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HomeMy Public PortalAbout5324 PAL MAL AVE_Building__ rawsrrw eer.r r-na �� APPLICATION FOR BUILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY BDDz RE88 Department of County Engineer County of Los Angeles LOCALITY WM. J, FOX. COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN. SUPT OF BWLMNO CROSS BT. FOR APPLICANT TO FILL. IN DI9TRIC NO. GROUP ITYPE� SEWER NAP BK PO _ADDRE88y /'/�7 NUMBER ER /CJ d BH yTY YE8��1, LOT NO. 4 BLOCK USE ZONE SPECIAL // CONDITIONS TRACT � -5�0NO. OF BLOGS. L BUILDING EXIST. SIZE OF LOT �1 � NOW ON LOT SETBACK YARD HWY STREET NAME WIDTH USE OF FRONT EXISTI G. P. L. OWNER SIDE P. L. MAIL ADDRESS ' O TRACT DWELL. I UNIT 5 INDUSTRIAL T1 DWELL. 1 UNIT CITY / N B PUBLIC BLDG. ARCHITECT OR�� TEL. 2 DUPLEX 1 UNIT 7 AO DN.. ALT.. ETC. ENGINEER NO. 3 APT. UNITS B MIBCEL. ADDRESS 4 COMMERCIAL TEL. CONTRACTOR TNomEL INSPECTION RECORD ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH FT. -151j!20NO.OF NO. OF SIZESTORIES ' FAMILIES USE OF STRUCTURE D SIGNATURE OF ' APPLICANT APPROVALS ADDRE88 DAT[ INSPECT R•S SIS TORE FOUNDATION: LOCATION s /� P. C. S FORMS. MATERIALS :2,O O Q� FEE FRAM[: FIR[STOPS, VALUATION B BRACING.BOLTS FEE I FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAB VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAWS REGULATING BUILD I CONST UC- TION. ATN, EXT. SIGNATURE OF 1 HOUSE NUMBER COR- PERMITTEE RECT ANO POSTED f ADDRESS FINAL WM.J. FOX, COUNTY ENGINEER VALIDATION C. N. DIRLAM. CHIEF BLDG. INSPECTOR e�4 5 9 2.- MAR 1 ? ,Q 0 in Ter a w l sAs,a.«.a „o APPLICATION FOR BUILDINGLPE/RMIT Z COUNTY OF LOS ANGELES ADDRESSJ! J Z I 3 Zi i DEPARTMENT OF COUNTY ENGINEER y BUILDING AND SAFETY DIVISIONLOCALI v 0 JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. J DISTRICTNO. I GROUP TYPE P CESSED BY FOR APPLICANT TO FILL IN .,l T STATISTICAL CLASSIFICATION SEWERMAP ADO EI55J Pal Mal St POCe CLASS.NO.__J5__DWELL.UNI TS K PG LOT NO. BLOCK A MAPS TATE NUMBER O O 1T YES TRACT 1 P.90 USE ZONE SPECIAL J CONDITIONS SIZE OF LOT /q O X 232 I NOW ON LOTS 2 USE OF TT��,. EXISTING BLDGI) ells -Garage BUILDING YARD HWY STREET NAME EXIST. SETBACK IDTH OWNER M.J.FloraMAIL FRONT qq� ^y� ADDRESS 5324 Pal Mal St SIDE TEL. P, L CITY Temple Cit NO. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS CONTRACTORcircle Bee COnW..'At 604 ADDRES51123 S San Gabriel Blvd S. - DESCRIPTION OF WORK NEW X ADD ALTER REPAIR DEMOLISH SO FT 2OO STORIES Z SIZE FAMILIES USE OF STRUCTURE CAR PORT SIGNATURE sp- APPLICANT APPROVALS TE INSPE OR'S SIGNATURE ADDRESS 23 S San Gabriel Blvd S 7FFORMSTLOCATION ALS VALUATI $ of- O"U FRAME:FIRE STOPS, BRACING.BOLTS FURNACE: LOCATION. F E S FEE' S l` � GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATE.INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO LY WITH ALL COUNTY ORDINANCES AND STATE LAWS EGULATINGILDI G CONSTRUCTION. LATH.EXT. SIGNATURE HOUSE NUMBER