HomeMy Public PortalAbout5222 PAL MAL AVE_Building__ APPLICATION FOR BUILDING PERMIT
FO APPLICANT TO FHL IN (.Paint or type only)
BUJ' ' 'NG COUNTY OF LOS ANGELES
ADDREss DEPARTMENT OF COUNTY,ENGINEER
CITY z 1 P BUILDING AND TY DIVISION
O.OF BLDGS. BUILDING
SIZE OF LOT OW ON LOT ADDRESS Z 2--�
i
TRACT O, BLOCK LOT NO-73 LOCA LIT
TEL. NEAREST
OWNER NO. CROSS ST.
A ASSESSOR SS ��� MAP BOOK PAGE PARCEL
CITY C ZIP
DISTRICT I GROUP TCONPYEST. FIRE ESSED BY
ARC T CTO TEL
ENGINE R NO.
STATISTICAL CLASSIFICATION SEWER AP
ADDRESS CLASS NOeU�DWELL.UNITS 4*' BK�G
CONTRACTCR �\ TEL - � 'USE ZONE MAP
1 pC�
ADDRESS NW / 9 SPECIAL
CITY ` LIC. 03-/ Z� CONDITIONS
ZG CLASS ROAD DEPARTMENT APPROVAL REQUIRED YGS❑ NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
FNT PROP.LINE OF (STREET)
ADDRESS CITY HI HWAY + YARD (TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE' STORIES FAMILIES ONE
1 + - t
DE RIPTION OF WORK
' NEW C)
BLDG.SETBACK FROM v
ADD SIDE PROP.LINE OF (STREET)
ALTI`R - TOTAL SETBACK FROM PE OF EXISTING CO~7
HIGHWAY + YARD
REPAIR[:] SIDE PROP. LINE HI WAY WIDTH yJ
USE OF a
EXISTING BLDG. DEMOL ❑ + Z
APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL PERMIT ZONE YES ❑ NO ❑ "�
VALUATION, Cl V 1)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION /-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY -
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I 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 IN RELATING TO !� +if �•-P�'L�i�'� /°Jf/� �%r'� l �-�'
WORKMEN'S COMPENSATION INSURANCE. ^
SIGNATURE OF
PERMITTEE
ADDRESS //
</
TEL.
FINAL //'' j� BY 1
CITY NO. DATE
MAKE CHECKS PAYABLE TO: FEE'IV FEE
HARVEY T. BRANDT, COUNTY ENGINEER] I �,
I (J
PLAN'CHECK VALIDATION CK. M.O. CASH m PERMIT VALIDATION cK. M.O. CASH
•5 6 5,rl-'NOV 4 1/ U 9.5 0 Atz
76AS38A CE#803 5/74
ragas Cosa-A1"-PL.ICATIOiiA FOR BUILDING PERMIT
itss 1.
DIVISION OF BUMI)ING AND SAFETY BUILDING F�
Deportment Of County Englnee! ADDRESZ-
County of Los A1Lgel! LOCALITY
JOHN A.LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP SEWER MAP
FOR APPLICANT TO ML IN J� S TYPE � J
CONST.
BUILDING y�j ry J,aL �i/ MAP H� YES NO
ADDRESS NUMBER
�G 66 G/-�H jlrj a
[LOT NO. • S USEZNE SPECIAL�
_ CONDITIONS
TRACT ZeGNO.OF rryy%yyGjj'�,�a�
SIZE OF LOT/moi�`7� ,/f I j�ti•l NOW ON LOTS / BUILDING- EXIST.
YARD HWY' STREET NAME
USE OFJJ SETBACK WIDTH
EXISTING B++LD��G-DU.)e,//jlj:J FPOL T �'
OWNER '�/��• l7'. lt: G'rS7
SIDE
(,V GO
MAIL �J P.L.
ADDRESS /�/ � �i%✓��I� ,./� A..�S O TRACT DWELL. I UNIT 5 INDUSTRIAL
_CITY ���j�p,�,� G/'�y -NOI./-n. -Ff/.J�w 1 :DWELL. �o� I UNIT 6 PUBLIC BLDG,
ARCHITECT OR wry" TEL.�y�y 2 DUPLEX Av 2 UNITS
ENGINEERI/'7C'rb NO. 61r���� 3 APT. UNITS 7 ADDN..ALT., ETC.
r�
ADDRESS ` �/' '� ,/►7i4G 4 COMMERCIAL B MISCEL.
