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Home My Public Portal About5014 PERSIMMON AVE_Building__ DEPARTMENT OF COUNTY-ENGIN= DMSION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES B UILDI WILLIAM J. FOX, COUNTY SpiGINEER AppI.ICATION'' rASSATT D..GRIFFIN, SUPT OR BUILDING FOR'APPLICANT TO••FILL IN FOR OFFICE,USE ONLY , DISTRICT NO. PLAN CK:OR RBC.NO. PERMIT NO. ulzmING ADDRESS LOCi4LITY rodul 46®L*S• 921,hi RECEIVEDt By. 'DATE OF APPL:.• DATE`ISSUED NEAREST �o G C'iC.cYrf bt '/� S CROSS r a i ABUILDING DDRESS B v OWNER l�. •� r AMAIL DDRESS p , �� ® LOCALITYNEAREST x.L►..'r rya CROSS ST. CITY � . � , ®IC+ TEL r •ARCHITECTORTEL. FIRE O. OF -TYPE -`�� GROUP• ENGINEER NO. ZONE I PLANS V ADDRESS BLDG. d, O B- 9� Al- n SETBACKLINE CONT.RACTO ''J 4� 1 a •NO.' + a�G`� ZONE a BYPROVED ATE ADDRESS.. �/ 2 d4 w 9 `'®aj HOUSE NUMBERING LEGAL MAPNUMBER Ur� UO.'1►SSIGNED BY DESCRIPTIO I ..LOT NO. .. BLOCK ERECTIONS TRACT � NO:OF BLDGS. +++"�� SIZE OF LOT i f/ 1Y66N NOW.ON LOT USE OF NO. OF EXISTING.BLDG. FAMILIES DESCATpTZON OF wuna o �. . . o NEW I ALTERATION � ADDITION � Iz . REPAIR DEMOLITION r SQ. FF. A NO. OF SIZE /y ROOMS STORIES RF OVERIN I COVER NG USE OF.STRUCTURE i a Is: ' 7 APPROVALS INSPECT R'S SIGNATURE" .DATE FOUNDATION:.LOCATION FORMS, MATERIALS �(J THEREBY ACKNOWLEDGE THAT 1- HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE INFORMATION GIVEN- IS BRACING, BOLTS CORRECT. (� 1 AGREE TO COMPLY_WITH ALL COUNTY ORDINANCES FURNACE:LOCATION, GAS VENT, DUCTS. � s AND STATE LAWS R GULATING BUILDING CONSTRUCTIOM, SIGNATURE OF LATH, INT. i PERMITTE :/ LATH. EXT. 'J ADDRESS / PLASTER, INT: AUTHORIZED AGT. p _ PLASTER, EXT. ' B -0-0 HOUSE NUMBER COR- 00 p FEE RECT AND POSTED VAL —*7 O 6FEE' S �p FINAL 76A696A D893 9-98 - - 1�` 8A698A CE#808,0-88 APPLICATION FOR BUILDING -PERMIT COUNTY OF LOS ANGELES BUi EISNs r`D DEPARTMENT'OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF.-BUILDING CROSS ST. . DISTOUP TY0E OCESSED, Y n, Z�FOR APPLICANT-TO FILL.IN �I CONST- BUILDIN ADDRESS c�o i �,( Q.L�» vL STATISTICAL CLASSIFICATION SEWER A / � • .I BK PG CLASS.NO.�7 ' DWELL.UNIT LOT NO. (a BLOCK MAP - HAY. STATE YES NO NUMBER TRACT - � ZONE SPECIAL SIZE OF LOT� /{ !! f I NO.OF B DGS. CONDITIONS NOW ON LOT USE OFOdy EXISTING BLD2. BUIL'-DING EXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER' FRONT MAIL / P.L. ADDRESS S U ! 4r�e SIDE C CITY 7 TEL ' t(� P.L. ARCHITECT O I �� I TEL rGG� �/ p�/ INSPECTION RECORD ENGINEER/ 'r n is�V NO.p , ADDRESS CONTRACTOR C��zy-� ,e TEL I A A my f �j.I A ` ADDRESS DESCRIPTION OF WORK r� "5-'`":+:„: NEW V ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES j USE OF STRUCTURE SIGNATURE OF APPROVALS APPLICANT ' DATE INSPECTOR'S S4GNAT.UBE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALSLaM FEES $ cl,17 FBRACING.BOLTS: FIRE S. VALUATION FEE S f Z c FURNACE: LOCATION,- co GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND - AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND — STATE LAWS REGULATING WILDING .CONST CTION. LATH,EXT. r SIGNATURE OFHOUSE NUMBER COR- PERMITTE �' Ct RECT AND POSTED /5 r ADDRESS�C FINAL •+y fcl�ll' ,. -A—/r .. CLYDE N.DIRLAM.PRINCIPAL ST V• AL ENGINEER PLAN CHECK VALIDATION c M.O. CASH PERM VALIDATIONcK. M.O. CASH r ,iI;�J 1 2 3 A 6.0 o i_PICo 8 2 2 :i M L.Ato 8 2 2 5 j:;a 19 1 kn A 12.00 4 .. \PPL.ICATI® ® BUILDS PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADIjIEMS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS / Q�j or a certificate of Workers'Compensation Insurance,or a certified COQ` ZIP l l ° r� copy thereof(Sec.3800,Lab.C.) (�� LOCALITY Policy Np. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ElCertified copy is hereby furnished. ly(9 NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. &A r) Ave 'r department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL YES (i• NO COMPENSATION INSURANCE 3a' K/ v 3�Lars WITHIN 1000 FT.OF SCHOOL? This section need not be completed if the permit is for one hundred ADDRESS ( P P �. DISTRICT GROUP TYPE CONST. FIRE?ANE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER become subject to the Workers'Compensation Laws. TEL NO. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE 70 APPLICANT. If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS UC.NO. PL LICENSED CONTRACTORS DECLARATION PILE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. T04CK 13 57 7 C7&D, NEW BK PG d License Number Lic.Class DESCRIPTION OF WORK ADD VALUATION Q j� Contractor Date ALTER 11 $ ❑ I am exempt under Sec. REPAIR ❑ Q BAP.C.for this reason DEMOL ❑ LDMA P/C# U W Date: USE OF EXISTING BLDG. URM ❑ D- J�Slgnature APPLICANT(PWNT)� N TEL NO. LDMA Perm# 2(1, as owner of the property, or my employees with wages as O their sole compensation, will do the work and the structure is ADDRESS 5�1 0 - not intended or offered for sale (Section 7044, Business and t/l $6;s/7 a FINAL DATE Q . Professions Code.) T�C.1' WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL `�Z J - - C.I� ❑ OR A MIXTURE CONTiVNING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE _I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY ; "" ` licensed contractors to construct the project (Section 7044, YES 11 NO ❑ �' ' �` —•' i Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR r-I hl'"� I�r GUIDELINES '.r{-A•!J- °»•' I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance Of the work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING W . 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �'"'•ry i 1 `:Ca., N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS I,':I-'I,;"I�I-+1:•,• y_ Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address `' OWNER GA AGENT O o 41 certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building CO construction, hereby authorize representatives of this County ISSUANCE FEE a co to ente ab ve-mentioned property for inspection purposes. T n2. INVESTIGATION FEE TOTAL FEE 6 A s�a�uwm a SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING FOR APPLICANT TO FILL IN ADDRESS WORKER'S COMPENSATION DECLARATION 7 �iY I hereby affirm that I have a certificate of consent to self insure, BUILDING DRESS � or a certificate of Workers'Compensation Insurance,or a certified U ) ` m in-, M-k I Q C copy thereof(Sec.3800,Lab.C.) CITY IR ZIPOA -9` 1 A s 9` I A /1h l.- LOCALITY Policy No. Company SIZE OF LOT I NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. ----- I NEAREST CROSS ST. 11 Certified copy is filed with the county building inspection TRACT LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE ADDRESS WITHIN 1000 FT.OF SCHOOL? YES NO /) _� (This section need not be completed if the permit is for one hundred D � • i may/ DISTRICT GROUP TYPE CONST. FIRE ZONE PR D BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit —Flv,`, k&- . ;r, is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR NGINEER TEL NO. STATISTICAL CLASSIFICATION APT JIf0NDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of v� /• r r/71 LCn 1 Q REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CRY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 AEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE N0.