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
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VALUATIOw
r APPROVALS GATE IMSP ECTOA'S SIG�JMATUA[
P C PMT lr FOPO RM9IMA TERlALSONCh itm vla 0.��.R`
PEe$ �— FEE
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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