CONTRACTORJVO. �� INSPECTION RECORD yam'
ADDRESS Lol �
DESCRIPTION OF WORK
4:N::E W:)L ADD ALTER REPAIR DEMOLISH -
SC!.FT. „+ NO. OF NO.OF
SIZE STORIES FAMILIES
USE OF STRUCTURE ' P /� �f/t "_-_�` J�ti'G
/vim 4!/d /'
SIGNATURE OF
APPLICANT +� �•A APPROVALS
ADDRESS G a� pa/ /!//.a�/ DATE INSPECTOR'S SIGNATURE
FOUNDATION:LOCATION P
Ma P.C. S FORMS.MATERIALS i
�y � FEE FRAME: FIRE STOPS.
VALUATION -IyKJ $ BRACING.BOLTS
FEE FURNACE: LOCATION,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GA8 VENT,DUCTS
APPLICATION AND STATE THAT THE.ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH.INT.
AND STATE LAWS REGULATING BUILDING CONSTRUC- 41-1
( /`
TIONt f •-f
LATH. EXT. '1/-1�//y kleLYe-
SIGNATURE OF HOUSE NUMBER COR-
PERE RECT AND POSTED
ADORES FINAL
IOHN A.LAMBIE,COUNTY ENGINEER •VALIDATIQN CLYDE N.DIRLAM, CHIEF BLDG. INSPECTOR
CKMO CPCa9H '
1 5 81.L OCT 2.3 1 2-00
DEWARTMENT OF BUILDING AND SAFETY y APPLICATION FOR PERMIT
BOUNTY OF LOS ANGELES jAN 12194-9BU 1 L D 1 N G
WM. J. FOX, CHIEF 4NGINEER
FOR APPLICA7, 6
LL IN
' FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK.NO. PERMITNO.
BUILDNG
ADDEISS �y �`j1LOCALITYIW,�rJ �-®: Q A L RECEIVEED/D B1f JJDATE or APPL. f DATE ISSUED
NEAREST 1v�:., i� :T / / {® � ' / I I C�•C
CRO59 5T.
` C��V A j BUILDING 6 l Cf S ems, -21 \e
' OWNER .��C7��, �� �. �lF s ADDRESS
MAILa LOCALITY �c:�����j(/GrL,�
ADDRESS .e on FC»N I LG, �ri NEAREST /
,^,11 TELse ' q_,y xp, GROSS 5T.
CITY �!V 'df" NO. 115.. 6-'�-11 1i
FIRE No.or TYPE`- GROUP all p
ARCHITECT OR TEL ZONE '�- PLANS //11
ENGINEER NO.
BLDG. 2-0 r o ORD.NO.
ADDRE58 �s a���+ SETBACK LINE , -0
TEL APPROVED -7 '
CONTRACTOR �Q � A NO. BY �� �' /%'A DATE
? 1, USEAPPROVED
ADDRESS ZONE
- 'BY DATE
LEGAL CORRECTIONS
DESCRIPTION` I LOT NO. BLOCK
TRACT ! �, L �5
�g NO.OF BLDG9.
SIZE OF LOT O X I-r7 O NOW ON LOTS
USE OF I NO.OF NO.OF
EXTINI.
ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
N
REPAIR MOVING DEMOLISH 0
Sq.FT. NO.OF 2
SIZE ®� ROOMS ST13RIESS. J
WALLCOVERING 'bvA.N_ yF fs. I COVERING 6'I ,t:Y
USE DF NEW .+�� y ISDN
BUILDING �a �r�, h�
1
1 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 DOUNTY ORDINANCES- FORMS,MATERIALS NS �' �� Y
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
..�� FRAME: FIRE STOPS,
SIGNATURE Oc' - , (�{Vlt�fb BRACING,BOLTS 7
PERMITTE V J, LATH,INT.:
AUTHORIZED AGTy LATH,EXT.:
DBS-3 5DM SETS 1-4B $ PLASTER,INT.
FEE � • 0 PLASTER,EXT.
VALUATION FEE �••%• ?,� FINAL
r i
Ds 76A638A _
CE#803(REV.11/78) � � /2 �
�APPLICATIOiV WRBUII-LPERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADIDRESS
BUILDINGLOCALITY
S q
ADDRESS YQ
\ / I
+ NEAREST
CITY ZIP CROSS ST.
F BLDGS. ASSESSOR
SIZE OF LOT .OON LOT MAP BOOK PAGE PARCEL
O
DISTRICT GROUP TYPE FIRE ESSED BY
TRACT BLOCK LOT NO. a CONST.
TE U Gi
OWNER NO. L�
STATISTICAL C tswICATION i SEWER MAP
ADDRES CLASS NO.y DWELL.UNITS_--j BK PG
CITY s ZIP C
ARCHITECT OR TEL. VALUATION $ O
ENGINEER NO. %sb
ADDRESS BLDG.SETBACK FRO
. ' TEL J FRONT PROP.LINE O (STREET)
CONTRACTO L NO. TOTAL SETBACK F TYPE OF I EXISTING
LIC HIGHWAY + YARD = FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS 0 -NO r
CIT LIC. t =
CLASS BLDG.SETBACK FROM
CONSTRUCTION LENDER SIDE PROP.LINE OF (STREET)
NAME AND BRANCH
HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING d.
