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Home My Public Portal About5544 PERSIMMON AVE_Building__ I ' DEPARTMENT OF BUILDING AND SAFETY APPLICATION®�R NIIT COUNTY OF LOS ANGELES G WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDING ADDRES 5r ws^ RECEIVED BY DATE OF ADPL. DATE ISSbID LOCALITY �► NEAREST /"J G�•� I® CROSS ST. VAF BUILDING /� ADDRESS / A IZSI J�'YIVO Al OWNER S MAIL LOCALITY ADORES6 47i_'l A4 NEAREST TEL. CROSS ST. CITY NO.- FIRE NO. OR TYPE-'�rr GROUP el" 9 ARCHITECT OR TEL. ZONE I PLANS I ENGINEER NO. BLDG. J oyzlN SETBACK LINEA��• !�1_y� ADDRESS APPROVED 1J TEL BY DATE CONTRACTOR NO. USE APPROVED ZONE ' �J 1 BY DATE ADDRESS ' HOUSE NUMBERING LEGAL �� DESCRIPTION I LOT NO. I BLOCK MAP NUMBER O FIELD CHECK BY ! TRACT ! NO. ASSIGNED BY DATE y NO. OF SLOGS. CORRECTIONS ' SIZE OF LOT O /� � �j �I NOW ON LOT USE OF NO. OF - _ r EXISTING BLDG. ze5/ I FAMILIES I tiQ �� L -Tf- DESCItIPTION OF WORN T o r 4, �.F9 FZ'1 E R. O'f NEW I I ALTERATION I I ADDITION I y9,L 4�0 a 2 cs f L7(..S' � K 1'.% 04 D i REPAIR I I DEMOLITION I I I 1 r Ov G� �i.. :0` t` 11frt � ! F1 Y r/A4S S 8Q. FT. NO. OF SIZE ROOMS STORIES z EXT. WALL ROOF r COVERING I COVERING n USE OF STRUCTURE x love 4 C APPROVALS INSPECTOR'S SIGNATURE DATE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION PLICATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS, HEREON AND WITH ALL COUNTY ORDI ANCES AND STATE BRACING, BOLTS LAWS REGULATI BU1 INC CONSTR TION. FURNACE: LOCATION, SIGNATURE OF GAS VENT, DUCTS PERMITTE �+ LATH, INT. ADDRESS LATH, EXT. AUTHORIZED AGT. ` PLASTER, INT. 7ewe38A• Haas fo-eo FiCE- ® / FEE FFINAL R, EXT. VALUATION FEE ¢ O � � DEPARTMENT-OF BUILDING AND SAFETY j APPLICATION'FOR-PERMIT COUNTY OF LOS ANGELES MINI. J. FOX, CHIEF ENGINEER -- BUILDING ' FOR APPLICANT TO FILL IN .'FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING s,,,,. AA B O ADDRESS 312 Per$immon•iLQeriLle LOCALITY Street 0.� 1. RECEIVED BY -DATE OF APP�Lr.�' DATE ISSUED. NEAREST S VL CROSS ST. Dann= ee V BUILDING OWNER ADDRESS � �,. C . /f Q/l�C�a �.�rn.0+•J/.l 4 ADDRESS 2 Palmer i MAIL LOCALITY ( i TT�� 'y� CalifNEAREST ^/ CITY Lois A31lrele$ lll• alil a NO. � CROSS ST. (��✓ !/�/�� FIRE N13.I7F TY,P_E/ GRrOUP ARCHITECT OR TEL. I ZONE PLANE _ ENGINEER - NO. i BLDG. �, ORD.NO. ADDRESS SETBACK LINE /4e Q Z(• TF�4 APPROVED ' CONTRACTOR . A. Cie Palmer &;-&=a= 1 BY DATE PalmerUSE APPROVED ADDRESS 2 almDrive ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. 137 I BLOCK �fJ TRACT din.,- 1363-3 y L,�^ NO.OF BLDGS. J SIZE OF LOT 6U X 135 I NOW ON LOT None USE OF NO.OF NO.OF EXISTING BLDG. I FAMILIES I ROOMS i DESCRIPTION OF WORK +� 1• NEW X ALTERATION ADDITION ^ REPAIR MOVING _ DEMOLISH p Q.FT. NO.OF - Z SIZE 1216 ROOMS 6 STORIES �_ > WALL Cedar I ROOF COVERING Sh�1reQ COVERING USE OF NEW I BUILDING Sin93 - family regiclanna } P1an Na. 1 3 - StId Plan No. 26-mi �' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS;- APPROVALS' APPLICATION AND STATE THAT•THE ABOVE I9 CORRECT FOUNDATION:LOCATION INSPEC1Ogg 'DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. FORMS.MATERIALS �,C�FfF. AND STATE LAWS REGULATING BUILDING CONSTRUCTION: 1, RA CAV i• MEI FIRESTOPS, SIGNATURE OF ICY �.� as � e ACING,.BOLTS f PERMITTEE AUTHORIZED'AGT LATH.EXT.- � Des-a SOM SETS 7-47 $ P.0.111 PLASTER.INTI r �4�'~ :.FEE . 