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Home My Public Portal About5241 PAL MAL AVE_Building__ DIVISION OF BUILDING AND SAFETY BUILDING DfpEtmmt as County EDgIE•a WM J�FOX'iCouN�t;INZER A MCAnON FOR APPLICANT TO FILL IN ADDRSSf woon'ss"o ✓d ,4- /-/a A LOCALITY N r LOCALITY e C: DISTRICT NO PLAN CL DR Rm No PERMIT NO NEAREST 3 OWNER b ECEIVED BV DATE OF APPL. DAT[ ISSUED MAIL qui — ADDRESS CO USE ZONE NO_QF TYPE GROUP FIR[ZONE '� T>L r �' J ARCHIT[CTOR Till. 20NING DATED ENGINEER NO APFINRYm BT- BUILDING Z 6 ORD No BETSACK LIN[I TEL AP V= DATE CONTRACTOR NO ST. HOUSE NUMBERING ARORM LEGAL MAP NUMBER- ZCO C d LSO ASSIGNED BY DESCRIPTION I LOT NO BLOCK DAT[ COBREIMONS INSPECTOR TRACT j ! 2 G .57- NO OF BLDGS SR6 OF LOT NOW ON LOT USE OFD M NO OF IBTING BLDG. FAM-1 tEX O DESCRIMON OF WOGS c 2 QW ALTERATION ADD ON REPAIR DEMOLITION i NO OF SRS FT 0� • ROOMY STORIES Q2T WALL ROOF COVERING CO EtING UOQ O► U R APPBOV INfPQCTO SIGNATURE DATX FOUNDATION. LOCATION FORME MATERIALS / �2 1 HERIMY ACKNOWLEDGE THAT 1 HAVREAD THIS A0. RIWTION AND STATE THAT THE INE FORMATION GIVER If FRAME FIRE STOPS, CORRECT BRACING BOLTS 1 AGREE TO CO WITN ALL COUNTY ORDINANCES FURNACE LOCATION T . AND STAt LJ1 [G TING S UILDING CONTRUCTION GAS VENT DUCTS SIGNATURE OF LI1TM INT PERMI LATH SET AnDR L PLASTER INT AvnRoaaso woT _ PLASTER NET FQE f HOUSE NUMBER COR- RECT AND POSTED f VALUATION PQQ � �— FlNAL y 7�" DIMS w - -- C1t� J / rn1fle- C 7-1 76AB3BA CE#803=.,, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ABUILDINGDDRESS J � / d / DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION LOCALITY c JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SOP'T of BUILDING CROSS ST. �"G Q-r FOR APPLICANT TO FILL IN DIS;RICOT N�O. GROUP TYPE CONST. PROCESSED BY Z Wo C4 BUILDING ,.-- q > STATISTICAL CLASSIFICATION S ER MAP ADDRESS f� /�lT (" f C po CLASS.NO.-!—DWELL.UNIT9 BK- LOT NO, BLOCK WATER NOT REQUIRED RECEIVED Li TRACT ( / J.- D CERTIFICATE: HIGHWAY NO OF BLDGS NO. Gr.O /D (CIRCLE) STATE MAJOR SECOND, OCAL SIZE OF LOT / U NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. OWNER ♦ 1/ I NO. BUILDING YARDHWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT O d / I I / 17 ARCHITECT OR TEL P. L. I b ENGINEER NO. SIDE d' P. L. O ADDRESS TEL INSPECTION RECORD CONTRACTOR a/]/ NO./,j O ADDRESS' J 4/0 ,/V>/3L/ 4y14GI r. Lr V DESCRIPTION OF WORN ✓ / . ., N' NEW ADD. ALTER REPAIR DEMOLISH SO. FT, - NO.OF NOM' RE - STORIES ! FAMILIES / USE OF il,Ar r STRUCTURE JPPIV i 1 I "GNAT""OFA APPLICANT ! .n VALUATION S APPROVALS DATE INSPECTOR'S SIGNATURE P C. PMT. FOUNDATION: G TURE FOUNDATION: LOCATIONy FEE $ FEE $ U FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO 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. I CERTIFY THAT IN DOING THE WORN AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. t' INT. Wyk/' rl ING TO WORKMEN'S COMPE S TIO INBU RANGE. CATH,EXT, ND SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRES - FINAL CLYDE N. DIRLAM, PRINCIPAL STyCC RAL ENGINEER PLAN CHECK VALIDATION ON. wo. CASH PERVALIDATION ( cK.J MIT m.o. CASH w vvvAM.