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Home My Public Portal About5211 PAL MAL AVE_Building__ 76A638A CE 0803 1/71 t; • APPLICAT ON OR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING ADDRESS (J COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST Print or tvoe only) -CROSS ST. BUILDING ... DISTRICT NO UP TYPE re=. ADDRESS r L 1/� CONST, �J !/ STATISTICAL CLASSIFICATION •J� R MAP LOT NO. BLOCK CLASS NO. �/DWELL.UNITS� BK TRACT Q USE ZONE MAP �O10 NO.OF BLDGS. 77 NO. SIZE OF LOT 0 NOW ON LOT / SPECIAL USE OF CONDITIONS EXISTING. BLDG. OWNER ��'TLJ�'S NOLl'} fj; BLDG.SETBACK FROM ADDRESS. �� N L 44,94 Aye, FRONT PROP.LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL 1T HIGHWAY WIDTH FROM C.L. CITY ' ARCHITECT OR TEL. + _ ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) } TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL a CONTRACTOR NO, HIGHWAY WIDTH FROM C.L. a C.: ADDRESS NO + _ C LIC. F CITY CLASS CORNER CUTOFF YES ❑ NO ❑ CL CONSTRUCTION LENDER a clr NAME AND BRANCH 'SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SQ. FT. NO. OF NO. OF NEW El STORIES FA I I USE OF ADD ❑ STRUCTUR ALTER ❑ SIGNATURL OF REPAIR[:] APPLICANT DEMOL ❑ VALUATION S r 0 APPROVALS ATE INSPE OR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE$ FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON I TION OF THE LATH, INT. LABOR CODE OF THE OF •CALIFO IA IN E TING TO WORKMEN'S COMPr IO I URANC LATH, EXT. SIGNATURE OF�/ HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS 1V FINAL o ',Z MA JOHN F. LEWIS. P IPAL STRUCMURAL E PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION c . M.O. CASH JACo4 1 16� JM 26 1 D 6.00 a . . TEMPLE -CHTY FGAE86A C8#908.1-61 APPLI CATION:I FOk - " U I LD I N PER G E MIT COUNTY OF LOS ANGELES BUILDING' DEPARTMENT OF COUNTY ENGINEER ADDRESS ,a- BUILDING AND SAFETY DMSION LOCALITYj f4 ca JOHN A. LAMBIE. COUNTY ItNQINEER NEAREST - qj WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. Al l DISTRICT N GROUP 'TYPE P my FOR APPLICANT TO FIll IN KO L I CONST. BUILDING ° �""n STATISTICAL CLASSCATION SEWER MAP ADDRESS .i1. wry L K CLASS.N ELL.UNITS LOT NO. BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT MAPHIGHWAY STATE MAJOR SECOND AL LOC qq �(S NO.OF BLDGS. NO. d (CIRCLE) SIZE OF LOT. U KNOW ON LOT USE ZONE SPECIAL USE OF / OWCONDITIONS EXISTING BLDG. TEL. NE O B ILDING EXIST. 1*q I \l 1�_/)`� n ') SETBACK YARD HWY STREET NAME WIDTH' ADDRESS I !l �Gl.Y/` L7/�_ FRONT 1 1 ARCHITECT OR TEL P.L. V ENGINEER - NO. SIDE P.L. } ADDRESS TEL / INSPECTION RECORD,-i / p CONTRACTOR IlJ PLl NO. ! ADDRESS ' i1�yV!!e L�� i lWi �"1� '.t.,• 9 G' DESCRIPTION.OF WORK T. W d NEW ADD ALTER REPAIR DEMOLISH h .FT. NO.OF NO.OF Z SIZE STORIES FAMILIES S USE.OF STRUCTURE oa 7 SIGNATURE OF APPLICANT VALUATION 5 . !) APPROVALS DATE \INSPECTOR'S SIGNATURE P.C. PMT. Fi FORMS!MATERIALS - FEE $ / FRAME:FSTOPS. .1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINGIREBOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE,TO COMPLY FURNACE:LOCATION. •I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS f BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK . AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATHINT TION OR THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH,INT. ING TO WORKMEN'S CqI.IPENSATION