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HomeMy Public PortalAbout5126 PERSIMMON AVE_Building__ APPLICATION FOR BUILDING PERMIT FOR*PLICANT TO FILL IN (Print or type only) BUILDING COUNTY OF LOS ANGELES B DRESS DEPARTMENT OF COUNTY ENGINEER CITY zip BUILDING AND SAf TY DIVISION /1.11 BLDGS. BUILDING SIZE OF LOT NOW ON LOT ADDRESS Z �r TRACT BLOCK LOT NO. LOCALITY ` TEL. NEAREST OWNERO [ NO. CROSS ST. ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT. GROUP TYPE FIRE PRS ED BY CITY ZIP CONST IZONE ARCHITECT R TEL. �, U8 � ENGINEER r NO. STATISTICAL CLASSIFICATION SEWER MAP r� ADDRESS CLASS NO.C;;�r DWELL.UNITS BK PG TEL. s7777� CONTRACTOR No, O 7[ USE ZONE MAP / LIC. NO. ADDRESS NO SPECIAL .. LIC. CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTION LENDER �- NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS �~ CITY TOTAL SETBACK FROM TYPE OF EXISTING SQ.FT. NO.OF NO.OF CHECK HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONECL } DESCRIPTION OF WORK NEW ❑ + - O IQJ ADD BLDG.SETBACK FROM SIDE PROP.LINE OF (STREET) O ALTER ❑ = TOTAL SETBACK FROM TYPE OF EXISTING w as `� HIGHWAY + YARD SIDE PROP.LINE HIGHWAY WIDTH a USE OF REPAIR ❑ Z EXISTING BLDG. DEMOL ❑ + APPLICANT TEL Q jy CORNERCUTOFF YES ❑ NO ❑ (PRINT) NO.G$d- [! IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION _ Q IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- PENSATION INSURANCE.a",p 4, A($ 7-140' 3 SIGNATURE OF AA !! i PERMITTEE `- ADDRESS i5loD ff � L" � FINAL . � BY CITYff"�CbKl INOP91GO�'L PCI 4t MAKE CHECKS P ABLE TO: F E $ ` r FET � HARVEY T.BRANDT.COUNTY ENGINEER_____j 1 7,5. 76� PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION cK' M.O. CASH .5 7.6 9.-OCT7 -1 D _ 7 5,7 5 ,690 p p e a ®s 7 6A638 CE#803 3.75' f N. ._,APPLICATION FOR COUNTY OF LOS ANGELES- DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS / O LOCALITY ^ NEAREST CITY A ZIP DD �"' CROSS ST. /°r �1 NO.OF BLDGS. / ASSESSOR SIZE OF LOT4d / NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP ITYPE FIRE PROCESSED B 7--16 Y TRACTI BLOCK LOT NO. CONST. ZON TEL 'r10 C OWNER 1 SGG NO I STATISTICAL CLASSIFICATION SEWER MAP •ADDRES CtrW`h L C CLASS NO._yb,jDWELL.UNITS SK PG Q� 'USE ZONE MAP CITY .' ZIP �/ NO. ARCHITECT OR TEL. �� SPECIAL .ENGINEER. NO. CON DI TI ONS ,ADDRESS f ROAD DEPARTMENT APPROVAL REQUIRED YES[_ NO❑ CONTRACTOR � ..Q TEL. NO BLDG.SETBACK FROM � LIC. FRONT PROP.LINE OF (STREET) :ADDRES HIGHWAY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING LIC. FRONT PROP. LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTION LENDER } NAME AND BRANCH BLDG.SETBACK FRO C7 ADDRESS CITY SIDE PROP.LINE OF (STREET) C.) SQ. FT / NO. OF NO. OF CHECK HIGHWAY } YARD = TOT SE ACK FROM TYPE OF EXISTING Q' SIZE (7 STORIES FAMILIES ONE SIDE 0�+. LINE HIGHWAY WIDTH � _ V DESCRIPTION OF WORK NEW ❑ } N ADD CORNER CUTOFF YES ❑ O ❑ Z r LTER ❑ eo "REPAIR❑ IN OPEN SPACE YES ❑' NO USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ (PRINT) 711 I ,1••Q1 BY (SIGN TU `y • 't� a�7/�N�� �- f Cly/ IN` f ='91/ IHEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION 7'�J'1�� 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 HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE L<0_�? OF T CAL IN RELATING TO i O SATION I CE. I F FINAL BY DAT TEL. yj��f P.C. Fee$ Permit Fee. o NO.QQIssuance Fee JANOF$ Total Fee PLAN CHECK VALIDATION CK. M.C. CASH PERMIT VALIDATION CK. M.O. CASH ° 76A695A CS#5098 1275 - •� O `�ASEP 3 .1 0 7 5.7 5 A� i 7BA63SA CE#803 6-63 APPLICATION FOR BUILDING PERMIT lJ COUNTY OF LOS ANGELES BUILDING. / DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING GROSS ST. DISTRICT