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HomeMy Public PortalAbout5317 PAL MAL AVE_Building__ 7E6836A 010803 8-84APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEAODRE99 ER BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAR E9T COLEMAN W JENKINSRUPT OF BUILDING CROSS ST DISTRI T NO GROUP TYPE 9SED BY FOR APPLICANT TO FILL IN �0 CONST BUILDING M CLASSIII NO AL LASSI DW SILL U1ON NI T9 �- 9E HR MAP ADDRESS 7 /L BN PO Al LOT NO O - BLOCK' 1A USE ZONE MAP /D TRACT D NO BP ECTAL N DI I 10 NS SIZE OF LOT NO or eL TI2 NOW OM LO OL USE OF _L 'T t 5L00 SETBACK FROM TEL IAONT PROP LINK OF (STREET) OWNER �1 NO _ TYPE OF EKISTIMG SETBACK HIGHWAY YAR, = TOTAL ADDRE9 / FmQMC CITY + - O ARCHITECT TEL BLDG SETBACK FROM ENGINEER NO SIDE PROP LIME 01 (STREET) TYPE 01 EEISTIMG SETBACK I HIGHWAY } YARD = TOTAL r ADDRESS HIGHWAY WIDTH IROM C L D.. CON TRA CTIO[C' NOL 114378'.23 + — AODR ESS V 37 NO O 7 CORNER CUTOFF YES NO rO LIC SEE REVERSE SIDE FOR SPECIAL APPROVALSyI DESCRIPTION OF WORK MDi Z NEW AD ALTER REPAIR DEMOLISH SQ PT4101" NO OF NO OF CFA-RJ L OL --- V e-k t SIZE STORIES FAMILIHSI USE OP STRUCTURE SIGNA TUBE OF L 7 . CLAWL{+oL.e YAI- ?POVIDC smars oU APPLICANT ^^O HJD mit- .1H �GSTot-[. v6R6 60 SA4"b"fo ec- 7 -O'/Ir f N VALUATIOw r APPROVALS GATE IMSP ECTOA'S SIG�JMATUA[ P C PMT lr FOPO RM9IMA TERlALSONCh itm vla 0.��.R` PEe$ �— FEE Qc FRAME, FIRE 8TOP8, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BM4A(101 I IA K' STATE THAT THt ABOVE 19 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COIL MIT OROINANCU AND STATE LAWS REOVLATINa GA VENT DUCTS OUILDINO CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK �T AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT / ` TION OF THE LABOR CODC OF THE STATE 01 CALIFORNIA RELAY ING TO WORKMEN S COMPENSATION INSURANCE LATH ENT O S IONATURE OFHOUSE NUMBER COR fV - PEAMITT!! R 14 ADDRESS 1�3 FI NAL i JOHN F LEWIS PRINCIPALS C RAL ENO NE R PLAN CHECK VALIDATION CK M G CASH PERMIT VALIDATIO cK M o uSH LACO2 0 4 2'2 MAY26 1 0 8.50- Q APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF COUNTYGIINEER BUILDING DBUILDING `31 FAR OR APPLICANT TO FILL IN ADDREu l Pal Mall LOCALITY ZIP NEAREST CROSS ST NO OF BLDGS ASSESSOR T NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE OC SED BY TRACT Z D BLOCK LO .��'` r+ CONST ZONE ` OWNER Paul B$IId88 NE �..�•�� .J—• STATISTICAL CLASSIFICATION SEWER 06P ADDRESS 53L7 P11 M.11 CLASS NO DWELL UNITS BK PG USE ZONE MAP CITY IP NO d ARCHITECT OR TEL `� SPECIAL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES C] NO CONTRACTOR TEL _ BLDG SETBACK FROM LC FIJNDNTPROP LINEOF (STREET) ADDRESS137 NO GHWAY + YARD TOTAL SETBACK FROMI TYPE OF 1EXISTING CITYLOS Angelesp Calif. LICC-39 FRONT PROP LINE HIGHWAY WIDTH CONSTRUCTION LENDER CLASS + NAME AND BRANCH B DG SETBACK FROM O ADDRESS CITY 51 PROP LINEOF (STREET) G� SQ FT NO OF NO OF CHECK HIGHWAY + YARD _ OM TYPE OF EXISTING C SIZE STORIES FAMILIES ONE SIDE PROP LINE GHWAY WIDTH DESCRIPTION OF WORK NEW ❑ + = H -roof with Rigid prepare DD ❑ CORNER CUTOFF YES ❑ NO LTER ❑ C B C ferial. EPAIR❑ IN OPEN SPACE YES Cl NO ❑ USE OFIN COASTAL PERMIT ZONE YES ❑ NO El EXISTING BLDG EMOL ❑ APPLICANT TEL (PRINT) NO BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION V AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING C0N- ILy SYR UC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED V HEREBY WILL MOT ENPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN B COMPENSATION INSURANCE RjaM