HomeMy Public PortalAbout5515 PERSIMMON AVE_Building__ ®S 76A688A:.k
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APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
BUILDING n y�
ADDRESS % /'C/�- s/. _ Al`s^. LOCALITY
NEAREST
CITY ZIP CROSS ST. /10CLC.�[�n-v
NO.OF BLDGS. ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
f� DISTRICT- GROUP TYPE FIRE PRO(SSED BY
TRACT G. .3 BLOCK LOT NO. ��/ r , CONST.`/ jN E �)
a� U � TEL.q. Y �r7 C= y�
OWNER Zvi. NO.
/^- f��.�-yam STATISTICAL CLASSIFICATION (-SEWER MAP
ADDRESS a•��� /�.S 646' CLASS NO. '9- DWELL.UNITS C BK PG
CITYCITY
ZIP
ARCHITECT OR TEL. VALUATION $ /3 �
ENGINEER NO.
ADDRESS BLDG.SETBACK FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTOR NO.p HIGHWAY t .YARD __ TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS// �� � ° L^iJOp �j FRONT PROP.LINE HIGHWAY WIDTH
l LIC. t =
CITY /V` ✓r`� CLASS
BLDG.SETBACK FROM
CONSTRUCTION LENDER
NAME AND BRANCH SIDE PROP.LINE OF (STREEiI
t YARD = TOTAL SETBACK FROM TYPE OF EXISTINGADDRESS CITY SIDE PROP:LINE HIGHWAY WIDTH O
SQ.FT y NO.OF NO.OF CHECK tSIZE J 9 .,J STORIES < AMILIES ONE DESCRIPTION OF WORK O ti NEW ]HIGHWAY
P.C.Fee$ Permit Fee
f/ ❑ �-
`�r..P y^i r1 _ ,� ADD Issuance Fee �, ��� yp
ALTER ❑
REPAIR ❑ Total Fee se 's
USE OF DEMOL ❑
EXISTING BLDG. Z 3 ( +
APPLICANT TEL �rQoC
(PRINT) NO.
/
a� D
BY(SIGNATURE) ` 79
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE � JJ )9 20 2 6 8 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL.ORDINANCES G!/.v✓I Z—OL-c.�.� �L
AND LAWS REGULATING BUILDING CONSTRUCTION.1 CERTIFY THAT IN DOING THE _ !� /7 # o o e o o
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF QJA—LCL
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO.WORKMEN'S COM-
PENSATION INSURANCE. (d � C� < g 2 a 1 33.00
SIGNATURE OF ` C` (' 001-33006,
PERMITTEE _
ADDRESS -7 _�
TEL. O�
CITY NO.
D
USE ZONE MAP R Q
NO.
SPECIAL
CONDITIONS
FINAL BY
m
DATE
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 1207120064
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 13613 IT: 159 SQ. FT STORIES TYPE 5515 PERSIMMON AV
I ISTRUCTURE: 2260 V-B TEMP CA 917802806
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18573-002-022 1 1 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, CI
[TENANT: JEXIST BLDG USE: REBID USE ZONE: R-1 JISSUED ON: PROCESSED BY:
EXIST OCC GRP: 07/12/12 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: I AFINE INAL BY: CODE:
ICHUNG, TONY (626) 354-3236- I 6,500 5515 PERSIMMON AVETEMPLE CITY CA 91780 I FEES PAID N OF WORK
IRE ROOF WITH GAF NATURAL SHADOW SHINGLES 800 SQ.FT. AND
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:ITORCH DOWN 460 SQ.FT.
(APPLICANT: TEL. NO: I I I
IHONG, JONG (323) 231-6060- IAA BLDG PERMIT ISSUANCE 27.80 1 1
12525 W. STH ST #220 IAB STATE GREEN BLDG FEE 6500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
[LOS ANGELES 90057 AC STRONG MOTION REBID 6500.00 VAL 0.70 1
I 1D2 PERMIT W/O EN-HC 6500.00 VAL 166.20 1 1
I I TOTAL FEES 195.70 I� 1
ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE 1
TACE TEK ROOFING CO. (323) 231-6060- [ 1 1
2525 W STH STREET LIC. NO [ [LOCATION AND SETBACKS I I I
#220 874330-C39
(LOS ANGELES CA 90057 1 [SOILS ENGINEER APPROVAL I I I
[ARCHITECT OR ENGINEER: TEL. NO: - 1 [FOUNDATION/TRENCH FORMS I I I
LIC. NO: I [SLAB/UNDER FLOOR I [ [
1 1 [RAISED FLOOR FRAMING 1 I 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ (UNDERFLOOR INSULATION [ I I
I150H273 3 001 I I I
I 1 IFLOOR SHEATHING I 1 I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 1_ I I
1 0 NO 21 1 [ROOF SHEATHING I I
1 SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I 1
[AIR QUALITY: 1000 FEET MATERIALS I I I 1 I
I
NO NO NO 1 IFRA4B INSPECTION
I IFIRE SPRINKLER HANGERS 1 1 1
1 1 11NSULATION/WEATHER STRIP( I 1
I I INTERIOR LATH/DRYWALL
I I I
I 1 [EXTERIOR LATH
1 [
� [RATED FLOOR/CEIL ASSEM.
[RATED WALL ASSEMBLIES II II
I
1
[ I IRATED SHAFTS/OPENINGS 1 [ 1
I [ IT-BAR CEILINGS I I [
I I
1 I ILOT DRAINAGE I
I IREPORT ID: DPR261 ROUTE TO: BS0508
I I I I I