NO GR U TYPE D FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL C ICA ION EWER MAP ADDRESS '57 /� /J K CLASS. NO. DWELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑ CERTIFICATE: TRACT MAP HIGHWAY v NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECON LOCAL SIZE OF LOT NOW ON LOT USE ZONE 19PECIAL USE OF / CONDITIONS EXISTING BLDG. r/ ///���� rrT'�E ' OWNER Q 111Ud VOL. S '%. BUILDING EXIST. ��jj�� SETBACK YARD HWY STREET NAME WI TH ADDRESS '/(" C• -FRONT y� v i1 ARCHITECT OR TEL. P. L. to (/ ENGINEER NO. SIRE P. L. } ADDRESS 0- TEL. V CONTRACTOR NO. ADDRESS / 0 DESCRIPTION OF WORK r) I y NEW ADD ALTER REPAIR DEMOLISH z SQ.FT. NO.OF NO. OF i SIZE STORIES FAMILIES USE OF STRUCTURE L SIGNATURE OF APPLICANT VALUATION$ " APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. ,yam, FOUNDATION: LOCATION FEE $ FEE $ r V(/ FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ' BUILDING 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 COMPENSATION INSURANCE. � LATH,EXT. SIGNATURE O � . HOUSE NUMBER COR- PERMITTEE_ • RECT AND POSTED ADDRESS FINAL • . FINAL JOHN F. LEWIS. PRINCIPAL STRUCiYUURAL ENGI R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH LAAO 6 7 7 2 DEC 14 1 D 4.00- DEPARTMENT OF COUNTY ENGINEER .,�rDIVISION OF BUILDING AND.SAFETYB mUm I LD I Ilk 1 G y 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.OR Rec.No. PERMIT NO..' ADDRESS 5124. i'o'd'...0 r�Pv Cs t!O�3'7/�z Sr' �T 1 S aYj7f LOCALITY / _ q RECEIVED BY DATE CF APPL. DATE ISSUED NEARESTW_T CROSS ST ® -BUILDING OWNER AE:X. 011477 6d f! ADDRESSMAIL ,5"I ADDRESS� � "� + LOCALITY L-(✓�(� "_ - �7'" i�FJ• ���f�' NEAREST. - • CITY TO —f V CROSS ST. ARCHITECT ORTEL. / FIRE NO. OF TYPE,—,.. GROUP ENGINEER N ZONE r PLANS BLDG. i ADDRESS ��// USESETBACK LINE AP �O 7D . NO. CONTRACTOR. ��.�/ e� �IrINO.' 7�� ZONEH _I BYPROVED DATE `' HOUSE NUMBERING ADDRESS DESCRIPTION I LOT NC. BLOCK �� MAP NUMBER_ V S / NO. ASSIGNED'BY - CORRECTIONS- TRACTNO SIZE_OF LOT. DG. Z ��-NO ON LOTS USE OF NO.. OF - EXISTING BLDG. . - I.FA - DESCRIPTION OF WORK O - _. 0 NEW IALTERATION I—I ADDITION Z REPAIR 'DEMOLITION Y F, Q. FT. NO.OF SIZE ROOMS 44 STORIES, RO COVERING ^WALI! :+1 ���. I'COVERING C& USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE. DATE FOUNDATION:LOCATION -FORMS, MATERIALS I HEREBY ACKNOWLEDGE THAT I-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, STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,.DUCTS S PERMPITEE F p rr ! ' \ LATH, INT. I rvt� ry y ' LATH. EXT. ADDRESS - �� ✓"",l00r, ER, INT. AUTHORIZED AGT"�''� • r ��"" ��"' . PLASTER,-EXT.; HOUSE NUMBER COR- lo r, —. RECT AND STED VALUATION O O FEE FEE 2 G FINAL tae.99A nma 2 9-R9 1 (�I WORKERS'COMPENSATION DECLARATION • - • - I hereby affirm that I have a certificate of consent to self i ® ©© LIC®T I MOW BUILDING PER �T insure, or a certificate of Workers'Compenstion Insurance,or ® �`"'� a certified copy thereof (Sec. 3800, Lab. C.) WC15044Mission Ins. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No —. �mpany . Certified co is hereby furnished. BUILDING ❑ copy y FOR APPLICANT TO FILL IN ADDRESS 5126 N. PERSIMMON © Certified copy is filed with the county building inspec- BUILDING TEMPLE CITY tion department. ADDRESS 2 LOCALITY NEAREST Date 4/30/81_ Applicant PATTY KERRY CITY TEMPLE CITY ZIP CROSS ST. —07P•2/ CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP �� S- / hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. > TEL. SPECIAL g, I certify that in the performance of the work for which this OWNER DIANNE DAVIS NO, 443-548 - CONDITIONS O permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PRO SSED-BY