COR- PERM]” RECT AND POSTED ADDRESS 123 S an Gabriel Blvd S• FINAL CLYDE N. DIRLAM, PRINCIPAL STR,WCIYRAL ENGINEER PLAN &ECK VALIDATION CK. M.O. CASH PE Jv= VALIDATION VM.O. CASH LAC.o 6 2 5 1 .moo SEP 12 i U 3.0 0 . . i 1 .. ` Eu...2h. APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES ABDDRESSG DEPARTMENT OF COUNTY ENGINEER 1 BUILDING AND SAFETY DIVISION LOCALITY i JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DISTR CT NO. GROUP TYPE P ESSED B^Y FOR APPLICANT TO FILL IN 3 J I CONST. y ADDRESNISS ' y STATISTICAL CLASSIFICATION SEWER MAP J BK CLASS.NO DW��}E `= LL. UNITS LOT NO. BLOCK NMAP 41fUMBER 16 SI.{W TE YES O TRACT qo USEZONE SPECIAL NO.OF BLOGS. / f�/ CONDITION SIZE OF LOT NOW ON LOT / USE OF EXISTING BLDG. BUILDINGEXIST. y� TEL SETBACK YARD HWY EET NAI, WIDTH OWNER 11',.= NO. FRONT / P.L. ADDRESS SIDE ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS TEL I O.// CONTRACTOR NO o� VWO ADDRESS 5 n DESCRIPTION OF WORK 0a E., NEW ✓ADD ALTER REPAIR DEMOLISH X SO. FT. NO.OF NO.OF WWW u a SIZE STORIES FAMILIES y USE OF ' 1 STRUCTURE yt Fl SIGNATUR APPLICANT VALUATION S Sly APPROVALS ATE INSPEC DR'S SIGNATURE FOUNDATION: LOCATION FEE $ •� FEE (J FORMS.MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- BRACING BOLTS 1 PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S C PENSATIDN�N� LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERM ITTE RECT AND POSTED aDDREss FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION m M.o. c H PERM VALIDATION cx. w.o. usx mr DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT 1 COUNTY OF LOS ANGELES � ' D I WM. J. FOX. CHIEF ENGINEER NG FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. AOGRESS N P ✓• �' _ •./- :- LOCALITY —T / RECEIVED SY DAT b APPL. DATE ISSUEDr NEAREST y+ V-/ � � CRIBS BUILDINGL— OWNER ADOREBB MAIL ADDRESS d 2 Y LOCALITY NEAREST TEL. r` > I '7•,�. CROSS BT. CITY --:�.^ N ,r L / T NO. SCJ iE. i'1. . FIRENO.O► Q TYPE MOUw ARCHITECT OR TEL. ZDNE PLANS ENGINEER NO. BLDG. I ORD.NO. ADDRESS SETBACK LINE r �L �� "'✓< APPROVED TEL. BY DATE CONTRACTOR NO. USE � AMROV[D ADDRESS ZONE SY DATE LEGAL ( o CORRECTIONS DESCRIPTION LOT NO. BLOCK _ TRACT //,;Z O f` NO.OF SLOGS. - SIZE OF LOT O X O NOW ON LOT UBE OF S,� /9 NO.OFND.OF EXISTINONLI33, FAMiLi[a ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION D A REPAIR MOVING DEMOLISH p BO.FT. NO.OF F 91ZE ROOMS STORIES WALL Roar COVERING 'SAdO ^ I COVERING ll"Xlr T. UBE OF NEW �> BUILDING C 6 IFC V�j 0 o So='19L o ✓t.e I 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 COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATIND SUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF ,, II BRACING,BOLTS PERMITTEE /•]/A�` �( LATH. INT. AUTHORIZED AOT LATH. EXT. Taw6]BA-a z-so $ P.C.6 PLASTER.INT. FEE PLASTER.EXT. VALUATION B FEE FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRI13T PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY RECEIVED