
�. BUILDING
FOR APPLICANT, TO FILL IN ;p; ADDRESS
BUILDING 7 I+' ' .' ' G_
ADDRESS I —LOCALITY.
NEAREST
LOCALITY
CROS ST.
NEAREST ,I DISTRICT NO. PLAN CK.OR REO.No. PERMIT.NO;,
CROSS ST. �V
OWNER I R CEIVED Y DATE OF APPL. DATE ISS.ED.
MAIL �,/ � lei
7
ADDRESS "USE. ONE OF TYPEGROLjP ZONE
CITYNO Q. LANI/FIRE
—_•
ARCHITECT-OR TEL. � / ZONING. � YA
ENGINEER NO. i APNE: '�PROV++E7�D BY® �,
-BUILDING 7
ADDRESS I SETBACKLI � T.y
TEL. I' APPROVED ATB ,�
CONTRACTOR NO. • ? 'BY, �7
I' HOUSIC;WUMBERING
ADDRESS
LEGAL. ,� w BLOCK MAP NUMBER "--NO. ASSIGNED BY�L J
DESCRIPTION LOT NO.
j' DATE CORRECTIONS I INSPECTOR
TRACT
�D /JfO I NO. OF SLOGS.
SIZE OF LOT
NOW ON LOT h
USE OFES_ I NO. OF I l
EXTOTING BLDG. FAMILIES/ O
DESCRIPTION OF WORK .
z
NEW ALTERATION ADDITION J' I I T>„
REPAIR / DEMOLITION �+
OF
SIZE (p �/ /R�IOOMS STTOOR'IES�(/f,�{I'
ROOF
OYER ALL 5 �l/��I COVERING
USE OF-STRUCTURE
' �y I,
'APPROVALS
I•NSPECTOR'S SIGNATURE DATE
Ips. FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-' FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN 1S,
CORRECT. BRACING, BOLTS I AGREE_TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING COX48TRUCTION.• , GAS VENT, DUCTS
SIGNATUREOR LATH, INT.
PERMITTE
ADDRE8 j 9 LATH, EXT.
PLASTER, TNT.
AUTHORIZED AGT.
P. C.ig PLASTER, EXT.
FEE �� HOUSE NUMBER COR-
VVV S . Q RECT AND POSTED , 1
VALUATION FEE ;, FINALmsommi= M �, "
76A636A DHS 3 8-53 I. �•/irn.d 7//._.TY'� - .
COON— OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTW OF PUBLIC WORKS, 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9810070004
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 4902 LT: 2 BL: .001 SQ. FT STORIES TYPE 4956 PERSIMMON AV
STRUCTURE: 0 VN TEMP CA 917804114
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GRAND
8574-024-004 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
TENANT: E T BLDG USE--RESID USE ZONE: -1 I-SSUED ON: PROCESSED EXPIRES ON:
EXIST OCC GRP: 10/07/98 UT 10/07/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL-BY: CODE:
WILEY;WEBSTER G. (626) 448-2088- 2 960 y��J7
4956 PERSIMMON AV '��//c(iG���
TEMP 917804114 FEES PAID DESCRIPTION OF WOR
DEMO BRICK FIREPLACE ADD NEW METAL FIREPLACE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION RESID 960.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
D2 PERMIT W/0 EN-HC 960.00 VAL 65.40
CONTRACTOR: TEL. N0: TOTAL FEES. 148.35
SAME AS OWNER APPROVALS DATE INSPECTOR SIG ATURE
-
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TE . NO: FOUNDATION/TRENCH F0 S
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR
MAP 147H27: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 UNDERFLOOR INSULATION
FLOOR SHEATHING
0. OF FAMILIES: DWELLING UNITS: PT/CO D: STAT CLASS: -
NO 21 ROOF SHEATHING
SCHOOL ITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST f IRE SPRINKLER TANGERs
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
TERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSE .
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
-BAR CEILINGS
LOT DRAINAG
REPORT ID: DPR261 ROUTE TO: BS0508
4� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0107180032
PHONE: (626) 285-0488 EXT:
GNo. OF CONS LDI Gr' SS:
. MO
TR: 4902 LT: 2 BL: .001 SQ. FT STORIES TYPE OCCUP GROUP 4956 PERS' N AV
SIO g STRUCTURE: 60 1 VN R3 TEMP CA 917804114
857E-0OR INF GARAGE: NEAREST CROSS STREET: GRAND
OTHER: THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY
TENANT: X S L G USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES 0 :
EXIST OCC GRP: 01/07/02 JK 07/06/02
OWNER: TEL. 0: BLDGS. NOW ON OT: VALUATION: FINAL DAT FENBY: CODE:
WILEY, WEBSTER G (626) 448-2088- 4,200 1
4956 PERSIMMON AV
TEMP 917804114 FEES PAID D SCRI IONIRK
ENCLOSE COVERED PORCH TO 3/4 BATH ROOM
APPLICANT: TEL. NO:
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 4200.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
B2 PERMIT W/ENERGY 4200.00 VAL 145.86
TOTAL. FEES 228.81
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION-AND SETBACKS
SOILS ENGINEER APPROVAL--
ARCHITECT
PPROVALARC TCT OR ENGINEER: T E L. O: 0 DA ON/ REN H OR S
LIC. NO: SLAB/UNDER FLOOR
RAISED F 00 G
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
0. O FAMILIES: D NG S: APT CO D: STAT C ASS: ST LEL FLOOR SHEATH
NO 21 2ND LEVEL FLOOR SHEAT
SCHOOL WITHIN HAZARDOUSROOF S EATH G
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED 0AL SETBACK FROM S G DEPT. FURE-11007
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATIONNEMATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR LATH
LOT DRAINAGE
SMOKE ET C DE S
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508