U so as to become subject to the Workers'Compensation Laws. ADDRESs5126 N. PERSIMMON � CONST. ZONE� eta CITY TEMPLE CITY ZIP ` 0 Date Applicant STATISTICAL Cl ASS TION ARCHITECT OR TEL. APT. CONDO. U NOTICE TO APPLICANT: If, after making this Certificate of UJExemption, you should become subject to the Workers' ENGINEER No. 788-0195 CLASS NO. 31 DWELL.UNITS Compensation provisions of the Labor Code, you must forth- ADDREss13824 VENTURA BLVD. S. OAKS SEWER MAP � with comply with such provisions or this permit shall be r deemed revoked. CONTRACTOR SWAN POOLS N.L966-8631 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE55961 N. AZUSA AVE. NO. 254846 VALUATION A (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full force and effect. CITY COVINA CLASS C-53 $4, 000.00 SQ. FT. 81 NO.OF NO.OF CHECK License Number ?K4446 Lic.Class r_ri A SIZE STORIES FAMILIES ONE Contractor $WANT PC)C)T,S Date 41-4n/R1 DESCRIPTION OF WORK NEW ® $ !•,0 7 / t ❑ I am exempt from the licensing requirements as I am a PRIVATE SPA ADD ❑ - _ 0 0 0 o r licensed architect or a registered professional engineer ALTER ❑ FINAL acting' in my professional capacity (Section 7051, ,, .�� REPAIR ❑ DATE `�f 7 Business and Professions Code). USE OF FINAL DEMOL _ EXISTING BLDG. ❑ By 1 -t�C A� 0 0 j Lic.or Reg.No. Date APPLICANT SWAN POOLS—P.KER� 966-863 PRINT) OWNER-BUILDER DECLARATION ( s�� C 5 7 C(—+`� 1 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS 961 N. AZUSA AVE. COVINA Professions Code): PRESENT ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 0!.? �3 7044, Business and Professions Code). MOVING TEL. {' 0 0 0 0 o j I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS i ° ° G% n tion 7044, Business and Professions Code). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P L 0 b 1 (Sec. 3097, Civ. C.). SIDE Lender's Name CASH P L - Lender's Address CASH P.C. Fee$ d 6 Permit Fee I certify that I have read'this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 3 and hereby authorize representatives of this County to enter c upon the above-mention property for inspection purposes. a YSEE REVERSE FOR EXPLANATORY LANGUAGE Signature Applicant or Agent Ne/81 ®s i a COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0412130022 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. 0 CONST BUILDING ADDRESS: TR: 17867 LT: 73 SQ. FT STORIES TYPE 5126 PERSIMMON AV STRUCTURE: 2500 VN TEMP CA 917803416 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8574-004-052 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE : R-3 ISSUED PROCESSED Y: EXPIRES ON: FARRELL EXIST OCC GRP: 12/13/04 JK 12/08/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: MANHEIM, DIANE (702) 568-8688- 4,500 4836 STORM MT. 7,- LAS VEGAS NV 89130 FEES PAID DESCRIPTION OF WORK T/0 25 SF. 2 LAYERS APPLY 30 YR TANKO OVER EXISTING SHEETING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. O: HENRY (626) 287-0669- AA BLDG PERMIT ISSUANCE 27.75 4251 BALDWIN AVE AC STRONG MOTION RESID 4500.00 VAL 0.50 SPECIAL CONDITIONS: EL MONTE CA D2 PERMIT W/0 EN-HC 4500.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SHOWCASE ROOFING CENTER, INC. (626) 287-0669- 4251 BALDWIN AVE LIC. NO LOCATION AND SETBACKS EL MONTE CA 91701 NONE SOIL'S ENGINEER APPROVAL ARCHITECT OR-ENGINEER: TEL. NO: FO NDA ION/TRE C FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILI S: DWELLING UNITS: APT/CONDI STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR L- I T RIOR LATH DRYWALL EXTERIOR LATH RATED OOR/CEIL ASSEM. RATEPWALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS i OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508