DATE OF APPL. AT 1 Ulm NEAREST -�2 ey Bu a OWNER MAIL `71 J .J D �, -L LOCALITY ADDRESS ^_ ` NEAREST TEL p CROSS ST. CITY NO. D-D../0 FIRETYPE GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. ADDRESS BLDG. ORD. SETBACK LINE APPROVED TEL. BY DATE CONTRACTOR NO. -- USEAPPROVED ADDRESS ZONE BY DATE LEGAL R CORRECTIONS -DESCRIPTION LOT NO. BLOCK TRACT ISI "' .1 NO.OF SLOGS. SIZE OF LOT ` P O I NOW ON LOT UBE OFNONO.OF EXISTING SLDD. 1 1 1141011F.. 00 B DESCRIPTION OF WORK r a NEW ALTERATION ADDITION O 9 REPAIR MOVING DEMOLISH � 5 ZE O RDOMB STORIES WALL ROOF F COVERING I COVERING - USE OF NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE FOUNDATION: LOCATION AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATy1G BUILDING CONSTRUCTION. v,Ir fRAI FIRE SIGNATURE Of BRACING.BOLTS PERMITTE 1 LATH, INT. AUTHORIZED AGT LATH, EXT. •16A63BA s-<S PLASTER. INT. OBS'3 MOM SETS .Y w�f P.C.B � .S\L FEE PLASTER. EXT. V� s VALUATION FEE P L^� FINAL DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES BUILDING WM. J. FOX. CHIEF ENGINEER FA OR APPLICANT TO FRS IN FOR OFFICE USE ONLY DISTRICylQ PLANCK. NO. PERMIT NO. DING t < (may X116 ESS 4 N V J J / /`� LITY RECHIV! BY DATE OP APPL/��1 DATE I SUED EST 13- C 3 S ST, t E Q ADDRESS 1 p 'fit / 4 G.V ER NOAH 1-, LOCALITY ESS P j,r V, NEAREST CROSS ST. L '/ To. ,=6 - 0-1,6"'27 FIRE NO. OF TYPE GROUP IT[CTOR TEL ZONE PLANE N[ER NO. BLDG. 1 ORD. NO. SETBACK LINE RESS APPROVED / TEL BY DATE TRACTOR a7lW/ / IrY NO. USEAPPROVED ZON BY DATE RESS HOUSE NUMBERING LEGALCRIPTION LOT NO. BLOCK MAP NUMBER_ —FIELD CHECK BYT NO. ASSIGNED BY DAT NO,of SLOGS. ,. CORRECTIONS OF LOT Z O N W ON LOT EXIGTING BLDG. Q Ll - FAMILIES DESCREMON OF WORE NEW I ALTSRATION I I ADDITION REPAIR I DEMOLITION I I B SO. FT. NO. OP / Z SIZE � ROOMt STORIES � MET. WALL ROOF r' COVERING. O COVERING C! . C✓'.V .r USE OF STRUCTURE r . v APPROVALS INSPECTOR'SSIGNATUR E D I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION: LOCATION rn PLICATION AND STATE THAT THE INFORMATION GIVEN IB FORMS, MATERIALS CORRECT. I AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME: FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, BOLTS �C. i LAWS REGULATING BUILDING ,}CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF C '.• ,. lV d _ ,L. GAS VENT, DUCTS P[RMILTT , n. A�LCf,C ADDRESS 4/s"a64e.� OAtza-V'S% /L4.'.,. LATH. INT. LATIN, MET. AUTHORIZED AGT. �Q PLASTER, INT. sa 1 ouaaew CEIo-w S 7O r P. O. S 11 F[6 PLASTER, EXT. VALUATION S FEE FINAL Y l¢ WORKERS COMPENSATION DECLARATION ^ hereby cercthat I have certificate of consent .elf APPLICATION FOR- BUILDING PERMIT tillUlll in ,,,or certihcate of Worker Compensation Compensation Insurance, or dMerligied copy thereof (Sec LabCOUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Company ) ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ,Dpi py is �f ❑ Certified cofiled with the county but triec-p InspBDILwnjG ti?n