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Home My Public Portal About5002 PERSIMMON AVE_Building__ d-' DEPARTbIM OP COUNTY ENGnMEH, i;:. DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES BUILDING " WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUP+T OF BUILDING. FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING `r /�q /T� DISTRICT NO. PLAN �CK. vO�R REC..NO. PERMIT NO. ADDRESS �6�0 2 6 SA ` lt. S F/ J � ( �`�L� �L�� 5 " s- LOCALITY k � * R EIVE BY DATE OF APPL. DATE ISSUED NEAREST /�'�r �} CROSS ST 47�/ 4+ / �/ ADDRESS BUILDING OWNER i/�v ��Y CA MAIL �� ';g LOCALITY ADDRESS D•/ s+S iY1 f: TE a� NEAREST CITY' G9* NOL. JI A '' CROSS ST. ARCHITECT OR L FIRE I O. S P OF ,I TYPE I GROUP ENGINEER N `- ZONE PLANJ BLDG. /, �' , NO. ADDRESS SETBACK LINE LINE I U6 APPROVED eLCONTRACTOR NOONr YDAT )(-:9.9 (� r ADDRESS 8`f S✓ An C A ®� HOUSE NUMBERING LEGAL MAP NUMBER 'o$-/ NO. ASSIGNED BY DESCRIPTION LOT NO, '� I BLOCK / .' � CORRECTIONS- TRACT �� 3 SIZE OF LOT o//1 ®yB'RQ-A2•I NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK 0 . - REIR I DEMERATION OLITION I—I ADDITION I Z r Q. FT. / NO.OF SIZE �J ROOMS STORIES EWALLROOFy 'COVERIN C/ /J��D. I COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION:LOCATION FORMS,'MATERIALS .3 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN 18 BRACING, BOLTS CORRAE RT.EE TO OMPLY WITH ALL COUNTY ORDINANCES FURNACE:LOCATION, r( �( AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF - Jif�� LATH, INT. RMITTE ✓ �`( ` -) LATH. EXT.ADDRESS G PLASTER, INT. AUTHORIZED AGT. -' / PLASTER, EXT. $ v vD ' E �+^ HOUSE NUMBER COR FEE D RECT AND POSTED ®, VALUATION b O '® FEE St. • FINAL s Gj TRessas DBs s D-as C1 76A638A CE#803 3-68 � J 1. APPLICATION FOR BUILDING PERM U COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS - Cf BUILDING AND SAFETY DIVISION LOCALITY te JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING .NEAREST CROSS ST. DISTRICT NO G TYPE P O BY rEN OR APPLICANT TO FILL IN CONST. Print or type only) Q ING yt�� \ STATISTICAL CL/�S�JFICATION -SEVER MAP SS es CLASS NO.—(l(!—�DWELL,UNITS BK PG O. BLOCK USE ZONE No SPECIAL CONDITIONS NO.OF BLDGS. F LOT NOW ON LOT F ING BLDG. BLDG.SETBACK FROM t L. FRONT PROP.LINE OF (STREET) d . ,K �� T E OF EXISTING SETBACK HIGHWAY' + YARD = TOTAL ESSN H WAY WIDTH FROM C.L. e61W IQ 02,,Q JY1 ) BLDG,SETBACK FR TECT OR TEL. SIDEPROP.LINEOF (STREET) EER NO. TYPE OF EXISTING SETBACK HIGHWAY - YARD = TOTAL ADDRESS, HIGHWAY WIDTH FROM C.L. NOL �lpZ + NO. •a � CORNER CUTOFF YES ❑ NO ❑ v CITY LIC. cLAss SEE REVERSE SIDE FOR SPECIAL APPROVALS U DESCRIPTION OF WORK c w z NEW ADD ALTER REPAIR DEMOLISH — SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF %, STRUCTURE He., DZ) 101400 OV929 r j SIGNATURE OF,,7 •✓/)fy APPLICANT VALUATION S �Of 0 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION:LOCATION EES FEE$ ! y!) FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT• ING TO WORKMEN'S COMPENSATION INSURANCE, LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE CRECT AND POSTED ADDRESS r FINAL JOHN F. LEWIS. PRINCIPAL ST R URAL ENGINEER PLAN CHECK VALIDATION CK. M.G. CASH _ PERMIT VALIDATION CK. M.O. CASH 0 1 .1 ^ w cii`tY 2 1 D 9-Q 0 N 76A898A CE 0803 4/70.APPLICATION FOR BUILDING PERMIT COUNI'Y OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL �Q�Z BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print ort a onl CROSS ST. C! :1 DISTRICT NO. GROUP TYPE PROCESSED BY BUILDING f ` ' CONST. ADDRESS 'r UV WA CArI�ES STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK �r CLASS NO. DWELL.UNITS BK ` TRACT ,9 7 USE ZONE MAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL � OWNER f NO. BLDG.SETBACK FROM Fk (STREET) ADDRESS �j�(j(j d TPROP.LINEOF — TYPE OF EX SETBACK HIGHWAY 'I- YARD — TOTAL CITY Zi Al _ HIGHWAY WIDTH M C.L. ARCHITECT O TEL. f = ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL CONTRACTOR HIGHWAY WIDTH FROM G.L. } ADDRESS IC + — CD W } 1 LIC. CITY CL r CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS y ADDRESS Z SQ. FT. NO. OF NO. OF NEW SIZE STORIES FAMILIES ❑ USE OF ADD STRUCTURE ALTER ❑ 6' V' REPAIR❑ S NATUR OF APPLICANT o__ DEMOL ❑ VALUATION S S�// op Do'-' APPROVALS DATE INBPE YoR'S SIr;ff uRE (� FOUNDATION: LOCATION FEES FEES %. X FORMS, MATERIALS / Ir 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO - WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL U JOHN F. LEWIS. PRIN (PAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH I A(', 8383— JWN19 1. D 9.00- a • APPLICATION FOR BUILDING PERMIT FOR-APPLICANT TO,f ILL IN (Print ortypbonly) COUNTY OF LOS ANGELES BUILDING ' /- ADDRESS �� i/67/V DEPARTMENT OF COUNTY ENGINEER CITY T` �; ZIP BUILDING AND SAFETY DIVISION No.OF BLDGS. BUILDING SIZE OF LOT a 7 S NOW ON LOT ADDRESS, a TRACT Z BLOCK LOT NO. LOCALITY C �s OWNER �/`/�S��G� NO. CROSSST. ASSESSOR ADDRESS /' MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE OCE BY .CITY ZIP- d d CONST ARCHITECT OR TEL. �J ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS T3f CLASS NO. DWELL.UNITS BK PG NEL CONTRACTOR /� /�f-ON USE ZONE No. �0s_/ADDRESS 0 6• *`�05 NO.d.I7 SPECIAL A /� / CONDITIONS �' CITY a vpvx T! CLASS B CONSTRUCTION LENDER ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING / SQ.F NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH; SIZE STORIES FAMILIES ONE r } CL DESCRIPTION OF WORK NEW ❑ + O BLDG.SETBACK FROM g��f ADD SIDE PROP.LINE OF )STREET) O ALTER ❑ _ TOTAL SETBACK FROM TYPEOF EXISTING 0 .�✓ HIGHWAY + YARD SIDE PROP.LINE HIGHWAY WIDTH ,a USE OF REPAIR ❑ _ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL Z CORNER CUTOFF YES ❑ NO ❑ (PRINT) /C' NOJc7J G � IN OPEN SPACE_ YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION$ 9, 0 0 0 / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �r� "' THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES ,ll 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 CALI RNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE. SIGNATURE 0 PERMITTEE ADDRESS �•� fa►Yi J�(r/`7✓ TEL. FINAL .`9 CITY NO. O DATE pLrr f! MAKE CHECKS PAYABLE TO: FEE v FT w E L 11,HARVEY T.BRANDT.COUNTY ENGINEER PLAN CHECK VALIDATION Cr- M.O. CASH — PERMIT VALIDATION c7) M.O. CASH •�. 7 '5 n AUG 18 1 0 7 5.7 5 d9$ � r ®s 76A63BA CE#803 3.75'° WORKERS'COMPENSATION DECLARATION i ' by affirm )hat I have certificate of consent to self APPLICATION FOR BUILDING PERMIT � or a certificate of Workers' p kers'Com ensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING ANDS FETY Policy No. Company BUILDING Pol Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Q O ElCertified copy is filed with the county building 'inspec- BUILDING n a tion department. ADDR,E_S/S_, 60 0 vZ EP-S •` 04 A Date Applicant CITY / C ZIP �� LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' JfO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT 049• OW ON LOT CROSS ST. (This section need not be completed if the permit is for oneASSESSOR TRACT -hundred dollars($100)or less..) 3 LOT NO. MAP BOOK PAGE PARCEL TEL. a� I certify that in the performance of the work for which this OWNER sCQ ' AS' O. i�l' US NE OP 7 permit is issued, I shall not employ any person in any mannerJrpOa ptOti , SPECIAL ADDRESS so as to become subject to the Workers'Compensation L S. I�UE CONDITIONS O CITY �' Itr / ZIP �7oPP Date Applicant NOTICE TO APPLICANT: If, after making this ertificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE ESSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. G� CONST. ZONE 13 Compensation provisions of the Labor Code, you must forth- ADDRESS U(J V� IL with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO. Z deemed revoked. . CONTRACTOR NO. —� ' LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. DWELL. UNITS I hereby affirm that I ar%licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Sectiori 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code,and my license is in full force and effect. CITY CLASS B VALIDATION SQ.FT. •22�/ .OF NO.OF CHECK License Number Lic.Class SIZE J [d STORIES FAMILIES 1 ONE VALUATION DESCRIPTION OF WORK NEW ❑ f Contractor Date ADD M $ ❑I am exempt under Sec57d , ALTER B.