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Home My Public Portal About5520 PERSIMMON AVE_Building__ 76AS38A CEPS03 8-64APPLICATION F R BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY , JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST 1 COLEMAN W. JENKINS.SUP•T.OF BUILDING CROSS ST. i DISTRICT NO. GROUP TYPE P SSED BY FOR APPLICANT TO.FILL IN IN/ y� CONST. ADD EISS 7 / /•L S�B NO A DWELL UINITS ON SEP P LOT NO. BLOCK USE ZONE MAP �1 LLll// NO. G TRACT SPECIAL N0. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF E IS NG G SLOG. SETBACK FROM TE1.�( C FRONT PROP. LINE OF (STREET) OWNER .C✓jjCi� NO.L. O TYPE.OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS 6� v HIGHWAY D H •F OM C.L. j + mw CITY L BL00. 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. C TEL. + _ 0 CONTRACTOR NO ADDRESS NO CORNER CUTOFF YES NO - 0 V cI Y c10 SEE REVERSE SIDE FOR SPECIAL APPROVALS LU DESCRIPTION OF WORK . °- NEW ADD ALTER EPAIR J DEMOLISH 711 I ! SQ.FT. N0. O NO. OF "' �d rFf CSA 2�IC�G�' t�' Ja .4�1<< 4j I '• SIZE STO IES FAMILIES u USEOF STRUCTURE SIGNATURE OF APPLICANT VALUATION$ �'� APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION, LOCATION FEE$"- FEE$ FORMS,..MATERIALS FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTII AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE, LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS I 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPE148AT10 INSU ICE. LATH. EXT. SIGNATURE OF /y/� HOUSE NUMBER COR-- PE4tMIT*EE '` RECT AND POSTED r' i ADDRES D FINAL JOHN F. LEWIS. PRI IPAL STRUd:TURJkL E PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH -TEMPLE Q 7allese/ICIC#.ue.,-BI " APPLICATION FOR' BUILDING' PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGRUM AD°REss BUILDING AND SAFETY DIVISION LOCALITY. JOHN A. LAMBIE.-COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. _ J IV 1F ON DISTRICT NO. I GROUP TYPE ..PRVOCUSSED BY FOR APPLICANT TO FILL IN j. "— CONST: ADDRESS ^ d I STATISTICAL CLASSIFICATION SEWER MAP AT CLASS.NO. DWELL.UNITS' ` LOTBLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAP HIGHWAY STATE MAJOR SECOND, O .ry NO.OF'BLDGS. NO: CA(CIRCLE) SIZE-OF LOT59, NOW ON LOT USE;ZONE SPECIAL USE OF EXISTING BLDG. C 7 E_lv Ti.N L-. CONDITIONS TEL OWNER NO .2. UIi D G EXIST. YARD 'HWY STREET NAME ,� � SETBACK WIDTH' ADDRESS e r '� FRONT y I ARCH ITEC OR TEL. P.L. �? . ENGINEER NO. SIDE P:L. ADDRESS 1 - 'e TEL• , INSPECTION RECORD CONTRACTORTNOy/4, �- 4 Ix ADDRESS/ r/ ,'-O-yIYIA/D' P Y.Y0-AJi -1 Q DESCRON OF WORK � W D- NEW ADD LT -E REPAIR . DEMOLISH N . Z SQ.FT. NO.OF NO.OF SIZE ST RIESFC FAMILIES USE OF ( �, STRUCTURE SIGNATURE OF f APPLICANT VALUATION$ O / APPROVALS - 'DATE-__ INSPECTOR'S SIGNATURE P.C. PMT. FOFORMS!MATER ALS LOCATION �f U `f/I.r!/f'J� ✓/. /i. FEE S FEE $ FRAME:FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS //l AND STATE: TATE THAT THE ABOVE 15'CORRECT AND AGREE TO COMPLY ' FURNACE'LOCATION," 'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'GAS VENT DUCTS N- ' 1 _ BUILDING CONSTRUCTION. ['CERTIFY THAT IN.DOING THE WORK - AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. T •• •/ I I. TION OF THE LABOR CODE OF HE STATE'OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATIO INSUR E.• LATH,EXT._ 1 � 111 - SIGNATURE On'y/ p HOUSE NUMBER COR- PERMITTEE ^ t� RECT AND POSTED / I , i •A ADDRESS,. FINALIIrTII /�� ..CLYDE N. DIRLAM. PRINCIPAL STRUCTURAL W E PLAN CHECK VALIDATION cK., m.c.- cABH PERIM-VALIDATION cK. m.o. CASH '2.3'5.59 AN 17 aiw *RKERS'COMPENSATION DECLARATION l..- s G . v L$ e;_ y affirm that I have a certificate of consent to self APPLICATION ® BUILDING11 t ,.T ins re, or o certificate of Workers' Compensation Insurance, cr a cpr;&d copy thereof (Sec. 3800, Lab. C.) Policy No.