HomeMy Public PortalAbout5427 PERSIMMON AVE_Building__ ` 7Wd30AC c808 9'6
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APPLICATION FOR BUIILDDI GNPERMII�T/�v �I
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COTJNTY ENGINEER ADDRESS S�111 N • (fie s I�y„,,.., o s+J A
BUILDING AND SAFETY DIVISION LOCALITY �re
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST.
CROSS ST { N e R I
rXISTING
OR APPLICANT TO FILL IN DISTRICT N CtfJU TYPE P BY
I f� CONST.
(Print ort pe only) � V
STATISTI AL CLASSI ICATION SEWER MAP
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CASS NO. DWELL,UNITS BKPG
BLOCK USE ZONE MAP D
� 3 SPECIAL
NO.OF BLDGS. r i CONDITIONS
T NOW ON LOT
BLDG. yyJJ BLDG.SETBACK FROM
4 •J/a R. 1'se11iD".4 TEL. FRONT PROP.LINE OF -(STREET)
Pe
NO. �04µ- AIt I TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS 564 21 110. 1�l 0,$ 1 /yvLP4-,SsS A s e HIGHWAY WIDTH FROM C.L.
CITY J Q ft., Ia 1,e C.'F BLDG.SETBACK FROM
ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET)
ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
CONTRACTOR O W N �. NOL + C
LIC. CORNER CUTOFF YES NO
ADDRESS NO. ❑ ❑
LIC.
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK a
v
z
NEW ADD ALTER REPAIR DEMOLISH
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES y�
USE OF f
STRUCTURE J 6
SIGNATURE OF
APPLICANT
VALUATIONS APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION /11,r �% /
FEE S 43y FEES O�7�7115' FORMS, MATERIALS ��1/7tJ0� 4Mj/-/..•
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS
AMC) 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 DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA-
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. LATH, INT.
ING TO WORKMEN'S COMPENSATION INSURANCE.
n LATH, EXT.
SIGNATURE OF 1__ _ _4 �' HOUSE NUMBER COR-
PERMITTEE ///��^��''� RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINIECIPA STRUCTURAL ENG R
PLAN CHECK VALIDATION 'CKM.O. cnsH _ PERMIT VALIDATION CK. M.O. CASH
�.3 5 0 9 WIAR 8 2 3 D 1 .3.8 8^'
LAv
5 10�3 Nll,tt- '8 1 D 27975, Ito
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76A699A CEAIB 3 9 69 APPLICATION FOR BUILDING PERMIT
CO'UN?Y 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.
DISTR.I.CT O. GROUP T PE gROCESSED BY
FOR APPLICANT TO FILL IN rJ� CONST.
BUILDING STATISTICAL CLASSIFICATION / iWER MAP
ADDRESS '�' Al P/ ! ( 1 �,� JrJ BK Pp
CLASS. NO. DWELL.UNITS ���«Eaa///
LOT NO. BLOCK WATER NOT REQUIRED RECEIVED ❑
CERTIFICATE:
TRACT / MAP HIGHWAY STATE MAJOR SECON CAL
ANO.OF BLDGS. NO. (CIRCLE)
SIZE OF LOT G D NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
��-.
TEL.
- Re
OWNER 6 Q NO / BUILDING EXIST.
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS / l FRONT J
ARCHITECT OR TEL. -tom P. L. / .2�2, Z
ENGINEER NO. +C SIDE
P. L.
ADDRESS
i TEL. �+
CONTRACTOR ( [ , NO. / J'
V
ADDRESS G �/V OC
DESCRIPTION OF WORKul
OF
v
NEW DD ALTER REPAIR DEMOLISH Z
SQ.FT. NO.OF NO. OF V
SIZE STORIES FAMILIES
USE OF
STRUCTURE 7'LI
SIGNATURE OF:
APPLICANT
VALUATIONS /}— Q �}
v � APPROVALS DATE INSPECTOR' SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEES �� FEE $ FORMS• MATERIALS !'c '� V'`�y' �`+•-
FRAME: FIRE STOPS, 1 ;/
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS �V�Z L•�,h,%��• �•'. +'
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. 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. { !(
TIONOF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- r
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH. EXT.
SIGNATURE'OF HOUSE NUMBER COR-
PERMITTEE - RECT AND POSTED t
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STR,WC RALE NGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LiUo 4630%G OCT 7 1 D 15.00- 14
TEMPLE CITY .
F/.8'BAcItAo&;—s, APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTBENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
DISTRICT NO. GRP TYPE P SED BY
FOR APPLICANT TO FILL.IN ; �' �—
.pp
ONSr
BUILDINGSTATISTICAL CLASSIFICATION SE ER MAP
ADDRESS S�/a7�y,.Aeesi.�.yo,�/9�e �/'`� `, BK PG
J[//' CLASS.NQ�DWELL.UNITS
LOT NO. r{O BLOCK WATER NOT REQUIREDNZZ RECEIVED ❑
CERTIFICATE:
TRACT MAPHIGHwar STATE MAJOR SECOND L CAL
NO.OF BLDGS. NO. IctRCLE)
SIZE OF LOT, NOW ON LOT I -AiFC- USE ZONE SPECIAL
USE OF CONDITIONS -
EXISTING BLDG.
TEL.
