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