Loading...
HomeMy Public PortalAbout5238 PAL MAL AVE_Building__ t 7GA638A C.1paos.Bre? ". - APP;LICATION FOR BUILD-I., iS: PERNiI �COfINTY OF I&OS ANGELES :BUILDING DEPARTMENT OF,COUNTY ENGINEER ADDRESS r BUILDING .AND SAFETY'DIVISION 'L-ocA'LITY JOHN A. LAMBIE; COUNTY,ENGINEER COLEMAN W: JENKINS, SUP'T'OF BUILDING NEAREST -CROSS ST-. FOR APPLICANT TO FILL IN. o1STRICT No G , TYPE PRC �,4,SEp (Print or type only) I`�. Q : CONST. /�X/_.�, BUILDING 41- JJ STATISTICAL C A IFICA TION. SEWE `M-APPC/ ADDRESSSR� L CLASS NO. DWELL.UNITS BK LOT NO. !� BLOCK USE ZONE MAP,0. n TRACT SPECIAL ll NO.OF BLDGS. CONDITIONS SIZE OF LOT ' ✓ NOW ON.LOT . USE OF CC EXISTING BLDG. / E �d � CZ' BLDG.,SETBACK FROM TEL FRONT PROP.LINED F (STREET). OWNER /�-© NO. TYPE OF EXISTING SETBACK HIG WAY + YARD = TOTAL ADDRESS L L .HIGHWAY .WIDT FROM C.L. - CITY E �� C7 BLDG. ETBACK FROM. ARCHITECT.OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK -HIGHWAY' +- YARD = TOTAL ADDRESS - HIGHWAY WIDTH FROM C.L. CONTRA CTO ! E NOL g LIC. s�0-1 0 + ADDRES v NO. 6;J ' - '• CORNER CUTOFF YES Q NO Q CITY ��.,E. ,�GG.i7 cLcass SEE REVERSE SIDE FOR'SPECIAL APPROVALS t3 DESCRIPTION OF.WORK a- nACKz NEW. : ' ADD ALTER REPAIR DEMOLISH ANO PARKWAXTREE REQUIR® SQ.:FT, /QJO. OF NO. OF` J SIZE M, ,� •• STORIES. FAMILIES/ ' USE OF QO, ni{{•� :.::_' "�.C.. ,:•a STRUCTURE I.101tioni should.bo :s=-r. c:: '..apt., Altaden /j'0 'SIGNATURE kong'thy dolay. Survey " +1c;' . :.ia and is nOt starte APP i Paimit•has been issued.Apply for parkway-tree permit at$o v VALUATION //.�J CPO APPROVALS DATEINSPECTOR'S SIGNATURE P.C. PMT. -FOUNDATION: LOCATION FEES' FEES 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, WITHALL COUNTY ORDINANCES AND STATE'LAWS REGULATING' GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LA R CODE OF THE STATE OF,CALIFORNIA RELAT- LATH, INT. ING TO WORKME 'IOMPENSATION 1 UR LATH, EXT. COR- SIE UR HOUSE NUMBER COR- RECT AND POSTED / 6110 ADDRESS e FINAL J JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER .PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATIO CK. M.O. . 'CASH::"'- 3. ASH.3.6:'3.:.0�:. l i1R.1';9.: 1 D:: .3'3'.- �' VkWARTMENT OF BUILDING AND SAFE ."YjaLcA L LWJN r VXL rzasma a COUNW- ---GF..LOS ANGELES m I ® � WM■ J. FOX. CHIEF ENDINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY UILDIND DISTRICT NO. PLAN OK.NO. PERMIT NO. B �j y � ADDRESS ® � i dV 6.� J 2-0 :5 J r fir* 7 LOCALITYGI�:5y � RECEIVED BY DATE OF APPL. DATE�ISSUED NEARE �tP+. i� " �e�i �� T • VST �L� p ti r BUILDING OWNER // :r ��l� �% l7_�i JYvI /�Ci �- ADDRESS -_A-0 J e MAIL / r /r �v LOCALITY d �A ADDRESS •�' A -''! /��, �.)J�►rf r/ 9 f CITY /.1- l /�//T�f / !,�.`lNO +I '..�/5 NEAREST CROBS T. FIRENO.OF TYPE DRO P ARCHITECT/01iTEL.' ZONE PLANS ENGINEER NO, BLDD. �y yO D O ADDRESS SETBACK LINE APPROVED CONTRACTOR � f� 9E� t NO. BY DATE USE APPROVED ADDRESS ZONE 4 J BY DATE LEGAL G;d d CORRECTIONS DESCRIPTION LOTyyNrrO. BLOCK TRACT / V !✓.' � NO.OF BLDGS. i SIZE OF LOT 9fJ V j_ I NOW ON LOT USE OF NO.OF NO.OF EXISTING BLDG. r a� I FAMILIES-I ROOMS ` DESCRIPTION OF WORK NEW r\ ALTERATION ADDITION �r�li!)� (�is)•�n�' �`', - - O R REPAIR a i7 ,ry or DEMOLISH D Bq.FT. f "Yr N O.M J Z 91ZE /� ROS 9//TORIES r WALL ROOF COVERING /%, rsj COVERINQ USE OF NEW BUILDING f',/ fi7/fA--�__ 1! .f ,•'� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. _ - �s f FRAME: FIRE STOPS, SIGNATURE OF e f s/ ' BRACINQ.BOLTS yr%` ''rte.•� 1 / ;r r�"- v7C�,{i PERMITTEE .= l-t.r.iLt-Z= • .,;: .... >,J fa As• 3 LATH, INT. / /i 1_7 �, •� AUTHORIZED AOT LATH, EXT. � 7GA63RA-3 7-48 $ P.C,S PLASTER,INT. ,r PLASTER. LASTER.EXT. )_ VALUATION $�7 �•C/ > � '�- //� C"•�i FEE ,/ J --FINAL 4" f-trvt•a•4� c° .