HomeMy Public PortalAbout5214 PERSIMMON AVE_Building__ r_
CE H803 1(REV.11/78) - �
APPLICAT IO OR .UILDI ERM IT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN A ADDRESSBU
ADIDRESS 152-14 Pe V'p1 mynah h V e. LOCALITY
^�- r� NEAREST
CITY LevuPl�r_ C-14 Ctilf- ZIP 5 I-7 6 V CROSS ST.
N0.01'BLDGS. ASSESSOR
SIZE OF LOT 5'7 lC 02 2'Z^NOW ON LOT 2 MAPBOOK PAGE PARC
qpn BLOCK LOT NO'.-� DISTRICT GROUP TYPE FIRE CONST. ZONE P SED BY e
TRACT �"!ti TEL. �� Yn 3
OWNER-JOS- e14a$S&wctovya' NO.53`741
76 STATISTICAL CLASSIFICATION V SEWER MAP
ADDRESS �6Li�Lt' Lis Gi.MO�e. CLASSNO. 02 � DWELL.UNITS cT__BK?(2PG
CITY11 ZIPARCTEL. p�- nnG
ENGIiNEER ITECT ORC'III�r'rl� 14aM NO.W-14-4'v VALUATION $ j 010
ADDRESS Cl v 1516, L ewov) Ave, Am"Iut. BLDG.SETBACK FROM
/� TEL FRONT PROP.LINE OF (STREET)
CONTRACTOR Www" i 1�E Nb� HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING •
LIC. FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NOLIC.. 6 +, -w
CITY CLASS BLDG.SETBACK FROM
CONS TION LENDER SIDE PROP.LINE OF (STREET)
NAME AND BRANCH
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE EXISTING o
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH.
SO.FT NO OF 2. NO.OF CHECK + = all
V
SIZE v3�� STORIES FAMILIES ONE
USE ZONE MAPn 7
DESCRIPTION OF WOR LVdC L rVI/ Elrcull e NE � ^ 0 NO. (/
S}vc-- L PL&SJei, IH p�a�• ADD Y- I r� CONDITIONS
Asp �` 5 11 �2. � C01Yf O O f- ALTER O DA EL S1 r (r�� BY
REPAIR
US
EXISTING BLDG.D ax'ax'i DEMOL ❑ �` r. //�f O
APPLICANT ``- TEL j ` J
(PRINT)C.tlL6Y�Q�S l NO."G_ +91?1 _/ Q
t �
BY(SIGNATURE)'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE_ Y
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE Q {Z V 2.1 7 7.5 A•
WORK AUTHORIZED HEREBY I WILL.NOT EMPLOY ANY PERSON IN•VIOLATION OF
THE LABOR COD OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z
PENSATION I NCE.' g #� 0 0 0 0 0 1
d�
SIGNATUR OF 2,° 338.50
PERMITTEE 0 0 3 3 a 5 0 FJ-
ADDR Z
TEL. C 08. 18-80.
CITY NO.. 1 LI
P.C.Fee s Permit'Fee 1-Jf r >
Issuance Fee• v ode
W
AL
- Total Fee
SION O Q'1' OF COUNTY ENGIN
DMEER
'
SION OF BUILDING AND�SAFETY
COUNTY OF LOS ANGELffi BUILD146ING
WILLIAM J. FOX. COUNTY ENGINEER APPLICATION
CASSATT D. GRIFFIN, SUPT of BUILDING
FOR APPLICANT TO FILL IN FOR OFFICE USE .ONLY
BUILDING j- . DISTRICT NO. PUN CK.
an(RBC.No. PERMIT NO.
ADDRESS
LOCALITY / o,p RECEIVED BY DATE OF APPL. eDATE ISSUED
NEAREST � �..e�..
CR08S ST
y� BUILDING
OWNER / �r ADDRESS -JMAIL
ADDRESS :Z LOCALITY rl
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CIT'f.r.JF;/7 C ✓¢i3 /� O /" {� l CROSS ST.
ARCHITECT OR TEL. ZFIRE ONE I . O I TYPE I GROUP
ENGINEER NO.
