HomeMy Public PortalAbout5438 PAL MAL AVE_Building__ APPLICATION FOR BUILDING PERMIT
• C � COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION OWL"'
11LD FOR APPLICANT TO FILL 01 ADO
I InlebY alarm that I have,a oertlfllate of consent to sW!roars,
or a oertMkets of Nbrkere Comperodtion Insurances or a ow#W
copy ttaraof(Sec 3800,Lab C) OT
zro
8 0 LOCALRY
Policy No Cerrlpany SIZE OF LOTNo of BLDos.Now Old Lor
❑ Certlfbd copy Is hereby furnished JJ(Io NEAREST N
❑ Certllbd copy b filed with the oourdy bull*V ins edicn TRACT O BLOCK K l USE ZONE MAP No
o.te BOOK FACIE
PARCEL App! SPECIAL"mlprtloF�s
CERTIFICATE OF EXERTION FROM WORKERS' �� 1 N TEs k
COMPENSATION INSURANCE wrntw Coto Pr of SCHOOL?
ADDRESS ``,
(TTb wtIon need not be completed If the permit Is for one hundred 8 A1\0 DISTRICT MW "NBT FIRE ZONE
- `dollars({100)or lees.) Cm ZIP $
ty I o1Ufy that in the performance of the work for Mdch this putt Y
��\��b pled VAIectiaL tlry person arty r(NnnQ so ell t0 INEEII TEL NO In STATISTIM
F` '.. ADDRESS CUSS NO DWELL UNITS
Data� DAppflcmq
N07f T APPLICANT R, after th4 te RET BACK TOTAL SETBACK FR
Al
Exemption, you should become subject to th0 WorfIikers � VJ TEL NO SET t7AGYc vARD NIw PROP LBS
CAnlperaatlon PloNafols of the Labor Cede. You moat forthwith r� �
comply with such provisions or this permit Mall be deemed revoked AGGRESS UC NO PL
SIDE
LICENSED CONTRACTORS DECLARATION CITY LIC CLASS
I ~affirm that I am licensed under provisions of Chapter 8 SEMIBI
rn
(oomerrLp with Section TODD)of Division 3 of the Business and so FT NO OF STORES NO OF FAk c" NEW ❑ BK PO
Professions Cads,and my ticanes is In full force and affect .t oil.
+
License, DE9CRI OF MARK t$, ADD In
Contractor DamNumber—Lie e ALTER ❑ s D O ACCT.. i
3A37 9
❑ t am exempt under Sac REPAIR ❑ $ .E —
B&PC for this reseon DEMOL ❑ LOMA PIC s 1 ITEM
"�OFEXISTING B1DO URM ❑ TOTAL 93 . 63
Bgnabue APDL (r , '.' Ta LDMAPenn a CHECK 93.67
❑ L es owner of the property, or my employees with wages all I L (AJ C.HA .I]I]
le
their sole compensation,will do the work and the structure b
not Intended or often etl for sale (Section 70th, Buatnees aN'I v G1
Profeeslors Code) MULrIaArnrwroA wrunuaaaaccuwvrtHNaaaAlwAAoolerruea.L 0 r�'�I�� rKK}}rr�
I all owner of the am exd oA A Imus oaaa.so A I.rTAAooraa wrawL eouAL ro ce amwml TIWI [IDOCI-CW V 1 S/ 8/90
Ilfl' IMed ContRCtena to eruct the project ($adbnr70" MAM0UN1a sP6CR®oK TIC XATA1Op19 W1pUNa M01tlYeKIN aUmef r�1ALn
Buakbee and Pralsss ro Cods) Ira❑ res❑ 2273 1 AM E:27
waL ria errooao ueE or rIe euacslo er nit AwuoMrt oA wrua ararmlo
CONSTRUCTION LENDING AGENCY cocouwwRAUaaurwecormrwcrnNosmrrwrtee rsoNrvasoum
orer AIR orAALITYrurr rANneorr smracr Iecrovml eO:Puasrrsq osvaam r
ran auo¢saa
I hereby affirm that there Is a construction WWbp agency for .Es❑ No❑ I
the paAortrunos of the work for which this permit Is Issued(See r wee AEAc ria IrvAAcaa wTDaua Psawrerraa cuss Arm ria euom
3087 Ch,C) rvsernKc ciaoarar i ulmormwo w irccusmmrte umr nit:Ina AMORD
Landxe Name I 01°�°WR; YIo oC�'Wlam flARlOar�RlpwY T.K.W10p
Lerldefs Address s,•o,a,�,
I certily than I have reed this application and Stifle than the above PC FEE PEtW1T FEE 0, 3 ~-
information Is Coned I agree to Comply with all county
ordinances and State laws relating tobullding construction,and
