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HomeMy Public PortalAbout5032 PERSIMMON AVE_Building__ ` DSPARTNNM OF COUNTY ENGINEER ( D I N G �;�_ •�-s •DMSION 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 BUILDING n DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO. ` ADDRESS 12 G �� ® Ave 5" ��3�3-2'� J �-�6 LOCALITY l �r ( ��- R EIVED Y DATE OF ADPL. DATE ISSUED NEAREST CROSS ST aa-- . BUILDh _ ADDRESSNGSMAIL �+�' V �vyiL"I.wrv►i�s""L'4r- OWNBR I��'�f � ' ADDRESS /- • A I S S 4 i e,/ LOCALITY ,.G�^� ted' CITY CROSS ST. T D• NEAREST EARCHITECT NGINEER OR ;EL. ZONE r ME `I/ PLANS ;I NO. OF TYPE I GROUO. P�L`�' BLDG. Y O ' w/ / O.[1 ADDRESS SETHACK.LINE ' CONTRACTOR NO.Aro ZOEC -1 APPROVED 74v QR 3 AT ADDRESS r A ♦ga �' / HOUSE NUMBERING 7 � LEGAL I ® MAP NUMBER ` o`) I NO. ASSIGNED BY DESCRIPTION LOT NO. Q� BLOCK ?6, ° CORRECTIONS ' TRACT ' NO. OF BLDGS. SIZE OF LOT CI QQ�` NO ON LOT USE OF NO. OF EXISTING BLDG. FAMILIES DF.SCAIPTION OF WORK o - - X- RE AADDITION IR I I DEMO(TION I-I Z Z r Q. FT. NO.OF SIZE /D ROOMSZIr., STORIES EXT.COVERINGLL �� !✓' i COOF VERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION-LOCATION FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, l �s PLICATION AND STATE THAT THE INFORMATION GIVEN IS- BRACING, BOLTS r ✓"v 3 COI AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, oI AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS SIGNATURE OF s� LATH, INT. i.• ✓��� t+, PERMITTER ADD �l� . � e! LATH. EXT, r e /lIJ�J f AUTHORIZED AGT. t PLASTER, INT. PLASTER, EXT. $ O d J777 HOUSE NUMBER COR-RECT AND POSTEDVALUATION FINAL 76AGSBA 1289 3 8-82 _ r ' COUNTY.OF LOSi P PL I C/',1T ON FOR ,ANGELES DEPARTMENT OF COUNTY ENGINEER },'AUILDiNG�PERMIT BUILDING,A AFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILD03 EI NG ADDSS 5a 3.�-- P L g5jN e7 N-Nve LOCALITY CITY I L LiT`� ZIP NEAREST CROSS ST. 2 _ SIZE OF LOT 0x 130 NOW ON LOTS MAP BOOK PAGE PARCEL DISTRICT' . GROUP TYPE FIRE OC ;ED BY f f _� CONST. ZONE TRACT 1p BLOCK fx]c yy�� LOT NO. V71O• L^. Q �I E' lily OWNER �'E-Mk9 l-JPSAL, NO7rEL1p Y arl `STATISTICAL CLASSIFICATION ,/� � SEWER MA ADDRESS 503.)- P� S IMPAON• KV = CLASS NO�DWELL.UNITS ' BK PG l' & CITY M9L` fi_ CiT�i ZIP 2�p _ se 'USE 'ZONEMAP ARCHITECT EL. L� I � NENGNEERO CONDITIONS ADDRESS' S/g _rL, (wRrj.Jv 1Ir89U C�+OVINA•- ROAD DEPARTMENT ARTMET APP L REQU-I.RED. YES❑ NO[] , CONTRACTOR Fj��21Z, COQ+ ', NEL.- /-7 2,170 BLDG.SETBACII ` ..••���� LIC. r FRONT PROP.LINE O (STREET) ADDRESS aR.v f ��, r0or I LL NO. �31SE)(„ HIGHWAY ,+ YARD = TOTAL SETBACK FROM TYPE OF EXISTING CITY tton .A� LIC• {� -- FRONT PROP. LINE HIGHWAY WIDTH /v'bN�V►m cpm CLASS R-i Oo CONSTRUCTION LENDER + NAME AND BRANCH BLDG.SETBACK FROM _ ADDRESS CITY SIDE PROP.LINE OF _ (STREET) v SQ. F NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING CL' SIZE STORIES , FAMILIES i ONE SIDE.PROP. LINE HIGHWAY WIDTH f= DESCRIPTION OF WORK jjj)V-.G 0fj4l1IL/ NEW E] + ji C�7 y �y ADD CORNER CUTOFF YES ❑ NO ❑ Z 1�m i w,o �PSr -►2 Ss noa>zs LTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO.[:] USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ f C APPLIA 1l /� TEL J"� /�'/yt' -.'��L�G f�'rlL.f+t/C� (,.JI'I /`�` '�•,.'._ (P RINT)� •C�N�V'"� � N0. BY (SIGNATOR •' "�v/ '!