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HomeMy Public PortalAbout5027 PAL MAL AVE_Building__ iJt.YA!•LTlvlh-NT Ulf BUiLD3NG AND SAFETY fVr"lVtiLJLUIX rUn a'L.nitlll1 COUNTY OF LOS ANGELES � � � � ® � WM. J. FOX, CHIEF ENGINEER .c FOR APPLICANT'TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS C)eA �,` LOCALITY T{�-•G�-ZT l> C� \� 9RE'�CE!lyED BY �nyDATE OFAPP•LL. DATEISSUED NEARE ST ORD99 T. BUILDING ADC ESB &- OWNER � — MAIL � ADDRESS .+C s LOCALITY / , C 1 +�® 1 TEL ry� A CRO95 ST. CITY \ 6T, � w NO. K �Ca � FIRE NC.CF TYPE GROUP ARCH ITECTOR v TEL. ZONE PLANS ENGINEER fil.�r 1ff NO. BLDG. f / ORD.NO. ADDRESS SETBACK LINE- APPROVED TEL. BY DATE CONTRACTOR C5 k.) \�1.�f'b� NO. USE APPROVED ADDRESS ZONE I BY DATE LEGAL DESCRIPTION LCTNO. 3 BLOCK JF el e CORRECTIONS ZZ_� \� `�r�� TRACT 0 //t�i7 i3 Frc�r C` NO.OF BLDGS. SIZE OF LOT s I NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. a� Q �yA FAMILIES , I ROOMS DESCRIPTION OF wonx NEW ALTERATION ADDITION - p REPAIR MOVING DEMOLISH Sq.FT. q NO.OF Z SIZE (# ROOMS TORIES ,/ y WALL S7_(JC C O I ROOF COVER r COVERING USE OF NEW )U BUILDING q- ¢ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND TATE THAT THE ABOVE IS CORRECT FOUNDATION:LOCATION INS ECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND'STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING BOLTS 7 OWNER LATH,INT.: d , AUTHORIZED AGT- LATH,EXT.: �'✓� •. nes-a 2SM arm 4-47 P.C. PLASTER,INT. , r ' �a FEE $ o PLASTER,EXT. VALUATION FEE 3 FINAL DEPARTMENT OF BUILDING AND SAFETY Ar.FLll :ATlul4 tint PLI Mi r COUNTY OF LOS ANGELES mme L WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRIC NO. PLAN CK.NO. PERMIT NO. BUILDING ,T-No. ADDRESS y / �--- e d LOCALI e. A ,z/ RECEIVE�SY r DATE 13FAPP L. DATE ISSUED NEAREST - �rf�/ �� ..' •tet-! CROSS ST. BUILDING - OWNEI -/° f MAIL LOCALITY ! r ADDRESS ' N.EAREST TEL. 4 ROSS ST. CIT oGC NO. /J FIRE NO.OF � TYPE { GROUP`F ARCHITECT R TEL. ZONE PLANS ENGINEER NO. BLDG. I ADDRESS SETBACK LINE p/ TEL. APPROVED BATE I CONTRACT .J,/_( � J ' - - f 9E APPROVED ADDRESS yn �! ( ZONE 7 BY DATE LEGAL DESCRIPTION LOT NO. BLOCK /% J.I 0 CORRECTIONS r - TRACT S �® I NO.OF BLDGB. SIZE OF LOT T NOW ON LOT USE OF v r NO.OF I NO.OF EXISTING BLDG I 1.1 FAMILIES ROOMS DE CR I Ong.. NEW ALTERATION ADDITION O REPAIR tdOVING DEMOLISH A Q Bq.FT. NO.OF Z SIZE _ ROOM BTO IES y WALL ROOF F r COVERING 'COVERIN j( _ _.ail USE OF NEW rr / BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS 'APPLICATION AND STATE THAT THE ABOVE 15 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWOREGULATING BUILDING CONSTRUCTION. fy, f ��/!/ �if �f FRAME, FIRE STOPS, SIGNATURE�O BRACING,BOLTS PERKJTffZ,f � !1r1.1%P� ._ >* y ,6 LATH, INT. AUTHORIZED AST LATH, EXT. DES-39A M 48 SE PLASTER,INT. DES-3 SUM SETS � P.C.$ r ,N FEE PLASTER,EXT. VALUATION f� �+ 1/l FEE !�' FINALc.�- MENT �BUILDIN � <D"S'AFETY` _ CATIO -REBZ4 T_`�- �• �- _ '' �CO'�T11TTY OF. LOS ANGELES - `.� '--;� -.=(- p Lb ON W.M. J. FOX, CHIEF ENGINEER `�. -FOR'APPLICANT TO FILL IN- FOR OFFICE USE•ONLY . BUILDING ' DISTRIC NO•' L NOK. 110. PERMIT NO. ADDRESS r 3 ` LOCALITY . �udn C.L"G RECE�/ED���BY DATE OF APP.L(3 + DATE ISSUED / NEAREST CRO 65 p� .�1. L l� lE C�` ;Z`C' -z BUILDING' © 13W,4/.-. �� ADDRESS 74_-/ f / MAIL ADDRESS 1..63 '(ice t`� \ C�i Pa a.i6i LOCALITY y{IT!0 . • NEAREST � J � CITY!�� �`n1 �yr q, NO. �26 CROSS ST: / 1 FIRE NO. TYPE,..�� GR ENGIOUP A�"O TEL. r� QQ I . �/ NEER Z ZONE PLA r —__ BLDG. ORD.