+J. FOS X,�CHIE�F�fNpINE[q - ��`•� III U 1 L D 1 N G FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK. NO. PERMIT NO. BUILDNoADDREISB O LOCALITY �!-yG _-� C..�G.�-• RECEIVED BY DATE OF APPL. DATE CROSS ST. alLOING OWNER 1471ADODRERS DRESS / ABOJ V _ MAIL ADDRESS 6 J�/ .%L-'"y ��e Fe..�A .�/�,<1/ LOCALITYTEL /�` NEAREST C CITY / NO. CR08a BT. FIRENO.OF — I TYPE •-D.-.r� 'I GROUP ARCHITECT OR TELJJ�� / ZONE PLA IB `ji-� •+/,I/1/ ENGINEER ND.(G(I /. BLDG. ORD. NO. ADDRESS SETBACK LINE TEL APPROVED CONTRACTOR NO. BY DATE USE APPROVED /L, ADDRESS ZONE SY ATC DESCRIPTION LOT NO. BLOCK —� CORRECTIONS TRACT SIZE OF LOT 7a XAE7 I NOWDONS LOT a M USE OP I NO.OF _ I NO. OF _ EXISTING BLDG. ROOMS M DESCRIPTION OF WORK iv nP NEW ALTERATION ADDITION . Fc r•or, rIK - moi.. i••=.P, U• REPAIR MOVING DEMOLISH O HD. FT. '/ / I ND.OF L. . / 2 SIZE �WALL //`j�("� we ROOMS STORIES G r r COVERING C.c� _L.�y I COVERING 4 ✓+ �•\ - _ N 1.. USE OF NEW 7 �, BUILD Me r is '2- L5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION: LOCATION, INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF BRACING, BOLTS OWNER `' LATH, INT.- AUTHORIZED A[iT �a VI LATH, EXT.e P. C.III PLASTER, INT. FEE /I a V PLASTER. EXT. .S.S'O d VALUATION U AL FIN li FC[ - WORKERS COMPENSATION DECLARATION IN hereby affirm that I barer certificate of tionconsent to nee, APPLICATION FOR BUILDING PERMIT insure, or a certificate of Worker'Compensation Insurance, or a certified copy thereof (Sec 3BOO Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company 0Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUSING ADDRF55 0 Certified copy Is filed with the county building mspec BUILDING non department ADDRESS Sol ( AOAi— VLOO e Dote Applicant Cm 14 Zip LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE LOT NOW BLLDGS QST '" F COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollar ({IDD)or less ) TRACT BLOCK LOT No fXXX PAGE PARCEL TEL USE ZONE 1 certify that In the performance of the work far which this OWER n NO >. permit Is Issued,I shall not employ any person In any mcinner20 r r SPEQAL d w as to become subject to the Wwken'Compenwtlo ADDRESS - 1 o ODNDITIONS O \y " CITY ` ZIP -{ `_7QO V /Dote � Applicon NOTICE TO APPLICANT If aft king this Certificate ARCHITECT OR TEL DISTRICT GROW TYPE By Exemption you should becom wblett to the Worker' ENGINEER NO CONST Z Compensation provisions of the Labor Code, you must forth- ADDRESS with comply with such provisions or this permit shall be deemed revoked CONTRACTOR NOTA71571CAL CLASSIFICATIONAPT COFDO Z LICENSED CONTRACTORS DECLARATION LIC LASS NO DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code, and my license Is In full force and effect CITY CLASS BK 2 VALIDATION SO FT NO OF NO OF CHECK License Number LcClass_ SIZE STORIES FAMItIES ONE � VALUATION Contractor Dote DESCRIPTION OF WORK 13,f, NEW I am exempt under Sec COAP ADD AL1ER B 8P C for this reason REPAIR f Date ,15E OF EXISTING BLDG DEMOL Signature APPLICANT TEL g OWNER BUILDER DECLARATION PRINT NO �� v7' ))•� I hereby affirm that 1 am exempt from the Contractor s License is✓ V ' r 7 L r A Vl Low for the following reason (Section 7031 5 Blnetl and ADDRESS RNA ` Professions Code) BUILDINGBT ! 