HomeMy Public PortalAbout5355 PERSIMMON AVE_Building__ FMIUA CE#80310-88 APPLICATION FOR BbILDINC PERMIT 1
COUNTY OF LOS ANGELES BUILDING.
DEPARTMENT OF COUNTY ENGINEER ADDRESS S3S" .- ' S�rifJ�PdtY ,
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN SUPIT OF BUILDING CROSS ST
DISTRICT
` DISTRICT NO. GROUP np PRO BAY .
FOR APPLICANT TO FILL IN S I CONST
BUILDING — –�
STATISTICAL CLASSIFICATION EWER MAP
ADDRESS �,•vvy�.pv` ,�fs+!t SK PG , .
LOT NO. CLASS.NO.�DWELL..UNIT C}'f .6 Z)
BLOCK MAP >° STATE
NUMBER :) L7 HWY.
YES. NO
TRACT USE ZONE SPECIAL
do IZO.OF BLDGS. CONDITIONS
SIZE OF LOT V.t � , NOW ON LOT
U5E OF TI
EXISNG BLDG. .,Pi! l�✓a V". BUILDINGEXIST. '
/ SETBACK YARD HWY STREET NAME WIDTH
OWNER �Y y/ ! !i r'� FRONT ,ter
MAIL �+ P.L.
ADDRESS,]. J%J !j z�-L-�i��> en�" SIDE
TEL.
CITY NO. INSPECTION RECORD
ARCHITECT OR
ENGINEER NO.
.1 DT=
ADDRESS �' _ v
CONTRALTO ,.1[' NO' `'� C: 5�\ry ? .. o'6`k 4
S,
ADDRESS _ 4. V 1 5 �, �I rr
DESCRIPTION OF WORK
NEW ADD 6ALTER REPAIR DEMOLISH
SQ.FT. NO.OF / NO.OF
SIZE STORIES / FAMILIES /
USED RUCTURE
SIGNATURE OF� ! , 49t: APPROVALS
APPLICANT = v ��'� '
a DATE INSPECTOR'S SIGNATURE
ADDRESS ^� - t%"�C/�a'�o•b v+�.(3
FOUNDATION: LOCATION
FORMS,MATERIALS
P.C. $ AME: FIRE STOPS,
dr� FEE BRACING,BOLTS
VALUATIONU $ p FURNACE: LOCATION.
FEE ®�' GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGU14TING BUILDING .CONSTRUCTION. LATH,EXT.
SIGNATURE OFHOUSE NUMBER COR-
PERMITTE -�' RECT AND POSTED
ADDRESS te.c'vJ•r`-J'w!-t•_ G; FINAL �h �/ t� r'•_�-.T
CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PEBM;jALIDATION cK. M.O. CASH
b=' 3. 5 .0 8.9� 'SVR 17 1 :A' 3.00 No ®P
v
7GA688A CE#8036-61d-TPPLICA ION OR BUILDING PERMIT
CiOUNTY OF:LOS ANGELES BUILDING `'� 7 7 '
DEPARTIVffiNT OF COUNTY WGINEER ADDRESS J
7 BUIMJNG AND SAFETY DIVISION LOCALITY L'
.JOHN A. LAMBIE, COUNTY ENGINEER NEAREST Jr'
WILLIAM A.JENSEN .SuP•T OF BUILDING CROSS ST.
DIST ICT O GROU .ISE P SED BY
' FOR APPLICANT TO FILL IN j; .' ' corisT: \
• •BUILDING s� q �'}�[^��s STATISTICAL CLASSIFICATION BE RMAR
ADDRESS �`�' 4—.r/v` %'f F Il-'•�l i'lVO A3u/ moi!
CLASS.NO. WELL.UNIT '
LOT NO. / BLOCK WATER NOT REQUIRED `—RECEIVED
CERTIFICATE:
'
TRACT MAP HIGHWAY STATE MAJOR SECOND, OCA
SIZE OF LOT 6Q V I NO.OF LOGS. NO. (CIRCLE)
• �" NOW ON-LOT USE ZONE SPECIAL SPECIAL •
USE OF / CONDITIONS
s
'EXISTING BLDG.