-NO. ADDRESS G •\_ G't as I& SETBACK LINE ' TEL. ' APPROVED CONTRACTOR �1 '�"' NO. ` BY D_ATE USE lef APPROVED r. ADDRESS ZONE / BY DATE LEGAL DESCRIPTION I LOT NO. I BLOCK' CORRECTIONS TRACTu Z - { NEI OF BLOBS. / 57 SIZE OF LOT �>C '� I .NOW ON LOT �C ' }!IA ' Pi,•,l/1_, 0 USE OF NO.OFN . OF O EXISTING SLOG. l`�y��� �, I FAMILIES ROOMS — 1> DESCRIPTION OF WORK NEWALTERATION ADDITION ol f A REPAIR Elloo M OVING DEMOLISH Sq. FT. r NO OF _24 f Z SIZE °J ROOMS �� STORIES .1+''Ga •, A p �� J i •-�1�I WALL ROOF r COVERING t,J_0.a.Et I;COVERING tY1dA.Ve,, _ it ' UBE 13 NEW BUILDING ` ` �i� I HEREBY ACKNOWLEDGE. THAT I .HAVE READ THis APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION, INSPECTOR' DATE AND:AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, I .� SIGNATURE OF BRACING, BOLTS Il/7 `ir':' 0:," OWNER • . LATH, INT.: AUTHORIZED AST _ - 1 LATH, EXT.: P. C.11j9 V PLASTER, INT. FEE �. PLASTER, EXT. VALUATION: FINAL i FEE WORKERS'COMPENSATION DECLARATION IJv�-K I hereby affirm that I have certificate of consent to self ®®L T I® FOR WILDING PERM'T insure, or a certificate of Workers'Compensation Insurance, ® ® � or a certified copy thereof(Sec. 3800, Lab. C.) I COUNITYOF LOS ANGELES MOLDING AND SAFETY acyNaWP83-44676Company Fremont Indemnity,i BUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ® Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS 5027 Pal Mal LOCALITY f. NEARE Date x7/5/83 Applicant Virtrin Roof Company CITY Temple Cit zip 91780 N.EAREST CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PGE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP hundred dollars($100)or less.) j TRACT BLOCK LOT NO. NO. i TEL. SPECIAL y- I certify that in the performance of the work for which this OWNER Mrs. Allender NO. CONDITIONS �- I STRICT GROUP TYPE FIRE PROCESSED BY 0 permit is issued, I shall not employ any person in any manner I ADDRESS 5027 Pal Mal , CONST. ZONE V so as to become subject to the Workers'Compensation Laws. I �� W Date Applicant CITY Temple Cit ZIP 91780 STATISTICA CLASSIFICATION A CONDO. II— NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. ENGINEER NO. CLASS NO. DWELL. UNITS Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be deemed revoked. CONTRACTOR Virgin Roo NO.2870507 BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P. 0• BOR J NO.160650 VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. $ 4216 00 Professions Code,and my license is in full force and effect. CITY $ CLASS • SQ.FT. NO.OF NO.OF CHECK License Number 160650 Lic.Class MC) SIZE STORIES FAMILIES ONE Contractor Virgin Roof CMY 7/5/193 DESCRIPTIONOF WORK Re—roof with NEW ❑. 300# Class "A" Fiberglass ADD C1 :. ❑I am exempt under Sec. ALTER ❑ FINAL wrS P r, ' B.&P.C. for this reason composition shingles. REPAIR � DATE � �j 0 Date: USE OF DEMOL ❑ FINAL EXISTING BLDG. By Signature APPLICANT TEL. OWNER-BUILDER DECLARATION PRINT Virgin Roof Co. NO. 287®0507 LI I hereby affirm that I am exempt from the Contractor's License BOX J San Gabriel 91778 0 Law for the following reason (Section 7031.5, Business and ADDRESS Pe • Professions Code): PRESENT ❑ -BUILDING I, as owner of the property, ormy employees with ADDRESS c c % `t C;C) wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY o o ;' (%,0`- 7044, Business and Professions Code). MOVING TEL. ❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 7 (1 _8 with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED YARD HWY TOTAL SETBACK FROM EXIST. 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. tSec. 3097, Civ. C.). SIDE P.L. `a Lender's Name zi $ P.C. Fee$ Permit Fee 67.50 Lender's Address I certify that I have read this application and state that the Issuance Fee 10.50 above Information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee 78.00 and hereby authorize representatives of this County to enter _. up n the above-mentio d ty for inspection purposes. 1 SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Applicant or Agent Date ®s