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW BK PG } 0. License Number Lic.Class DESCRIPTION OF WORK, 1�/� ADD ❑ VALUATION C Contractor Date ^� ALTER [IU cc EII am exempt under Sec. �� L-kff ��C ''" REPAIR ❑ $ Q BAP.C.for this reason d�j�L7 �� Q VJ DEMOL ❑ 0 LDMA P/C# III Date: USE OF EXISTING BLDG. URM ❑ �, IL Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 7, Z I, as owner of the property, or my employees with wages as I z ACCT.v their sole compensation, will do the work and the structure is ADDRESS 03303 50 56 n t intended or offered for sale (Section 7044, Business and FINAL DATE a ° rofeasions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 I, as owner of theproperty, am exclusive! contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q Y 9 AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY ACCT°- licensed contractors to construct the project (Section 7044, YES❑ No❑ Business and Professions Code.) WILL 3303 76°80 LL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST NR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ITE113 GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ TOTAL X1.21 a 31[11 a the performance Of the Work for which this permit IS ISSUed(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECK 121°36 3097,Civ.C.) CHECKLIST 1 UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE, TITLE 2.CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS iLender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. CHANGE 06 0 Lender's Address ° OIYNER OR MENTI O c I certify that 1 have read this application and state under penalty of perjury that thea information is correct.I agree to comply P.C.FEE PERMIT FEE 2 N with all county ora' and State laws relating to building �O, �!.�® 6000--0001 7M/26/95 � constructio , n by authorize representatives of this County ISSUANCE FEE 1578 1 Pt L 5925 Cl) 30 to enter upon the a roperty for inspection purposes. INVESTIGATION FEE QO m I TOTAL FEE 70. ((JJ SEE REVERSE FOR EXPLANATORY LANGUAGE 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 0208020017 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW G ON FILE SQ. FT STORIES TYPE OCCUP GROUP 5014 PERSIMMON AV STRUCTURE: 678 1 VN R3 TEMP CA 91780 ASSESSOR0 0NUMBER: 1 GARAGE: NEAREST CROSS STREET: GRAND 8574-004-042 ! OTHER: THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY EXIST LDG USE: S 0 E: SS ED 0 : PROC D EXPIRES ON: EXIST OCC GRP: 10/03/02 JK 04/01/03 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: HE;ZHONG & KUI LIANG (626) 442.8878- I 58,000 5014 PERSIMMON AV TEMP 917803415 FEES PA DESCCOPTI N Uf WURK ADD 2BR,1 BA,LAUNDRY;RELOCATE KITCHEN;REMODEL EXISTING DINING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RM,BDRM&BATH APPLICANT: TEL. NO: }`&rJ _r- PLOY�E SAME AS OWNER - 81 PLANCHECK W/ENERGY 58000.00 VAL 822.84 `t1 vl� l AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID- -58000.00 VAL 5.80 B2 PERMIT. W/ENERGY- --58000:00 VAL 968.06 T.0_TAL;FEES 1,824.45 CONTRACTOR: TEL. 0: = :• '_;_•'" �_�I"•' APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO, r"". .' �' LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: EL. O: '' 0 DA 0 TRE C FORMS /d� KWOK, TERENCE (323) 728-4831- / 109 E. FLORAL DR. LIC. NO:, SLAB/UNDER FLOOR MONTEREY PARK, CA C-24796;' i ' - RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: ", � UNDERFLOOR INSULATION AVIO 3 01' 'I , 1ST LEVELFLOOR SHEATH—/ 0. OF FAMILIES: DWELLING UNITSi AP CO D: STAT CLASS-: - —NO 212ID LEVEL FLOOR SHEATH SCHOOL ITH ` r ROOF SHEATWWGG AIR QUALITY: 1000 FEET MATERIALS f D NO NO NO .`• FIRE DEPT. FRAME INSPECT E IR TOTAL SETB C FROMST - BLDG PT. FRAM E INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- ~Ia�.,�,;•_ i:.; SHEAR PANELS SIDE PL- SULAT I ON •AT ER STRIf v_ INTERIOR LATH/DRYWALL EXTERIOR A Il /3 LOT DRAINAGE SMODETECTIONDEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508