HomeMy Public PortalAbout5509 PAL MAL AVE_Building__ APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Pli Ht Gr rvDB .,,10
BUILD'5 LG COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
CITY ��l z1P BUILDING AND TY DIVISION
NO.OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT ADDRESS���
p . - / ' /70
TRAC�P�pZ BLOCK LOT NO LOCALITY
TEL. NEAREST
OWNER �G NO. CROSS ST.
ASSESSOR
ADDRESS �,.Iy/7// MAP BOOK PAGE PARCEL
DISTRICT G TYPE FIRE SSED BY
CITY ZIP _ .cQ CO ST. ZONE
ARCHITECT OR TEL. �' vl/
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
A DO RE55� .UQS CLASS NO.13L_DWIELL.UNITS--A/
MAP
CONTRACTO ���/fSc
TEL - US ZONE NO. (/
A DO R ESS ,C1X4iq NO IQO -f SPECIAL
�J� LIC. ^�) CONDITIONS
CITY C cslo CLASS �` "/ ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONSTRUCTION LENDER y.
NAME AND BRANCHBLD SETBACK FROM d
FR TPROP,LI HE OF ISTREETI V
ADDRESS CITY
HIG WAY } YARD TOTAL SETBACK FROM TYPE A EXISTING CC
SO. FT. \ NO. OF NO. OF CHECK FRONT PROP. LINE HIGH WAV WIDTH
SIZE (/ STORIES FAMILIE ONE OJ
_ W
DESCRIPTION OF WORK u,�//yf NEW } CO
ADD LDG.SETBA Z
4 ✓ SIDE PROP. LINE OF ISTREETI
ALTER ❑ HIGHWAY } YARD c TOTAL SETBACK FROM T OF EXISTING
REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH
EXIST NG BLDG. - DEMOL ❑ }
APPLICANT ) TEL CORNER CUTOFF YES ❑ NO ❑
(PRINT) / / NO.
BY ISIGNATU IN OPEN SPACE YES ❑ NO ❑
Q IN COASTAL ZONE YES ❑ NO ❑
VALUATION A �O CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HE I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LAB R C OF THE STATE OF CALIFORNIA IN RELATING TO
WOR MEN' INSURANCE. J
SIGN A URE
PERM TEE _ IL
ADDRESSFINAL yy++���
TEL DATE �.. •� •_I t� BY
CITY NO. c
MAKE CHECKS PAYABLE TO: FEE $ FETE
HARVEY T. BRANDT, COUNTY ENGINEER // .Z
C/ -Q'Q CJs as
PLAN CHECK VALIDATION cR. M o. IAS. PERMIT VALIDATION cN. KID LASH
0 3 2iRMt 12 21 1 0.5 8 Ajts
76A638A CE#803 7/73 0 '3 3,MAR 12 1 ® , 3 52 5A98
FOR APPLICANACPPLIINATIGONtyp. G^FOR BUILDING PERMIT
FILL BWLDI NO Ic
OUNTY OF LOS ANGELES
AODREss S 0 DEPARTMENT OF COUNTY ENGINEER
CITY) ZIP BUILDING AND TY DIVISION
( / NO.OF BLOCSDING C
SIZE OF LOTqq$^^o z ! o NOW ON LOTRESS �J��TRACT ,2.2_ BLOCK LOT LITTELESTOWNER � NOS ST,SSORADDRESS Q BOOK PAGE PARCEL
CITE ZIP �� TRICQQT GTROUP CONST ZYPE IRE E;SED BY
RCHITECT R TELdoO ✓ENGINEER NOTISTIGAL CL�ASS/IFICATION SEWER AP
ADDRESS CLASS NO.�DWELL,UNITS BK PG
CONTRACTOR NEL. USE ZONE MAP
O.
LIC. NO.
ADDRESS NO. �.I ISPECIA17-
CITY LIC. CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER yy
NAME AND BRANCH BLDG.SETBACK FROM p.