LANS
ADDRESS a/ SETBACK LINE
CONTRACTOR ��o•/ff�I NO. /T f ZONE /� �/ BY
PROVED DATE
ADDRESS .2 72 ���- NL t HOUSE NUMBERING
LEGAL MAP NUMBER NO. ASSIGNED BY
DESCRIPTION I LOT NO. / BLOCK'
EX CORRECTIONS
TRACT
,J� ,e� I NO OF BLDG
SIZE OF LOT�h 1 V�- NOW ON LOTS. L,,)
USE OFN
_ O. OF
EXISTING BLDG. FAMILIES
DF�CRIPTION OF WORK o -
NEW <AI.�.TERATIONION
REPAIR DEMOLITION H—LD-1-31T I D
1'
8Q. FT. NO. OF
SIZE ROOMS Z STORIESALLROOF
O
COVERING GI �� I COVERING
USE OF STRUCTtORE
/1-4-
APPROVJgg ,
INSPECTOR'S SIGNATURE DATE
FOUNDATION:LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 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, L � 2
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
�y��7f �
SIGNATURE OF �Y � "'�""� LATH, INT.
PERMITTRIP
LATH. EXT. el
, f/ L
ADDRESS [�
��-��yy PLASTER, INT.
AUTHORIZED AGT,
d p PLASTER, EXT.
�^$ Rte' ffi (� HOUSE NUMBER COR- r
RECT AND POSTED
VALUATION ✓ a $
FEE /
[� `. FINAL
�aeaARe �A9 9 9-82Iv
/8A698A••CE#8085=B1APPLICATIaN-.: F0R . BUILDING. PERMIT '
-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 CROSS ST..
DIST CT NOi GROUPgZ.pE•' SED BY-
FOR APPLICANT.TO FILL IN Typi:-:'
_
`STATISTICAL C IFICATION .'— SEWER MAP`
.BUILDING L�� N O K
ADDRESS• /" CLASS.NO:_LDWELL.UNITS -
COT-No. BLOCK WATER •: NOT"REQUIRED RECEIVED
CERTIFICATE: E
TRACT• MAP HIGHWAY STATE MAJOR SECON LOCAL
NO.OF BLDGS. NO: (CIRCLE)
SIZE OF LOT. I NOW ON LOT- USE•ZONE' SPECIAL
USE OF CONDITIONS
'EXISTING BLDG: If,
eA �J l/ •TEL
OWNER Z �. /"/d 14ilI�cAM TEL JJ/ BUILDING EXIST.
+� �_+__yy� SETBACK YARD •HWY STREET DAME WIDT -
ADDRESS.'�QhV Ah/■ S/M JVQ nsV -- FRONT '
ARCHITECT OR' TEL. :P:L.
ENGINEER NO.' SIDE o
P.L.
ADDRESS V
rEL. INSPECTION RECORD, ad
CONTRACTOR TJ 0,'_5 j.>N_.-•Aiti O. RL.640 1
of/� �;/ a =;• Jitp 0
ADDRESS P
�/fV f" t h J ''�l" r--I�'� �',.i PI.lY. �.t.• !'C,� N
..f...+ +'
DESCRIPTION."OF'WORK'
NEW ADD -ALTER' REPAIR DEMOLISH
SQ.•FT. •• ' NO.OF. NO.OF �% f��.:�I' /+X
IZE a STORIES —FAMILIES N 11 !� Y_ !r �// _ !/.ter J .
SUSE OF
TRUCTURE ^+i • a J '!r J 'c �. ?:l• /.�!/1 l��:Z� r�G sl.is
SIGNATURE OF/fJ •" ) /dlr'1r1' •G n .4
APPLICANT �. tea_
• - L6sG�/r.�� .�L-�`�'t .''`mal 'r it--"'f.�+�`^r'"'�!✓/J -
VALUATION S.
APPR VALS DTE INSPECTOR'S S16NA.TURE
P.C.' PMT:' FOUNDATION: LOCATION 4.11
)
�-� FORMS,MATERIALS h `�' - � 'rf.' ;� :�e Ji.•
FEE S FEE .S .. 4:.� '
`'FRAME:,FIRE STOPS, 1 '/5,I
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING'BOLTS + f e6•-�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY' FURNACE'LOCATION, J _
WITH -ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING,' ; '-GAS VENT DUCTS
BUILDING'CONSTRUCTION. 1 CERTIFY THAT IN DGING'THE WORK' •• ' l
AUTH0/2IZED HEREBY I.WILL,NOT EMPLOY A ERSON IN VIOLA-., • LATH;INT: �Cxl1-.0�a) 1,
TION OF THE'LBOR E O . HE 5 TE C LIFORNIA RELAT-
ING TO WORKMAEN'S PE S TIO 1 S C
EXT. '• L
SIGNATURE OF HOUSE NUMBER COR- -•
PERMITTE RECT AND.POSTED
ADDRES - 1 -JAIC60FINAL: lF
-CLYDE N. DIALAM, PRINCIPAL ST RAL ENGINEER
MiAN CHECK VALIDATION. CK:. M.o. GASB PELT VALIDATION :cK. M.O... CASH'
7 &� �_3 C 1 'D 1'•2:0)0 .