cipartment '� L (/DOte \ pelican ` L aTY 1= ZIP \ \ y� LOCALITY Bi CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT SSSS ST / COMPENSATION INSURANCE ASSESSOR Cl setiM con ed not be completed if the permit is for one TRACT BLOC( LOT NO MAP BOO( PAGE PARCEL hundred dollars ($100)or leu ) TEL OWNER NO 57q- USE ZONE MAP I certify that in the performance of the work for which this NO permit is issued, I shall not employ any person in any manner ADDRESS SPECIAL y so as to become subject to the Workers'Compensation Laws CONDlntDNS O CITY ZIP V Date Applicant ARCNITC{l TEL NOTICE TO APPLICANT If, aper making this Certificate of ENGINEER NO DISTRICT GROUP ITYPED BY OOMT Q ZQ Exemption, you should become subject to the Workers 'D(� _1 V Compensation provisions of the Labor Cade, you must forth- ADDRESS 0 ,,J V l.J LILG� W with comply with such provistons air this permit shall beTEL STATISTICAL aASSIFICATION APT WOO N deemed revoked CONTRACTOR z LICENSED CONTRACTORS DECLARATIONLtc CUSS 140 DWELL UNITS_ I hereby affirm that I am licensed unclen provissom of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business .{-�-, UC SEWER AIAP and tkofentons Code,and m Icertse is in full force and effect CITY 'v VALIDATION LL11//�� /'_� 50 FT NO OF NO OF CHECK License Number Al E Lic Class�L� Sig STORIES FAMILIES. ONE (� e-� VAL TION ControctorLSIP isi Date J i3 �*L DESCRIPTION OF WORK NEW S UA2 I _56+— ADD 'PS lY ► ❑I am exempt under SecAL7ER LJ B&P C for this reasonLAI REPAIR ❑ $ t L Q USE OF G BLDG DHAOL ❑ Signatur d� C APPLICANT NO O iUiAFINAl OWNER-BUILDER DELLA cN , J 92- I hereby affirm Contractor's License I am exempt from the ContractoLicense ZO Law for the following reason (Section 7031 5, Business and ADDRESS FINAL' i Professions Code) Pli g El 1, as owner of the property or my employees with ADDRESS r ~ �4 wages as their sole campeso ntion,will do the work and LOCALITY S�uo,� the structure is not intended or offered for sole(Section ;1 E I 704, Bmnen and Profesaiom Code ) MOVING TEL .. ❑ 1,at owner of the property, am exclusive) contracts CONTRACTOR NO with licensed contractors to construct the project (SOC- � i 14L �-J a 6,} tion 704, Businen and Professions Code ) ADDRE O AL CONSTRUCTION LENDING AGENCY SET I YARD HV✓V fIji INr I hereby affirm that there is a construction lending agency for FRONT 'ihNIGE the performance of the work for which this permit is issued P L (Sec 3097, Civ C ) SIDE P L ,l ILI_I-_I Lenders Name T tLenders Address P C Fee Permit Fee �y )DML# J9 1cemfy that I have read this application and state that the [nuance Fee O'c LDMabove information is correct I agree to comply with all County Investigation ordinances and State jaws relating to building construction, Total Fee ✓ IDMA < and hereby authorize representatives of this County to enter €I upon the above-mentioned property for inspection purposes 9 EEE WMU FOR EXPLANATORY IAN04 AW Signature of Applicant or Agent Date