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH Q
SO.FT. NO.OF NO.OF CHECK + = u
SIZE STORIES FAMILIES ONE
U E ZONE MAP
DESCRIPTION OF WORK NEW �I NO. w
SPECIAL IL
ADD CONDITIONS y
ALTER ❑ FINA BY
` REPAIR ❑ DATE
USE OF DEMOL ❑ C; 2^ { r
EXISTING BLDG.
APPLICANT TEL
(PRINT) NO. Q } n r c c
O
BY(SIGNATS EI ( 11
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES b
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE V
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF
THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- z
PENSATION INSURANCE.'
6
C, " r
SIGNATURE OF
PERMITTEE
• o o e c c
ADDRESS Z
TEL.
O el
�
CITY NO. C
P.C.Fee Permit Fee v `c/v >
Issuance Fee �� W
eL
Total Fee
L !
2
COUNTY OF IAS 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 1211150073
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS:
ITR: 12205 IT: 33 I SQ. FT STORIES TYPE I 5222 PAL MAL AV
I ISTRUCTURE: 400 V-B TEMP CA 917803435
(ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET:
18585-030-038 I I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
I I I I
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
I (EXIST OCC GRP: 111/15/12 SR
(OWNER: TEL NO: 1BLDGS. NOW ON IAT: VALUATION: JFljqAL DATE FINAL BY: CODE:
IWANG, SHIH FANG - 1 1 2,500 I I
15222 PAL MAL AV I I,
ITEMP 917803435 1 FEES PAID IDESCRIPTIO OF WORK
I I IREMODEL BATHROOM #2
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT-1
(APPLICANT: TEL. NO: I I
IKAO, ANDY (626) 827-4567- IAA BLDG PERMIT ISSUANCE 27.80 1
12532 EDWARDS AVE 6 IAB STATE GREEN BLDG FEE 2500.00 VAL 1.00 ISPECZAL CONDITIONS:
IS EL MONTE CA 91733 IAC STRONG MOTION RESID 2500.00 VAL 0.50 I I
I JB2 PERMIT W/ENERGY 2500.00 VAL 108.90 I I
1 _1 TOTAL FEES 138.20 I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IBESTALL CONSTRUCTION (626) 827-4567- 1 1 I
12582 EDWARDS AVE #6 LIC. NO I ILOCATION AND SETBACKS I I I
IS EL MONTE CA 91733 953477 1 1 I 1 I
I I ISOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 (SLAB/UNDER FLOOR 1 I I
I I 1RAISED FLOOR FRAMING [ I
]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I I
1147H273 3 001 1 I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I
1 0 NO 21 ] 1 ROOF SHEATHING I I I
I I I I I I
] SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
JAIR QUALITY: 1000 FEET MATERIALS I I I I ]
I NO NO NO I IFRAME INSPECTION I I ]
[FIRE SPRINKLER HANGERS I I I
I I I I I I
I I (INSULATION/WEATHER STRIPI I I
I I JINTERIOR LATH/DRYWALL I I I
I IEXTERIOR LATH I I I
IRATED FLOOR/CEIL ASSEM. I I I
I I IRATED WALL ASSEMBLIES 1 I I
1 IRATED SHAFTS/OPENINGS I I
] 1T-BAR CEILINGS 1 I I
1 I. ILOT DRAINAGE
I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I
I I I I I I
r - •
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 1211140088
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 12205 LT: 33 I SQ. FT STORIES TYPE I 5222 PAL MAL AV [
I ISTRUCTURE: 400 V-B I TEMP CA 917803435 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18585-030-038 1 I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
I I L I
ITENANT: 1EXIST BLDG USE: RESID USE ZONE: R-1 IISSUED ON: PROCESSED BY: I
1 (EXIST OCC GRP: 111/14/12 SR I
I I I I
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1
IWANG, SHIH FANG - ] 1 3,800 I I
15222 PAL MAL AV I I I
ITEMP 917803435 1 FEES PAID 115ESCRIPTION OF WORK 1
I Ill WINDOW REPLACEMENT 1
