HomeMy Public PortalAbout5119 PAL MAL AVE_Building__ APPLICATION FOR BUILDING PERMIT 'flFOR-R, .PLICANT TO FILL IN (Print Or type Only) -
FAEsS§, COUNTY 'OF LOS ANGELES
DEPARTM OF COUNTY ENGINEER
' '� zIP ILDIN A SAFETY DIVISION
NO.OF BLDGS. BUILDING
F LOT NOW ON LOT ADDRESS `
TRACT/21205 BLOCK LOT NO. C LOCALITY
/U� ` .T+ TEL. NEARESTto
OWNER /�! (a lb,Cm CROSS ST. )IL
ASSESSOR
ADDRESS ,E MAP BOOK PAGE RCEL
;ICT GP CYOPE _ F RO ESSED BY
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CITY �' � ZIP
ARCHITEC OR TEL. �, ,
ENGINEER NO' STATISTICALZSSIICATION[� SEWER MAP
ADDRESS CLASS NODWELL,UN ITS BK PG
CONTRACTOR NOL' U&ZONE MAP
LIC. NO,
ADDRESS NO, SPECIAL
LIC. CONDITIONS
CITY .' CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FRONT PROP.LINE OF (STREET)
ADDRESS CITY HIGHWAY + - YARD TOTAL SETBAC FROM TYPE OF EXISTING
SQ. F NO. OF NO. OF CHECK FRONT PROP LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES j -ONE
DESCRIPTION OF WORK NEW ❑ + ' C
ADD ❑ BLDG,SETBACK FROM Ck
&L000p SIDE PROP.LINE OF (STREET) C
LTER ❑ HIGHWAY + YARD TOTAL SETBACK ROM TYPE OF EXISTING
e f REPAIR SIDE PROP. LIN HIGHWAY WIDTH a
USE OF N %
EXISTING BLDG. (C s. DEMOL ❑ + `
AP
(PR ..p
1N �D TEL
y / CORNER CUTOFF YES ❑ NO ❑ ~\
BY (SIGNATURE) (o IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑
VALUATION,$ ,. �,i✓'�� d, �/�
1 HEREBY ACK LVIDGE THAT I'HAVE-READ THIS APPLICATION �`p s�I��� ✓ Fefim� '�''V � Aver �
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY'
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
TEL.
STRUC-TION. t CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I'WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE '
LABOR CODE OF THE STATE OF -.CALIFORNIA IM RELATING TO
L
PENSATI INSURANE.
F ���
Or
/9 ''
P NO. FINAL BY
DATE
KE C CKS PAYABLE TO: FE � FEE I'CgT. BRANDT, COUNTY ENGINEER
r
PLAN'CHECK VALIDATION -CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
S 7rL-1 NOV 13 1 U 6 -9.0 0 -98
7GA638A Cr.0003 3/74 ^
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
ALTERATION/RfiPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0701120006
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 12205 LT: 9 SQ. FT STORIES TYPE 5119 PAL MAL AV
STRUCTURE: 1800 VN TEMP CA 917803434
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-022-010 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C
I
TENANT: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
BOB SWENSON 'EXIST OCC GRP: 01/12/07 JK 01/07/08
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
TAYLOR NORMAN A;MERRILLEE M (909) 599-3215- 4,800 / /���
3986 ALLEN ST. A !�
SAN DIMAS FEES PAID DESCRIPTION OF WORK
REMOVE ONE LAYER OF WOOD INSTALL 7/16 OSB PLYWOOD AND 30
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: YEAR SHINGLES AND RIDGE CAP
APPLICANT: TEL. NO:
BRIAN REEFER (909) 608-0622- AA BLDG PERMIT ISSUANCE 27.75
1216 BEGONIA COURT AC STRONG MOTION REBID 4800.00 VAL 0.50 SPECIAL CONDITIONS:
UPLAND CA D2 PERMIT W/O EN-HC 4800.00 VAL 132.60
TOTAL FEES 160.55
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
REEFER'S ROOFING (909) 608-0622-
1216 BEGONIA COURT LIC. NO LOCATION AND SETBACKS
UPLAND, CA 91784 HIC
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
147H273 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
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
* ADDITIONAL DATA ON FILE
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
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 1012010049
PHONE: (626) 285-0488 EXT:
ILEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 12205 LT: 9 I SQ. FT STORIES TYPE 1 5119 PAL MAL AV 1
1STRUCTURE: V-B I TEMP CA 917803434 I
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 1
18585-022-010 �- THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
I I
(TENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 [ISSUED ON: PROCESSED BY:
[EXIST OCC GRP:, 112/01/10 SR 1
10WNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: (FINAL DATE FINAL BY: CODE: 1
ITAYLOR NORMAN A;MERRILLEE M (909) 599-1620- 1 4,500 1
15119 PAL MAL AVE. 1 I I
ITEMPLE CITY CA 91780 I FEES PAID IDESCRIPTION OF WORK
I I IKITCHEN REMODEL
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ [
[APPLICANT: TEL. NO: 1
ISAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.80
[ SAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 ISPECIAL CONDITIONS:
AC STRONG MOTION RESID 4500.00 VAL 0.50
B2 PERMIT W/ENERGY 4500.00 VAL 146.10 I 1
TOTAL FEES 175.40 1 I
JOS C OAR:: TEL. NO: - I IAPPROVALS DATE INSPECTOR SIGNATURE
I
I-
I LIC. NO LOCATION AND SETBACKS 1
I � I I
SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: - I (FOUNDATION/TRENCH FORMS I I I
LIC. NO: 1 ISLAB/UNDER FLOOR I I
IRAISED FLOOR FRAMING [ I
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I- (UNDERFLOOR INSULATION I I
1147H273 3 001 1 1 I I
I IFLOOR SHEATHING I I I
[NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: 1 p q�
1 NO 21 1 t )�II,'F7
IROOF SHEATHING 1 1
I 1 h u lf� J SHEAR PANELS 1 1 1
SCHOOL WITHIN HAZARDOUS
IAIR QUALITY: 1000 FEET MATERIALS a l I I I I
NO NO NO I (FRAME INSPECTION I 1 1
I I IFIRE SPRINKLER HANGERS I 1
(INSULATION/WEATHER STRIP {
(
INTERIOR LATH/DRYWALL 1
I I. 4 521b
1EXTERIOR LATH
I
[RATED FLOOR/CEIL ASSEM. 1 I I
I II IRATED WALL ASSEMBLIES I 1 1
1 I RATED SHAFTS/OPENINGS
I IT-BAR CEILINGS I 1
I I I I �
I [LOT DRAINAGE 1
I I I
I [REPORT ID: DPR261 ROUTE TO: BS0508 I I I