HomeMy Public PortalAbout5108 PERSIMMON AVE_Building__ DEPARTbdENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY U 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 / DISTRICT NO. PLAN CK. REC.No. (PERMIT NO.
i�
ADDRESS �/O ` F'�'!:S//G9j ??e+ ,%_) r f✓`� — l 11 4 l /- S /
__•
C/' '�' RECFIVED B D
DATE OF APPL. ATE ISSUED
LOCALITYNEAREST
J /!l
CROSS ST. G- tr
BUILDING
OWNER t�J 1 �/ ADDRESS
MAIL M C��I ' I� LOCALITY -Z QP J,,�r n
ADDRESS �).._ / / �J NEAREST '
CITY F / ✓'! ( ��� /tr' TO EL..Ar�'� �4rII' CROSS ST.
ARCHITECT OR TEL. Y ZONE I NO.
O JJ
I TYPE I GROU - `1
ENGINEER NO. J
LANSi
ADDRESS �f �• SETBACK LAKE
USE
CONTRACTOR l':/�/'»-G• (�! ('Ay
�`V fl NO. J�1 __ ZONE/4—I BYPROVED ATE 7
ADDRESS •.` �'JF%/� �'�[�� L�' �'JH��O'USE NUMBERING
LEGAL "f' �' MAP NUMBER `S `r / NO. ASSIGNED BY
DESCRIPTION LOT N ! I BLOCK CORRECTIONS
TRACT . + r p
Z Z I NO ON LOTGS.
SIZE OF LOT NI�D, _
USE OF I NO. OF
EXISTING BLDG. FAMILIES
- DESCRIPTION OF WORK O -
W I -4-FALTERATION
REP IR DEMOLITION f—I ADDITION
r
Q. �J
S ZE T /. ROOMS STORIES
COVEWALLRING �I LCI(� I COVER NG ! "' 1` •
USE OF STRUCTURE
r�--t�sem`•' `J, f�J�°Y �'!!•��R� .
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- - FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS ,s� sZC�•j� -
CORRECT. '
1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE:LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF H,LATINT.
PERMITTEE �' �/j�V �• ?r�
�..• f /�•y LATH. EXT. ,CI'
ADDRESS •c7 '' -- �!✓•�� C� '�
f� PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT,.
$ . b P. C. $
HOUSE NUMBER COR-
RECT AND POSTED
VALUATION f/ FEE S r f FINALLY
�...... soa a n NN _ m
KWORERSCOMPENSATION DECLARATION
raffi that I have certificate of consent
nt to self
es8APPLICATION 15
FORWILDING P E RM I Tu ; r a certificate of Workers'Compensation Insurance,
. s[a c%piged copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company BUILDING
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ` ADDRESS
Certified copy is filed with the county building inspec- BUILDING r
tion department. ADDRESS O d + LOCALITY AJ
�7 NEAREST
Date I Applicant CITY P LC ZIP / ` O CROSS ST.
' CERTI ICATE OF EXEMPTIOPfFROM WORKERS' NO.OF BLDGS. ) ASSESSOR
COMPENSATIO NSURANCE SIZE OF LOT ( Z+� NOW ON LOT 1 MAP BOOK PAGE PARCEL
(This section need not be completed if the permit is for one USE ON MAP
hundred dollars($100)or less.) TRACT BLOCK LOT NO. NO.
TEL. SPECIAL }
I certify that in the performance of the work for which this OWNER L NO. CONDITIONS d.
permit is issued,I shall not employ any person in any manner ! p n DISTRICT G OUP TYPE FIRE PROC ED BY O
ADDRESS S O r`r r fL�J j 0 Al D CONST. . / ZONE eg
so as to become subject to the Workers'Compensation Laws. � � GDP
f/ '"/1 �
Date A licant CITY L PL-& ZIP / �� STATISTICAL CLASSIFICATION APT. lcolm U
NOTICE TO APPLICANT:Applicant—
after making this Certificate of ARCHITECT OR JACK N IG Itfrur'1 -T- TEL. �-/3
Exemption, you should become subject to the Workers' ENGINEER 7-OL-1`�4 PJ A 4-1 NO• °J � W3 CLASS NO. DWELL.UNITS SIR �
Compensation provisions of the Labor Code, you must forth.- ADDRESS 10 3,0 '7-'V$' "� l�3 l� mcom+C$ i SEWER MAP to
with comply with such provisions or this permit shall be z
deemed revoked. CONTRACTOR �-. TEL' BK. PG, VALIDATION
•-d-- l..lJ�S O. g -SSI
LICENSED CONTRACTORS DECLARATION �
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS /I "N0. 31-17-3 VALLIATION2
(commencing with Section 7000)of Division 3 of the Business and LIC. Al _
Professions Code, and my license is in full force and effect. (,Y'I CITY 4z3�� CLASS $
3 7 3 5 6 �'1.1}` I siE� STORIES FAMILNO.OF LIF CHECK IES ONE ,
License Number Lic.Class
$
Contractor E L-I NS APTIS, Date 3 I — DESCRIPTION OF WORK b NEW ED]
I am exempt under Sec. ALTER FINAL DATE107❑ 0J
B.BP.C. for this reason REPAIR ❑� 1/�
Date: USE OF '�e"N S� DEMOL ❑ 0
EXISTING BLDG. B L C 2 2.7 9.5
A
Signature APPLICANT TEL. G 1/
OWNER-BUILDER DECLARATION (PRINT)
SR J C-0 IJ-9T- NO. tl 7 P^S�J 1,G. �Z 2 # 0 0 a 0
I hereby affirm that I am exempt from the Contractor's License ADDRESS/_ _J 14107 SAP k6 &-vo��•//�6'f O•t1 T / - 22&00
Law for the following reason (Section 7031.5, Business and
Professions Code): PRILDINGESENT - 228006
F1BU
I, as owner of the property, or my employees with ADDRESS 0 a26-85
wages as their sole compensation,will do the work and LOCALITY
the structure is not intended or offered for sale(Section
7044, Business and Professions Code). MOVING TEL.
