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Home My Public Portal About5503 PAL MAL AVE_Building__ 7BA63SA CE 0I03 121 eG —� APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 44 - COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY P-,a G/ R APPLICANT TO FILL IN NEAREST CROSS ST FADOREn DISTRICT NO GROUP CONST PROCESSED BY nITYPE r 317 V r V STATISTICAL CLASSIFICATION SEWER MAP _ a BLOCK qq IICLASS NO DWELL UNITS_ BK USE ZONE MAP NO OF BLOCS NO OOT NOW ON LOT SPEC AL USE OF ff—ICONDITIONS EXISTING BLDG y I � C f OWNER D M David M . MyersNO 280-500 BLDG SETBACK FROM ADDRESS FRONTPROP LINEOF ISTREETI TYPE OF p( NG SlTSACK HIGHWAY } YARD = TOTAL CITY Rosemead , Calif. HwHwA WIDT ARCHITECT OR TEL + _ ENGINEER NO BLDG SETBACK FROM ADDRESS SIDEPROP LINEOF (STREET) TEL TYPE OF (STING SETBACK IHM"< } YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH I FROM C L ADDRESS NO I RROAS - O CITY San Gabriel Cal . DILAss C-39 CORNER CUTOFF YES ❑ NO ❑ ¢ CONSTRUCTION LENDER C NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS H SO FT NO OF NO OF NEW ❑ SIZE STORIES FAMILIES ❑ USE OF ADO STRUCTURE ALTER ❑ eloc z? SIGNATURE F REPAIR APPLICANT DEMOL ❑ VALUATION 3200 . APPROVALS DATE INSP[CTOR'F •IRNATUA[ PC PMT FOUNDATION LOCATION FEE f FEE fPORMSAE MATEORIALS FRMIRESTPS I HERESY ACKNOWLEOSE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STAT[ THAT THE ABOVE IS CORRECT AND ADN[! TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES ARD LAWS R[GULATINS EUILOINS CON- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY ANY P[RS01 1 VIOLATION OF THE LATH INT LABOR CODE OF TM[tL ST [ 0I AL R IA IM R[LAT G TO WORKMEN'S COMP[N p10 INS LATH EXT SIGNATURE HOUSE NUMBER COR- 1 PERMITTEE RECT AND POSTED l ADD�RI�E�S}S/.{E{/�p �}E� �,E FINAL / PLAN CHECK VAMAAION CK NO CASH JOHN F LEWIS PRINCIPAL STR CTUR MLO ENGINEERC _ PERN01' VALIDATIOI,�' r pr_ 0 9 5 9� JUal 8 1 D/ ['/6.00— , L"/— �'�._ TBAeDe;:E ..w u'APPLICATION FOR BUILDING PERM COUNTY OF LOS ANGELES ASSESSOR DEPARTSH21T OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESStiT COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL NEAREST CROSS ST DISTRI C7 N G P TYPE R E BY BUILDING �+ 1 t� D CONST �i ADORE59 V ✓ V STATISTICA�SSIFICA TION $ ER MAP LOT NO BLOCK CLASS NO DWELL UNITS_ BK TRACT USE ZONE MAP D NO OF BLDGS rtf� NO SIZE OF LOT NOW ON LOT • \ / SPECIAL USE OF 4 [` CONDITIONS EXISTING BLD _IIM • EL HER NO BLDG SETBACK FROM ADDRESS FRONTPROP LINEOF ISTREETI TYPEOFIEKISTING1 SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWA WIDTH FROM C L ARCHITECT OR TEL } _ ENGINEER NO BLDG SETBA ADDRESS SIDE PROP LINED ISTREETI TEL TYPE OF ISTIMG SETBACK MIG YARD = TOTAL CONTRACT NO HIGHWAY WIDTH FROM C L ADORR12 d NO + = p LIC CT CIT CLASS CORNER CUTOFF YES ❑ NO ❑ O COTRUCTION LENDER NAME AND BRANCH SEE REVERSE SIDE FOR S CIAL APPROVALS ADDRESS ._ 1^ � / H SO FT NO OF NO OF ❑ l Z SIZE STORIES FAMILIES NEW USE OF ADD ❑ ST CTU ALTER Cl SIGNATURE REPAIR APPLICANT OEMOL ❑ VALUATION f APPROVALS DATE INSPECTOR'[ GIONATURE P C PMT -0 FOUNDATION LOCATION FEE S FEE S 1 V FORMS MATERIALS -FRAME FIRE STOPS I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOL,T$ 2 AND aTATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VHILATI ON 01 THE LATH INT LASOR CODE 01 STAT[ OF CALIFORNIA IN RELATING TOtiC WORKM[H'S N IOM ItlU 1 LATH EXT SIGNATURE HOUSE NUMBER COR- PERMITTEE