FRONTPROP.LINEOF ISTREETI
ADDRESS CIT/ _ TOTAL SETBACK FROM TYPZRI TING
Sq. FT NO. OF NO. OF CHECK HIGHWAY YARD - HIGDTH CDCD
SIZE pO STORIES FAMILIES ONE FRONT PROP. LINE
DESCRIPTION OF WORK NEW ❑ N
DD N BLDG.SETBACKF Z
Be S IDE PROP.LINE OF
ALTER ® HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF JEXIS'YNNG
REPAIR SIDE PROP. LINE HIGHWAY WIDT
EXESOTING BLDG. �Z Adq- C1,,Cj2 DEMOL ❑
APCORNER CUTOFF YES ❑ NO ❑
PLICANT TEL SIV2J3VX/
PRINT)
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
/� IN COASTAL ZONE YES ❑ NO ❑
VALUATION .2PJ O 0
CATEGORICAL EXEMPTION YES[] NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED-(DATE
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSA N I RANCE.
SIGNATURE OF 0
PERMITTEE
ADDRESS 'hf /
TEL. Z'yZ FINAL BY
CITY NO. DATE /Y� � i .: S >
M,9 KF'CIIFC S PAYABLETOr FEE $ 4EE $
HARVEY T. BRANDT. COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH NN PERMIT VALIDATION M O CASH
CI
76A638A CER803 7/73 5 7AAPR 3 1 0 2 'IIS 0 A4;
IGABaaA CeR803 /-54 APPLICATION FOR BUILDING PERMI
COUNTY OF LOS ANGELES euaolNG
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS.SU•T OF BUILDING CROSS BY
OISTRI T NO GROUP TYPE P C SSED BY
FOR APPLICANT TO FILL IN CONST
B VILDINO IL I STATISTICAL CLASSIFICATION SEOE MAP
ADDRESS 'y� CLASS NOOWELL UNITS BK PO
LOT NO 44 IS USE ZONE I MAPIIr
N
TRACT SPE
NOCIAL
NO OF BLOBS
IDITIONS
SIZE OF LOT W ON LOT
USE OF _
EXISTING D BLOB SETBACK FROM /
TEL FRONT PROP LIME OF T)
OWNER NO F� TYPE 01 I[MISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS PIQ R 1.I- WAY M C L
CITY CT
Ise + = Q
ARCHITECT OR TEL BLDG SETBACK IROM
ENGINEER NO ■ID[ PROP LIN[ 01 STREET
TTP[ OF I EXISTING SETBACK NIGNWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH IRO_ C L d
CONTRACT TO L X070 + = O
ADDRESS 10')?-0 NA NO I Ivols, CORNER CUTOFF YES NO O
� C IT "` T SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK „d
Z_
WNEW ADD ALTER REPAIR DEMOLISH
T NO OF NO OF
SIZE -fes c f1 STORIES !FAMILIP_S
USE OF
STRUCTURE i^IVTrT� �I 3U (7UU
HE.
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'/SIGNATURE
FEE$ ------ FEPMT E$ -� FO FONDATRMS!MATERIALS LOCATION
FRAME, FIRE STOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT
AND STATE THAT THE ASWE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT DUCTS
9UILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORN
AUTHORIZED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR COM OF THESTATE OF CALIFORNIA RELAY
ING TO WORKMEN 8COMPENSATION INSURANCE LATH EXT
SIGNATURE OP Z HOUSE NUMBER COR-
PERMITTEE RECT AND
ADDRESS r FINAL /
JOHN F LEWIS PRINCIPAL STRAL ENGINEER
PIAN CHECK VALIDATION CN NO CASH PERMIT VALIDATION CK MID GSH
l -LAC07 6 O O� NOV 29 1 0 6.00-
, ��
1
BUILDING ABUILDING
DDRESS yS'O 9 p t_ R
APPLICATION LOCALITY ' _�G-•
DIVISION OF BUILDING AND SAFETY NEAREBr 1�F
CROSS ST.
DepSrtD2@Rt of County 0BF DISTRICT. RECEIPT NO. PERMIT NO.
County of LBB Angeles 5- . 7 j 73 J
WMI. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DAT[ISSUED
CASSATT D. ORIF►IN, SYPT CF ■WLC,NR e7-
r
FOA APPLICANT TO FILL IN TYPE CONST. R[Ci1VCD BY ISSUED a
OWNER
MAP TA
MAIL _. NUMBER PO SHWYi
ADDREBB i,
UBLZON[ SPECIAL
TEL ^ / CONDITIONS
CITY NO. //i
ARCHITECT OR TEL.
ENGINEER NO.
BUILDING YARD MWY STREET NAME EXIST.
ADD ESB SETBACK WIDTH
TEL FRONT
CONTRACTOR /N il NO.
