HomeMy Public PortalAbout5409 PERSIMMON AVE_Building__ SA688A DBS-3 8.88
APPLICATION FOR BUILDINGPERMIT �.
DIVISION OF BUILDING AND SAFETY ADDRESS 5 C/�l.
Department of County Engineer. , r
County of Loa Angeles LOCALITY -e.2
WM.J.FOX.COUNTY ENGINEER NEAREST c I
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. L / AL1
DISTRICT NO. GROUPER G
ER MA.PP
FOR APPLICANT TO FILL IN 21. I TYPE CONST. %h
BUILDING �;: '� // MAP STATE
ADDRES8 r,':� ! i,'+S9iL. -?/!7 /33 .G r NUMBER HWY YES O
LOT NO. 4�' BLOCK USE ZONE SPECIAL
CONDITIONS
TRACT 3 �y7Z
NO.OF BLD 18. BUILDING EXIST.
SIZE OF LOT Ir i`\ 1 .i I NOW ON LOT IlSETBACK YARD SL Y" STREET NAME WIDTH
USE OF EX 6TING BLDG. �q FRONT P. �I)+ r ,/, - J
OWNER � Q' L. pIDI.EI
MAIL t//i O TRACT DWELL. I UNIT
ADDRESS I 7 1/ 5 INDUSTRIAL
TEL. F�I Q 1 DWELL. I UNIT 6 PUBLIC BLDG.
CITY / NO.
2 DUPLEX I UNIT
ARCHITECT ORI�� TE • 7 ADDN..ALT.. ETC. �{
ENGINEER /� NO. 3 APT. -UNITt 8 T 15C L ' 1 �ILCtx✓//
_ADDRESS _ 4 COMMERCIAL !`
TEL.
CONTRACTOR NO. INSPECTION RECORD
ADDRESS
DESCRIPTION OF WORK
NEW ADD 6LTE REPAIR DEMOLISH
Q7'iT, 7 /y, OF NO.OF
f 1
SIZE 7 !STORIES FAMILIES
USE OF STRUCTURE -7
SIGNATURE OF
APPLICANT ! APPROVALS
ADDRESS V DATE INSPECTORS SIGNATURE
�^ FOUNDATION:LOCATION
P.C. $ FORMS.MATERIALS All-A.
/
FEE FRAME: FIRE STOPS. I L� //
VALUATION . BRACING.BOLTS & Ei ll-A.L
I Ad
Nw PEE FURNACE:LOCATION.
I HEREBY ACKNOWLEDGE THAT 1 -HAVE READ THIS GAS VENT.DUCTS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND-AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC-
TION. _ / LATH.EXT.
SIGNATURE OR �'/;! it�v'7r HOUSE NUMBER COR-
PERMITTEE ! RECT AND POSTED
ADDRESS FINAL q 1� ✓ dz'�iE%E%v vr-'.;J7.
WM.J.FOX.COUNTY ENGINEER VALIDATION C.N.DIRLAM,CHIEF BLDG. INSPECTOR
, u0 4 2 9 9 h1AR 2 0 1 4.0 in.
76A638ACENSOS3-66 APPLICATION FOR BUILD G PERM
COUNTY OF LOS ANGELES BUILDING {�
DEPARTMENT OF COUNTY ENGINEER ADDRESS.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP•T OF BUILDING CROSS ST.
DISTRI TO G TYPE O S
FOR APPLICANT TO FILL IN CONST. ,
BUILDING STATISTICAL C ASSIFICATION SEWER MAP
ADDRESS 5409 N. Persimmon- CLASS'NO.�DWELL UNITS BK (9PG-��
LOT NO. BLOCK USE ZONE MAP
NO. VV
TRACT SPECIAL
N0. OF SLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
E G BLDG. BLD:.NT SETBACK FROM
TEL. FROPROP. LINE OF (STREET)
OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS 5409 N Persimmon
HIGHWAY D FROM C.L.
CITY Temple City. + _
ARCHITECT OR TEL. BLDG. SETBACK FROM
ENGINEER NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK I HIGHWAY i-- YARD = TOTAL
ADDRESS - HIGHWAY WIDTH FROM C.L.
r TEL. '� O/ + —
CONTRACTOR O (Q
ADDRESS ! u C J O CORNER CUTOFF YES NO
CITY PIICAss SEE REVERSE SIDE FOR SPECIAL APPROVALS cc
D SCRIPTION F WORK T C c
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT.