�Company -SCAT$ c9C� COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certi ied copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING r— ADDRESS sr Certified copy is filed with the county uildi inspec- BUILDING a` tion department. ADDRESS V V11 Date Applicant CITY ZIP LOCALITY CERTI CATE OF EXEMPTION FROM WORKERS' S NO.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT Cp NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZO E MAP I certify that in the performance of the work for which this OWNER NO. NO. permit is issued, I shall not employ any person in any manner �) r SPECIAL 8f SO as to become subject to the Workers'Compensation Laws. ADDRESS A V CONDITIONS O pp U CITY p ZIP Date Applicant ARCHITECT OR TEL. NOTICE TO APPLICANT: If, after makingthis Certificate of DISTRICT OUP TYPE FIRE PROCESSED BY O ENGINEER NO. CONST. V Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS c pwR with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFCATION APT. CO DO. tq deemed revoked. CONTRACTO NO ` LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRE �j. NO. (commencing with Section 7000)of Division 3 of the Business and LIC SEWER P Professions Code, and my license is in full force and effect. CITY CLASS BK I PG 6 VALIDATION SQ. FT. NO.OF NO.OF HECK License NumberAIAM Lic.Class ^� SIZE STORIES FAMILIES ONE pp VALUATION 't NEW Contracts QP Date 'CJ DESCRIPTIO OF WORK $ ❑ $ C/ ADD ® #�071.6A� I am exempt under Sec. ALTER B.BP.C. for this reason fid" REPAIR ❑ $ I o 21 &6 3 USE OF ate. ❑ EXISTING BLDG. DEMOL� U �CJv o - 21 a 6 3 APPLICANT TEL. FINAL Signature g OER-BUILDER DECLARATION PRINT O '� DATE t � 09,20-88 I herebyaffirm th I am exempt from the Contractor's License aa Low fothe following reason(Section 7031.5,Business and ADDRESS V J' FINA Professions Code): IPRESENT By ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS i. tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FR CONSTRUCTION LENDING AGENCY SET BACK PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issuedP.L. (Sec. 3097,Civ. C.). SIDE .i; P.L. Lender's Name LDMA Ref. # o P.C.Fee$ Permit Fee a Lender's Address I certify that I have read this application and state that the Issuance Fee 'LotA P/C# above information Is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee LDMA Perm. # and her by autiv ize represen Lives of this County to enter p n t abov a t' ned pr arty for inspection purposes. °s �r9�� SEE REVERSE FOR EXPLANATORY LANGUAGE •�---7 Signature of Applilant or Agent 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 0401200046 PHONE: (626) 285-0488 EXT: LEGAL I : NO. OF CONST---- BUILDING ADDRESS. TR: 13613 LT: 133 SQ. FT STORIES TYPE 5520 PERSIMMON AV SSESSOR 0 TION UMBER: STRUCTURE: 2900 VN TEMP CA 917802805 8573-009-013 NEAREST CROSS STREET: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C TENANT: EXIST DG USE: RESI ZONE: R-1 ISSUED PROCESSED EXPIRES ON: EXIST OCC GRP: 01/20/04 VG 01/14/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: GOODCASE MICHAEL;LINDA (626) 452-0242- 4,625 5520 PERSIMMON AV Lt.c-d � �_� TEMP 917802805 FEES PA DESCRIPTION OF WORK RERCOF OVER 1 EXIST LAYER WITH 30 YR CLASS A COMPOSITION FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SMART ROOFING INC. (909) 986-8770- AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 4625.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 4625.00 VAL 132.60 TOTAL FEES 160.85 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SMART ROOFING INC. (909) 986-8770- 945 W. LA DENEY DR. LIC. NO LOCATION AND SETBACKS ONTARIO, CA 91762 465050 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATIONPRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. 0 F LI S: DWELLING UNITS: APT/COND: STAT CL SS: NO 21 ROOF SHEATHING SCHU517 W THIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST IR SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED LOOR/C IL ASSE . RATED WALL ASSEMBLIES T S :TS/OPENINGS T-BAR CEILINGS DRAINAGELOT REPORT ID: DPR261 ROUTE TO: SS0508