0
BA888A Cl 808.9-60 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS
�-�
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIWSION LOCALI
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST \
DISTRICT NO. OUP I TYPE P OCESSED BY
FOR APPLICANT TO FILL IN CONST. I
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS / BK G
CLASS.N�DWELL.UNITS � ��
LOT NO. 79 BLOCK MAP STATE YES NO
NUMBER HWY.
TRACT I!C6 7 USEZONE SPECIAL
NO.OF BLDG
SIZE OF LOT ?X/Z / I NOW ON LOTS /1 1 CONDITIONS
V
USE OF �. /STT
EXISTING BLDG. A". %( BUILDINGEXIST.
TEL SETBACK YARD HWY STREET NAME WIDTH
OWNER �j• !'Jff��/ cam/ /� NO. ;FRONT I
�> O
ADDRESS II IG. SIDE
ARCHITECT OR l Q(�TEL
ENGINEER 1J�-a!�9V o No.�TS-d'P36 INSPECTION RECORD
ADDRESS / E. Av' VLP a
CONTRACTOR
AGam'! NOLXWY/ �S� O
Q Im
ADDRESS /4sL.�L,aa/ i [fDI/!.V!!4 O
DESCRIPTION OF WORK -
U-
I fn
NEW `—A//DD ALTER REPAIR DEMOLISH Z
SQ.FT. NO.OF NO.OF
SIZE .?.SSTORIES FAMILIES
USE OF
RUCTURE
i
SIGNATURE OF
APPLICANT
VALUATION$ �
APPROVALS DATE INSPEECTOR'$eSIGNATURE
P.C. PMT. �� FOUNDATION: LOCATION
<�
FEE $ FEE FORMS.MATERIALS
FRAME:FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT.1 HAVE READ THIS APPLICATION BRACING,BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION,
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT I LATH, INT.
EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBUECT
TO THE WORKMEN'S COMPENSATION LAWS OF CALIFORNIA.
i LATH,EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTE RECT AND POSTED
s'
ADDRESS ` � FINAL a2'if4�,� 3%� i.,
CLYDE N. DIRLAM, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION OK. M.O. OASH
5 1. fl 3 z 3 D 6.0 u ••�
,�r,s 3 1 3 J ;i 13 1 0 2. 0 i,
I
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 0110170048
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 5214 PERSIMMON AV
.STRUCTURE: VN TEMP CA 917803418
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: FREER
8574-004-058 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY
TENANT: S RESID USE ZVNE: R-1 ISSUEDON: PROCESSED EXPIRES ON:
EXIST OCC GRP: 10/17/01 JK 04/15/02
OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
SANDOVAL MERCEDES;SANDOVAL JOSE E (626) 443-5180- 900
5214 PERSIMMON AV
TEMP 917803418 FEES P DESCRIPTION OFWOW—
REPLACE GARAGE ROOF WITH 25YR ASPHALT SHINGLE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: E 0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 900.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN=HC®-� 900.00 VAL 65.40
W�GELIES C FEES 93.65
CONTACTOR: TEL. NO: _ �O�j �/\ APPROVALS DATE INSPECTOR SIGNATURE
SAME ASLIC. NO LOCATION ADSETBACKS
®/ SOILS-ENGINEER APPROVAL
ARCHITECTOR ENGINEER: TEL. NO: _ ' FOUNDT 0 R C FOR S
LIC. N0. ',111111 SLAB UNDER FLOOR
' RAISEDI 00 R ING
AP 0: SEWER MAP BOOK: PAGE: FIRE ZONE: GNP0,1: n n D f1 C
�,��O K
G—) UN�yiS00EATINSGLATION
147H277 3 01-�I ISI I ILIA U
IF'
0. OF FAMILIES: G UNITS: CO D: STAT CLASS—
NO 21 h G aROOF SHEATHING
SCHOOL RDO S `\ ? 0PANELS � —
AIR QUALITY: 1000 FEET MATERIALS �+ ledeily++ r'
NO NO NO ��--II II FRAME INSPECTION
A U ®
REQUIRED TOTAL-SETBACK FROM 5XIST Ag�.� FIRE S R A ERS
SET BACK_ YARD: HWY: PROP LINE: WIDTH: /iC ��rV1Ce.�ha�vv0 INSULATION/WEATHER STRIP
SIDE PL-
INTERIORLATH/DRYWALL
EXTERIOR LATH
RATED , LOO C SS
RATED WALL ASSEMBLIES
RATED SF S PE GS
-BAR CEILINGS
LO DR I AG
REPORT ID: DPR261 ROUTE T0: BS0508