5.00 8,500,,00:: I1 '20.00 PLA9TER,EXT. O ,r � ,•., k,�__`�'-__ VALUATION 500.00' FEE '2O.Ob :•T FINAL TEMPLE Cg`s �. APPLICATION FOR BUILDINO' PERMI H 1. .COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY 'ENGINEER ADDRESS �'S- BUILDING AND-SAFETY DMSION' LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. L!3ROUP TYPE P10CFSSED BY' . FOR APPLICANT TO FILL'IN _lr, 6.4f CONS BU 7N 7 -`i STATISTICAL C SSIFICATION SEWER MAP ADDRESS> CLA33.NO.�WELL.UNI •- LOT NO. f BLOCK NUMAP MBE HWY. RZ D-0 YES. NO-• k TRACT ,` / / USE ZONE. SPECIAL r s f NO.OF BLDGS.' R'/ CONDITIONS SIZE OF LOT !J 3,.a�NOW ON LOT fa E USE OF 1 EXISTING BLDG.A I b' 'r-r ✓' BUILDING SETBACK YARD HWY STREET NAME 'y EXx H• OWNER FRONT ' ADDRESS�J,_� i i� .,✓Fi.�/ /' ;SIDE ARCHITECT OR .- TEL. P...L. ENGINEER /_ !° NO. . • — - - ,INSPECTION RECORD': ;( •' ADDRESS i i TEL .� CONTRACTCr7'L NO. _{ r ADDRESS J DESCRIPTION OF WORK' 4. ��:�''f�lr. 1�uIFL�sv ✓.�� !�yrc�"'�� O ' r. -'IL' ��!K^' v f- ♦•1111 Gf`�'i!�.Sll- :�.:'V V "' NEW C ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF ; l �' :A�G, •ifj. ® (� SIZE ✓Y (�.� STORIES FAMILIES USE OF r f i y STRUCTURE / + -oZ 'G�1�9e S ' /7/,4)17- Iv-1 D. 8G ATUREOF� `-ff-� �' �.0/�^/I /.,nl'��. (::;_i4 APPLICANT =2VALUATION J�J '-APPROVALS-` —DATE.- 'INSPECTOR'S SIGNATURE FEE $ FEE $ _ d-11FOFURNDATION:LOCATION' r / OMS, QMATERIALS 'A✓'f�7 J!e a GS FRAME:FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE ABOVE`'IS CORRECT•AND BRACING BOLTS /rci AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND FUkNACE:LOCATION, STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS I CERTIFY THAT 1N DOING THE WORK AUTHORIZED I LATH,INT. , e% .; -f WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE pf WORKMEN'$�IZIPENSATION WS OF�CALIFORN LATH,EXT. C� j�,Y✓, d _ ,'�� PERMITTESIGNATURE -' ( '• � HRECT AND POS EDOUSE NUMBER R ✓� �f!! f /./1" ADDRESS FINAL CLYDE N. DIRLA-M, PRINCIPALIST RAL ENGINEER PLAN.CHECK VALIDATION aw.', M.c. cAsH PERMIT VALIDATION CK -IA.O.'_ `CASH J 5 ', u 17 15.0 (i. W/ORK;•ZS'COMPENSATION DECLARATION hereby affirmthat I Have a certificate of consent to self APPLICATION F R U I L D I N G P E RM I T insure, of a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company BUILDING ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec- BUILDING LL/,( an department. ADDRESS Date/ Applicant CITY r ZIP !�� LOCALITY f c t t CERTIFICATE OF EXEMPTION FROM WORKERS' /`f'�S SNEAREST JQ.P�o COMPENSATION INSURANCE SIZE OF LOT NOW ON LOTCROSS ST. (This section need not be completed if the permit is for one /zl 2 ASSESSOR hundred dollars($100)or less.) TRACT /561 BLOCK LOT NO. J MAP BOOK PAGE PARCEL TEL. USE Z NE 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 ADDRESS �� SPECIAL so as to become subject to the Workers'Compensation Laws. CONDITIONS U CITY ! ZIP Date Applicant G NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GR UP TYPE FIRE PRO SSED BY O Exemption, you should become subject to the Workers' ENGINEER NO. CONSTt.� ZONE H Compensation provisions of the Labor Code, you must forth- ADDRESS c V W with comply with such provisions or this permit shall be 0- TEL STATISTICAL CLASSIFICATION APT. LNDO. U)deemed revoked. CONTRACTOR NO��aZ LICENSED CONTRACTORS DECLARATION 7 �y �/J LIC, �j f CIASS NO. DWELL. UNITS e I hereby affirm that I am licensed under provisions of Chapter 9, ADDRESS c3a% r /°' NO. (commencing with Section 7000)of Division 3 of the Business and �jy� LIC SEWER MAP Professions Code, and my license is in full force anjeffect. CITY n//s CLASS r BK. PG. VALIDATION `` SQ.FT. NO.OF NO.OF CHECK License Number 7J Uc.Class SIZE STORIES I FAMILIES ONE 1/'� � VALUATION M 0 Contractor "C. TELL✓ Date DESCRIPTION OF WORK NEW •❑ $ /y d ❑ ❑ (J I am exempt under Sec. ADD ALTER 00, B.