OWNER td0 " NO 3I BUILDING YARD HWY STRE5 NAME EXIST.
SETBACK WIDTH'
ADDRESS.�f/27A//�tQS/RffJDil/ /+rr>rul�C/fS/' FRONT C}�►j
ARCHITECT OR TEL. P.L. O�
ENGINEER NO. SIDE
P.L.
ADDRESS
TEL INSPECTION RECORD O
CONTRACTOR B NO. U
ADDRESS + Im
DESCRIPTION OF WORK
W
NEW ADD ALTER REPAIR DEMOLISH , Z
NO.OF NO.OF
IZE V Q STORIES FAMILIES
USE OF !'•
STRUCTURE �o O e ;
SIGNATURE OF ��
APPLICANT
VALUATIONS
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION:LOCATION I
FEE-$ +FEE FORMS,MATERIALS" /
FRAME:FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS T
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 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.
SIGNATOR OF HOUSE NUMBER COR-
PERMITT - , RECT AND POSTED / t[F
ADDRESSFINAL 1 f<If
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION' ' cK. M.O. .'CASH PERNIIT VALIDATION cK. M.o.
LfP�g 8 3'0 JUL 11 1 � 3.0 0 V
• 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 0703230024
PHONE: (626) 285-0488 EXT:
LEGAL ID: N0. OF CONST BUILDING ADDRESS:
ITR: 13613 LT: 46 SQ. FT STORIES TYPE 5427 PERSIMMON AV
ISTRUCTURE: 346 VN I TEMP CA 917802804
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: DAINES
18573-003-021 [ THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
[(TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXPIRES ON: [
EXIST OCC GRP: 103/28/07 JK 03/22/08
OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF�AL DA FI HY: CODE:
1SEGURA, ROBERT (626) 279-5750- 1 5,000 1 6�.r
15427 PERSIMMON AVE I
TEMPLE CITY CA 91780 FEES PAID IDESCRIPTION OF WORK
I 1ATTACHED OPEN PATIO 346.5 F. SHINGLED ROOF 4-PAD FOOTINGS
I [FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
APPLICANT: TEL. NO: I I I
1SEGURA (626) 279-5750- IDI PLANCHECK W/O EN-HC 5000.00 VAL 112.71 1 1
15427 PERSIMMON AVE. 1AA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
TEMPLE CITY CA 91780 1AC STRONG MOTION RESID 5000.00 VAL 0.50
1 ID2 PERMIT W/O EN-HC 5000.00 VAL 132.60 [
TOTAL FEES 273.56
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
1SEGURA, ROBERT (626) 279-5750- 1-
15427 PERSIMMON AVE LIC. NO (LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 NONE I
1 1SOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: 1FOUNDATION/TRENCH FORMS 1 r I 1
'I LIC. NO: 1SLAB/UNDER FLOOR I
RAISED FLOO FRAMING
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 JUNDERFLOOR INSULATION I [
1147H273 3 011 I [ I I
I I IFLOOR SHEATHING
1NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I n
NO 21 (ROOF SHEATHING v ,
r
SCHOOL WITHIN HAZARDOUS [ [I ISHEAR PANELS I
(AIR QUALITY: 1000 FEET MATERIALS
NO NO NO I IFRAME INSPECTION I I I
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I I
IFRONT PL- I (INSULATION/WEATHER STRIPI I I
[ SIDE PL- I I_ I I I
(INTERIOR LATH/DRYWALL I I I
I (EXTERIOR LATH I I 1
IRATED FLOOR/CEIL ASSEM. 1 I
[ I IRATED WALL ASSEMBLIES 1 [ I
[ IRATED SHAFTS/OPENINGS , [
IT-BAR CEILINGS I I I
I I I
ILOT DRAINAGE I I I
[ [REPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I I I I
ti
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPI&TMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0505030032
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 13613 LT: 46 SQ. FT STORIES TYPE OCCUP GROUP 5427 PERSIMMON AV
STRUCTURE: 1323 2 VN R3 TEMP CA 917802804
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: EL MONTE
8573-003-021 OTHER: 844 1 VN R3 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 09/30/05 JK 09/25/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINr DATE FINAL BY: CODE:
SEGURA, ROBERT/AURORA (626) 628-6906- 180,000 ���(4�
5427 PERSIMMON AVE 1i�(�J
TEMPLE CITY CA 91780 FEES PAID DESCRIPTION`OF WORK
IST FLOOR DINING ROOM, FMLY ROOM, ENLARGE KITCHEN & REMODEL
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: EXISTING FLOOR, 2ND. FLOOR 2 BEDROOMS, 2 BATHROOMS
APPLICANT: TEL. NO:
SAME AS OWNER - B1 PLANCHECK W/ENERGY 134860.00 VAL 1,421.01
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION REBID 180000.00 VAL 18.00
B1 PLANCHECK W/ENERGY 180000.00 VAL 277.70
B2 PERMIT W/ENERGY 180000.00 VAL 1,998.48
CONTRACTOR: TEL. NO: TOTAL FEES 3,742.94 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISIED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 01
1ST LEVEL FLOOR SHEATH
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS �I
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT,
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS
SIDE PL-
INSULATION WEATHER STRIP
INTERIOR LATH DRYWALL
l EXTERIOR LATH 1-t-
L
LOT DRAINAGE
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508