HomeMy Public PortalAbout5020 PERSIMMON AVE_Building__ .DEPARTMENT OF COUNTY ENGINEER BUILDING . .
DIVISION OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGDISTRICT NO. 6_ /LAN CK*OR RePERMIT��NO.
ADDRESS 150 2' S;rn5
LOCALITY A RECPIVED BY DATE OF ALPPL. DATE ISSUED
NEAREST pbm
CROSS ST BUILDING
'�.d J ADDRESS
OWNER ' 14 's""
MAIL
ADDRESS 71 A � 0 LOCALITY
r NEAREST
CITY % A -e i?--./ TELO. � CROSS ST. a LII'
ARCHITECT OR TEL, FIRE `_ NO. OF I TYPE I GROUP—
ENGINEER N . ZONE PLANS
E
ADDRESS
BLDG. L 6 / 'NO.
SETBACK LINEUSEZ
CONTRACTORS bL / NOL.. rif. ZONB APPROVED J PAT19
ADDRESS �j HOUSE.
LEGAL NO. ASSIGNED BY
DESCRIPTION I T NO. I BLOCK MAP NUMBER 6' G /
CORRECTIONS
TRACT 1207 A�� -)_ S'
NO.OF BLDGS.
SIZE OF LOT I Now
O ON LOT
USE OF „®.�._ NO. OF -
EXISTING BLDG. FAMILIES
DESCRIPTION OF WORK -0 -
RE AALTERATION ADDITION
IR �I DEMOLITION —I Z
z
SQ. FT. d` NO. OF
SIZE eJ ROOMS STORIES
ROOF
WALL
COVERING � 8.���� 3 I COVERING
USE OF STRUCTURE
02)
Ire s a&e
APPROVALS
INSPECT 'S SIGNATURE DATE
FOUNDATION:LOCATION rq
FORMS. MATERIALS fiG;
1 HEREBY.ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. FURNACE:LOCATION. �G''” .�
PERM
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS % '. `7
AND STATE LAWS REGULATING BUILDING CONSTRUCTION_:'
LATH, INT. !�
SIGNATURE OR
ADDRESS
7;Z a"0 -.54 A Gg ®2�� LATH. EXT.
PLASTER, INT.
AUTHORIZED AGT.
_ PLASTER. EXT.
$ ✓ S a� HOUSE NUMBER COR-
4, ..0 FEE RECT AND POSTED s-�
VALUATION FEE St-6 1 0 FINAL
76A688A OB8 8 9-82
76A638ACE08038-64 APPLICATION FOR BUILDING ERMIT
COUNTY OF LOS ANGELES ABUILDING
DDRESS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION LOCALITY Ileti
JOHN A. L'AMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.SUP-T.OF BUILDING CROSS ST.
DISTRICT NO. G TYPE. P SS Y
FOR APPLICANT TO FILL IN r,�`' D CONST. / fL
BUILDING STATISTICAL C IFICATION SEWEP •�
ADDRESS 5020 Persimmon Avenue BK-. P
CLASS NO. DWELL UNITS
LOT NO. BLOCK USE ZONE MAPn <-
j NO. Ci'v
TRACT / SPECIAL
NO. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXIST?
S G BLDG, BLDG. SETBACK FROM
OWNER S• Shellman TEL 448-70$0 FRO(LT PROP. LINE OF (STREET)
TYPE OPS EX`TINB I SETBACK HIGHWAY YARD = TOTAL
ADDRESS 0ZO Persimmon Avenue
HIGHWAY I ti 'F OM C.L.
xTr a>:1 Temple City +
CITY BLDG. SETBACK FROM
ARCHITECT OR TEL. BIDE PROP. LINE OF \ (STREET)
ENGINEER NO.
TYPE OR EXISTING SETBACK HIGHWAY ! YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. 1
CONTRA CTOR`u.L.Randol CQuak884p040 + - O
E. aey
ADDRESS �0 1060 6 CORNER CUTOFF YES ❑ NO 0
CITY DanGabriel LASS C-39 SEE REVERSE SIDE FOR SPW
ECIAL APPROVALS v
DESCRIPTION OF!WORK CL
NEW ADD ALTER REPAIR DEMOLISH Z
\
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUC,TURE Dwelling —
SIGNATURE O
APPLICANT
VALUATION$ ? APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION, LOCATION
FEE$ FEE$ / FORMS,.MATERIALS
FRAME, FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
13UILDING CONSTRUCTION. I 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 CTI INSURANCE.
F \\ LATH. EXT.