&P.C. for this reason aLodmzg REPAIR ❑ $ 7 8 6 6 A Date: USE OF DEMOL ❑ EXISTING BLDG. Signature APPLICANT TEL. FINAL # 0 0 0 0 0 1 OWNER-BUILDER DECLARATION PRINT If DATE '1 - - 49.88 1 hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and ADDRESS FINAL I o 0 0 (j 9$$ Professions Code): PRE5ENT BY 53 ❑ BUILDING I, as owner of the property, or myemployees with ADDRESS o 9.08-87 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 tion 7044, Business and Professions Code). REQUIRED BACK YARD HWY TOTAL SET 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 issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name LDMA Ref. k o P.C. Fee$ Permit Fee `J Lender's Address I certify that I have read this application and state that theIssuance F ee q a J (f LDMA 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. k v and hereby authorize representatives of this County to enter $ upon the ab a-me tinned pr pe ty or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant 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 1011300003 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 13613 LT: 137 SQ. FT STORIES TYPE 5544 PERSIMMON AV ASSESSOR INFORMATION NUMBER: STRUCTURE: V-B TEMP CA 917802805 I NEAREST CROSS STREET: 18573-009-017 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: 1EXIST OCC GRP: 11/30/10 SR OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: FINAL DATj� FINAL CODE: ISUY, MICHELLE (626) 673-2297- I 1,200 I / 5544 PERSIMMON AV TEMP 917802805 FEES PAID IDESCRIPTrON OF WORK 13 WINDOWS REPLACEMENT (SAME SIZE) IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] APPLICANT: TEL. NO: I ISUY, SOVANN (626) 226-3221- IAA BLDG PERMIT ISSUANCE 27.80 1 15544 PERSIMMON AVE. AS STATE GREEN BLDG FEE 1200.00 VAL 1.00 ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 AC STRONG MOTION RESID 1200.00 VAL 0.50 1 1 ID2 PERMIT W/0 EN-HC 1200.00 VAL 82.20 I 1 I IFR INV WORK W/O PERMIT 128.50 DOL 128.50 [ I ICONTRACTOR: TEL. NO: I TOTAL FEES 240.00 (APPROVALS DATE INSPECTOR SIGNATURE [ ISUY, SOVANN (626) 226-3221- 1 I I 15544 PERSIMMON AVENUE LIC. NO 1 [LOCATION AND SETBACKS I I ITEMPLE CITY, CA 91780 NONE 1 I I [ [ ISOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER: TEL. NO: - I IFOUNDATION/TRENCH FORMS I I [ LIC. NO: I ISLAB/UNDER FLOOR I I I [ IRAISED FLOOR FRAMING IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I 115OH277 3 001 1 1 1 I I IFLOOR SHEATHING [ I INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: II I [ [ NO 21 I [ROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS I [ [ (AIR QUALITY: 1000 FEET MATERIALS I I I I I 1 NO NO NO I IFRAME INSPECTION I I I I I IFIRE SPRINKLER HANGERS I I I I I I I I IINSULATION/WEATHER STRIP( I 1 I I INTERIOR LATH/DRYWALL I I I [ [ 1EXTERIOR LATH I I [ I I I I [RATED FLOOR/CEIL ASSEM. I [ I [ [ IRATED WALL ASSEMBLIES I [ IRATED SHAFTS/OPENINGS IT-BAR CEILINGS I I I [ I I LOT DRAINAGE [ I [ I I I ]REPORT ID: DPR261 ROUTE TO: BS0508 [ [ I I I I I [ I [