Sloe
P.L
DATE CORRECTIONS INSPECTOR
ADDRESS SS (i j' �� / /✓/ N
LOT NO. y " �l C/Of/ BLOCK
TRACT L
NO.OF BLOOD.
SIZE OF LOT O I NOW ON LOT
use or
n
DESCRIPTION F WORK °a
NEW ADD ALTER REPAIR t"� DEMOLISH
Z
Sq.FT. NO. OP NO.or >
SIZE G L STORIES FAMILIES r
UBE OF STRUCTURE
7 r
//PT,�J /
- 7fLN6
NPO.OF 2—
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STAT[ THAT THE INFORMATION GIVEN IB APPROVALS INBPECTOR•BBIGNATURC DATE
CORRECT.
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION, LOCATION
AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION. FO RMS.MATERIALS
FRAME: FIRE S'OPB,
SIGNATURE OF `• { BRACING.BOLTS
PERMITTL FURNACE: LOCATION.
ADDRESS � !,) P.�.. iY -ST /76/1 fp ✓/l( GAS VENT,DUCTS
LATH, INT.
AUTHORIZED AOT.
J J LATH EXT.
S `��• FEE B HOUSE NUMBER COR-
VALUATION
RECT AND POSTED
B PD
rye 0 �--,. FINAL :y . .p
7a 18A DRR a .I-"
1
' COUNTY OF LOS ANGELES - -+2PLE CITY A 0508 - BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS - . RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9608210034
PHONE: (818) 285-0488 EXT
LEGAL ID NO. OF CONST NEW BUILDING ADDRESS:
IN: 8822 LT: 80 SQ. FT STORIES TYPE OCCUP GROUP 5509 PAL MAL AV
STRUCTURE 708 1 V R3 TEMP CA 917802849
ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET GAINES
8586-011-011 OTHER. THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED BY: EXPIRES ON
EXIST OCC GRP' 11/04/96 TC 08/21/97
OWNER. TEL AID: BLDGS NOW ON LOT VXLUATION: FINAL VAIL FINAL 1&,,,� CODE:
LW VINH B (818) 573-2184- 1 52,390
5504 PAL MAL AV
TEMP 917802849 FEES PAID Dt:SL;RIFPI TOM OF WORK
ADD 2 BEDROOMS & EXTENDING LIVIM OOM 1 NEW BATH
FEE DESCRIPTION QUANTITY. UNI: AMOUNT
APPLICANT TEL NO
BISHOP CONSTRUCTION (714) 761-9029- B1 PLAMCHECK W/ENERGY 52390 00 VAL 776.13
3142 VALLEJO AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS
ANAHEIM, CA 92804 AC STRONG MOTION RESID 52390 00 VAL 5.24
82 PERMIT W/ENERGY 52390 00 VAL 913.11
TOTAL FEES 1,722.23
CONTRACTOR TEL. NO APPROVALS DATE INSPECTOR SI URE
BISHOP CONSTRUCTION (714) 761-9029 1/0
-
3142 VALLEJO DR. LIC NO L'6!'t.Tl
ANAHEIM, CA 92804 EXPIRES • gur=INEER APPROVAL
I•t(.�P
W STEVE (818) 912-8289- ON/TRENCH FORMS
RCHITECT OR EMEi NEER: TEL. NO. FOUAIDATI
Ih2�
18203 VILLA CLARA ST LIC. NO
ROWLAND HEIGHTS, CA 91748 26073 C
RAISED FLOOR FRAMING
HAP NO: uffunfFlow-Twguarrow-
3 01
IST LEVEL FLOOR SHEATFF-
NO OF FAMILIES DWELLING LIMITS APT/COND STAT CLASS
NO 21
SCHOOL WITHIN -magm=- laffrTlimugrilu-
AIR QUALITY' 1000 FEET MATERIALS
NO NO NO
REQUIRED TOTAL SETBACK FROM EXIST RM-RTr.-FMNFTFffFff
SET BACK YARD: HWY PROP LIME: WIDTH it
FRONT PLSHEAR PANELS
-
SIDE PL-
INTERIOR LAI�== T
EXTERIOR LA;"
SPOKE DETECTION DEVI
FIRE DEPARTMENT APPROVAL
* ADDITIONAL DATA ON FILE
REPORT ID DPR261 ROUTE TO BS0508