Loading...
HomeMy Public PortalAbout5138 PERSIMMON AVE_Building__ DEPARTWIE TP OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY I COUNTY OF LOS ANGELES B sun L ED` I 'NLB G. WILLIAM J. FOX, CouNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUP'T OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING 7�} r` DISTRICT NO. PLAN CK.OR REc.No. PERMIT NO. ADDRESS ` I 1Li ►J LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST -C-0-� CROSS ST `� iv "! r _ BUILDING OWNER •/"/ //��I ADDRESS MAIL7>- LOCALITY e • , �1 ADDRESS .2 />-ry �v'�r X.,NlTr • �'/r{�J frn,�:`' -'(/✓�Q. CITY ��l G��Jy1 C' NO /#� �J �' CROSS ST. FIRE NO. O ARCHITECT OR TEL„ F TYPE `�'� GROUP ENGINEER NO. ZONE I 'PLANS "� -7 BLDG. NO. ,� / /�� �`+/ SETBAUSECK LINE L CONTRACTOR wry! 'J l,�//j/U NO. �'J/L ZONED- l PROVED DATE ADDRESS �/2 ✓/- JC A/ HOUSE NUMBERING LEGAL - r/,►- MAP NUMBER d 5-/ NO. ASSIGNED BY DESCRIPTION I LOT NO. / ✓ I BLOCK �! .�/ CORRECTIONS TRACT l! V� 1 I `_ NO' OF BLDGS. SIZE OF LOT OQ r Z NOW ON LOT USE OF NO. OF EXISTING BLDG. FAMILIES DESCRIPTION OF WORK o - N6111/ � ALTERATION I-I ADDITION I z REPAIRZ FDEMOLITION / rD" SQ. FT. /S SIZE ROOMS /� STORIES dy (� [/ EXT.WANG' 1�k I COVERING_COl �171'Y/ • i` USE OF STRUCTURE -� a4 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 CORRECT*AGREE TO COMPLY WITH ALL COUNTY-ORDINANCEH FURNACE:LOCATION, AND STATE LAWS REGULATING BUILDING EXT. BUILDING`/COC/OjNNS�TTRRU..C!TIION. GAB VENT, DUCTS y"A SIGNATURE OF LATH, INT. in- PER f• LATH. ADDRESSZ' .G �� , -:sir PLASTER, INT. AUTHORIZED AG PLASTER, EXT. Fes" s 6 S3 HOUSE NUMBER COR- / Q C7 RECT AND POSTED / VALUATION FEE S, -(/� """ FINAL �` �-�-D S� ICA689A C8#8032/QG APPLICATION_ FOR BUIL ING PERMIT: -1 COUNTY OF LOS ANGELES ADDRESS 'r . r �" DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY a JW WILLHN IAM LA ECOUNTY D ova ENGINEER ANSEN SUPT OF BUCROSS ST. DISTRICT NO. GROUP TYPE PROCESSED BY FOR APPLICANT TO FILL IN coNsr. BUILDING yfyy, �c STATISTICAL CLASSIFICATION SE ER MAP ADDRESS_:� soF O �✓- - K P o CLASS.NO.J WELL.UNITS LOT NO. BLOCK MAP NUMBER SHTX97 YES 60 TRACT USE ZONE SPECIAL SIZE OF LOT, I NOW ON LOTS CONDITIONNO OF S USE OF _ EXISTING BLDG. BUILDING YARD HWY STREET NAME' EXIST. TEL. SETBACK WIDTH OWNER" s ��,' ����d�NO.� �✓ °G FPOL T O �� Y�lJ ADDRESS 7 J�I�Sfh'7J'17d/i/ �T SIDE ENGINEER kRP2 A N1&- O P L INSPECTION RECORD ADDRESS ®L L TEL. a " CONTRACTOR = � QAIO. _dg O ADDRES D DESCRIPTION OF WORK 0 H NEW DD ALTER REPAIR DEMOLISH FT I (� NO.ORIF S. NO.OF STOES FAMILIES a USE OF 7 STRUCTURE Fi SIGNATURE OF �ajyyt L' APPLICANT VALUATION APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ .$ __ FOUNDATION:LOCATION FEE FORMS.MATERIALS ��lL.��lr..�`' J/l• BA- •r P. --•a 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP FBRACFIRE ING BOLTSS // /Aa., ! L_61{.aYO n• — PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF WE WORKMEN'S COMPENSMION LAWS OF CALIFOR 1 LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE -/ C- �L RECT AND POSTED ADDREss d e))7 FINAL . CLYDE N. DIRLAM, PkINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION cr. M.o. CASH PERMIT VALIDATION CK. M.O. CASH iso `7 6 -OCT J 1 -D �.