1/2 STORIES NO. O IES '7 6
SIZE
USE OF Composition
STRUCTURE _
SIGNATURE OF.
APPLfCANT
VALUATION$ ; APPROVALS DATE -INSPECTOR'S SIGNATURE
FOUNDATION, LOCATION
FEE$ �i (�- FEE$f_ FORMS,MATERIALS
.FRAME, FIRE STOPS,•
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS
.9UILDING CONSTRUCTION. 1 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.
SIGNATUREOF (/ HOUSE NUMBER COR- A
PERMITTEE - '�� �� RECT AND POSTED
ADDRES — Fl NAL
JOHN F.
LEWIS. PTPRINCIPAL1ST ORAL ENGINEER
p�
PLAN CHECK VALIDATION CK. M.O. CASH _ rARM[Ii VALIDATION CK. M.O CASH
8 s 7 6 ,uN 5 1 C 9.00N
COUNTY OF LOS 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 0609080036
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW SIIILDING ADDRESS:
ITR: 13613 IT: 43 SQ. FT STORIES TYPE OCCUP GROUP 5409 PERSIMMON AV
STRUCTURE: 768 1 VN R3 I TEMP CA 917802804
ASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET:
18573-003-018 OTHER: 288 1 VN U1 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
(TENANT: ]EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 101/29/07 JK 01/24/08 l
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: 1F NALD *v i Y. CODE:
WANG LIU H;SZH-JING (626) 780-8833- 1 96,880 ,7Z1 [
15409 PERSIMMON AV I [ //
TEMP 917802804 FEES PAID IDESCRIPTION OF WORK
1ADD NEW MASTER BEDROOM, MASTER BATH, KITCHEN 768 S.F.REMODELI
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1288 S.F.(CONVERT (E) KITCHEN TO NEW BED, & BATH) NEW ROOF
APPLICANT: TEL. NO:
INGUYEN (626) 674-3014- ]B1 PLANCHECK W/ENERGY 96880.00 VAL 1,183.84
11139 GLENVIEW RD IAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
WEST COVINA CA 91790 1AC STRONG MOTION RESID 96880.00 VAL 9.69
[ 1B2 PERMIT W/ENERGY 96880.00 VAL 1,392.77
TOTAL FEES 2,614.05
CONTRACTOR: TEL. NO: 1APPROVALS - DATE INSPECTOR SIGNATURE l
WANG, JING (626) 780-8833- [
5409 PERSIMMON AVENUE LIC. NO 1LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 NONE I
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS l [
11139G, LAPNDV C (626) LIC. NO: ]SLAB/UNDER FLOOR
1139 GRANDVIEW AVE. LIC. NO:
(WEST COVINA, CA 91790 NONE l
IRAISED FLOOR FRAMING I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C oil IUNDEP.FLOOR INSULATION I l o
I
]1ST LEVEL FLOOR SHEATH I I l
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I
IQO 21 I 12ND LEVEL FLOOR SHEATH
I I I I
lSCHOOL WITHIN HAZARDOUS ] [ROOF SHEATHING R
]AIR QUALITY: 1000 FEET MATERIALS [ [ [
NO NO NO I IFIRE DEPT. FRAME INSPECTI
]REQUIRED TOTAL SETBACK FROM EXIST I [BLDG DEPT. FRAME INSPECT] I [
[SET BACK YARD: MY: PROP LINE: WIDTH: [
IFRONT PL- ISHEAR PANELS I [ 1
[
SIDE PL-
[INSULATION/WEATHER STRIPI 1 [
pm Cbit fcfar atlfD ask l [INTERIOR LATH/DRYWALL [ [ 1
�y [ [ [
Car/eI�lsf a0J'l�k 71 (EXTERIOR LATH I l
[ 1
]LOT DRAINAGE I
ISMOKE DETECTION DEVICES 1
IFIRE DEPARTMENT APPROVAL] I [
I* ADDITIONAL DATA ON FILE l [ [ 1
I
lIREPORT ID: DPR261 ROUTE TO: BS0508