OWNER fps�✓��iC�U �V7�`r1r/S�L�T ( BUILDING YARD HWY STREET NAME EXIST.'
_ADDRESS 3�I. /�-': Y .G `I`E�IYII�S/
SETBACK
� WIDTH
ARCHITECT ORE�, -
I
ENGINEER f IOU&lzc s'It-1(r' SIDE d.
I ADD SS 4L[!k=/1, A;—;, PJl& L>,& 7.. 0.
i /INSPECTION HEC®RD m
s CONTRACTOR I?C`.(•: —s!— CO :.r LGA r . -
� r f•a •�r' •,� , r = O
Gr �•
6 ADDRESS f�'1-i � p /. s r _ , I r' s•:'rs`d'.:-E', r,• ;i:f
DESCRIPTION OF WORK
NEW (Af)Df ALTER REPAIR DEMOLISH )
SQ.FT. FF .1 NO.OF 0 NO.OF 1 1',�! �..j. , .•�.y�; a , t /1.n ,.
! ^SIZE :IM STORIES .L FAMILIES .�
USE OF• ,., js * .") r
STRUCTURE o-� y - s .' . r m. ►ti ...J
SIGNATURE OF ,�J_ �Y! t :f�sE j. sj-':•'4� :I fe
APPLICANT z
1 VALUATION$ � 7"ea
7 APPROVALS 13ATE INSPECTOR'S SIGNATURE
I FEE $ �J PMT' �J FOUNDATION:LOCATION
FEE $ / '� FORMS.MATERIALS . mss°
FRAME:FIRE STOPS"
• I HEREBY ACKNOWLEDGq THAT 1 HAVE READ THIS APPLICATION ,BRACING,BOLTS � e—%�=�3.�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION.
WITH ALL'COUNTY ORDINANCES-AND STATE WS REGULATING ,GAS VENT DUCTS ! ♦)'
BUILDING CONSTRUCTION. I CERTIFY THAT DOING'THE WORK
AUTHORIZED I'IEREBY W OT EMPLOY PERSON IN VIOLA- \ ~�118114', 1' 1•" "�
TION CF THEA`LABOR C F,THE STATE CALIFORNIA RELAT- LATH,INT, [>�,�i�.{-�• t,J',y 9A .
INC TO WORKMEN'S M NSATION CE.ti •Lam;EXT✓q>�,•'.;OCf;p f 1q�P; . Fes , `'�k',
SIGNATURE O HOUSE NUMBER CORD. !r` MJF^I sem. f �� ''
PER14ITTE COR-
RE
AND POSTED
+'��`' /i' ► A ADDRESS—NAL (e ,�~'f r •y^+°,[
_ CLYDE N. DIRLAM, PRINCIPAL.SCT RAL ENGINEER
PLAN VALID CNcK. M.O. GAr PEB= VAMATIO OILL m.o. cABII
OCT 24 `� : .rlt4,• � 4
v
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS,ANGELES BUILDING AND SAFETY
` FOR APPLICANT TO FILL IN BUILDING ADDRESS
WORKER'S COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self insure, re-
DING ADDRESS ' S
or a certificate of Workers'Compensation Insurance,or a certified `T� �5 O C`11 '� Qs�
copy thereof(Sec.3800,Lab.C.) (� ZIP
TILE
Policy No. Company `� V LOCALITY
OF LCT NO.OF BLDGS.NOW ON LOT
❑ Certified copy is hereby furnished. NEAREST CROSS ST.
❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. AR
department. USE ZONE MAP NO.
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL
L
s SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS' R TEL NO. YES NO
OW
COMPENSATION INSURANCE I V.4 40r- j1�5.°geA- C1�'� WITHIN 1000 FT.OF SCHOOL?
