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Home My Public Portal About5319 PERSIMMON AVE_Building__ 76A%;Im CABO1 3-69 - APPLICATION FOR BUILDING PERMIT �I COUNTY OF LOS ANGELES BUILDI NG S Jam / ,✓"/. O V DEPARTMENT OF COUNTY ENGINEERDDRE BUILDING AND SAFETY DIVISION LOCALITY '��J/7/�/�' e-17- 19 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING CROSSSS DISTRICT NO. GROUP TYPE C ST. PROCES ED BY FOR APPLICANT TO FILL IN ��II �7 r (PRINT OR TYPE ONLY) V f BUILDING ) STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 6_3 eeS»'! 1".0Aj Sr. CLASS NO. ''Z DWELL.UNITS BKC, PGgo LOT NO. BLOCK USE ZONE No. 0 TRACT � AL .ter/ NO. OF BLDGS. CONDSPECI"ONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG. SETBACK FROM r� yam OWNER TEL. 9 FRONT PROP. LINE OF _LLL 5��AVr/ (STREET) /� /q ,I/C�j N0. y�e/•.r�J��/ TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS„ / {jexl /� �• HIGHWAY WIDTH FROM G.L. CITY / C !� d 8 Lev ARCHITECT 0 TEL. BLDG.SETBACK FROM (STREET) ENGINEER N0. SIDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR NO. ° ADDRESS LIC CORNER CUTOFF YES ❑ NO l CITY CLASS SEE F2EVER�E SIDE FO SPECIAL APPROVALS ° c CONSTRUCTION LENDER F NAME AND BRANCH Z' I u ADDRESS SQ. FT. N0. OF N0. OF J SIZE STORIES FAMILIES NEW ❑ �/ .7 �14, USE OF ADD STRUCTURE &O ALTER ❑ .ry / REPAIR ❑ APPLICAN TUR DEMOL ❑ �� - VALUATION$ - V Al APPROVALS • DATE INSPECTOR 5 SIGNATURE FOUNDATION: LOCATION P.C. PMT. �d FORMS MATERIALS r /y FEE$ FEE $ �a�� •'" I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, ' BRACING BOLTS �' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, ol WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUG- GAS VENT DUCTS TION. I CERTIFY AT IN DOING THE WORK AUTHORIZED HEREBY I n WILL NOT E OY Y PERSON IN VIOLATION OF THE LABOR CODE LATH, INT. '� / OF THE ST E OF L LIFORN IN REL ING TO WORKMEN'S OM- PENSATIO INSU E. LATH, EXT. armor SIGNATU E 0 HOUSE NUMBER CORRECT / PERMIT" E AND POSTED #ALI/ n ADFINAL �l JOHN F. LEWIS, PRINCIPAL STRUC URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION C. M.O. CASH [:Af- 4s529 MAY - g 1 D 22.507 COUNTY OF LOS ANGELES c3•'t,�P P L I CTAT I O N FOR• DEPARTMENT OF COUNTY ENGINEER U 3_®I N G PERMIT A . BUILDING AND SAFET N. C FOR APPLICANT TO FILL IN ADIDRESS BUILDING � J ADDRESS �� I �� Jjr/�YJ/�I� LOCALIT NEAREST CITY E" [ C/ ZIP 7 J �(J CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT G TYPE FIRE SED B TRACT 1,16 i,3 I BLOCK LOT NO. CONST. ZONE TEL. �(�e 3 7jf OWNER �j No — STATISTICAL CLASSIFICATION SEWER MA ADDRESSJ r-� S CLASS NO..�DWELL.UNITS BK PG •E CITY GE C// "ZIP • eOU Z%NE A ARCHITECT OR TEL. � SPECIAL ENGINEER NO. �Q CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ TEL. CONTRACTOR NO. BLDG.SETBACK FROM LIC. FRONT PROP.LINE OF ISTREETI ADDRESS NO. TOTAL SETBACK FROM TYPE OF EXISTING LIC. HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH CITY CLASS CONSTRUCTIO DER + a NAME AND BRANCH BLDG.SETBACK FROM VO ADDRESS CITY SIDE PROP.LINE OF (STREET) 0 SQ.FT. NO.OF NO.OF y CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE A EXISTING SIZE STORIES FAMILIES / ONE SIDE PROP.LINE HIGHWAY WIDTH y DESCRIPTION OF WORK NEW D + = Z ADD CORNERCUTOFF YES ❑ NO ❑ IVY ALTER ❑REPAIR 10 IN OPEN SPACE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. DEMOL ❑ _ APPLICANT TEL Av +.t-L� (PRINT) ! BY ISIGNATUREIL I HEREBY 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. SIGNATURE OF FINAL `j--� _ *r BY PERMITTEE DATE 1 ADDRESS CITY [/LG(�i TEL. P.C.Fee$ Permit Fee �r NO. _ Issuance Fee , VALUATION$ F U Total Fee S?d- PLAN CHECK VALIDATION :"CK. M.O. CASH _ PERMIT VALIDATIONM.O. CASH 8 5 4-JUL 21. •7.• D • .0 0 A38 ®S 76A638A CE®803A 8/77 ' �!OR5ERS'COMPENSATION DECLARATION o oq'ffccertificate ertif cate of Works s'Compensation Insuran e a , APPLICATION FOR BUILDING P E RM I T otCQ7 certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FTOR ANT TO FILL IN ADDRESS Certified copy is filed with the county building inspec- BUILDING a +� tion department. ADDRESS ,9 E/e d' LOCALITY �o NEAREST Date Applicant CITY L[ C. r ZIP 97 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' / O.OF BLDGS. SESSOR COMPENSATION INSURANCE SIZE OF LOT �� x• i S NOW ON LOT S /E P BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars ($100)or less.) TRACT f��13 BLOCK LOT NO. .3S NO. 2 �J TEL. /� /.