0 0 0 0 • ) I, of owner of the property or my employees with ADDRESS 0 o c n r wages as their sale compensation,will do the work and ADDR SS ' the structure r not Intended or offered for sale(Section r 70" Business and Professions Code) MOVING T¢ o _ I as,owner of the property, am exclusively contracting CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS G - 1 5—P 4 hon 7041 Business and Professions Code) CONSTRUCTION LENDING AGENCY SET YARD HWY TOT uNE WIDTH I hereby affirm that there is a construction lending agency far FROM the performance of the work for which this permit it issued P L (Sec 3097 Civ C ) SIDE g PL Lender s Name $ LDMA Ref Lender s Address PC F«S Permit Fee I certify that I have rood this application and state that the Inuvnce fee Q 1'fl LD00 PIC I above Information Is correct I agree to comply with all County Investigation Fee ordinances and Store lows relating to building construction IoM Fa �2 ,OMA perm • O and hereby authorize representatives of this County to enter pan the above-mentions pop ry for inspectionn >8 fLVf3L FOt DtPlA/1A101111 lAN6UAW Signature of Applicant or Aq Dons m WORYER� COMPENSATION DECLARATION hereby affirm than I hove r cefCome of tion Insurance r ce APPLICATION FOR BUILDING PERMIT JISI _ insure, or o certificate o1 Workers Compensation Insurance � or a certified copy thereof (Sec 3800, Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company BUILDING n Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Certified copy is filed with the county budding Inspec BURRING tion department ADDRESS LOCALITY NEAREST Dote Applicant CITY ZIP CROSS ST - Q CERTIFICATE OF EXEMPTION FROM WORKERS OF SLOGS J ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT 1 MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one USE ZONE MA hundred dollars ($100)or leu ) TRACT BLOCK lOT NO NO TEl SPECIAL I certify that in the performance of the work for which this OWNER 1.-F. - CONDITIONS d permit is Issued I shall not employ any person in any manner ` DISTR GROUP TYPE FIRE PROCESSED BY O so as to become subject to the Work Compensation Laws ADDRESS N n L CONST ZO�,JE ouc Date (, - `�` ApplicantPUJCITY e - ZIP L CLASSIFICATION 0 NOTICE TO APPLICANT If, after akmg this Certificate of ARCHITECT ENGINEER T OR TEL NO CLASS NO 7'� DWELL UNITSW Exemption you should become subject to the Workers p, Compensation provisions of the Labor Code you must forth- ADDRESS SEWER MAP h with comply with such provisions or this permit shall be Z deemed revoked CONTRACTOR NAWy.af�b NO 236 SK PG VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby off irm that I am licensed under provisions of Chapter 9 ADDRESS VALUATION (commencing with Section 7000)of Divnion 3 of the Business and LIC $ pyo L7 Professions Code and my license a in full force and �effect CITY PW V Dttl G CA CLASS G , SO IND IND OF -License Number "051 `� Ltc Clan « SIZES �Vv ORIE FAMILIES \,sem CHECK C n( PtL) CLQ DESCRIPTION OF WORK LC CUM EW ❑ $ Contractor 11 u'L �� to �� ' D'1 �I^ -0 1 am exempt under Sec (o Q Q«7 vl\ ADD ` ALTER ❑ FINAL v O B 8P C for this reason REPAIR C] DATE USE OF Date 9 EXISTING BLDG �� DFMOL C] N Signature y OWNER-BUILDER DECLARATION