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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 .4