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Home My Public Portal About5336 PAL MAL AVE_Building__ BUILDINGBOILDIND ADDRCBB -� 3.3 A L' //9 C' APPLICATION p " LOCALITY T- C . NEA COT DIVISION OF BUILDING AND SAE CPO: ST. Department of County Engineer DISTRICT NO. RECEIPT NO. P R�+ITN County of Los Angeles ?� `tQ WM. J. FOX, COUNTY ENGINEER OR AT[ ECEIV D DAT[ABBUCD_� CASBATT D. GRIFFIN. SUVqNN NO / t _L' FOR APPLICANT TN TYPE NaT. RLDOVEOB IsaU BY OWNER MAP I' STATE MAIL _ ), NUMBER G (/ NWYADDRESS LSPECIAL CONDITIONS ARCHITEC OR ENGINEE_ BUILDING YARD HWY STREET NAME EXIST. SETBACK WIDTH ADDRESS FRONT {SIIP_L �"CONTRACTOR - SIDE ADDRESS . P.L. DATE CORRECTIONS INSPECTOR BUILDING ADDRESS LOT NO. LOCKTRACTJ SIZE OF LTor OLDGS• / /F USE OF FXIRTING BLDG. / DESCRIPTION OF WORK S a .s ., � a NEWy-IADD ALTER REPAIR DEMOLISH Z Sq. FT. NO. OF NO.OI ` r SIZE / o STORIES FAMILIES USE OF STRUCTURE }.. ti1�i cC NC. OF EMPLOYEES I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE CORRECT. IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION / n AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS. MATERIALSN✓+�^- ! -� FRAME: FIRE STOPS, SIGNATURE OF p'•y /I �' , BRACING.HOLTB PERMITTEE L" a FURNACE: LOCATION. GAS VENT.DUCTS ADORES- / 6/e LATH. INT. (Cn•.. �' ` AUTHORIZED ABT. LATH, EXT. $ t o-✓ P. C. B [,�� RHOUSE NUMBER COR- ECT f G y FEE 9. ECT AND POSTED FEE t T VALUATION LLJJ / B/Y I FINAL 76A638A D[3 3 db 5.54 WORKERS COMPENSATION DECLARATION hereby affirm that I have or of consent to self APPLICATION FOR BUILDING PERMIT insure, a certificate of Workers Compensation Insurance, or a certified copy thereof(Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company IwRDIIv<, 0 Certified copy a hereby furnished FOR APPLICANT TO FILL IN ADDRESS 5336 0 Certified copy Is filed with the county building inspec BUILDING 1 Ibn department ADDIESS 3 L L LOCALITY FEAREST Dote Applicant CITYZIP CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' NO OF3 ASSESSOR COMPENSATION INSURANCE bZE OF LOT NOW ON LOT MAP BOOK n. PAGE PARCEL (Thk section need not be completed if the permit is for one usnz TIUR BLOCK LOT NO .�R !.z/ hundred dol lam ($100)or leu ) IP SPECIAL I cenify that in the performance of the work for which this OWNER � 10 NO LfjX � CONDITIONS IL permit is Issued, I shall not employ any person in any manner DISTRICT GROUP TYPE FIRE D B O so as to oma ubject to tM Work m non imus ADDRESS CONST ZONE V -� G serer ZIP `� 7� g' "3 V 3 0 Dais Applica CARCHITECT OR TEL STATISTICAL CIASSffICAT10N APT NOTA TO ICAM IT after making this Certificate of ENGINEER NO Exemption, you you should become subject to the Workers' CLASS NO DWELL UNI15_ 6 Compensation provisionii of the Labor Code, you must forth- ADDRESS SEWER MAP N with comply with such provisions or this permit shall M Z deemed revokedTEL CONTRACTOR NO BK PG VALmA710N LICENSED CONTRACTORS DECLARATION LIC I hereby offun,that I am licensed under provisions of Chapter 9 ADDRESS NO VALVA O (commencing with Section 7000)of Division 3 of the Business and UC Professions Code, and my license is in full force and effect CITY CLASS f . 