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HomeMy Public PortalAbout5545 PERSIMMON AVE_Building__ Iw SA630A CE#609,0.69. APPLICATION FOR BUILDING PERMIT � '•Y� 1 COUNTY OF LOS-ANGELES -BUILDING "' i 'DEPARTMENT OF COUNTY ENGINEER, ADDREs ' BUILDING AND SAFETY DIVISION LOCALITY t ' JOHN A.LAMBIE,COUNTY ENGINEER, NEAREST CASSATT D.GRIFFIN,SUP•T OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE PR SEED HY FOR APPLICANT TO FILL IN I CONST. BUILDING STATISTICAL CLASSIFICATION-- EBKR MAP ADDRES /1 CLASS.NO. DWELL.UNITs � • [g'- LOT NO. BLOCK MAP 0STATE " YES O , /� J I NUMBER HWY. TRACT (wa USE ZONE SPECIAL ' / NO.OF BLDGS. q CONDITIONS SIZE OF LOT / �� I NOW ON LOT IFF�I USE OF V EXISTING BLDG. lax'o:g&ne BBUILDING EXIST. SETBACK.. YARD HWY STREET NAME- SETBACK. OWNER FRONTp �� V MAIL P.L. law ADDRESS' � O 6" SIDE TEL. P.L. 'TY " INSPECTION RECORD _ARCH ITECT Ao TEL. ENGINEER (� JJ NO. -� S q y,z 11..��"—Q " ADDRESS tJi�Q> +' TEL. - i l���, �. .ty E t:a Iva►._:,� CONTRACTOR' NO. 24 _.ADDRESS DESCRIPTION OF WORg � NEW AD ALTER• REPAIR DEMOLISH SQ.FT. NO.OF NO.OF Si�.l�zfX//..L. � 1 �.ly��._y� ,%e.v� f �7�.�.J.,,p•�/n�l!/L� 'vf/�•, SIZE m� STORIES FAMILIES ,f(f �„,fi,rr: f USE OF STRUCTURE I _s:h!s:' �'�r if.2Aµ�F'.:[s.!•Fr1�• _W ?/ " �tsil:. .�r�i :�14`=s"�d�+tti!� ��� :!�}s_'.t�•�,ai:'7+f.:�' �;I,J SIGNATOR 3% •APPROVAL'fS APPLICAN �_ v '/ DATE 1NSP,ECTOR'S SIGNATURE ADDRE FOUNDATION: LOCATION c� p FORMS.MATERIALSy -sQO• �� p,C. $ FRAME: FIRE STOPS. FEE -BRACING.BOLTS VALUATION $ O FURNACE:.LOCATION. FEE GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPL Ri ALL COUNTY ORDINANCES AND LATH,EXT. STATE LAWS, U G IL ONSTRU ION. SIGNATURE HOUSE NUMBER COR- PERMI RECT AND POSTED ADDR FINAL CLYDE N.DIRLAM.PRINCIPAL STRUCTURAL'E PLAN CIMCS VALIDATION CK. M.O. ' CASH PENNIIT VALIDATION.. cK. M.o. CASH 8.11 u-, MA1112. . '1'� 1,2.00' � . . 76A636A CE#803 9-68 APPLICATION FOR-BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING i� DEPARTMENT OF COUNTY ENGINEER ADDRESS 25 --e BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST. j E' FOR APPLICANT TO FILL IN DISTRICT NO. G ouP TYPE PROCESSED BY (Print or type only CONST BUILDING STATISTICALCLASSIFICATION SEWER MAP ADDRESS SlJi7 CLASS NO�'' ??LDWELL.UNITS BK(5 PGG LOT NO. BLOCK USE ZONE OP d�D TRACT SPECIAL CONDITIONS SIZE OF LOT �B�C NOW ON LOTS USE OF EXISTING BLDG. BLDG.SETBACK FROM J. ./ Or TEL O. _ ' FRONT PROP.LINE OFyBOE J-f �d/?� BEET) OWNER _ TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. OJ j CITY a 1pQ. ttv oz 0 BLDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF 1EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS IGHWAYI WIDTH FROM C.L. CONTRACTOR W sZ NOL + — c ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ CITY CLASS SEE RE ERSE SIDE FO PEC L APPROVALS CONSTRUCTION LENDER NAME AND BRANCH of � e ADDRESS 5/ 3$. FT. NO. OF NO. OF J SIZE 1NEW ❑ � STORIES FAMILIES 5ax-IT USE OF ADD ❑ STRUCTURE L1 0—& &rog L ALTER 6 42❑ SIGNATURE OF REPAIR❑ APPLICANT DEMOL ❑ � VALUATION 5 �1 APPROVALS -A E• INSP OR'S SIGNATURE P.C. PMT. a FOUNDATION: LOCATION FEE 5 FEE 5 7--d0 FORMS, MATERIALS FRAMEI FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION . BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF *CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, SIGNATUREO HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS'—'5—'g FINAL 6 Jj JOHN F. LEWIS. PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. GASH �_Ul 9 7 7 6.c%'DN FAY 5 .1 D 9.00- APPLICATION 6*013 13UILDING PERMIT COUNTY OF LOS ANGELES ► BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING gDT4 _ or a certificate of Workers'Compensation Insurance,or a certified Copy thereof(Sec.3800,Lab.C.) CITY r- n I ZIP LOCALITY Policy No. Company SIZE OF LO S v► NO OF BLDG(SS..