COMP O.MFGNY / SIGNATURE 0 119lCC VV 1. FINAL /BY PERMITTEE DATE ADDRESS S Wodds 'Ave TEL L P C Fee$ Permit Fee `Zl. 5 CITY NO263-51 !nuance FINE VALUATIONS 1940.00 Total Fee PLAN CHECK VALIDATION CK N 0 CASH PERMIT VALIDATION CK .0 CASH 2 9�°DEC 6 1 1) 2 1.7 5 A,-D 70A430A Ct0E039 IL/TB APPLICATION FOR COUNTY OF LOS ANGELES 1 BUILDING PERMIT DEPARTMENT AGE COFETY DIVISIONNTY BUILDING FOR APPLICANT TO FILL IN ADDRESS BUILDING ADDRESS 1 P81 M811 LOCALITY NEAREST CITY ZIP CROSS ST. NO.OF SLOGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL /� DISTRICT GROUP TYPE FIRE OC SED BY TRACT Z ✓] BLOCK LO ��1NO. �p .f�^`O� r CONST. ZONE - /J OWNER Paul Ba_ldas NOW}8� OV STATISTICAL CLASSIFICATION SEWER r4p ADDRESS 5117 Pal MR11 CLASS NO. DWELL.UNITS BK PG CITY IP USE ZONE MAP a NO. ARCHITECT OR TEL. 7 SPECIAL ENGINEER NO. �r CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES[3 NO� TEL. BLDG.SETBACK FROM CONTRACTOR T: - LIC. F NTPROP.LINEOF (STREET) ADDRESS NO. WAY } YARD TOTAL SETBACK FROM TYPE OF E%ISTING LIC. FRONT PROP. LINE XIGXWAY WIDTH CITYLos Arigele$, Calif. CLA$SC-39 CONSTRUCTION LENDER + NAME AND BRANCH �y B DG.SETBACK FROM p ADDRESS CITU 51 PROP. LINE OF (STREET( SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD = OM TYPE OF E%(STING Q SIZE $TORIES FAMILIES ONE SIDE PROP. LINEIGNWAv WIDTH DESCRIPTION OF WORK NEW ❑ } H Re-roof with Rigid prepared ADD ❑ CORNER CUTOFF VES ❑ NO Z Class D C II material. LTER ❑ N OPEN SPACE YES ❑ NO ❑ EPAIR❑ EUSE OF XISTING BLDG, EMOL [:] IN COASTAL PERMIT ZONE YES NO ❑ APPLICANT TEL (PRINT) NO. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I ILL NOT EMPLOY ANY PERSON IN VIOLATION OP THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO N' t` /� WORKMEN'S COMPENSATION INSURANCE. MEG. CO I N� SIGNATURE O _ • / FINAL/- BY PERMITTEE A-ea DATE G� ADDRESS SR WO d8 Ave TE L. P.C. Fee$ Permit Fee 21.75 CITY NO. 19+0.00 Issuance Fee VALUATION � Total Fee PLAN CHECK VALIDATION N CASH _ PERMIT VALIDATION CH. M.D. CASH 2 9,z: 'Eu- 0 1 U 21.75A . 76AG38A CEM80319 1205 I .,� WORKERS COMPENSATION DECLARATION cl � ��u�raaffirm certificateoffWorkershave a rtComte of consent to pensononnInsura"If APPLICATION FOR BUILDING PERMIT c or a certified copy thereof (Sec 3800, Lob C ) 1r�. �S'IQr4( rNL�LArtAri� COUNTY Of LOS ANGELES BUILDING AND SAFETY Polity NA_� S IV Company Codified copy Is hereby furnished FTRACT — OR APPLICANT TO FILL IN BUILDING Codified copy a filed with the county building mspec `' 11 I�nnw.. ♦♦ 1 /'I �� tion department Nr \ VKkL Ade- Date Z A Applicant L'I�W-1 �AGtAi. CITYLE (1,�—% :1 nP Lovum CERT KATE OF EXEMPTION FROM WORKERS NO OF BLDGS NEAREST COMPENSATION INSURANCE NOW ON LOT ST (This section need not be completed rf the permit is for oneASSESSOR hundred dollars($100)or len ) BLOCK lOT NO M/iP BOOK PAGE PARCEL TELUSE ZONE I certify that m the performance of the work for which this OWNER �'E Nt NO 7 � permit is issued, I shall not employ any person in any manner ADDRESS S 3 1 /� ��L. ( .l SPECIAL so as to become subject to the Workers Compensation Laws CONDITIONS 8 Date Applicant CITY T � C_ t.T— ttv I ?8 Z ac NOTICE TO APPLICANT If after making this Certificate of NRGINffR OR N'• s/ Fri LO DISTRICT TYPE FIRE D BY 0 Exemption, you should become subject to the Worker ',fi CONST ZONE m0 Compensation provisions of the Labor Code, you must forth ADDRESS a ✓S d with comply with such provisions w this permit shall be deemed revoked CONTRACTOR A .L PAC•vF L ftp 7 $14 STATISTICAL CLASSIFICATION