RECT AND POSTED r ADORE$$ FINAL J Zg / PLAN /�E�./�y ��T� JOHN IF LEWIS �PI}R[I�N IPAL STRUCTURAL NGINEER PLAN CHECK VIWYATION CK MO CA[II — PERMITVALMATION CK MO CASH 1 An 0 1 9 2ZZ r;r1Y1 1 1 D 2 2.50— a °;338A°D= ' .APPLICATION FOR BUILDING PERMIT 1 'DMSION OF BUILDING AND SAFETY BUILDING ADDRESS .2n 7' '_ Department of County Engineer County OI LOS Angeles LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER PT OF BUILDING CROSS ST.NEAREST co C CASSATT D. GRIFFIN. SU —T DISTRICT NO. GROUP SEWERTYPE MA PG FOR APPLICANT TO FILL IN 90 p � cDNsr n L G ADDREBUILDSNG MAP S '�' :b eNw%✓^% C' �L � NUMBER �Ol!' STATE YES NO LOT NO.e�i SS' OG Ej /W,��BLOC; USE ZINE CONDITIONS TRACT gs -z • • /� 4 Q SIZE OF LOT (J /�1 Oy I NOW ON LOTS I BUILDING EXIST. SETBACK YARD HWY STREET NAME WIDTH USE OF EXISTING BLDG. FRONT P.L. OWNER Py rI,1 '�- �'/ � ��0 ✓ L SIDE _ _ MAIL CC �I� ADDRESS U S CI 3 �Y}' I f 1 ✓ 1 O TRACT DWELL. I UNIT g INDUSTRIAL TEL I DWELL. �� 1 UNIT CITY r r✓l E - ��- NO. ` 1 6 PUBLIC BLDG. ARCHITECT OR TEL. 2 DUPLEX 2 UNITS 7 ADDN.,ALT., ETC. ENGINEER NO. 3 APT. _UNITS 8 MISCEL. ADDRESS 4 COMMERCIAL CONTRACTOR 'S ly Iti ; I) j (~ I",... '� TTIOI.' INSPECTION RECORD i ADDRESS L At DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH ' h� V-�, . FT. NO. OF NO.OF SIZE TORIES �' FAMILIES � USE OF 8 CTU C[ L' SIGNATURE OF APPLICANT APPROVALS ADDRESS 3 DATE INSPECTOR'S SIGNATURE p„ FOUNDATION: LOCATION / $ ,jf\OQ P.C. S K FORMS. MATERIALS FEE - E' FRAME: FIRE STOPS, VALUATION $ BRACING. BOLTS FEE FURNACE: LOCATION. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAS VENT. DUCTS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH. INT. AND STATE LAW'S REGULATING BUILDING CONSTRUC- TION. LATH, EXT. SIGNATURE O� Lys > HOUSE NUMBER COR- PERMITTEE RECT AND POSTED p ADDRESS J() 3 FINAL JOHN A.LAMBIE. COUNTY ENGINEER VALR CLYDE N. DIRLAM, CHIEF BLDG. INSPECTOR CK MOI( G9K - 8 2 9 i o": JUL 1'7 _ tj I,..\��-: 1. D h 02 � JUL1J 1 Co J APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) _ COUNTY OF LOS ANGELES BUILDING ADDRESS0,A� ,AAALL DEPARTMENT OF COUNTY ENGINEER O ZIP BUILDIN ND SAFETY DIVISION i NO OF BLDGS BUILDING SIZE OF LOT X O U NOW ON LOT ADDRESS TRACE y BLOCK LO /` LOCALITY TEL NEAREST r OWNER ) NO CROSSST MAP B ADDR MAP OR BOOK PAGE PARCEL DISTRICT GROUP TYFIRE ESSED BY -0 4 P),� ZIP COPENST Z ARCRTECT OR TEL ENGINEER NO STATISTICAL CLASSIFICATION / SEWER P ADDRESS CLASS NO21 DWELL UNITS EL CONTRACTO N USE ZONE OP OO LIC AD q -I CONiEZ DITIONS CITY G LIC CONSTRUCTION LENDER C/ ROAD DEPARTMENT APPROVAL REQUIRED VES C]ROAD ❑ NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF ISTREETI ADDRESS CITY ST OF FAFA OF CHECK AY + YARD TOTAL SETBACK FROM TYPE OF EXISTING SIZE ST SIZ FT H WFRONT PROP LINE HIGHWAY WIDTH MILIES ONE y DESCRIPTION OF WORK NEW ❑ + ADD ❑ BL AIX FROM oc SIDE PROP ISTREETI O LTER ❑ T KFROM I TYPE OF I EXISTING rTri ( HIGHWAY + YARD SIDE PROP HIGHWAY WIDTH USE OF REPAIR,1dJ EXISTING BL OG DEMOL ❑ + APDL TEL CORNER CUTOFF YES ❑ 1 IPRI NTI } N IN OPEN SPACE YES ❑ NO ❑ BY ISIGNATUREI IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION 1 HEREBY ACKNOWLE THAT I HAVE READ IRIS APPLIUTION AND STATE THAT THE ABODE G AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGUATWG BUIL CONSIRUCTgN I T W DOING THE WORK AUf1DRIZED H MY LL NOi FMROY AN N VIOIAI1pN OF THE LABOR OOOE OFT EST E UDPORNIA IN TING TO MENSCQN PENSATOON I E SIGNATURE OF PERMITTEE ADDRESS FINAL /_ F-7 --P� BY TEL E C TY N MAKE CHECKS PTO PC FEE $ FET $ �� HARVEY BRANDY COUNTY ENO NEER PLAN CHECK VALIDATION CIK. r o GASH — PERMIT VALIDATION crc w o cASH 1 6 nEr_. 