A�PRINT `I a..L P� { / NO Z I hereby affirm that I g r exempt from the Contractors License ADDRESS �1 < < W b 1 hb(&A�4(C I-R , ir O Law for the following reason (Section 7031 5 Business and Professions Code) DI, as owner of the property or my employees with BUILDING wages as their sole compensation will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Code) MOVING TEL I as owner of the property am exclusively contracting CONTRACTOR NO with licensed contractor to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LI WIDTH , I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued PL Sec 3097, Civ C ) SIDE PL Lender s Name $ Lenders Address P C Fee$ Permn Fee - I certify that I have read this application and state that the Issoance Fee SV above mf ion is correct I agree to comply with oil County i ag pY N Investiponon Fee I a dma sad Sate jaw relating to building construction cowl Fee and reby vie ize r esentahves of hi unry to enter N the vie nt ro try fo i coon purposes — R SEN REVEM FOR EXPLANATORY LANGUAGE Sipco of IK nt Date WORKERS COMPENSATION DECLARATIONNBUI PERMIT �I DISI F7 I hereby affirm that I hove a certificate of consent to self insure, or a certificate o/Workers'Compensation Insurance APPLICA IOO or a cernf ied copy thereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company OUIIDItJG Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS Z PAL MAL A t/£ ElCertified copy is filed with the county building mapec DING /y hon department ADDBUILRESS Al, P4 L MAL X vc— LOCALITY J�FM/'�-E Dote Applicant '� CITY C/T ZIP cRROOSSSS sT CERTIFICATE OF EXEMPTION FROM WORKERSNO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT//4A 7d NOW ON LOT MAP BOOK 2.03 1p..1GE /3- PARCEL (This section need not be completed if the permit is for one ^_ ZONE hundred dollars ($100)or less ) TRACT �Z ZO�/S BLOCK L 7 NO SPECIAL I certify that to the performance of the work for which this OWFER M1/dtvy FfJL.ZGNC raj LO 0 CONDITIONS 6 Permit is issued, I shall not employ any person in any manner �� N. it L �AL �� DISTRICT GRO41P CPE FIRE PROOFSSED BY V so as to become subject to the Worker Compensation Lows rl �DCy Q T1IOlt G/T ZIP b •` G cc Date Applicant CITU STATISTICAL CUSSIFICAT APT ONDO NOTICE TO APPLICANT If, cher making this Certificate of ANG�IME R OR �/jy/ r� ��_�/y Exemption you should become subject to the Worker rnf'' ��11 CLASS NO DWELL UNITS_ Compensation provisions of the Labor Code, you must forth ADDRESS 53/l�'�n -V2 Lr &VIO �- 11, SEWER MAP Z with comply with such provisions or this permit shall be deemed revoked CONTRACTOR Taj LL BK PG VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby off em that I am licensed under provisions of Chapter 9 ADDRESS NO VALUATION (commencing with Section 7000)of Division 3 of the Business and UC (XjU Professions Code and my license is in full force and effect CITY CLASS $:240 ,� ► SO FT NO OF nq OF CHECK License Number LK Class SIZE S STORIES FAMIUES ONE Contractor Dote DESCRIPTION OF WORK /T/O/k/ O/< NEW ❑ $ �04 7k? G/J�v/L 6 ?