(This section need not be completed if the permit is for one hundred A KESS
dollars($100)or less.) 3•" 'H r5j Q,k DISTRICT GROUP TY CONST FIRE ZONE PROCESSED BY
I certify that in the performance of the work for which this permit CITY
A., �s �" ZIP /
is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO.a(� D�
become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS CLASS NO.._4 DWELL UNITS
NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST
Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH
Compensation provisions of the Labor Code, you must forthwith FRONT
comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L
LICENSED CONTRACTORS DECLARATION SIDE
CITY LIC.CLASS PL
I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES
Professions Code,and my license is in full force and effect. p�e� NEW ❑ BK PG }
License Number Uc.Class DESCRIPTIO90F WORK ADD ❑ VALUATION a
Contractor Date ALTER El $ a`.5--
AP-10
Ix
❑ 1 am exempt under Sec. REPAIR ❑ $ H
B.BP.C.for this reason DEMOL ❑ H
C
LDMA P/C# IL
Date: USE OF EXISTIN Loc. URM ❑ U
Signature APPLICANT(PRINT) V TEL NO. LDMA Perm# ACCT.v
k
, as owner of the property, or my employees with wages asO4heir sole compensation, will do the work and the structure is ADDRESS
not intended or offered for sale (Section 7044, Business and FINAL DATE a 33
Professions Code.) �(„ WO
WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL03
r, _
OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE r�y�7
❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B ; � �"•
licensed contractors to construct the project (Section 7044, YES❑ NO❑
Business and Professions Code.) CHANGE n
WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING n VO
OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH
! CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR
I GUIDELINES
I hereby affirm that there is a construction lending agency for YES El NO 11 LIULA►—Q��� �d� 3J 7
CY the performance of the work for which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING �[��yy
,r�a+G
3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE,
a "tJi.TO i, y�7 TITLE 2,CHAPTER 2 20 SECTIONS 2.20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS
Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD
o Lender's Address
OWNER OR AGENT
o I certify that I have read this application and state under penalty
O of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE L
N with all county ordinances and State laws relating to building 7
m consEj,.i�j
hereby authorize representatives of this County ISSUANCE FEE
m toebove-m tinned property for inspection purposes. �Q
S INVESTIGATION FEE TOTAL FEE ,�(//
n SWmfue o1 APW—I m AaWA 0.o V �/ •/
SEE REVERSE FOR EXPLANATORY LANGUAGE
s
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0606200048
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I
ITR: 13613 IT: 41 SQ. FT STORIES TYPE OCCUP GROUP[ 5355 PERSIMMON AV 1
(STRUCTURE: 490 1 VN R3 I TEMP CA 917802802 1
(ASSESSOR INFORMATION NUMBER: I GARAGE: [ NEAREST CROSS STREET: FREER [
18573-003-016 I OTHER: [ THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
1TENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: EXPIRES ON:
(EXIST OCC GRP: 102/15/07 JK 02/10/08
(OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IF DATE FIN_AL BY: CODE: 1
