HomeMy Public PortalAbout5452 PERSIMMON AVE_Building__ APPLICATION FO OUNTY OF LOS ANGELES
J IRU ILD ING PERMIT
DEPARTMENT
NG AND SAFETYIV DIVISION
ENGINEER
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BUILDING r �ADDRESS r/ re
LOCALITY
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CITY /y/�!�/C�/c y f/ v- ZIP CROSS ST.
SIZE OF LOT
dJ (1 T'i 10da 0 NOW ON LOT MAPBOOK PAGE NO OF BLD0S:— ASSESSOR PARCEL
/ /• DISTRICT GROUP' TYPE FIRE CESS BY
TRACT Jg6lS BLOCK LOT NO.
ZL �iU, TEL. L-T
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'61fAl
C OWNER _NO.
_ STATISTICAL'CLASSIFICATION SEWER MA//P
ADDRESS_ / iM ,S�l✓,vf5,�/ (/' CLASS NO. -3/ DWELL.UNITS BK G/PG
CITY �O f�o r�r ZIP !P'V 2 6 USE ZON I MAP
ARCHITECT OR TEL.' �— NO.
ENGINEER NO. SP,EELL
�+, C'6f3bITIONS
ADDRESS / ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO❑
CONTRACTO O �� NO.edol-32-1Co BLDG.SETBACK FROM �/J
♦ LIC /, / FRONT PROP.LINE OF f t a A- (STREET)
ADDRESS CSO •�/2� ��f�/ENO.3 0 z�/5r TOTAL SETBACK FROM • TYPE OF EXISTING
HIGHWAY + • YARD =
�i `- LIC. FRONT PROP:LINE HIGHWAY WIDTH
CITY'♦/H .� /�2 y'CLASS / -
CONSTRUCTION LENDER ��++ + - a
NAME AND BRANCH
BLDG.SETBACK FROM ���J U
SIDE PROP.LINE OF •d
L - (STREET)
ADDRESS CITY O
SQ.FT. NO.OF / NO.OF / CHECK HIGHWAY' + YARD = TOTAL SETBACK FROM TYPE OF EXISTING.
I V SIDE PROP.LINE HIGHWAY WIDTH - w
SIZE STORIES FAMILIES ONE n.
+ .v = ID z
DESCRIPTION OF WORK NEW ❑
ADD t CORNER CUTOFF YES ❑ NO ❑
ALTER' IN OPEN SPACE YES ❑ NO ❑
REPAIR ❑
USE OF /06�� DEMOL E.] IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG.nn..,,
APPLICANTPRNr1�iK/'� u�' TEL � '• J� ./V� Duan �L[GYWL.' /`/�iL.r_.�P
BY(SIGNATURE
IHEREBY 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 S TE OF CALIFORNIA IN RELATING TO ORKMEN'S COM•
PENSATION INSURAN
' � f
SIGNATURE OF 6 / FINA B �p I ��/� '
PERMITTEE DATE /- �`�G�
ADDRESS
i
• TEL. P.C.Fe4S Permit Fee �
CITY NO.
Issuance Fee
VALUATION$-? edtl♦
/ Total Fee - J
PLAN CHECK VALIDATION CK M.O. CASH T PERMIT VALIDATION cK: M.O. CASH
� -730 72 -2.75, 5, 4N.�EQ 35 5 /- s
55 76AG38A CE 1808A 6/76
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 SL 0508 0106270021
PHONE: (626) 285-0488 EXT:
OF CONSTNEW G D ESS:
TR: 13613 LT: 13 SQ. FT STORIES TYPE OCCUP GROUP 5452 PERSIMMON AV
STRUCTURE: 675 1 VN R3 TEMP CA 917802803
ASSESSOR INFORMATION GARAGE: NEAREST CROSS STREET: DAINES
8573-005-001 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: D S : USE ZONE ISSU50 0 : PROCESSED EXPIRES O :
EXIST OCC GRP: 03/28/02 JK 09/24/02
OWNER: TEL. N0: BLDGS. NOW ON LOT: VALUATION: VFIA E FINAL CODE:
DI PANE BRYAN L;LINDA A (626) 443-6144- 87,0005452 PERSIMMON AVTEMP 917807530 F :2
R
ADDITION: 2 BEDRMS, 2 BATHRMS, TOTAL 675SQ.FT./REMODEL:CONVE
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: RT BATHRM TO PANTRY AND CONVERT EXISITNG BEDROOM INTO
SAME AS
APPLICANOWNER L. O: - B1 PLANCHECK W/ENERGY 87000.00 VAL 1,091.28 ��� ��D � 3 b
D9 PC EXTENSION FEE 72.82 DOL 272.82 SPECI CONDITIONS:
AA BLDG PERMIT,�IB AN 27.75
AC STRONG OT�OJ��t �DE�E�87Q00:• 0 L 8.70
B2 PERMI 9 NERGY•� `87000 OWA 1,283.87
CONTRACTOR: TEL. NO: o� TOTAL F A 2,684.42 APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - � Y
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. 0: FOUNDATION/TRENCH- FORMS /Q
LIC. NO: 1111111 SLAB/UNDER FLOOR
rRAISED FLOOR FR G A702—
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP01 LI n 0 ��j O 1-0-1'09
S UNDERFLOOR I SOLATION
v �I w u� 1ST—LEVEL FLOOR SHEATH
0. OF FAMILIES: DWELLING TS: PT/CO D: STAT CLASS: G
NO 21 0 lip' ND LEVEL FLOOR SHEATH
SCHOOL WITHINZAR 0 SO ;f. *. F EA G �v�� l �7
AIR QUALITY: 1000 FEET MATERIALS �S
NO NO NO FIRE DEPT. FRAME INSPECT
REQUIRED TOTAL SETBACK FROM EXIS 4b�• ❑ -n1 Ott D NSP C DEPT. FRA E
FRONTT
SET TAPL- YARD: HWY: PROP LINE: WIDTH: �C `gerV' a��agvv SHEAR PANELS
SIDE PL- �d1
Us-K-U-10-0/WEAMPR STRIP
�q
INTERIOR LATH/DRYWALL S 0,13
EXTERIOR
LOT DRAINAGE
SMOK5 DETECTrO ICS
FIRE DEPARTMENT APPROVE
* ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BS0508