(� �/ SPECIAL I certify that in the performance of the work for which this OWNW5,76 L1 )G ATE NL' lll///�" 1 CONDITIONS 9L permit is issued, I shall not emplo any person janmanner DISTRICT GROUP TYPE FIRE PRO SSED BY Uso as to become subject to ih or ers'Co n Laws. ADDRESS /9 /'� CONST_T. ZONE Im CITY (, C.r V ZIP '7 d Date / App' t� STATISTICAL CLASSIFICATION APT. ICONDO. V NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR r TEL. ENGINEER G,DLV NO. CLASS NO. ( DWELL UNITS W Exemption, you should become subject to the Workers' � Compensation provisions of the Labor Code, you must forth- ADDRESS SEWERMAP with comply with such provisions or this permit shall be deemed revoked. TEL' BK. PG,6 a VALIDATION CONTRACTOR NO. LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 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 'CLASS $ L J OD SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE 9 ISTORIES �FFAMILIES ONE 2 5 7 1. 1 A Contractor Date C.�/ DESCRIPTION F WORK dj6e/ NEW ❑ $ # 0.0 0 0 23 I am exempt under Sec. ADD ALTER ❑ FINAL I - 357.00 B.BP.C. for this reason REPAIR ❑ DATE `-' o ° 3 5 7,0 0 5 Date: EXISTING BLDG. DEMOL ❑ B N ! G20-86 Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License N1111. (� Law for the following reason (Section 7031.5, Business and ADDRESS 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 7044, Business and Professions Code). MOVING TEL. I, as owner of the property,am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS ;26068A tion 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY.' REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. 0 0 0 0 0 1 SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT I -4 3 Q 5 0 the performance of the work for which this permit is issued P.L. tSec. 3097, Civ. C.). SIDE ° ° 4 3 G 5 0 6 a P.L. Q Lender's Name Lender's Address P.C. Fee$ 3-5-9110-0 Permit Fee •�� 1205-86 r I certify that I have read this application and state that the Issuance Fee /U' G✓� = above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws rel 'ng to building construction, Total Fee +5� and eby authorize repress fives of this County to enter u m e above-m oned p perty for inspection purposes. 0 tJ SEE REVERSE FOR EXPLANATORY LANGUAGE Signet re of App cant or Agent ate / ®s COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / L,kND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0010200004 PHONE: (626) 285-0488 EXT: LEG D: NO. OF CONST BUILDING ADDRESS: TR: 13613 LT: 35 SQ. FT STORIES TYPE 5319 PERSIMMON AV STRUCTURE: 0 VN TEMP CA 917802802 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: FREER 8573-004-014 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY TENANT: IST BLDG USE: RESID USE ZONE: R-1 lssuED ON: PROCESSED Y: EXPIRES ON: EXIST OCC GRP: 10/20/00 UT 04/19/01 OWNER: TEL. 0: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FIN BY: CODE: SERDARUSICH PETER A;ANNE S - 1 6,200 5319 PERSIMMON AV l 4fl TEMP 917802802 FEES PAID D SCR PTION OF WORK REMOVE EXISTING ROOF-INSTALL 1/2" CDX,MONIERLIFE STLYE DURA APPLICANT: TEL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: LITE '#ICBG 2856 Cl STORY ONLY) WEATHERITE ROOFING (626) 287-6669- AA BLDG PERMIT ISSUANCE 27.75 4016 TEMPLE CITY BL AC STRONG MOTION REUD_6200.00 VAL 0.62 SPECIAL CONDITIONS: - C ROSEMEAD, CA D2 PERMIT W/O.E 6. VAL 166.20 Grza po O-- FEES 194.57 CONTRACTOR: TEL. 0: �S ��, APPROVALS DATE INSPECTOR SIGNATURE WEATHERITE ROOFING (626) 287-0669- 4016 TEMPLE CITY BLVD LIC. NO LOCATION AND SETBACKS ROSEMEAD CA 91770 HIC / SOILS ENGINEER APPROVAL i ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH-FORMS LIC. N0� 1111111 SLAB/UNDER FLOOR •- RAISTUFFLOOR FRAMING MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CM FID 147H271 3 �� C ��O�Iuo-R lu�`U n/� S UNDERFLOOR INSULATION Quit= I MJ FLOOR SE I G NO. OF FAMILIES: DWELLING S: APT/CO D: STAT CLASS—. NO 21C � I ROOF SHEATHING t�o� SCHOOL WITHIN Z DOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS 0 ❑ 4�- NO NO NOEl FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EX ST 46� 11 0thFIRE SPRINKLER HANGERS SET APLYARD: HWY: PROP LINE: WIDTH: FRONT - �C Service.[h3 Vtl INSULATION/WEATHER STRIP SIDE PL- INTERIOR L- I TER OR LATH/DRYWAL EXTERIOR LATH RATED FLOOR/CEIL ASSEM. RATED ,WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS * ADDITIONAL DATA ON FILE OT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508