hereby authorize representatives of this County to a nto upon CSSDANCE FEE J O
the above-mentfdud prapa r pectbn punposaa J
' INVESTIGATION FEE TOTAL FEE 3 .3
R
SEE REVERSE FOR EIPWIATM LANGIAMW
COUNTY OF LDS 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 0209270016
PHONE: (626) 285-0488 EXT
LEGAL ID. NO. OF CONST BUILDING
TR 7690 LT: 17 U1. 002 SQ. FT STORIES TYPE 5438 PAL MAL AV ADDRESS:
STRUCTURE VN TEMP CA 917802846
ASSESSOR INFORMATION NUMBER. NEAREST CROSS STREET: DAINES
8586.030-020 THOMAS PAGE- 597 GRID: C3 LOCALITY. TEMPLE CITY
TENANT: EXIST BLDG USE: RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 09/27/02 JK 03/26/03
OWNER TEL NO SLOGS NOW ON LOT VALUATION FINAL DATE FI L BY -ME:
LIANG CHING C,HA T (626) 286-5225- 400 ^-�
5438 PAL MAL AVE Y/y /62c.-.�C-�
TEMPLE CITY 91780 utbtKlv11O 3 o
C/O 2 WINDOWS (SAME SIZE)
FEE DESCRIPTION: QUANTITY LION AMOUNT
APPLICANT
SAME AS OWER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 400 DO VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EM-HC 400.00 VAL 43 65
TOTAL FEES 71 90
CONTRACTOR. TEL NO APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWER -
LIC. NO LOCATION AND SETBACKS
ARCHITECT OR ENGINEER. TEL NO
LIC. NO: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
HAP NO SEWER MAP gMr—PXGE FIRE UNDERFLOOR INSULATIW-
14711273 3 01
FLOOR SHEATHING
NO OF FAMILIES DWELLING LIMITS APT7CMU-3TAT-MW-
NO 21 ROOF SHEATHING
---nTW91THIN 7=559r— $HEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
NO NO NO
REQUIRED -—-—--TOM SETBACK FROM EXIST
SET BACK YARD HWY. PROP LINE WIDTH
FRONT PLINSULATION/WEATHER S
-
SIDE PL-
REPORT ID: OPR261 ROUTE TO: BS0508 LOT DRAINAGE El
COUNTY OF LOS ANGELES TEMPLE CITY / 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0304010044
PHONE (626) 285-0488 EXT:
LEGAL ID: No OF CONST NEW BUILDING ADDRESS
TR: 7690 LT 17 U1: 002 SD FT STORIES TYPE OCCUP GROUP 5438 PAL MAL AV
STRUCTURE 110 1 VN R3 TEMP CA 917802846
ASSESSOR INFORMATION NUMBER: GARAGE NEAREST CROSS STREET DAINES
8586-030-020 OTHER 17 1 VN U1 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE USE_ZONlE_- ISSUED ON PROCESSED By t"IKL5 up
DUST OCC GRP. 04/04/03 JK 03/29/04
OWNER: TEL NO SLDGS NOW ON LOT VALWMTM-- FINALDATF FINAL BY' ODDE,
LIANG CHING C 6 HA T (626) 4K-5618- 7,000
5438 PAL MAL AVENUE 0 �¢
TEMPLE CITY 91780 WORK
�VIEXPANb LIMNGGFRM BATH TO FULL BATH, ADD FRONT PORCH
FEE DESCRIPTION QUANTITY LION AMOUNT.
APPLICANT: TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG NOTION RESID 7000.00 VAL 0 70 SPECIAL CONDITIONS:
B1 PLANCHECK W/ENERGY 7000 00 VAL 155 40
82 PERMIT W/ENERGY 7000.00 VAL 182 82
TOTAL FEES 366.67
CONTRACTOR: TEL NO APPROVALS WE IwsPnTN-9rMUTMT—
SAME AS OWNER -
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPRNlr
ARCHITECT OR ENGINEER TEC—Mr— FOUNUATION/T
LIC NO n5
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGEFIRE ZONE I`EKad�AOF
3 01
NO OF FAMILIES DWELLING UNITS APT/Cfflff-TTXrT0M9— IST LEVEL FLOOR SHEATH—
NO 21
SCHOOL WITHIN lummuoar— ROOF SHEATHING
AIR QUALITY 1000 FEET MATERIALS
NO NO NO FIRE DEPT FRAME INM%TT
R EQUIRFD SETBACK FROM EXIST BLDG DEPT FRAME IN39ff
SET BACK YARD. HWY. PROP LINE WIDTH.
FRONT PLNuirmELS
-
SIDE PL- INSULATION/WEATHER STM
UTMffW ;H
SMOKe DETECTION DEVICES
FIRE DEPARTMENT APPROW
REPORT ID DPR261 ROUTE TO: BS0508