� /4, tr I HEREBY ACKNOWLEDGE THAT I HAVE hEAD THIS APPLICATION 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 - f HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA- IN RELATING TO , WORKMEN'S COMPENSATION INSURANCE. - SIGNATURE OF� FINAL yy PERMITTEE 1 DATE ' ADDRESS ^��`T/�Zu �IfON��:W1A CITY /Cl�nNd'L�ui / NoL_g57 '7a P.C. Fee$ �• D P r=.Fee Q Issuance Fee VALUATION Total Fee O . PLAN CHECK VALIDATIONCK:' M.O. CASH PERMIT VALIDATION' .CK. M.O., CASH 6 2A OCT i9' 2:5 D: .2 -6.1 0 d-3 _- k .622 N�G'i9 +1. D 2 0.7.0 .0 Y. '7.1'^1:N IAY. 3:1 2.3 it; 8.10 ♦!)a - 78A'888A CIL'*80813 12/75 - - '•• -'• y APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS r WORKER'S COMPENSATION DECLARATION /�,.3� I hereby affirm that I have a certificate of consent to self insure, BUILDIN ADDRESS :1�f or a certificate of Workers'Compensation Insurance,or-a a tified —�~J copy there 6 . B Lab.C.) CIT ZIP LOCALITY Policy NO. Company SIZE O T 10.OF BLD .NOW ON LOT El Certified copy is hereby furnished. NEAREST CROSS Or 49cer led copy is filed with the�unty bui dllhg inspection TRACT BLOCK LOT NO. dd�e11p t t. ' I USE ZONE MAP NO. LAA Dat Applicant ASSESSOR MAP BOOK pDr PAGE ¢ PARCEL ad�� DD/ o191-5 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' owRJ TE o. COMPENSATION INSURANCE C�-� Lo WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE 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 R N WEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CL APT CONDO Date Applicant ADDRE S p"1 _ CLASS I AeUNITS N0710E TO APPLICANT. If, after making this Certificate of Tl-JsS�C'C,] REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' TEL NO. 1 SET BACK YARD HWY PROP LINE WIDTH — Compensation Compensation provisions of the Labor Code, you must forthwith S FRONT comply with such provisions or this permit shall be deemed revoked. AD ESCPL O. P L LICENSED CONTRACTORS DECLARATION �'" "" SIDE CR UC.CL 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. 4AAN040_F _. STOR S NO.OF'FAMILIES Professions Cod�Ilc full force and effect. NEW ❑ BK PG aDE ION OF WOR VALUATIONLicense Nu ric.Class ADD nJ6 ' VContractorate ALTER � 0 11I am exempt under Sec. @.. �T76&J REPAIR ❑ $ BAP.C.for this reason v—' :2QIJDEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. URM ❑ Y G' AM! s Signature APPLI PRINT) TEL NO. LDMA Perm# °� z ❑ I, as owner of the property, or my employees with wages as Z their sole compensation, will do the work and the structure is ADDRE C1 , not intended or offered for sale (Section 7044, Business and FINAL DATE a _ O Professions Code.) r•- £ WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ORA MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner Of the property, am exclusively contracting with AMOUNTS PECI DON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINALBY A rrs� ° licensed contractors to construct the project (Section 7044, N = :(_• �I1_t •.1 ❑ O YES Business and Professions Code.) T WILL T LL THE INTENDED USE OF THE BUIDLING BY THE APPUCANT 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 UAL"" �—y ��' GUIDELINES e t=I AL ,�3-OL _ 3 I I hereby affirm that there is a construction lending agency for YES❑ I•_ :F the performance of the work for which this per it is issued(Sec. C"HE,.•: 331D° = I HAVE READ THE HA DOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING _ ti cli3097,CIV.C.) ECKUST.I UNDERSTAND MY REQUIREMENTS UNDE S"Al16EI�+GCQuh CODE, �f ii i�t� E 2,CHAPTER 2.2 20.100 THRO 2.20. 0 CONCERNING HAZARDOUS Lender's Name �� TER AMID OBTAINING A PE 0 THE SCAOMD. 