IBESERRA SALVADOR;IRENE TRS (626) 444-8056— 1 40,570 I [
15355 PERSIMMON AV 1 I I
ITEMP 917802802 I FEES PAID JDEfCR1PTjtON OF WORK I
I I IE ND (E) MASTER BEDROOM JUD WALKING CLOSET AND STUDY I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IROOM 490 S.F. I
[APPLICANT: TEL. NO: I I I
1BESERRA (626) 444-8056— IBI PLANCHECK W/ENERGY 40570.00 VAL 636.03 1 I
15355 N. PERIMMON AVE 1AA BLDG PERMIT ISSUANCE 27.75 ISPE.CIAL CONDITIONS: I
ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 40570.00 VAL 4.06 1
I JB2 PERMIT W/ENERGY 40570.00 VAL 748.28 1
1 TOTAL FEES 1,416.12
ICONTRACTOR: TEL. NO: I r1APPROVALS DATE INSPECTOR SIGNATURE I
IBESERRA, SALVADOR (626) 444-8056— I 1 1
15355 N. PERSIMMON AVENUE LIC. NO I ILOCATION AND SETBACKS I I 1
ITEMPLE CITY, CA 91780 NONE I I I 1
1 I ISOILS ENGINEER APPROVAL I
(ARCHITECT OR ENGINEER: TEL. NO: I JFOUNT)ATION/TRENCH FORMS I I I
IARAGON, BOB (626) 444-4075— I 1 �I 1
112053 REDSTONE STREET LIC. NO: I ! [SLAB/UNDER FLOOR J 1
IEL MONTE, CA NONE I I
I I (RAISED FLOOR FRAMING I I I
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J 1UNDERFLOOR INSULATION
3 Oil I I I
I I J1ST LEVEL FLOOR SHEATH [ I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I
1 NO 21 12ND LEVEL FLOOR SHEATH 1 1 I
SCHOOL WITHIN HAZARDOUS IROOF SHEATHING
[AIR QUALITY: 1000 FEET MATERIALS [ I 1 I
NO NO NO IFIRE DEPT. FRAME INSPECT I I
IREQUIRED TOTAL SETBACK FROM EXIST 1 (BLDG DEPT. FRAME INSPECT[ I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
FRONT PL— 1 ISHEAR PANELS
1 SIDE PL— I JINSULATION/WEATHER STRIP I 1
I I1 INTERIOR LATH/DRYWALL I I
1 I (EXTERIOR LATH
I 1 [LOT DRAINAGE
i[SMOKE DfiTSCTION DEVICES I
IFIRE DEPARTMENT APPROVAL[
1 I PORT ID: DPR261 T • BS0508 I 1 I J
I I� ROUTE o. I j j I
I I I
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0702220012
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: I
ITR: 13613 LT: 41 I SQ. FT STORIES TYPE OCCUP GROUPI 5355 PERSIMMON AV I
STRUCTURE: 0 1 VN R3 I TEMP CA 917802802 I
(ASSESSOR INFORMATION NUMBER: 1 GARAGE: 441 1 VN U1 I NEAREST CROSS STREET: I
18573-003-016 I OTHER: 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
ITENANT: JEXIST BLDG USE: USE ZONE: TISSUED ON: PROCESSED BY: EXPIRES ON: I
JEXIST OCC GRP: 102/22/07 JK 02/17/08 1
(OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IF DATE FINAL BY: CODE: T
I
IBESERRA SALVADOR;IRENE TRS (626) 444-8056- 1 20,000 1 I
15355 PERSIMMON AV
ITEMP 917802802 FEES PAID IDE CRIP ION bF WORK I
I I IBUILD DETACHED 2 CAR GARAGE 441 S.F. AND REINFORCE THE EXTRAI
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IGARAGE TO REMAIN AS DRIVE TRU ]
1APPLICANT: TEL. NO: I I
SERGI0 MEZA (626) 274-9963- IDI PLANCHECK W/0 EN-HC 13050.00 VAL 241.23 1 I
115905 MAIN STREET JAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: I
ILA PUENTE, CA JAC STRONG MOTION RESID 20000.00 VAL 2.00 1 I
ID2 PERMIT W/O EN-HC 20000.00 VAL 384.60 I
I 1 TOTAL FEES 655.58 ] I
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISALVADOR BESERRA (626) 444-8056- 1 1 I
]IRENE BESERRA LIC. NO I ILOCATION AND SETBACKS I I I
]5355 N. PERSIMMON AVENUE NONE
TEMPLE CITY, CA 91780 1 ISOILS ENGINEER APPROVAL I I I
]ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS , I
1 LIC. NO: 1 (SLAB/UNDER FLOOR I I
I I IRAISED FLOOR FRAMING 1 I
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I ]