9 D m. PaAe.eA a R803 3 75 WORKERS COMPENSATION DECLARATION Y affirm Ih0 I have.a cenifrcate of caisson, to bff APPLICATION FOR BUILDING PERMIT ,ul a certificate of Waken Compensation Insurance w Ified copy thereof (Sec 3800, tab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 0 L Company 94 TRAWd Cl Cendted copy is hereby furnished FOR APPLICANT TO FILL IN wtuiNG SS03 ADDRESS r Certified copy is filed with the county building inspec BUXDa/G tion department ADORFSS O Date t y Applicant Cm tv 61 09 LOCALITY NO OF BLDGS T CERTIFICATE OF EXEMPTION OM WORKERS SIZE OF LOT NOW ON P I ST COMPENSATION INSURANCE (This section need not be completed if the permit is for one TRACTAft ZMOCK lOT NO ASSESSOR hundred dollars (5100)or leu ) MAP BOOK I. PARCEL 'F I MAP I cenify that in the performance of the work for which this OWNER NO NO permit is Issued I shall not employ any person In any manner ADDRESS SPECIAL O/v3 so as to become subject to the Worker'Compensation Laws O CITY ZIP U Ir NOTICE TO APPLICANT If,Dole-Appoffer making this Certificate of ARCHITECT ORlive EENGINIEER _ MA NO _ DISTRICT TYPE FIRE By O F Exemption, you should become subject to the WorkersCONST U Compensation provisions of the Labor Code, you must forth ADDRESS � LAI M Aoc "' S with comply with such provisions or this permit shall beTEl STATISTICAL APF fn deemed revoked Og Z LICENSED CONTRACTORS DECLARATION y CLASS NO DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDR[SS (commencing with Seaton 7000)of Division 3 of the Business and LIC SEWER MAP Professions Code,4-7(0 license is In full force and effect CITY 0 CLAY � L� VALMATFON License Number.—T • (0v� Lic Class�� STORIES ' FAAO� ONE r�.,� CHECK VALUA Contractor emote YMIPTION OF ` A� 5 6 - I am exempt under Sec s , ALTER B BP C for this reason REPAIR 5 Date OF DEA10l EXISTING BLDG Signature APPLICANT TELrWDTH , p 0 2 14' OWNER BUILDER DECLARATION PRINT 'Q NODATE 1 • 1 9 0 5 I hereby off nm that I am exempt from the Contractor's License ADORE VLS Low for the following reason (Section 7031 3, Business and Professions Code) • • 1 9 0 5 0 5 El I, as owner of the property or my employees with BUILDING 323-88 wages as their sole compensation will do the work and LOCALITY the structure is net intended or offered for sale(Section70" Business and Professions Code) MOVING TEL F1I,as owner of the property am exclusively contracting OR NO with licensed contractors to constrict the protect (Sec- tion 7041 Business and Professions Code) � �CONSTRUCTION LENDING AGENCY IABD Herr vROP LINE L SETBACK FROM "151 I hereby affirm that there is a construction lending agency for FRONTthe performance of the work for which this permit is issued PL (Sec 3D97 Gv C ) SIDE Lender's Nome Lender's AddressvC Fee5 vermis Fee I certify that I have read this application and mate that the Issuance FeeST)above information is correct Iagreetocomply with all Countyordinances and State lows relating to building construction Total Fee R and hereby authorize representatives of this County to enter u the above-mentioned property for inspection purposes LaoSU tlVBH MR KXP AISAT02Y LANGUAGE a plimnt or Agent Dote / W(}RKE COM7FNSA710N DECLARATION s `s J'I b ffirm that I have r certificate of consent to ranelf APPLICATION FOR BUILDING PERMIT y'LJII ms or oaertlfrcate of Workers Compensation Insurance or a certiflee copy thereof (Sec 38M Lab C ) MA �H 1 COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Q Certified copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING S �' ' Certified copy is fled with the county buildingmec spBUILDING ADDRESS POW 611e, Awenon deportment AOORE55 0 Q Dote Appllcanl CITY ZIP LOCALITY R FICATE aEXEMPTIO CEN F WOR&ERY NO OF BLDGS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW CN LOT ST (This sedan need not be completed if the permit is for arta TRACT BLOCK LOT NO ASSESSOR hundred dollars($100)at,less ) AW BOOK PAGE vARCEI v TEL IH Z APAP I certify that m the psrfarmance of the work for which this OWNER • NO NO permit is issued, I shall not employ any person in any manner / SPECAL so ce to become subject to the Workeni Compensation Laws ADDRESS (!! CONDITIONS Dote Applicant CITY ZIP K NOTICE TO APPLICANT If cher making this Certificate of ARCHITECT OR TEL 1 CT GRQUPTYPET NRE_ BY O ExemptiENGINIEER on you should become subject to the Waken' Compensation provisions of the Labor Code you must forth- AggU� s(J1 `nf U with comply with such provisions or this permit shall be 12 deemed revoked CONTRACTS _ '�NEO STATISTICAL CLASSIFICATION APT Yrs LICENSED CONTRACTORS DECLARATION /� �.,.. CLASS NO DWELL UNITS_ ? 1 hereby affirm that I am licensed under provisions of Chapter 0 ADDRESS �'2 ttV.cQ�FI;P&, SEWER MAP (commencing with Section 7000)of Division 3 of the Business and ym UC BK PG /2 Professions Code and my license is in full force and effect CITY 1 QASS VAUDATf0N 1� SO FT NO OF CHECK IES License Number 4-110(43 Li, CI'.. SIZE � STORIFAIAIUES ONE r0. VALUATIONG Contractor ` gate DESCRIPTION OF WORK NEW I am exempt under Sec ADD $ ONO. B 8P C for this reason _ REPAIR $ 2 9,1 1.2 A Date USE EK15 NG DIOL OfMOL # . . . . •.1 Signature APPLICANT TEL FINAL OWNER BUILDER DECLARATION PRINT NO DATI I e e 6 0 5 0 1 hereby affirm that I am exempt from the Contractor It License 2 NIDVL Law for the following reason (Section 7031 S Business and Amu Fl e e e 60505 Professions Code) s Br BUILDING❑ I as owner of the y employees ADDRESS 0 3 0 4—8 8 property, or m em to with ADDRESS wages as their sale compensation,will do the work and tr ' the structure Is not intended or offered for sole(Section 7044, Business and Professions Code) MOVO4G TEL ❑ I as owner of the property,am exclusively contracting NO with licensed comrcctors to construct the project (Sec- ADORE twn 704, Business and Professions Code) CONSTRUCTION LENDING AGENCY YARD HWY UNE DTN I hereby affirm that there is a construction lending agency for FRONT the Performance of the work for which this permit Is issued v (Sec 3007 Gv C ) SIDE PL Lenders Name LA Rel • F Lender s Address P c F«s Permit Fee L DM I certify that I have read this application and sate that the Issuance Fee AQ, LDYM P/C 1 e above Information a correct I cgs a comply with all County Inve tgWion Fee $ ordinances and State laws relcting to building construction, Tool F« s� LDMA Perini E� R and hereby authorize representotivea of this County to enter upon the above-mentioned property for inspection purp/osses; 31/4/ 3d SU RIND=FOR 101FLANATORY LANGUAGE Sigsiaturs,of ApPflosou or 99ent Date