� APPLICATION-POR BUILDING PERMIT COUNTY OF LOS ANQELES" BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESSm� — a, or a certificate of Workers'Compensation Insu ce,or a c ified copy thereof,([S�ec.,388OO,Lab.C.) /s _- �l C , ZIP Policy Nd�•J 36 Olo ` IP�t/J9� ti' IACALffY Comp G SIZE OF L NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST BLOCK LOT NO. ❑ Certified copy is filed with the co it i spection TRACT USE ZONE MAP NO. de ent01 Date!Wpplican ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS elo D / CERTIFICATE OF EX, I FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE -eJL-S WITHIN 1000 Fr.OF SCHOOL? YES- NO (This section need not be completed if the permit is for one hundred ADDRESS ^ �� dollars($100)or less.) r/ DISTRICT GROUP TYPE CONST FIRE ZONE PROCESSED BY C Zip �� 3 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL C IF TION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE 70 APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO. SET BACK YARD HWY PROP UNE WIDTH Compensation provisions of the Labor Code, you must forthwith �l 4,�, / // FRONT comply with such provisions or this permit,shall*be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION S V� SIDE CRY UC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 I '✓ SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ, VIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. OK 0 NEW BK PG a License Number r Lic.Class DESCRIPTIO OF WORK / ADD ❑ VALUATION V Contractor s //VC Date 9.-- '51-246 ALTER 11 $ J �❑ 1 am exempt under Sec. REPAIR 19 $'y BAP.C.for this reason fif/! —� QEMOL ❑ Date: USEetX X16 BLD URM ❑ P/C n�T g co IL 9 vj( 4 a 9 Signature APPLICANT(PRINT) TEL NO. LDMA Perm# rya 142°20 Z ❑ I, as owner of the propetty, or my employees with wages as ZO V their sole compensation, will do the work and the structure is ADDRESS not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONDONING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J El I, a3 owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct .the project (Section 7044, I YES❑ NO❑ Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY , COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR TOW IT9J61%2®20 GUIDELINES I hereby affirm that there is a construction lending agency for �• YES❑ NO❑ ® the performance Of the Work for Which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING OD 3097,Civ.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, CHECK n 14ry 20 TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS a o Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. o Lender's Address owr+eR OR acsENr CHANGE o I certify that I have read this application and state under penalty .00 of perjury that the above information is correct.I agree to comply P.CL FEE PERMIT FEE �j„ N with all county ordinances and State laws relating to building vv Wconstru ' n, reby aLthorize representatives of this County ISSUANCE FEEmove-mentioned property for inspection purposes. /�/ynn9 � '� INVESTIGATION FEE TOTAL FEE0000-0001 9/20/9.5DW SEE REVERSE FOR EXPLANATORY LANGUAGE 23777 1 Z1M ©af� 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 0504260032 PHONE: (626) 285-0488 EXT: LEGAL 0. 6F CONST-- BUILDING A DR . TR: 12205 LT: 35 SQ. FT STORIES TYPE 5240 PAL MAL AV . STRUCTURE: VN TEMP CA 917803435 ASSESSOR 0 NEAREST CROSS STREET: FREER 8585-030-040 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, C EXISTBLDG E : R-1 ISSUED0 S D BY: PI ES . EXIST OCC GRP: 04/26/05 JK 04/21/06 . OWNER: TE . NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE: 5240VIERNPAL MALIAN (626) 442-6495- 15,500 TEMP 917803435 FEES PAID USLKIPTIONR REMODELING KITCHEN $ 2 BATHROOMS, REPLACE 20 WINDOWS (SAME FEE DESCRIPTION: QUANTITY: UM: AMOUNT: SIZE) 2 DOORS APPLICANT: E O: E G BUILDER CO (626) 246-4871- AA BLDG PERMIT ISSUANCE 27.75 5428 LENORE AVE AC STRONG MOTION RESID 15500.00 VAL 1.55 SPECIAL CONDITIONS: ARCADIA, CA 91006 B2 PERMIT W/ENERGY 15500.00 VAL 349.14 TOTAL FEES 378.44 CONTRACTOR: TEL. 0: APPROVALS DATE INSPECTOR GNA UR E G BUILDER CO. (626) 246-4871- 5428 LENORE AVENUE LIC. NO LOCATION AND SETBACKS ARCADIA, CA 91006 746346B SOILS ENGINEER P OVAL ARCHITECT OR ENGINEER: . NO: F D IO C FOR S LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK--- PAGE: FIRE ZONE: CMP: UNDERFLOOR I SULAT 0 XX 3 01 0. OF S: DW G UNITS:-APT/C-0-WD-- TT7 -ATCLASS: FLOOq SG NO 21 ROOF SHEATHING AIR QUALITY: 1000 FEET WITHI MATERIALS S S NO NO NO FRAME INSPECTION REQUIRED 0 S C R EX S 5 E ANG RS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR OR LATH/DRYWALL EXTERIOR LATH I RATEO-FLOOR/CEIL ASSE . RATED WALL ASSEMBLIES RATED GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508