SIGNATURE O/ .HOUSE NUMBER COR-•
PERMITTEE RE T AND POSTED /
ADDRESS 529 E. Valley, SanGabrit'l FINAL
JOHN F. LEWIS. PRINC PA S 'RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. Mr�.�O. CASH
i_!Ivu •'=' C
78A898A CE#80911-87 APPLICATION F'OF LDING PERMIT 1=
COUNTY OF LOS ANGELES $I ING
DEPARTMENT OF-COUNTY ENGINEER DDRESS
BUILDING AND SAFETY DIVISION LOCALITY i
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST c
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP' TYPE SEWER MAP ,
FOR APPLICANT TO FILL-IN K
CONST:
BUILDING
ADDRESS, OOqq J�LjO STATISTICAL CLASSIFICATION
_
P.
CLASS.NO. DWELL:UNITS
LOT NO. BLOCK MAP STATE
NUMBER HWY. YES
TRACT USE ZONE SPECIAL
NO.OF BLDGS. / CONDITIONS
SIZE OF LOT I NOW ON LOT
USE OF
EXISTING BLDG. L BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
OWNER L FRONT �: •�
MAI L f P•L' (.moi(✓
ADDRESS 6 I�oZ('� w SIDE
TEL. P.L.-
CITY :' - G-�C� NO.
INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO. g 7a,9-0
ADDRESS-
�`
CONTRACTOR 7T> NO. 70�Of
ADDRESS. �5��'�Y C� &29 fdg2.I =9 �
DESCRIPTION OF WORK
NEW' D ALTER REPAIR DEMOLISH
SQ.FT. NO.OF NO.OF
SIZE STORIES FAMILIES
USEOF-STRUCTURE
a-*
:- E;.)v
A 'Oil
SIGNATURE OF APP OVALS
APPLICANT
DATE :, INSPECTOR'S SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS,MATERIALS
$
P.C, S FRAME: FIRE STOPS,
w
�C./ FEE BRACING,BOLTS
VALUATION • $ a FURNACE: LOCATION,
FEE ` ✓ GAS VENT,DUCTS r
I HEREBY ACKNOWLEDGE THAT I HAVE REAb THIS AP. LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ANDSTATE LAWS
SIGNATURE OF REGULAT Ci ,BU1L�I C RUCTION. HOUSE NUMBER
BER COR
PERMITTED /%Q/('f/ -y
-.ADDRES 1t 2 C.i - FINAL ! �_
' CLYDE N.DIRLAM, INOSPAL STRUCTURAL NEER
PLAN-CHFCE VALIDATION CK. M.O. cash PERMIT VALIDATION CK, M-.G H
LN O.5 68 4 I'M 2 4 . '1 A 12.Q ..M Olt
COURTY OF LOS ANGELES TEMPLE CITY # 050&- ., ' BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 9810090030
PHONE: (818) 285-0488 EXT:
LEGAL D: NO. OF CONST BUILDINGADDRESS:
ON FILE SQ. FT STORIES TYPE P020 PERSIMMON AV
STRUCTURE: 0 VN TEMP CA 917803415
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8574-004-043 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: IST BLDG USE: RESID USE ZONE:—R---f— SUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/09/98 UT 10/09/99
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY CODE:
SHELLMAN MARY 0 TR MARY 0 SHELLMAN - 1 3,070
5020 PERSIMMON AV
TEMP 917803415 FEES PAID ESCRIPTIO OF WORK
REMOVE AND RECOVER WITH GAF 25Y COMP. SHINGLE-
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: HOUSING REHABILITATION
APPLICANT: TEL. NO:
MC CURDYIS CONSTRUCTION (626) 974-5456- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RES . 070.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 ENy 30�/.0v0.0 VAL 115.80
��GELLTCHA�FEES 144.05
CONTRACTSRCONSTRUCTION TEL.C818N%3-0425- �o� ��Ay APPROVALS DATE INSPECTOR SIGNATURE
MCCU '1123 E. ARROW HWY. LIC. NO LOCATION AND SETBACKS
GLENDORA, CA 91740 57814 1
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER- TE 0: FOUNDATION/TRENCH FORMS
LIC. NO: 1111111 SLAB/UNDER FLOOR
AISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE:� �: CMP07 D ��� ��j O��� UNDERFLOOR INSULATION
�IFLOOR SHEATHING
OA1 . OFAMILIES: DWELLING ITS: T CO D: STAT CLASS:
NO 21 /� p a0N11 ROOF SHEATHINff'-
SCHOOL WITHINZA DOUS O �'>'T►. SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO [Ell �y FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST 48� °' _n1O'�� FIRE SPRI L R HANGERS
SET BACK
YARD: HWY: PROP LINE: WIDTH:
FRONTPL- `�ervic a llho INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LTH/DRYWALL
EXTERIOR LATH
RATED•F OOR CIL ASSEM.
RATED WALL ASSEMBLIES
RATED S AF S/OP NINGS
T-BAR CEILINGS
LOT D A AGE
REPORT ID: DPR261 ROUTE TO: BS0508