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I
APPLICANT: TEL. N0:
KAO, ANDY (626) 827-4567- IAA BLDG PERMIT ISSIIANCE 27.80 1 I
12532 EDWARDS AVE 6 IAB STATE GREEN BLDG FEE 3800.00 VAL 1.00 ISPECIAL CONDITIONS: I
S EL MONTE CA 91733 IAC STRONG MOTION RESID 3800.00 VAL 0.50
ID2 PERMIT W/O EN-HC 3800.00 VAL 115.80
] TOTAL FEES 145.10 I I
[CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE 1
IBESTALL CONSTRUCTION (626) 827-4567- 1 1 I
12582 EDWARDS AVE #6 LIC. NO I ILOCATION AND SETBACKS I I
IS. EL MONTE, CA 91733 NONE [ I I 1 I
I I ISOILS ENGINEER APPROVAL I I I
,ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I
I LIC. NO: I [SLAB/UNDER FLOOR I I I
[ IRAISED FLOOR FRAMING 1 I 1
I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I I I
I147H273 3 001
I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
1 0 NO 21 ' 1 IROOF SHEATHING
I I I
I SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
1AIR QUALITY: 1000 FEET MATERIALS I I I I I
I NO NO NO I IFRAME INSPECTION I I I
I I ]FIRE SPRINKLER HANGERS I 1
I I (INSULATION/WEATHER STRIP(
I I (INTERIOR LATH/DRYWALL I I
I I (EXTERIOR LATH
I I IRATED FLOOR/CEIL ASSEM. ] ] ]
I I IRATED WALL ASSEMBLIES I 1 [
[RATED SHAFTS/OPENINGS
I I I
IT-BAR CEILINGS
I
I ] ILOT DRAINAGE
I I I I I I
I IREPORT ID: DPR261 ROUTE TO: BS0508 I 1 [
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 BL08 21060046
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I
ITR: 12205 IT: 33 SQ. FT STORIES TYPE 5222 PAL MAL AV
(STRUCTURE: 400 V-B I TEMP CA 917803435 [
(ASSESSOR INFORMATION NUMBER: [ I NEAREST CROSS STREET:
18585-030-038 [ I THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
ITENANT: ]EXIST BLDG USE: RESID USE ZONE: R-1 ]ISSUED ON: PROCESSED BY: I
I 1EXIST OCC GRP: 110/26/12 SR [
[OWNER: TEL NO: [BLDGS. NOW ON LOT: VALUATION: [F ALD fi FINAL CODE: [
IWANG, SHIN FANG - [ 1 15,000 1 I
15222 PAL MAL AV I IMP
'3!
917803435 I FEES PAID IDESCRIPTION OF WORK
[INTERIOR REMODEL FOR BATHROOM AND KITCHEN
]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1
]APPLICANT: TEL. NO: I I I
]KAO, ANDY (626) 827-4567- IAA BLDG PERMIT ISSUANCE 27.80 1 I
12532 EDWARDS AVE 6 AB STATE GREEN BLDG FEE 15000.00 VAL 1.00 ISPECIAL CONDITIONS: [
IS EL MONTE CA 91733 AC STRONG MOTION RESID 15000.00 VAL 1.50
D2 PERMIT W/O EN-HC 15000.00 VAL 300.60 I
FR INV WORK W/O PERMIT 342.20 DOL 342.20 1 I
[CONTRACTOR: TEL. NO: TOTAL FEES 673.10 JAPPROVALS DATE INSPECTOR SIGNATURE
IBESTALL CONSTRUCTION (626) 827-4567- 1 1
12582 EDWARDS AVE #6 LIC. NO 1 ILOCATION AND SETBACKS I I ]
IS. EL MONTE, CA 91733 953477 B 1 I_. I I I
I I ISOILS ENGINEER APPROVAL [ [ I
(ARCHITECT OR ENGINEER: TEL. NO: ] IFOUNDATION/TRENCH FORMS ] [
I - ]
ILIC. NO: (SLAB/UNDER FLOOR I I
IRAISED FLOOR FRAMING I I ]
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: cMP:1 JUNDERFLOOR INSULATION [
1147H273 3 001 1 I I
I I IFLOOR SHEATHING ] I [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
[ 0 NO 21 I IROOF SHEATHING I I [
I SCHOOL WITHIN HAZARDOUS ] (SHEAR PANELS I I I
LAIR QUALITY: 1000 FEET MATERIALS [ I I I I
NO NO NO [ IFRAME INSPECTION I [ I
(FIRE SPRINKLER HANGERS
I
(INSULATION/WEATHER STRIPI I I
I I I I
(INTERIOR LATH/DRYWALL I I
I 1EXTERIOR LATH
I I
(RATED FLOOR/CEIL ASSEM. I I ]
I (RATED WALL ASSEMBLIES I I
IRATED SHAFTS/OPENINGS I I
IT-BAR CEILINGS I I
(LOT DRAINAGE I I
I I I
(REPORT ID: DPR261 ROUTE TO: BS0508
I I �