HomeMy Public PortalAbout5208 PAL MAL AVE_Building__ 76AG38A CE 0803 1/71 � W' G
.APPLICATION FOR BUILDIPERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDINGys{' J, ;
ADDRESS J
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY �.J
FOR APPLICANT TO FILL IN NEAREST
Print ora only) / CROSS ST
BUILDING .
DISTRICT NO._ G O TYPE r4sCE HD Q
ADDRESS f . r 1. ! 5- 0 Q' CONST.
LOT NOBLOCK STATISTICAL CLASSIFICATION SEWER MAP
�
CLASS NO.� DWELL.UNITS EfK PG
TRACT USE ZONE MAP
NO.OF SLOGS. 1 / NO.
SIZE OF LOT NOW ON LOTI( SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
OWNER `� �7Q i ��rd`I� NEL-LAZSOZ7 Z BLDG.SETBACK FROM
ADDRESS go a-3 Gael er, FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY HIGHWAY WIDTH FROM G.L.
ARCHITECT OR TEL. F =
ENGINEER NO. BLDG. TBACK FROM
ADDRESS SIDE PRO . E OF (STREET)
TEL. TYPE OF 1EXISTING S HIGHWAY + YARD = TOTAL C
CONTRACTO "zl ryNO, HIGHWAY WIDTH FROM C.L. L
ADDRESS NO + = O
LIC.
CITY CLASS CORNER CUTOFF YES ❑ NO u
CONSTRUCTION LENDER D
NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS
ADDRESS
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMI. IES
USE OF ADD ❑
STRUCTURE _
ALTER ❑
REPAIR[:]
SIGNATURE OFr i
APPLICANT DEMOL
VALUATION $7a B� APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE 5 FEE 5 r t/- FORMS, MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VOLA TI ON OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CALIFORNI IN RELATING TO
WORKMEN'S COMPE 017ijiN IN URANCE /
LATH, EXT.
SIGNATURE
PERMITTEE •r HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS r L- / FINAL
JOHN F. LEWIS. PRI CI A STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M o. CASH _ PERMIT VALIDACK. O. CASH
L,1�0 c l 7 I IlIY 4 � 3.0 0
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMEAT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1406300049
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST NEW 1 BUILDING ADDRESS: I
IBX: 38 PG: 15 PC: 1 SQ. FT STORIES TYPE OCCUP GROUPI 5208 PAL MAL AV I
(STRUCTURE: .395 1 V-B R-3 I TEMP CA 917803435 I
IASSESSOR INFORMATION NUMBER: I GARAGE: I NEAREST CROSS STREET: LORA
18585-030-052 I OTHER: -I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
ITENANT: (EXIST BLDG USE: USE ZONE: 11SSUED ON: PROCESSED BY:
(EXIST OCC GRP: 07/30/14 SR
I I I 1
TOWNER: TEL. N0: 1BLDGS. NOW ON LOT: VALUATION: ]FINAL
FINAL DATE FII��L BY: CODE:IYONG I
SU LAN (626) 564-0488- I 100,000 I L`�
5208 PAL MAL AV
TEMP 917803435 I FEES PAID ID SCRIP ION OP WORK
I I 1395 SF ADDITION & REMODELIJ EXISTING HOUSE TOTAL 3
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:JBEDROOMS, 2 BATHROOMS AND KITCHEN [
(APPLICANT: TEL. NO:
ISHERRY WANG (626) 841-1968- IBI PLANCHECK W/ENERGY 100000.00 VAL 1,211.70 1 I
111104 W HONDO PKWY IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS:
(TEMPLE CITY CA 91780 1AACC STRONGATE GMOTION RESIDBLDG E 100000.00 VAL 4.00
100000.00 VAL 10.00 I
I JB2 PERMIT W/ENERGY 100000.00 VAL 1,425.50 1 I
(CONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 JAPPROVALS DATE INSPECTOR SIGNATURE 1
ITOP KING CONSTRUCTION, INC. (626). 841-1968- TOTAL FEES 2,780.40 1 I
11104 W HONDO PARKWAY LIC. NO 1 ]LOCATION AND SETBACKS
CITY CA 91780 867899 [
ITEMPLE I I 11,
I I
ISOILS ENGINEER APPROVAL 1 1
JARCHITECT OR ENGINEER: TEL. NO: [FOUNDATION/TRENCH FORMS
ILIC. NO: 1 ]SLAB/UNDER FLOOR RegI�
1 I RAISED FLOOR FRAMING
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMI-:1UNDERFLOOR INSULATION 1 I I
I I I
I 3 - I 11ST LEVEL FLOOR SHEATH [ I
[NO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I ]
0 NO 21 1 12ND LEVEL FLOOR SHEATH I 1
SCHOOL WITHIN HAZARDOUS I IROOF SHEATHING [
JAIR QUALITY: 1000 FEET MATERIALS T
I NO NO NO I IFIRE DEPT. FRAME INSPECT
11
I 1 IBLDG DEPT. FRAME INSPECTI I I
I
1 I (SHEAR PANELS 1
I I
_1 I INSULATION/WEATHER STRIP I
11NTERIOR LATH/DRYWALL I u ,C6J
if Y-c
1 I 1EXTERIOR LATH I
ILOT DRAINAGE ISI
I I (SMOKE DETECTION DEVICES I
IFIRE DEPARTMENT APPROVAL( ] I
I &
IREPORT ID: DPR261 ROUTE TO: BS0508 I
I I I I 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 1410080048