0 Lender's Address OR _ c 1 certify that I have read this application and state under penalty of perjury t at the above information is correct.I agree to comply P.C.FEE LFE / p IT FEEGU ,,fir} to d vo _ r�i:i }a with all c my ordinances and State laws relating to buildingconstructs and hereby au orize sentatives of thi County ISSUANCE FEE . �mto enter u the bove- propert for in io11 r oyses (G J a VC C INVESTIGATTOTAL FEE W { J (p � Sgn°Wre m nppgam a ro SEE REVERSE FOR EXPLANATORY LANGUAGE • I COUNTY OF LOS ANGELES I TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709290085 .•, PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST B L ADDRESS: ON FILE SQ. FT STORIES TYPE 5032 PERSIMMON AV :STRUCTURE: 0 VN TEMP CA 917803415 ASSESSOR INOR 0 NU NEAREST CROSS STREET: FREER 8574-004-045 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY ST SLOG USE: RESID USE : R-1 ISSUED 0 PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/29/97 UT 09/29/98 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAATEEQ�7 FINAL BY: CODE: OPSAL SHIRLEY J (818) 444-5702- 1 4,000'/ 5032 PERSIMMON AV TEMP 917803415 FEES PAIDE�SCR-fP ON OF R FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEAR OFF AND INSTALL CLASS A ELK 30 YR. COMP. SHINGLE ' APPLICANT: TEL. NO: WM. T. NELSON ROOFING (626) 303-0524- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECI'AL CONDITIONS: D2 PERMIT W/O EN-HC• p 4000.00 VAL 116.10 r * ii--TOTAL FEES 144.35 CONTRACTOR: TEL. NO: rte" -_-`_ `_ ,• APPROVALS DATE INSPECTOR SIGNATURE WM T NELSON ROOF CONTRACTOR (818) 303-0524- 1245 S. PROSPERO DR. LIC. NO I �', `'. - liar' OC ION AND SETBACKS GLENDORA, CA 91740 648085 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: - ' _ , FOUNT IO TRE C FORMS LIC. NO: SLABIUNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDEVL00R INSULATION 147H277 3 01 0. OF FAMIL-IES: DWELLING U S: COND: STAT CLASS: FLOOI SHEATHING NO 21 ROOFISHEATHING SCHOOL I 0 S SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE,SPRINKLER MANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH/DRYWALL EXTERIOR LATH A L CEL ASSEM. RATED WALL ASSEMBLIES RATEd SHAFTS/OPENINGS T-BAR CEILINGS LOT �RAINAGft I REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS i 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0404290003 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF CONST BUILDING ADDRESS: ON FILE SQ. FT STORIES TYPE 5032 PERSIMMON AV ;STRUCTURE: 500 VN TEMP CA 917803415 ASSESSOR INFORMATION-NUMBER: NEAREST CROSS STREET: FREER 8574-004-045 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/29/04 VG 04/24/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: OPSAL SHIRLEY J (626) 444-5702- 10,000 5032 PERSIMMON AV TEMP 917803415 FEES PAID DESCRIPTION OF woRxozr REFRAME AND REROOF EXISTING SUNROOM 503 S.F. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. 0: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 10000.00 VAL 1.00 SPECIAL CONDITIONS: AX BUILDING REVIEW FEE 54.70 D2 PERMIT W/0 EN-HC 10000.00 VAL 216.60 CONTRACTOR: TEL. NO: TOTAL FEES 300.05APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGI EER: TEL. NO: FOUNDATION/TRENCH FORS LIC. NO: SLAB/UNDER FLOOR RAI-SED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING 0. OF FAMILIES: DWELLING UNITS: APT/FOND: STAT—CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION QUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER ANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIO LATH/DRYWALL EXTERIOR LATH RA TED F OOR CEI ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE I REPORT ID: DPR261 ROUTE TO: BS0508