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APPLICATION FOR, bU IL OI NGPERMIT' ".. .' .
:'COUNTY-OF LOS ANGELES Bu1CDING'
AD°REss
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND*SAFETY DMSION LocaLl
-JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
t CASSATT D.GRIFFIN,SUPT OF BUILDING - CROSS ST.
• DISTRICT O. U TYPE, PROCESSED B Y `
FOR APPLICANT TO, FILL IN ddL coNST '
BUILDING // �` STATISTICAL CLASSIFICATION., SEWER P
ADDRESS
CLASS.NOS DWELL.UNITS.
LOT NO. BLOCK NUMAP MBER STATE YES "
�.® Sd HWY,
TRACT• USE NE SPECIAL .
NO.OF BLDGS;; CONDITIONS
SIZE OF LOT I NOW.ON LOT
USE OF
EXISTING BLDG''., - BUILDING EXIST.
SETBACK YARD ' HWY STREET NAME.-— .WIDTH
OWNE FRONT v� �!
MAIL
ADDRES SIDE
TEL. P.L.
CIT.? NO. - rJ INSPECTION RECORD •
ARCHITECT O
ENGINEER
ADDRESS 6
T � - FL
CONTRACT O N
ADDRESS
DESCRIPTION OF .WORK , . ��cfiy AIIr� �'1.;1PAW ,�/�.�..� -••�''
NEW ADD ALTER REPAIR- DEMOLISH f
SQ. FT. -NO. OF NO..'OF •i G I-•c"n ` G�
SIZE STORIES FAMILIES •_
USE OF
STRUCTURE.`
SIGNATURE-OF
APPLICANT
APPROVALS' DATE INSPECTOR'S SIGNATURE "
ADDRES FOUNDATION:LOCATION r _
�f I FORMS•MATERIAL'S '�� ® '• Z `Y" z�_
VALUATION $coO V FRAME:FIRE STQPS,
BRACING,BOLTS
P.C. 00 1 PMT. / loo FURNACE:LOCATION,
FEE $•' FEE $ ( � �' GAS VENT,DUCTS
HEREBY ACKNOWLEDGE THAT•I HAVE READ THIS-AP-
LATH.-INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY JVITH ALL COUNTY ORDINANCES AND s '
STATE LAWS jREPLATING BU DI INSTELUCTION. LATH,EXT.
SIGNATUREOF HOUSE NUMBER COR-
PERMITTE [[JVVJ RECT AND POSTED i
ADDRESS NAL..''
CLYDE N. DIRLAM. PRINCIPAL-.STP RAL ENGINEER..
PLAN:CHECK VALIDATION,- CK. -M.O. ASH PERMIT-'VALIDATION C&• M.O. CASH
.. 18 2 3 A 3.00 •�M ®P
i
CUJNTY OF LOS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS I 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 I BL 0508 0107300069
' PHONE: (626) 285-0488 EXT:
LEGAL ID: 0. OF CONST iBUILDING
TR: 13935 LT: 19 I SQ. FT STORIES TYPE 5651 PERSIMMON AV
STRUCTURE: 1200 VN TEMP CA 917802809
ASSESSORR 0 B R: NEAREST CROSS STREET: LIVE OAK
8573-001-017 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
i
TENANT: I S G : S S SS 0PROCESSED S
EXIST OCC GRP: 07/30/01 UT 01/26/02 .
OWNER: TEL. N0: BLDGS. NOW 0 LOT:
VALUATION: FINAI D TE B CODE:
PETERS, RANDY (626) 445-1827- 3,000 A
5651 PERSIMMON AVE12-% d
TEMPLE CITY CA 91780 S C IF
TEAR;OFF, APPLY 71W OSB SHEATING AND REROOF W/COMP. SHINGLE
+ FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 40 YEAR
L. N0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID-� 3000.00 VAL 0.50 SPECIAL CONDI IO S:
D2 PERMIT WIO EN?NC= 3000.00 VAL 99.00
�� r :TOTALFEES 127.25
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER ®'
LIC. NO I �/� �!, ^� \r��'. LOCATION D SETBACKS
e f, i�/, ~ �,i" SOILS ENGINEER APPROVAL
ARCHITECT0 GI EL. 0: - ; ;�I,- �.,-,'I ce-.\ ,� 0 0 /TRENC FORMS
LIC. NO; / _- -- I - , �A SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
P NO: SEWER MAP BOOK: PAGE: FIRE ZONE. CM :='1 i' i fjf) + - +' ' o- UNDERFLOOR INSULATION
XX
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:'- ----- - ---- --- - - ------ '
NO 21 \� C , ROOF SH H
NG
SCHAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET �
MATERIALS
NO NO NO •i�,+I;.., FRAME INSPECTION
SET BACK YARD: HWY: PROPREQUIRED TOTAL TBACK LINE:FRO WIDTH: �EXIST �' I_I '4° FIRIS R G R
FRONT PL- `q /W INSULATION TER R S P
SIDE PL- If ��---- �--
��-- '� INTERIOR L R AL
EXTERIOR LATH
F
RATE4 WALL ASSEMBLIES
A 6 G
I
T-BAR CEILINGS
i
0 AI
REPORT ID: DPR261 ROUTE TO: Bs05O8
I
•`',M
I ' 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 0304300032
PHONE: (626) 285-0488 EXT:
NO. OF CONST G ADDRESS:
TR: 13935 LT: 19 SQ. FT STORIES TYPE OCCUP GROUP 5651 PERSIMMON AV
STRUCTURE: 1093 1 VN S1 TEMP CA 917802809
ASSESSOR 0 0 GARAGE: NEAREST CROSS STREET: LIVE OAK
8573-001-017 OTHER: THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
TENANT: EXIST BLDG USEfS Z ISSUED ON: PROCESSED B : E .
EXIST OCC GRP: 08/29/03 JK 08/23/04
OWNER: TEL. NO: BLDGS. NOW ON OT: VALUATION: F s E FINAL BY: CODE:
PETERS;RANDY L (626) 445-1827- 31,370
5651 PERSIMMON AVE
TEMPLE CITY 91780 FEES PAID DESCRIPTION OF WORK-
GARAGE W/3/4 BATH (BUILDING NOT TO EXCEED 15FEET IN HEIGHT)
APPLICA TEL. NO: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
SAME AS OWNER - D1 PLANCHECK W/0 EN-HC 31370.00 VAL 478.37
AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS:
AC STRONG MOTION RESID 31370.00 VAL 3.14
D2 PERMIT W/O EN-HC 31370.00 VAL 562.80
CONTRACTOR: TEL. N0: TOTAL FEES 1,072.06APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCH I TECT-0-R-Rd! R: TEL. NO: - OUNDA 0 TR S l
LIC. NO: SLAB UNDER FLOOR ,
RAISED R FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZO E: CMP: UNDERFLOOR INSULATION
3 01
0. OF FAMI LL N
G TS: APT D: STA C SS: IST LEVEL FOR SH
NO 21 2ND LEVEL FLOOR SHEATH
SCHOOL T RS ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FIRE DEPT. FRAME I SP CT
REQUIRED _T07AU-SETUCK FROM EXISTBLDG DEPT.-TWARR-MPSECT
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- SHEAR PANELS / -
SIDE PL-
INSULA'T'ION/WEATHERINSULA'T'ION/WEATHER STRIP
INTERIOR LATH/DRYWALL
EXTERIOR AH
LOT DRAINAGE
SMOKE DETECTIONDEVI
FIRE DEPARTMENT APPROVA
REPORT ID: DPR261 ROUTE TO: BS0508