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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