� OF APPLICATION FO I3[JIL - G* PERMIT 1 COUNTY OF LOS ANGELES ADDRESS _S—/ DEPARTMENT OF COUNTY ENGMM - + MWING AND SAFETY DIVISION LOCALI .JOHN A. LAMBIE, COUNTY EN6I1NEER NEAREST WILLIAM X JENSEN SUPT OF BUILDING CROSS DISTRICT NO. GROUP • y 11 •PR .CESSED`BY` FOR APPLICANT TO FILL IN ��—'� coNs , BUILDING / / STATISTICAL -1-C SEWER MAP ADDRESS ��/ .� CLASS.N&_fj_-_- DWELL.UNIT LOT BLOCK -MAPNUMBER �*�/ SI.{T TE Y NO TRACT e� djujcj� UE ZONE SPECIAL O.OF BLDGS./ � CONDITIONS SIZE OF LOT I NOW.ON LOT USE OF /� T EXISTING'BLDG.�G7JDr GIg2/tGb BUILDING EXIST. w) TEL SETBACK YARD HWY STREET NAME yy DIH OWNER r(:�JL �.r.JQ'y NOf 'TIlow FRONT - P.-L. RONT -P.'L. aCC J ADDRESS. I r��.�5� iMo�+/ SIDE AR �i�'o TEL. / -� ENGINEER +46• 2NO. G9�47F+. '�.,'�/",3•. -Co INSPECTION"RECF�Oe/R�i D ADDRESS -nRC/^.GI^ � CONTRACTOR/f+/+ •' � - ' a O ADDRESS DESCRIPTION 'OF WORE 0 ADD ALTER REPAIR DEMOLISH SQ.FT. / NO.OF NO.OF SIZE IY gqST��ORIE��S�� �] FAMILIES f �J ,f/ / � SUSE OF.TRUCTURE '+'►) JI - �":I f O �[1'el L/�i*+.�� fV!J F � l+l J1x F•f e.� SIGNATURE OF i ��)r/�>:i� ih`"9�{_ ` �C. ��'/i.• • APPLICANT22 VALUATION$ ©O �� APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION:LOCATION G It FORMS, FEE MATERIALS 1 HE BRACING,FRAME: BY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME:FIRESTTSS, - PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH,ALL COUNTY ORDINANCES AND FURNACE:LOCATION; STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT DUCTS 1 'CERTIFY--THAT IN DOING THE WORK AUTHORIZED. .I LATH,INT. WILL'NOT EMPLOY ANY.-PERSON IN IOLATION OF THE WORKMEN'S COMPENSA W CALIFORNIA. LATH,EXT. 4` SIGNATURE OF HOUSE NUMBER COR- FERMI RECT AND POSTED d ADDRESSL` FINAL •104 CLYDE N. DIRLAM, PRINCIPAL ST,"C RAL ENGINEER PLAN C=K VALIDATION cic. M.O. CAGH PERMIT VALIDATION ceL. M.C."." CASH: :. ®a 4 -5 .2 liiJli 3 1 p ..l.5.0 0'.'j'- - WORKERS'COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self # insure, or certificate of Workers'Compensation Insurance, APPLICATION �� or a certified copy theroof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES . BUILDING AND SAFETY Policy Na.IV83-22515�,pany Fremont zndnity BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 5138 Persimmon LOCALITY GZ . w 11/28/83 Vir i NEAREST Date Applicant �, n Roof CO• CITY Tem le Cit ZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOR PAGE PARCEL (This �section need not be completed if the permit is for one � USE NE MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO NO. e7 .' TEL SPECIALL r I certify that in the performance of the work for which this OWNER Jack NO CONDITIONS t1, permit is issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY C0 so as to become subject to the Workers'Compensation Laws. ADDRESS 5138 Persimmon gr �/ CONST. ZONE N CITY Temple Cit ZIP C� �v V 0 at Applicant ARCHITECT OR TEL I STATISTICAL CLASSIFIC?TION APT. CONDO. NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CLASSNO. � DWELL. UNITS Exemption, you should become subject to the Workers' eti Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR Virgin ROOF CO, NOTEL. 287-0507 BK.%TPG, �''� VALIDATION/ LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P Q Box J NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY San Qqhrlpl CLASS r1Aq $2900.00 SQ. FT. NO.OF NO.OF CHECK License Number 160650 Lic.Class C39 SIZE STORIES FAMILIES ONE $ Contractor Virgin Roof CO-Date 11/28/83 DESCRIPTION OF WORK Re-roof with NEW El ❑I am exempt under Sec. Class A composition fiberglas ADD ❑ ,. ALTER ❑ FINAL B.