`N,QFW ON LOT ❑ Certified copy is hereby furnished. ©� LTJ 1 NEAREST CROSS S ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER'` 1p T L NO A a COMPENSATION INSURANCE ✓� `r' -fe6 1�[ WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS w dollars($100)or less.) Z/1-s,_Z"yam-,d�► DISTRICT GROUP TYP ONST FIRE ZONE PROCESSED BY CITY fq4q ZIP I certify that in the performance of the work for which this permit le, C is issued, I shall not employ any person in any manner so as t0 ARCHITECT ORENGINEER TEL NO become subject to the Workers'Compensation LAWS. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. A-0 / DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate Of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith / FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP a (commencing with Section 7000)of Division 3 of the Business and SQ.FT SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. "'W47A/o / NEW ❑ BK PG C DESCRIPTION OF WORK VALUATION , License Number Lic.Class ADD ❑ /&� Contractor Date Of q ALTER ❑ (%� D O r C El am exempt under Sec. ,.REPAIR ❑ F- BAP.C.for this reason `CL'cQ DEMOL ❑ LL LDMA P/C# Date: USE OFIEXISTING BILDt. f, 7 URM ❑ V Signature = ? APPLICANT(PRINT) TEL NO. LDMA Perm# . ._. s ❑ 1, as owner of the property, or my employees with wages as C-J Z �'-'-( °'Q their sole compensation, will do the work and the structure is ADDRESS D ��; not intended or offered for sale (Section 7044, Business and �'17ne_ O'✓� - FINAL DATE Q , 303 rofessions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL S _q 7 I, as owner of the property, am exclusively contracting with AMOUNTS A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q licensed contractors to construct the project (Section 7044, AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY TOTAL �i�5 c 0 Business and Professions Code.) ves 1-1 No El TOTAL WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING -.HECK OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR � GUIDELINES CHARGE�O_ °�- I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the work for which this permit is issued(Sec. of I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING N 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2 20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS i iJl�I:IJ -+IJI f 1 llj:- . Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. 2310., T L AM 8-"t-"o t 0 Lender's Address 0 OWNER OR AGENT c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE /.� N with all county ordinances and State laws relating to building (J construction,and hereby aqMqr1ze representatives of this County ISSUANCE FEE ato enter up?.qhe above- Toned property for inspection pur oses. 6 1 19 INVESTIGATION FEE TOTAL FEE ® L D n tU W 1 b �Oal SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0404140004 PHONE: (626) 285-0488 EXT: i LEGAL I • N0. OF CONST NEW :BUILDING DDRESS: TR: 13613 LT: 142 SQ. FT STORIES TYPE OCCUP GROUP 5545 PERSIMMON AV STRUCTURE: 400 1 VN U1 ;TEMP CA 917802807 ASSESSOR- INFORMATION NUMBER: GARAGE: iNEAREST CROSS STREET: DAINES 8573-002-005 i OTHER: iTHOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: I EXIST BLDG USE: USE ZONE: ISSUED N: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 04/15404 VG 04/10/05 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL'DATE FINAL BY: CODE: CHAN ROBERT (626) 279-2826- 8,000 5545 PERSIMMON AV I `_� TEMP 917802807 FEES PAID DESCRIPTION OF WORK BUILD NEW DETACHED OPEN PATIO 400 S.F. I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: APPLICANT: TEL. NO: SAME AS OWNER - AX BUILDING REVIEW FEE 54.70 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 8000.00 VAL 0.80 D2 PERMIT W/O EN-HC 8000.00 VAL 183.00 TOTAL FEES 266.25 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR NGINEER: -T-E[.---NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEATH NO. OF AMILIES: DWELLING NITS: APT/COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHI HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: I A FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- I SU A 0 /WEA E STRIP INTERIOR LATH/DRYWALL EXTERIOR LATH OT DRAINAGTE- SMOKF6ETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: SS0508 ' 1 � 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 0904290006 PHONE: (626) 285-0488 EXT: LEGAL ID: I NO. OF CONST J BUILDING ADDRESS: JTR: 13613 LT: 142 I SQ. FT STORIES TYPE I 5545 PERSIMMON AV ] I [STRUCTURE: 400 V-B I TEMP CA 917802807 I (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: DAINES I 8573-002-005 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY TENANT: IEXIST BLDG USE: PATIO USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 EXIST OCC GRP: 105/06/09 SR OWNER: TEL. NO: JBLDGS. NOW ON LOT: VALUATION: FIIAL qATA FINAL BY: CODE: I CHAN, ROBERT (626) 279-2826- 1 10,000 5545 PERSIMMON AV I I O I ITEMP 917802807 I FEES PAID ID CRIPTI OF WORK I I (ENCLOSED ZE) DETACHED PATIO COVER FOR STORAGE 400 S.F. I I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ [ APPLICANT: TEL. NO: I I I KHAN (626) 279-2826- ID1 PLANCHECK W/O EN-HC 10000.00 VAL 184.11 1 15545 PERSIMMON AVE. JAA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS: (TEMPLE CITY CA 91780 JAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 I J JAC STRONG MOTION RESID 10000.00 VAL 1.00 ] ID2 PERMIT W/O EN-HC 10000.00 VAL 216.60 I I ICONTRACTOR: TEL. NO: I TOTAL FEES 430.46 JAPPROVALS DATE INSPECTOR SIGNATURE J ICHAN, ROBERT (626) 279-2826- I 1 ' I 15545 PERSIMMON AVE. LIC. NO 1 ILOCATION AND SETBACKS [TEMPLE CITY, CA 91780 NONE ] [SOILS ENGINEER APPROVAL I I I JARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I I - I LIC. NO: I JSLAB/UNDER FLOOR I I I I RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:J JUNDERFLOOR INSULATION I I I XX 3 00 I IFLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I NO 21 1 (ROOF SHEATHING I I I SCHOOL WITHIN HAZARDOUS ISHEAR PANELS JAIR QUALITY: 1000 FEET MATERIALS I I I I NO NO NO i (FRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I I I SET BACK YARD: HWY: PROP LINE: WIDTH: I I I IFRONT PL- I JINSULATION/WEATHER STRIP I SIDE PL- I I I I I JINTERIOR LATH/DRYWALL I I 1 EXTERIOR LATH L J RATED FLOOR/CEIL ASSEM. I J I I I IRATED WALL ASSEMBLIES J ]RATED SHAFTS/OPENINGS I I I I I [ IT-BAR CEILINGS I ] I LIT DRAINAGEREPORT ID: DPR261 ROUTE TO: BS0508 /� f1��