APT c LICENSED CONTRACTORS DECLARATION LICCLASS NO 21 DWELL UNITS_ I hereby off irm that I am licensed under provisions of Chapter 9 ADDRESS 1132A V ,..:., i( NO 28 I S (commericiriq with Sechon 7000)of Division 3 of the Business and LIC SEWER AkAP Professions Code and my license is in full force and effect CITY TA �fc CLASS SK FG VALIDATION License Number. Z11 S 5 3 Lic Class " ' SIZE STORIEfS ( F�AMEGFs b CONE (� r+• VALUATION �J/f Comractorl^+-�l PateAS, � Dt — / Z-e(S DESCRIPTION OF WORK F Rc.. 4 NEW i — I am exempt under Secki r� (1� L-+C-� l t..l .��D ADD , �9 15 14 A ll ALTER B 8P C far this reason 15 IV ?L,-a s_ 4 PA"— REPAIR S � • • ' • ' 1 Date USE OF EXISTING BLDG DEMOI Signature APFLICIUiNr l ST fft�S r�oL L S>�t GAA 7 O/1 * 4050 OWNER-BUILDER DECLARATION r�J ! ,C/ • • • 405055 I hereby offum that I g r exempt( from the 31 5 Btw a license ADDRESS / 8' 3 971"-LIG Q(J � d'.04—far the following reason (Section 7031 5 Busman and r! q 0212-85 Professions Code) 8 ❑ BUILDING I, as owner of the property or my employees with ADDRESSF /s / 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 1, as owner of the property am exclusively contracting CONTRACTOR FW with licensed contractor to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code) , CONSTRUCTION LENDING AGENCY AL SETBACK FROM f EX BACK YARD HWY TOT PROP LINE WIDTH I hereby affirm that there iso construction pending agency fw FRONT the performance of the work fw which this permit is issued P (Sec 3047, Civ C ) SIDE 2 PL A Lender s Name ® P C Fee S Permit Fee IDAAA Ref • - Lender's Address I codify that 1 have read this opplicwion and state that the Issuance Fee Q O LDMA P/C• Pilo t above information to coded I agree to comply with all County investigmion Fee ordinances and State laws relating to budding construction, Total Fes IDMA Perm U and hereby authorize a ntatives of this County to enter u thea e-menI. a roperty for inspection purposes 2—-- Z-- Ull R1VRW FOR 1XPLAMATORY LANGUAGE ^ Spictun, w Agent Dote O i COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0310280048 PHONE: (626) 285-0488 EXT. LEGAL ID MO. OF CUNST BUILDING ADDRESS- TR: 11290 LT 20 SL .001 LIN 002 SO FT STORIES TYPE 5317 PAL MAL AV STRUCTURE' VN TEMP CA 917802845 ASSESSOR INFORRATTOrRMSER 8585 021-030 NEAREST CROSS STREET' FREER THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY I EMANT EXIST BLDG USE RESIo USE ZOWF-F-r— ISSUED ON PROCESSED BY EXPIRES ON' EXIST OCC GRP: 10/26/03 JK 10/22/04 OWNER --=No BLDGS NOW ON LOT VALWMrff.— FINAL DATE FINAL BY 7wr PHAN'LAN THI (310) 617.2445- 4,600 - 5317 PAL L AV ��� K TEMPLE CITY TY91780 FFt:5 PAIDOF T/0 HOUSE & GARAGE, INSTALL SHEATING 6 30YR SHINGLE, C/O 8 APPLICANT TEL NO FEE DESCRIPTION QUANTITY LION AMOUNT WINDOWS, SAME SIZE SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG NOTION RESID 4600 00 VAL 0 50 SPECIAL CONDITIONS 02 PERMIT W/O EN-HC 4600.00 VAL 132 60 TOTAL FEES 160 85 CONTRACTOR: TEL NO APPROVALS DATE INSPnTm-Mumuffr— SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPRNr- ARCHITECT OR EWER— TEL NO FOUNDATIOX/TRENCH FMW LIC N0: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK: PAGE. FIRE ZONE CKP 14711273 3 01 NO. OF FAMILIES. DWELLING UNITS APT/CMff-9rAT-Cn3T-- TM SHEATHING NO 21 / AIR QUALITY. 1000 FEET MATERIALS C-1 NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBAMMOr—Mr— FIRE SPRINKLER ItANGRT'- SET BACK YARD' HWY: PROP LINE WIDTH FRONT PLINSULATIONfWEATHER STM - SIDE PL- REPORT ID DPR261 ROUTE TO: OS0508