&P.C. for this reason shingles 23 8 S REPAIR © DATE Date: USE OF FINAL EXISTING BLDG Bwellin DEMOL ❑ APPLICANT TEL By, � Signature PRINT Virgin Roof Co. No. 287-0507 OWNER-BUILDER DECLARATION / I hereby affirm that I am exempt from the Contractor's License ADDRESS P• Q• BOX J San Gabriel 91778 > Law for the following reason (Section 7031.5, Business and JJ Professions Code): BUILDING J� ❑ 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 �1 7044, Business and Professions Code). MOVING TEL. V ❑ I,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 SET BACK YARD HWY PROP. LIN WIDTH I hereby affirm that there is a construction lending agency for FRONT 1 the performance of the work for which this permit is issued P.L. \ . JSec. 3097, Civ. C.). SIDE V 1 Lender's Name P.L. a P.C.Fee$ Permit Fee 48.75 Lender's Address I I certify that I have read this application and state that the Issuance Fee 10,50 above information is correct. I agree to comply with all County Investigation Fce ordinanc s and State laws relating to building construction, Total Fee 3 and her y authorize representatives of his County to enter _ upon t above-rpent(oned prope for a- ct'on pu oses y SEE REVERSE FOR EXPLANATORY LANGUAGE Signa a of Applicant or Agent uatof Os 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 1408040005 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ON FILE I SQ. FT STORIES TYPE I 5138 PERSIMMON AV J STRUCTURE: 1900 V-B I TEMP CA 917803416 I ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: J 18574-004-054 1 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI i (TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: IEXIST OCC GRP: 08/04/14 SR �TOWNER: TEL. NO: TBLDGS. NOW ON LOT: VALUATION: IF DATE FI BY: CODE: I TRES JOHN P;JOYCE P (626) 442-0342- 7,800 5138 PERSIMMON AV ITEMP 917803416 I FEES PAID ID C PT�OF WORK 1 I I IREMOVE EXISTING COMP SHINGLES. INSTALL 1/2 RADIANT BARRIER 1 IFEE DESCRIPTION: - QUANTITY: UOM: AMOUNT:IPLYWOOD ONE LAYER OF THE 30 LB FELT INSTALL GAF TIMBERLINE I (APPLICANT: TEL. NO: I 130 YR CLASS "A" 1 IMENDOZA, LUIS (714) 785-3545- IAA BLDG PERMIT ISSUANCE 27.80 1 1 12323 W 12TH STREET JAB STATE GREEN BLDG FEE 7800.00 VAL 1.00 JSPECZAL CONDITIONS: I ISANTA ANA CA 92703 JAC STRONG MOTION RESID 7800.00 VAL 0.80 I I I ID2 PERMIT W/O EN-HC 7800.00 VAL 183.00 I, I 1 J TOTAL FEES 212.60 I I ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE 1 ILUIS MENDOZA ROOFING (714) 785-3545- I 1 I 2323 W 12TH STREET LIC. NO I ILOCATION AND SETBACKS I I I SANTA ANITA CA 92703 972859 I 1 SOILS ENGINEER APPROVAL I I I IARCHITECT OR ENGINEER: TEL. NO: - 1 (FOUNDATION/TRENCH FORMS I I I 1 LIC. NO: I ISLAB/UNDER FLOOR i I I IRAISED FLOOR FRAMING I T I I I I I I (MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:.( (UNDERFLOOR INSULATION I I I 3 00 I J IFLOOR SHEATHING I I I [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I J NO 21 1' ROOF SHEATHING I�I�� SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I JAIR QUALITY: 1000 FEET MATERIALS I I I I I NO NO NO FRAME INSPECTION I I FIRE SPRINKLER HANGERS I I I I (INSULATION/WEATHER STRIP 1 I 1 IINTERIOR LATH/DRYWALL I I JEXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM. I I I IRATED WALL ASSEMBLIES I I IRATED SHAFTS/OPENINGS I I I IT-BAR CEILINGS I I T (LOT DRAINAGE 1-1 I REPORT ID: DPR261 ROUTE TO: BS0508 .