INSURANCE. LATH,EXT. SIGNATURE OF r HOUSE NUMBER COR- fid' PERM ITTE :RECT AND POSTED' ADDRES FINAL CLYDE N. DIRLAM, PRINCIPALS URAL ENGINEER PLAN CHECK VALIDATION cK. M.O. CASH w PERMIT VALIDATIO cK. M.O. CASH � Go 3 '1 31,1_31 FEB 2 5 1 D 4.0 E N r ' i I 76A638A CE#8035 6IAPPLICATION FOR BUILDING P RMIT COUNTY OF LOS ANGELES BUILDINGADORE 1 . DEPARTMENT OF COUNTY ENGINEER SS BUILDING AND SAFETY DMSION LOCALITY l JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP :TYPE PRGCE�SED BY FOR APPLICANT TO FILL IN �` (J ,. ( C CONST. BUILDING ` STATISTICAL CLASSIFICATION SE ER MAP ADDRESS J- I11 - \ +� 1_y""-d( 1 (A. i1 /' K P�Sa, CLASS. NO.• DWELL. UNITS _ 11 LOT NO. BLOCK WATER NOT REQUIRED / RECEIVED CERTIFICATE: TRACT .�-L?7 y MAP HIGHWAY �« NO.OF BLOGS. 1/jl STATE MAJOR SECON LOCAL NO.� (CIRCLE) _ _SIZE OF LOT Q X �� Q NOW ON LOT USE ZONE SPECIAL USE OF � CONDITIONS EXISTING BLDG. (� TEL. OWNER /Lit.) NO. BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH ADDRESS 'r -� _ "•�I%- FRONT ARCHITECTOR d _ TEL. P, L. ll L n �. ENGINEER l/ NO. SIDE d ADDRESS ( J �I P. L. V fL� : TEL. INSP CTION RECOJID CONTRACTOR \. O. 0 A' O ADDRESS "i 1 I ` _ ( G,7 W DESCRIPTION OF RK - H z NEW ADD ALTER REPAIR DEMOLISH SO. FT. /2 � NO. OF NO.OF _ SIZE •3 �� - '' STORIES FAMILIES USE OF STRUCTUR .-� IA A. I SIGNATURE OF APPLICANT VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE P.C. S �} PMT. �' FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. ICERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF— 1 / E U-�"°- �" .': HOUSE NUMBER PERMITTE RECT AND POSTED ADDRESS (2!— �I _ FINAL CLYDE N. DIRLAM, PRINCIPAL STR7RAL ENGINEER PLAN CHECK VALIDATION cu, M.O. CASH PERMIT VALIDATION M.O. CASH ' 696 "' FEB D13 10 15.0 ; 76AS38A CE #803 3-69 APPLICATION FOR BUILDING PERMIT 9 COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST. 'w__ I E'er FOR APPLICANT TO FILL IN RICT NOy/yy� GROUP TYPE CONST. PRO ESSED B (PRINT OR TYPE ONLY) 5 �OV BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. 2.L—DWELL .LUNITS 0 BK PG LOT NO. BLOCK USE ZONE NO. O l TRACT SPECIAL NO. OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF : s EXISTING BLDG. 1 AIQ BLDG. SETBACK FROM TEL. FRONT PROP. LINE OF ! (STREET) OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESSHIGHWAY WIDTH FROM C.L. + g.9 = 2s CITY Qj ~ ARCHI ECT OR SILI TEL. BLDG. FROM (STREET) ENGINEER N0. SDE PROP. LINE OF TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. CONTRACTOR N0. J + c ADDRESS NIC 0 CORNER CUTOFF YES NO ❑ C CITY CLASS .. SEE REVERSE SIDE FOR SPECIAL APPROVALS c CONS RUCTION LENDER I- NAME AND BRANCHL n ADDRESS v SQ. FT. N0. OF N0. OF ❑ - SIZE STORIES FAMILIES NEW USE OFADD STRUCTURE •� ALTER sL M� REPAIR ❑ SIGNAT E OF DEMOL C] APPLICANT VALUATION$ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. �'' Q O FOUNDATION: LOCATION FEE $ FEE $ .� FORMS MATERIALS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION, TION. I CERTIFY THAT IN DOING THE WORKA ORIZED HEREBY 1 GAS VENT DUCTS WILL NOT EMPLO ANY RSON IN VIOLATI N 0 THE LABOR CODE LATH, INT. OF THE STATE 0 C I ORNIA IN RELATI TO ORKMEN'S COM- PENSATION INSU N LATH, EXT. SIGNATURE OF PERMITTEE HOUSE NUMBER CORRECT AND POSTED ADDRES FINAL - /G JOHN F.-LEWIS, PRINCIPALS URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O. CASH Ar„ 4 0 6 7R iVR13 D 9.00