&P.C. for this reason REPAIR ❑ $ Date: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL. FINAL P OWNER-BUILDER DECLARATION RINT) C/ Ll7sI S�Id y DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS67009- lP6, y Y+r d"0-4) .4 or, "J'C-^ AC-'cr FIN Professions Code): PRESENT By - r y BUILDING 4LZ as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and, the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I,as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). 5 5 Q 8 A REQUIRED YARD HWY TOTAL SETBACK FRO CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH - I hereby affirm that there is a construction lendingagency for FRONT the performance of the work for which this perit is issued P.L. ° I O Ir I 0 . (Sec. 3097, Civ. C.). SIDE 09.25-86 P.L. Lender's Name P.C. Fee$ Permit Fee LDMA Ref. # Lender's Address TT I certify that I have read this application and state that the Issuance Fee LDMA P/C#' above information is correct. I agree to comply with all County Investigation Fee p $ ordinances and State laws relating to building construction, Total Fee (3 i LDMA Perm. # u and hereby authorize representatives of this County to enter upon the above-mentioned pr per y for inspection purposes. a its-�6 SEE REVERSE FOR EXPLANATORY LANGUAGE n Signature of licanf or Agent Date 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 0810220035 PHONE: (626) 285-0488 EXT: ILEGAL ID: I N0. OF CONST NEW BUILDING ADDRESS: I ON FILE I SQ. FT STORIES TYPE OCCUP GROUP 5002 PERSIMMON AV I ISTRUCTURE: 40 1 V-B R-3 I TEMP CA 917803415 I (ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: GRAND I 18574-004-040 1 OTHER: 1 THOMAS PAGE: 597 GRID: D4 LOCALITY: TEMPLE CITY, Cl TENANT: [EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: [ (EXIST OCC GRP: 104/02/09 SR 1 (OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: I IVILLASENOR FRANCISCO J;YOLANDA F (818) 448-2159- I 40,000 1 15002 PERSIMMON AV I 1 I ITEMP 917803415 1 FEES PAID IDESCRIPTION OF WORK [ I 1 143 S.F. EXTENTION TO (E) KITCHEN, PARTIAL ROOF & REFRAME ]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:JONLY,REPLACE 10 WINDOWS, SLIDDING DOOR, PATIO DOOR REMOVAL *� APPLICANT: TEL. NO: I I IVILLASENOR (626) 448-2159- JBl PLANCHECK W/ENERGY 40000.00 VAL 623.82 1 I 15002 PERSIMMON AVE JAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: TEMPLE CITY CA 91780 JAB STATE GREEN BLDG FEE 40000.00 VAL 2.00 1 I JAC STRONG MOTION RESID 40000.00 VAL 4.00 1 I [ JB2 PERMIT W/ENERGY 40000.00 VAL 733.92 I [ ICONTRACTOR: TEL. NO: I TOTAL FEES 1,391.49 JAPPROVALS DATE INSPECTOR SIGNATURE JVILLASENOR, FRANCISCO (626) 448-2159- 1 IYOLANDA F. VILLASENOR LIC. NO ILOCATION AND SETBACKS [ I I 15002 PERSIMMON AVE NONE I I I I ITEMPLE CITY, CA 91780 [ ISOILS ENGINEER APPROVAL I I I I I I I ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS � I I JKATOR, KHALED - I I I I 1 LIC. NO: I SLAB/UNDER FLOOR I I 69781 1 1 ] IRAISED FLOOR FRAMING I 1 I 1MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I JUNDERFLOOR INSULATION I I I 1 3 001 1 1-1 I I 11ST LEVEL FLOOR SHEATH [ I [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I- I I NO 21 1 12ND LEVEL FLOOR SHEATH I I I I ] I I I SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING / [ 1AIR QUALITY: 1000 FEET MATERIALS I I ] [ NO NO NO 1 IFIRE DEPT. FRAME INSPECT[ I I IREQUIRED TOTAL SETBACK FROM EXIST 1 JBLDG DEPT. FRAME INSPECT{1I I ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I J I 1 ]FRONT PL- I ISHEAR PANELS I SIDE PL- I I 1 I I I I IIN$ULATIDN/WEATHER STRI � 1 1 1 11NTERIOR LATH/DRYWALL I I r -'� 1EXTERIOR LATH I I '�' �` �� solo I I I I ,� �� u�I'LJ Li LOT DRAINAGE J 1 I SMOKE DETECTION DEVICES 1 1 I I FIRE DEPARTMENT APPROVAL( I [ 1 1* ADDITIONAL DATA ON FILE I I I I I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 1 I I I I I I I I I