HomeMy Public PortalAbout5608 PERSIMMON AVE_Building__ 1 -APPLICATION FOR BUILDING PERMIT
FOR-(APPLICANT TO FILL IN (Print or type bnly)
BUIRDING n, COUNTY OF LOS ANGELES
A4
AE55 0 DEPARTMENT OF COUNTY ENGINEER
CITY7LP C'' ZIP 9Y��o , -BUILDINGS ANDS TY-DIVISION
If NO.OF
SIZE OF�LOT60") 'y-/ NOW ON LOTS / ADIDRESS LDING 6 ��8
TRACT/J/-345 BLOCK LOT NOA✓ LOCALITY
�Ie TEL�j// �j NEAREST �
OWNER JO�i{yv/Q1 M N0.7.7�v/iZ CROSS ST.
ASSESSOR
ADDRESS-�8 �/'f'�idJ/yjQ�/ MAP BOOK PAGE
-)-+ n Co. q/ DISTRICT GROUP TYPE FIRE OCE ED Y
CITY e a: CZIP //7Y6 CONST Z
ARCHITECT ��77 TEL.
ENGINEER �I No
STATISTICAL CLASSIFICATION SEWIER MA
ADDRESS CLASS NO.p��DWELL.UNITS i--+ BK;` G
CONTRACTOR STEL. USE ZONE MAP
LIC. ,
NO NO. 'Q �
SPECIAL
ADDRESS -NO. Off/ CONDITIONS
CITY LIC.
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH
BLDG.SETB ROM
ADDRESS CITY FRONTPROJF.LINE OF (STREET) C
HIGHWAY YARD -_ TOTAL SETBACK FROM TYPE OF EXISTING C
SQ, FT. WO. OF NO, OF CHECK FRONT PROP. LINE' HIGHWAY WIDTH c
SIZE STORIES FAMILIES ONE
DES' IPTION OF WORK NEW
C
ADD BLDG.SETBACK FROM
�^ SIDE PROP.LINE OF STF3.EET)
ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE EXISTING
]DEMOL
EPAIR❑
SIDE PROP. LINE HIGHWAY WIDTH
USE
EXISOT NG BLDG.�Be. ❑ +
AP AN • , TEL 113 J CORNER CUTOFF YES ❑ NO ❑
�/ No.O.yW-ip
BY RE ev
IN OPEN SPACE. YES 11 NO El
IN COASTAL ZONE YES ❑ NO ❑
VALUATION ,5-, CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ENVIRONMENTAL ,
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANSTATE 0Y PERSON IN VIOLATION OF THE
WORKMEN'S COMPENSAT ON'INSU FLABOR CODE OF THENCALIFORNIA IN RELATING TO e-VP/< a -i—Af-
SIGNAYURE O0Pl� I—, �(� 42W ✓f1 rl_Q �-�
PERMITTEE _
ADDRESS
FINAL BY
TEL. DATE
CITY NO. Q
MAKE CHECKS PAYABLE.TU: AEE I' FEE
HARVEY T. BRANDY. COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION cK. .0., CASH
6 5 ti rtPR 19 �,. D - 4. 8.7 5
7GA638A CE#803 7/73
AP •PLICATION FOR BUILDING PERMIT .
FOR APPLO'ICANT TO FILL I'N (Print or type only)
BNLDINGr .- COUNTY OF LOS ANGELES
ADL+4ESS U DEPARTMENT. OF COUNTY ENGINEER
CITY : ZIP ]g® BUILDING AND TY DIVISION
NO.•OF•BLDGS. BUILDING /' (�
SIZE OF LOT&� � NOW ON LOT � ADDRESS��VQ
TRACT ✓/ BLOCK LOT NC'3 LOCALITY
• j NEAREST
OWNER d /' of 3(Q CROSS ST..
ASSESSOR
ADORES 49MAP BOOK PAGE PARCEL
//yy DISTRICT GROUP TYPE FIRE SSED BY
CITY 7 Z,v" C%( ZIP 0 '� CONS,tS,T' ZON
ARCHITECT OR TEL. I r �V
ENGINEER NO' STATISTICAL CLASSIFICATION \
SEWER MAP �
ADDRESS CLASS NO,,.�DWELL.UNITS• B PG
CONTRACTOR P TEFLO. . 1! USE ZONE MAP
LIC.
�/ NADDRESS Sy jtNO, Z �. CIAL
DITIONS
CITY S' CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETB&tK FROM C
FRONT PR .LINE OF (STREET) C
ADDRESS CITY _ TOTAL-SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD - p
SQ. NO. OF j NO. LI CHECK FRONT PROP. LINE HIGHWAY WIDTH C
SIZE tP STORIES ( FAMILIES ONE CCCF
DESCRIPTION OF WORK NEW 1:11 + G
ADD BLDG.SETB
�S1- SIDE PROP.LINE-OF (STREET)
ALTER,[] HIGHWAY + YARD = TOTAL SETBACK TYPE OF EXISTING
REPAIR❑ SIDE PROP. LINE WAY WIDTH
USE OF
EXISTING BLDG. DEMOL ❑ + r
APPLICANT V� O TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT)
BY (SIGNATOR IN OPEN SPACE YES ❑ NO ❑.
IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ `J - CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT P CESSED (DATE)
HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION THE �r ^ ��
LABOR CODE OF THE STATE OF CAL(FOR IA RELA NG TO
� Q IJ'gl� �+ �L �S yp
WORKMEN'S COMP I�INSURA lY.� .i R?/` /9•
SIGNATURE � � �. C p
PERMITTEE
ADDRESS ;ft CDR Ir'��7 �/ v�S/ '• i1L�Jr.7 t f�I eL.b
K FINAL
TEL. w/� DATE f 77
CITY � NO. /� L
MAKE CHECKS PAYABLE TO: F E $ FEE
HARVEY T. BRANDY, COUNTY ENGINEER ^�
PLAN CHECK VALIDATION cK.- M.O. CASH ^ PERMIT VALIDATION CK. M.O. CASH
,8 JUN 24 1 0 4 8.7 5 ora
76A638A CENB03 7/73 ,
i
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 0510210013
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 13935 IT: 35 SQ. FT STORIES TYPE 5608 PERSIMMON AV
STRUCTURE: 0 VN TEMP CA 917802808
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:AtAJh/6y
8573-010-011 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 10/21/05 VG 10/16/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FAL D}�E� FINAL BY: CODE:
HERNANDEZ,MANUEL (626) 582-8085- 1 600 a�/
5608 PERSIMMON AV
TEMP 917802808 FEES PAID DESCRIPTION OF WORK
REPAIR ROOF RAFTER ON GARAGE
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - SAA BLDG PERMIT ISSUANCE 27.75
IAC STRONG MOTION RESID 600.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 EN-HC 600.00 VAL 43.65
TOTAL FEES 71.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
150H273 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS _
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH DRYWALL
EXT3RIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CIT: # 050x. BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS~IUNtiQ ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA SL 0508 9706250092
PHONE: (818) 285-0488 EXT: !
LEGALD: NO. OF CONST BUIL G R SS:
TR: 13935 LT: 35 SQ. FT STORIES TYPE 5608 PERSIMMON AV
STRUCTURE: . 0 VN TEMP CA 917802808
ASSESSOR INFORMATION NUMBER: NEAREST- CROSS STREET:
8573-010-011 THOMAS PAGE: 597 GRID: C3 •LOCALITY: TEMPLE CITY
TENANT: IST BLDG S SID USE ZONE: R- DON: PROCESSED BY: EXP RES ON:
EXIST OCC GRP: 06/257 TC 6/25/98
OWNER: TEL. N0: BLDGS. NOW ON LOT: VA UATION: FI AL DATE FINAL BY: CODE:
HERNANDEZ,MANUEL (626) 582-8085- 1 1,950 1 /�A
5608 PERSIMMON AV l
TEMP 917802808 FEESP SCI 0 OF WURK
T/0 AND APPLY 1/2" CDX PLYWOOD AND RECOVER WITH 20 YR
APPLICANT: TEL. N0:
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: COMP. SHINGLE
�
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 1950.00 VAL 0.50 SPECIAL CONDITIONS:
CD2 PERMIT W/0 EN-HC, ? ' 11,950.00 VAL 82.20
i_.L:TOTAL FEES 110.45
CONTRACTOR: TEL. N0: ���` - ,_� ��+� Q APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO ` �'% ``�. `� -:.s� 0 SETBACKS
jr 40
s'a SOILS'ENGINEER APPROVAL
ARCHITECT OR ENGINEER: 0: •�B'. f' r° —'e'er `1 > c• y fOUNDATIONITRENCH FORMS
LIC. N0: {' ' i,• — ', _ - ' SLAB/UNDER FLOOR
d _ ' ISE;I OOR FRAMING
MAP N0: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
;i� ';_ : i F - � . ,,i;
150H273 3 01
0. OF FAMILIES: DWELLING I PT CO C SS: FLUOR(SHEATHING
NO 21 i ��' �, _ ,"� 1 ROOF TSHEATHING Z77
SCHOL WITHINA R S SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO F,'' D :r•' '' FRAME INSPECTION
EQ D OTA SETBACK ST - __ -- --_z "?� E 5 L GE S
SET BACK YARD: HWY: PROP LINE: WIDTH: �� F'
FRONT PL- �: ,:;^ •., IN SU TION/WEATHER STRIP
SIDE PL- ��'
IN ER• OR L /DR WAL
EXTE MOR LATH
RATED,' F OOR L ASSEM.
,
RATED WALL ASSEMBLIES
RATED-SWA-FTS/OPENINGS
T-BAR CEILINGS
I
OTD AG
'REPORT ID: DPR261 ROUTE TO: BS0508 I
1
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