/< ADD 1 am exempt under Sec Y /�' EGZfUOM ALAR ❑ FINAL B BP C far this reason er ❑ DATE REPAIR --Date FUJ(ISnW BLDG S/�FM'E ceMOL ClOF By AL Signature APPL�K MT H£��o�a,4a l.U� TTEL 2,/ OWNER-BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License f Law for the following reason (Section 7031 S, Business and ADDRESS Professions Code) BUII as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCAUTYI►`J\ 7044, Business and Professions Code) MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO with licensed conirncton to construct the project (Sec- ADDRESS hon 7044, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST C0NSTa OLENDING AGENCY SET BACK YARD HWY PROP LIN WIDTH I hereby affirm that thhereere ra o construction landing agency for FROM the performance of the work for which this permit is issued P L r Sec 3097, Civ C ) SIDE e PL � Lenders Name Larder s Address PC Fee$ 1 701sL71 Permit Fee 1 certify that I have read this application and state that the Issuance Fee obove information u correct I ogree to comply with all County Inveagchon Fee `\ ordinances and State lows relating to building constructionE� and hereby authorize representatives of this County to enter Total Fee V upon the above-mentioned property for inspection purposes SEE REVUE FOR EXPLANATORY LANGUAGE Slprwture of Applicant or Agent Don, 4% COUNTY OF LOS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAF= / (AND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1206040067 PHONE (626) 285-0488 EXT ILEGAL ID NO OF CONST I BUILDING ADDRESS ITR 12205 LT 1 BL 001 UN 002 SO FT STORIES TYPE 5241 PAL MAL AV I I ISTRUCTURE V-B TEMP CA 917803436 I (ASSESSOR INFORMATION NUMBER i NEAREST CROSS STREET FREER 18585-022-001 I THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY Cl ] I I TENANT ]6%IST BLDG USE R65ID USE ZONE R-1 ISSUED ON PROCESSED BY ]EXIST OCC GRP 106/04/12 SR 1 I ] ]OWNER 11 FM TEL NO IRLDGS NOW ON LOT VALUATION ]FINAL BY CODE 1HERNANDE2, GUSTAVO/AURELI (626) 279-1890- 1 1 000 15241 PAL MAI. AV I +�// ITEMP 917803436I FEES PAID ]DESCRIPTION OF WORK (KITCHEN REMODELING I _(FEE DESCRIPTION QUANTITY UOM AMOUNT ]APPLICANT TEL NO I ISAME AS OWNER IAA BLDG PERMIT ISSUANCE 27 80 I_ I I IAB STATE GREEN BLDG FEE 1000 00 VAL 1 00 ISPECTAL CONDITIONS I IAC STRONG MOTION RESID 1000 00 VAL 0 50 1 v Q ] B2 PERMIT W/ENERGY 1000 00 VAL 71 90 1 l 1 FR INV WORK W/O PERMIT 166 40 DOL 166 40 1Q � rp, CONTRACTOR TEL NO TOTAL FEES 267 60 IAPPROVAIS DATE INSPEC-f R-sydNATftE (SAME AS OWNER - I I_ LIC NO I VACATION AND SETBACKS I I (SOILS ENGINEER APPROVAL I I I (ARCHITECT OR ENGINEER TEL NO i IFOUNDATION/TRENCH FORMS I I I LIC NO ]SLAB/UNDER FLOOR I I ]RAISED FLOOR FRAMING 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I ]UNDERFIAOR INSULATION 1 I 1147H273 3 OCI I FLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/COND STAT CUSS 1 0 NO 21 I IROOW SHEATHING I I I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS ]AIR QUALITY 1000 FEET MATERIALS I I— I NO NO NO I IFRAME INSPECTION IFIRE SPRINKLER HANGERS I 11NSULATION/WEATHER STRIPI I I I I (INTERIOR LATH/DRYWALL I_ I ]EXTERIOR LATH 1 I I (RATED FLOOR/CEIL ASSEM 1 I 1 RATFD WALL ASSEMBLIES I I (RATED SHAFTS/OPENINGS I IT-BAR CEILINGS I I I I LOT DRAINAGE I I I I I 1 I— IREPORT ID DPR261 ROUTE TO SS0508 I I I I I I I I I