1,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).
REQUIRED TOTAL SETBACK FROM EXIST.
CONSTRUCTION LENDING AGENCY SETBACK YARD HWY PROP. LINE WIDTH
I hereby affirm that there is a construction lending agency for HFRNT$
the performance of the work for which this permit is issued tSec. 3097, Civ. C.).Lender's Name /)Permit Fee 115-0
Lender's Address _
fI certify that I have read this application and state that the Issuance Fee Q
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee (/
Y and hereby authorize representatives of this County to enter
7ni,,
bove-mentioned pr perty r inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
-o--
ignature of Applicant or A6ent Da ®s
f
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING.PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9707310050
PHONE: (818) 285-0488 EXT:
LEGAL D: NO. OF CONST. BUILDING ADD E S:
ON FILE SQ. FT STORIES TYPE 5108 PERSIMMON AV
TRUCTURE:' 0 VN TEMP CA 917803416
ASSESSOR 0 0 NUMBR: NEAREST CROSS STREET:
8574-004-049 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: EXIST : RESID USEZONE: R- SS - PROCESSED-BY: EXPIRES ON.
.•EXIST OCC GRP: 07/31/97 TC 07/31/98
OWNER: 'TEL. N0: OLOGS. NOW ON LOT: . VALUATION: INAL-DATE FINAL BY: CODE:
GIANNOULIAS JOHN G;NITSA - ' 1:,• 5,000 q'I/
5108 PERSIMMON AV - ��/�'/
TEMP 917803416 ES 6gS TO
CHANGEOUT 4 WINDOWS TO VINYL - SAME SIZE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. 0•
AMERICAN HOME IMPROVEMENT PRODUCTS (800) 807-9889- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL-CONDI-TIONS:
02 PERMIT W/0 EN-HC-L TAOOFEES VAL 133.05
161.30
TEL.
CONTRACTOR: ��Ls — �-
AMERICAN HOME IMPROVEMENT (310) 944-3400- APPROVALS DATE INSPECTO S GNAT RE
10415 SLUSHER DRIVE #2 LIC. NO i1 �'�� EOCATION AND SET13ACKS
SANTA FE SPRINGS, CA. 721379C33
SOILS ENGINEER APPROVAL
e�
ARCHITECT 0ENGINEER: E :a f = '•�� �` •� 0 0 R C
LIC. N0: I I �i j� I ��1\` S AB/UNDER FLOOR
p I____ � `.�A-11�� S FLOOR G
14AP NO--
147H277 SEWER P BOOK: PAG IRE ZONE: CM07 I`J `)'I I� �' � ,�Uj�ra 4.��ll le�1 NDEkFL00R I SULAT 0
------------- FLOOR SHEATHING
0. OF . STAT CLASSF
NO 21 \��� \ . _ WOOF IS EA I G
SCHOOL WITHIN HAZARDOUS SHEAR P
AIR QUALITY: 1000 FEET MATERIALS y�• �� �� �`� '`i r '��
NO NO NO FRAME I SPECTION
REQUIREDTOTALS ��-----�� RES I R H G S
SETFROBACK YARD: HWY: PROP LINE: WIDTH: 6°} p
I —�'' �
@f� NSUTTION/W THER STRIP
SIDE PL- rvi'ce �tl INTERIORDR L
1
EXTERIOR LATH
RATED 00 ASSE .
RATED WALL ASSE BLIES
RA
TED SSO GS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE I
LOT DRAINAGE
,REPORT ID: DPR261 ROUTE TO: BS0508
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0208130016
PHONE: (626) 285-0488 EXT:
LEGAL . OF CONST BUILDING
ON FILE SQ. FT STORIES TYPE 5108 PERSIMMON AV
STRUCTURE: VN TEMP CA 917803416
ASSESSORNEAREST CROSS STREET: FREER
8574-004-049 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
-EWf 9rTLDG USE: RESID -ffS-E-70-ffSS PROCESSED B : EXPIRES
.
EXIST OCC GRP: 08/13/02 JK 02/09/03
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DAT FINAL BY: CODE:
CERNA; NERI (626) 350-1544- 700 / /
5108 PERSIMMON AV
TEMPLE CITY 91780 FEES PAID DESCRIPTION 0
REPLACE 6 WINDOWS - DINING RM,LIVING RM,3BEDROOMS, 8 KITCHEN
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME SIZES
A 0: i
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID_ 700.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 700.00 VAL 43.65
-TOTACtFEES 71.90
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO ;;`" t. 0 SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: N i ` FOUNDON RE ORMS
t
LIC. NO; _ ;• - , SLAB/UNDER FLOOR
" _ ! RA SD FLOOR FRAMING
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE: MP UNDERFLOOR INSULATION
147H277 3 0"1 " ,
'.. FLOOR SHEATHING
. 0 D UN APT/CON : S A -S --
NO 21�i� - - ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO _ FRAME INSPECTIO
TOTAL REQUIREDBA E S i �' !; FRE
SET BACK YARD: HWY: PROP LINE: WIDTH: t..' f <<: SP ER ANGERS
FRONT PL- I 'i$� �`c' ,;tLv ?=i '.> - INSULATION/WEATHER STRIP
SIDE PL- -- - "
N RORLATH/DRYWALL
EXTERIOR LATH
RATED R L ASSEM.
RATED WALL ASSEMBLIES
IRATED SHAFTS/OPENINGS
I
T-9-AR C ICINGS
A G
I
REPORT ID: DPR261 ROUTE TO: BS0508