I 3 O11 I I I ]
I I I1ST LEVEL FLOOR SHEATH I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
NO 21 I 12ND LEVEL FLOOR SHEATH I I ]
T SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING I
(AIR QUALITY: 1000 FEET MATERIALS I I 1 IW-01I
1 NO NO NO I IFIRE DEPT. FRAME INSPECTI I I
]REQUIRED TOTAL SETBACK FROM EXIST 1 ]BLDG DEPT. FRAME INSPECTI I I
ISET BACK YARD: HWY: PROP LINE: WIDTH:
ISEOBPL- I (SHEAR PANELS
1 SIDE PL I IINSULATION/WEATHER STRIPT�1 1
1 1 IINTERIOR LATH/DRYWALL 1
] (EXTERIOR LATH I I I
1 ] ILOT DRAINAGE I I I
] ISMOKE DETECTION DEVICES I I
I
IFIRE DEPARTMENT APPROVAL ] I
I 1 1 1 1 1
]REPORT ID: DPR261 ROUTE TO: BS0508 I I 1 I
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 0703090008
PHONE: (626) 285-0488 EXT:
ILEGAL ID; I NO. OF CONST I BUILDING ADDRESS: I
ITR: 13613 LT: 41 I SQ. FT STORIES TYPE 1 5355 PERSIMMON AV [
I ISTRUCTURE: 28 VN I TEMP CA 917802802 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18573-003-016 I I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
ITENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: EXPIRES ON: I
I [EXIST OCC GRP: 03/09/07 JX 03/03/08
(OWNER: TEL. NO: [SLUGS. NOW ON LOT: VALUATION: IFINAL DATE FI Y: CODE: [
IBESERRA SALVADOR;IRENE TRS (626) 444-8056- [ 11,000 [
15355 PERSIMMON AV [ [
ITEMP 917802802 [ FEES PAID [DES IPTJq RK
I [ ITEAR OFF AND REROOF WITH LIGHT WEIGHT CONC. TILE AND REPLACEI
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:118 WINDOWS (SAME SIZE) [
(APPLICANT: TEL. NO: I I I
ISERGIO MEZA (626) 274-9963- IAA BLDG PERMIT ISSUANCE 27.75 1 I
115905 MAIN STREET IAC STRONG MOTION RESID 11000.00 VAL 1.10 ISPECIAL CONDITIONS: I
ILA PUENTE, CA ID2 PERMIT W/O EN-HC 11000.00 VAL 233.40
TOTAL FEES 262.25
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISALVADOR BESERRA (626) 444-8056- I 1
IIRENE BESERRA LIC. NO I ILOCATION AND SETBACKS I [
15355 N. PERSIMMON AVENUE NONE 1 I [ I I
ITEMPLE CITY, CA 91780 [ ISOILS ENGINEER APPROVAL [ I 1
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRE NCH FORMS I I I
LIC. NO: 1 ISLAB/UNDER FLOOR I I I
I I (RAISED FLOOR FRAMING I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( [UNDERFLOOR INSULATION I I I
1147H277 3 Oil I 1--i I
I IFLOOR SHEATHING I I I
1N0. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: 1 [ II
1 NO 21 1 [ROOF SHEATHING r [
1 SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I
(AIR QUALITY: 1000 FEET MATERIALS i I
NO NO NO 1 IFRAME INSPECTION
(REQUIRED TOTAL SETBACK FROM EXIST 1 (FIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I I
FRONT PL- I 11NSULATION/WEATHER STRIP( I
SIDE PL- I I I I
I ANTERIOR LATH/DRYWALL 1 I I
1 (EXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. I I I
1 I IRATED WALL ASSEMBLIES 1
[RATED SHAFTS/OPENINGS
1 I IT-BAR CEILINGS I I I
I ILOT DRAINAGE I I I 1
1
REPORT ID: DPR261 ROUTE TO: BS0508 I I 1
I 1
COUNTY OF IAS 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 0703220004
PHONE: (626) 285-0488 EXT:
LEGAL ID: N0. OF CONST BUILDING ADDRESS:
ITR: 13613 LT: 41 SQ. FT STORIES TYPE 5355 PERSIMMON AV
STRUCTURE: VN TEMP CA 917802802
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8573-003-016 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
] (EXIST OCC GRP: 103/22/07 JX 03/16/08 ]
OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: IFTNAL DATE FI Y: CODE:
IBESERRA SALVADOR;IRENE TRS (626) 444-8056- 1 8,000 1
5355 PERSIMMON AV
TEMP 917802802 FEES PAID IDESICRIPTION OF WORK
IRE-STUCCO ENTIRE HOUSE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
ISERGIO MEZA (626) 274-9963- JAA BLDG PERMIT ISSUANCE 27.75
15905 MAIN STREET JAC STRONG MOTION RESID 8000.00 VAL 0.80 ISPECIAL CONDITIONS:
LA PUENTE, CA ID2 PERMIT W/O EN-HC 8000.00 VAL 183.00
TOTAL FEES 211.55
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SALVADOR BESERRA (626) 444-8056-
JIRENE BESERRA LIC. NO ILOCATION AND SETBACKS
15355 N. PERSIMMON AVENUE NONE
TEMPLE CITY, CA 91780 ISOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
(RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION
1147H277 3 Oil
FLOOR SHEATHING
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS ISHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO ] ]FRAME INSPECTION I 1
REQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS
SET BACX YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
(EXTERIOR LATH ] ��
RATED FLOOR/CEIL ASSEM. Y
RATED WALL ASSEMBLIES ]
1RATED SHAFTS/OPENINGS ]
]T-BAR CEILINGS ]
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508 ]
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 0506 0906160009
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: [
ITR: 13613 LT: 41 I SQ. FT STORIES TYPE 1 5355 PERSIMMON AV I
ISTRUCTURE: 310 VN I TEMP CA 917802802 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18573-003-016 1 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: I
1 1EXIST OCC GRP: 106/16/09 SR 1
(OWNER: TEL. NO: jHDGS. NOW ON LOT: VALUATION: F14AL DA FINAL BY: CODE: 1
IBESERRA SALVADOR (626) 444-8056- 1 6,200 I I
15355 PERSIMMON AV I I
ITEMP 917802802 I FEES PAID IDE RIPTION OF WORK I
[OPEN PATIO 310 S.F. I
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( 1
(APPLICANT: TEL. NO: I I I
IBESERRA (626) 444-8056- IAA BLDG PERMIT ISSUANCE 27.75 I I
15355 PERSIMMON AVE. IAB STATE GREEN BLDG FEE 6200.00 VAL 1.00 ISPECIAL CONDITIONS: 1
TEMPLE CITY CA 91780 IAC STRONG MOTION RESID 6200.00 VAL 0.62 I 1
IAX BUILDING REVIEW FEE 54.70 I
ID2 PERMIT W/O EN-HC 6200.00 VAL 166.20 I 1
(CONTRACTOR: TEL. NO: [ TOTAL FEES 250.27 (APPROVALS DATE INSPECTOR SIGNATURE 1
ISALVADOR BESERRA (626) 444-8056-
1IRENE BESERRA LIC. NO ILOCATION AND SETBACKS 1
5355 N. PERSIMMON AVENUE NONE I I
ITEMPLE CITY, CA 91780 I ISOILS ENGINEER APPROVAL I [
1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 (SLAB/UNDER FLOOR 1 I I
I 1RAISED FLOOR FRAMING 1 [ [
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP-1 (UNDERFLOOR INSULATION II I
I147H273 3 001 1 1 I 1
[ IFLOOR SHEATHING 1
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I
NO 21 1 (ROOF SHEATHING I 1
1 SCHOOL WITHIN HAZARDOUS 1 1SHEAR PANELS
AIR QUALITY: 1 I
1000 FEET MATERIALS 1
1 NO NO NO 1 FRAME INSPECTION I
I
IREQUIRED TOTAL SETBACK FROM EXIST 1 1FIRE SPRINKLER HANGERS 1 I
ISET BACK YARD: HWY: PROP LINE: WIDTH: 1 I I I 1
IFRONT PL- 1 11NSULATION/WEATHER STRIP( 1 1
1 SIDE PL- 1 I I I I
I I 11NTERIOR LATH/DRYWALL [ I I
1 I 1EXTERIOR LATH 1 I [
I I (RATED FLOOR/CEIL ASSEM. I 1 [
1 [ RATED WALL ASSEMBLIES 1
1RATED SHAFTS/OPENINGS [ I I
I IT-BAR CEILINGS 1 I [
I 1LOT DRAINAGE 1 1 1
1 1REPORT ID: DPR261 ROUTE TO: BS0508 1 [
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