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