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
1STRUCTURE:BK: 38 PG: 15 PC: 1 1 SQ. FT STORIES TYPE I 5208 PAL MAL AV 1
1680 V-B I TEMP CA 917803435 1
[ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: LORA
18585-030-052 1 [ THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
I I I
ITENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ]ISSUED ON: PROCESSED BY:
I 1EXIST OCC GRP: 110/08/14 SR 1
(OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: IFINAL PATE FIN Y: CODE: 1
IYONG SII LAN (626) 564-0488- 1 9,800 I ]
15208 PAL MAL AV ]
ITEMP 917803435 I FEES PAID 1D SCRI ION OF WORK I
] I 1TEAR OFF - REROOF FOR EXISTING HOUSE, INSTALL NEW PLYWOOD ]
I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:INEW 15 LBS UNDERLAYMENT NEW 20 YRS SHINGLES I
(APPLICANT: TEL. NO: I I I
ISHERRY WANG (626) 841-1968- IAA BLDG PERMIT ISSUANCE 27.80 1 I
111104 W HONDO PKWY IAB STATE GREEN BLDG FEE 9800.00 VAL 1.00 ISPECIAL CONDITIONS: I
TEMPLE CITY CA 91780 AC STRONG MOTION RESID 9800.00 VAL 1.00 1
1D2 PERMIT W/O EN-HC 9800.00 VAL 216.60 I I
I I TOTAL FEES 246.40 I I
(CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE 1
ITOP KING CONSTRUCTION, INC. (626) 841-1968- I 1I I I
111104 W HONDO PARKWAY LIC. NO ILOCATION AND SETBACKS
ITEMPLE CITY CA 91780 867899 ] 1 I I I
ISOILS ENGINEER APPROVAL I I
1ARCHITECT OR ENGINEER: TEL. NO: 1 (FOUNDATION/TRENCH FORMS I
1 LIC. NO: 1 (SLAB/UNDER FLOOR 1 I
I [ 1RAISED FLOOR FRAMING I 1 1
E: CMP:[ (UNDERFLOOR INSULATION 1
[MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: 1 I I
1 3 001 1
FLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I I I
1 NO 21 1 IROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS [ 1SHEAR PANELS I I I
AIR QUALITY: 1000 FEET MATERIALS 1 I I I I
NO NO NO i IFRAME INSPECTION [ I [
IFIRE SPRINKLER HANGERS
] 1 11NSULATION/WEATHER STRIPI I I
1 11NTERIOR LATH/DRYWALL 1 ] 1
[ [ 1EXTERIOR LATH I I [
[ 1 IRATED FLOOR/CEIL ASSEM. I [ I
I RATED WALL ASSEMBLIES
I I [
1RATED SHAFTS/OPENINGS
1 1 1T-BAR CEILINGS I I
1 1 ILOT DRAINAGE [ [ I
1 1REPORT ID: DPR261 ROUTE TO: BS0508 1 I I I
COUNTY OkF 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 1410290003
PHONE: (626) 285-0488 EXT:
LEGAL ID: I NO. OF CONST BUILDING ADDRESS:
1BK: 38 PG: 15 PC: 1 SQ. FT STORIES TYPEAV
I (STRUCTURE: V-B 5208 PAL MAL TEMP CA
917803435
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LORA
18585-030-052 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
TENANT= [EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1
(EXIST OCC GRP: 110/29/14 SR
OWNER:
TEL N0: 1BLDG3. NOW ON LOT: VALUATION: ]F DATE FI BY: CODE:
IYONG SU LAN (626) 564-0488- 1 1,500 1
15208 PAL MAL AV I I
ITEMP 917803435 I FEES PAID DESCRIPTFION OF WORK
I 1 [REPLACE EXISTING 5 WINDOWS I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( ]
(APPLICANT: TEL. NO: I I I
ISHERRY WANG (626) 841-1968- IAA BLDG PERMIT ISSUANCE 27.80 1
111104 W HONDO PKWY AB STATE GREEN BLDG FEE 1500.00 VAL 1.00 ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 IAC STRONG MOTION RESID 1500.00 VAL 0.50
I
IDI PLANCHECK W/O EN-HC 1500.00 VAL 82.10 1
ID2 PERMIT W/O EN-HC 1500.00 VAL 82.20 1
ICONTRACTOR: TEL. NO: I TOTAL FEES 193.60 (APPROVALS DATE INSPECTOR SIGNATURE 1
ITOP KING CONSTRUCTION, INC. (626) 841-1968- 1 1 1
111104 W HONDO PARKWAY LIC. NO 1 ILOCATION AND SETBACKS I I 1
ITEMPLE CITY CA 91780 867899 1
I (SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I
I - I
LIC. NO: I [SLAB/UNDER FLOOR 1 1
I (RAISED FLOOR FRAMING
(MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( IUNDERFLOOR INSULATION I I
3 OOI FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/GOND: STAT CLASS: I I I
NO 21 1 IROOF SHEATHING
1 SCHOOL WITHIN HAZARDOUS I I I I I
AIR QUALITY: 1000 FEET MATERIALS (SHEAR PANELS
NO NO NO ]FRAME INSPECTION 1 1 1
I 1
I FIRE SPRINKLER HANGERS
I I I I
1 IINSULATION/WEATHER STRIPI I 1
1 I INTERIOR LATH/DRYWALL 1 1 1
1 1EXTERIOR LATH 1 1 ]
(RATED FLOOR/CEIL ASSEM. 1 ] I
IRATED WALL ASSEMBLIES I I I
1 RATED SHAFTS/OPENINGS
I I
I I IT-BAR CEILINGS I I I
I I ILOT DRAINAGE I I I
1 IREPORT ID: DPR261 ROUTE TO: BS0508 1 I 1 I
1 I I I I I