00 ► 50 FT NO OF NO OF CHECK License Number Lic CI SIZE STORIES FAMRES ONE Contractor Dora DESCRIFFIOW OF WORT( NEW ❑ f � �+I am exempt under Sec B _� v AM ❑ FINAL $2 9 9.4 A ❑ FINAL 4� pe e 0 a B BP C for this reason REPAIR DATE oats EXISTING TI ( • • 3 3 0 0 IXISTING BLDG Signature r APPLICANTTEL B - 3a005 OWNER-BUILDER DECLARATION V PRIM NO I hereby affirm that I am exempt from the Contractor's License .iw7� L77�, Pilo0 9 2 4—8 rJ Low for the following reason (Section 7031 5, Business and S Professions Code) oRr I, as owner of the property, or my employees wnBUILDING ADDRESS wages then sole comped or oh will the work andd LOCALITY nits structure a intendedunot intended or offeredfor ssale(Section 7011, Business and Professions Code) MOVING TEL OI, as owner of the property, am exclusively can tractIng CONTRACTOR NO with licensed contractors to construct the project (Sec- ADDRESS tion 7011, Business and Professions Code) �ouI CONSTRUCTION LENDING AGENCY SET UBAQ YARD IIWY TOTAL SETBACK FROM ww H I hereby affirm that there is a construction lending agency for FRONT , the performance of the work for which this permit is issued P (Sec 3097, Civ C ) SIDE PL p_ Larder s Name C Lender's Address PC Feef P•rmli Fee Z7--s-0 I cenify that I have read this application and state that the hsuonce Fee /V.J-10 above Information is comes I agree to comply with all County InverigoRon Fee - ordlro and Store laws relating to building construction, Total Fee 3.3A and hereby authorize representatives of this County to enter .� uPon I abov property inspection � - R �J(�' fe REVEM FOR EXPLANATORY LANGUAw Sgnatare of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORK- 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1307160024 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 11290 LT 8 BL A SO FT STORIES TYPE 1 5336 PAL MAL AV 1 STRUCTURE 608 V-B TEMP CA 917802844 1 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 18585-031-012 1 THOMAS PAGE 597 GRID C4 LOCALITY TEMPLE CITY CAI I TENANT EXIST BLDG USE REBID USE ZONE R-1 ISSUED ON PROCESSED BY (EXIST OCC GRP 07/16/13 SR (OWNERTEL NO IBLDGS NOW ON LOT VALUATION IREIFER THOMAS P,SHIRLEY TRUSTEES UT (626) 287-1395- 1 4,000 iF AL DATE FINAL Y CODE 18225 LANGDEN AV SGAB 917751705 FEES PAID ID PTIONOF WORE 1 VE EXISTING COMP ROOF (S) INSTALL NEW 30 YR COMP ROOF 1 APPLICANT TEL (FEE DESCRIPTION QUANTITY UOM AMOUNT I (S) 1 ICURTIS, IDS (714) 981-0884- IAA BLDG PERMIT ISSUANCE 27 80 1 I 6320 CLA A STREET IAB STATE GREEN BLDG FEE 4000 00 VAL 1 00 SPFCIAL CONDITIONS I BELL GARDENS 90201 IAC STRONG MOTION REBID 4000 00 VAL 0 50 I ID2 PERMIT W/O EN-HC 4000 00 VAL 115 80 I CONTRACTOR TEL TOTAL FEES 145 10 1 TEL NO 1 (APPROVALS DATE INSPECTOR SIGNATURE IROYAL ROOFING CO (562) 928-1200- I6320 CLARA ST LSC NO I VACATION AND SETBACK- BELL GARDENS CA 90201 432352 I ISO16S ENGINEER APPROVAS 1 IARCHITECT OR ENGINEER TEL NO I (FOUNDATION/TRENCH FORMS I ILIC NO ISLAB/UNDER FLOOR I 1 I I RAISED FLOOR FRAMING I I Ii IM1AP NO SEWER MAP BOOK PAGE FIRE ZONE CMP OI IUNUERPLOOR INSULATION OI I I I IFLOOR SHEATHING I I I INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS NO 21 1 IRGOF SHEATHING I I SCHOOL WITHIN HAZARDOUS I ISH,AR PANELS (AIR QUALITY 1000 FEET MATERIALS NO NO NO IFRAME INSPECTION ,FIFE SPRINKLER HANGERS I IN<UTATION/WEATHER STRIPI I INTERIOR LATH/DRYWALL I I I I (EXTERIOR LATH IRA-ED PLOOR/CEIL ASSEM I I I IRATED WALL ASSEMBLIES I J I (RATED SHAFTS OPENINGS I IT-BAR CEILINGS ADDITIONAL DATA ON FILE I I ILAT DRAINAGE I I i IRE PORT ID OPR261 ROUTE TO BSO508