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Home My Public Portal About5509 PAL MAL AVE_Miscellaneous__ - c Via)' COUNTY OF LOS ANGELES w^' DEPARTMENT OF PUBLIC WORKS SA24 GABRIEL VALLEY REGIONAL OFFICE rMo�•a �nocywrw. a...... BUILDING A24D SAFETY 125 S. Baldwin Avenue Arcadia, CA 91007 (a18) 574-0541 MICROFILM INFORHATION Record Search 197]-1954 Building Address: Q q fy Mal, Locality tLl Previous Address 3 Tract No. Lot No. Lot Size Building Permit 9 6K5-S g Issue Date 0-2V-' Final Date ! /7 4 Description of Work / Y X ZO AtiyA6 9 Sq. Ft. Building Permit a to Issue Date 04/-35'Final Date 10 2j}J' Description of Work 40W p Sq. Ft. Building Permit f /80 Issue Date /0-/�- F//inal Date Q,`, Description of Work 1��L(.' — Liv �ny — 8,¢V — eheA .� 4,511 440 2U. Sq. Ft. Building Permit c Issue Date Final Date Description of Work Sq. Ft. Building Permit Issue Date Final Date Description of Work Sc. Ft. Sewer Permit 0Date Issued Private Disposal System Date Inspected Public Seder Connection Date By: WORKERS COMPENSATION DECLARATION 7eM464 zo-ooeaovwtveo MISCELLANEOUS APPLICATION f I hereby aftwm that-I have a certificate of consent to self COUNTY OF LOS ANGELES BUILDING�NND SAFETY DIVISION ,Illll Insure or a certificate of Workers Compensation Insurance, or �• a certified copy thereof (Sec 3800 Lab C) Policy Na Company FOR APPLICANT TO FILL IN mnLaNG �s- eBUI NG ADDREB ADDREDe Certified copy is hereby furnished d Aez LOCALITY Certified copy is filed with the county building iropection CITC _ zlv department ��rti /P C W /-7 Ns IIAIT CROSS ST r e ,✓ } Dalt Applicant SIZE OF lAT ^ NO Oj SLOGS NtTV ON LAT praTRifiO� Gr�l1P TYMCON PRG en®ET CERTIFICATE OF EXEMPTION FROM WORKERS a -3 Coiter COMPENSATION INSURANCE rRAc 8Z BLOCK Lor No ' WP NRMWAY No IaECLXI STATE MAJOR SECOND LOCAL (This perms need not be completed l the work Involved As ss� K vA¢lO/ vA�L by the permit is for one hundred dollars ($1001 or less.) .c, uat xo«c e'ccul C°NGrtIONe 1 certify that in the performance of the work for which this OWNER TEL NO permit Is issued I shall not employ any person In any manner 6 / Da ADDRESS �• so as to become subject to the Workers Compensation Laws OCCUPANCY GROUP �_ 3 Z Date Apphcam Ld / zip p� NOTICE TO APPLICANT If after making this Certificate C� (� OCCUPANT LOAD of Exemption you should become subject to the Workers App ATION FOR EXIT HARDWARE Compensation provisions of the Labor Code you must forthwith comply with such pm%isions or this permit shall be deemed TRAILER USE❑ GEOLOGY INSMCTION❑ No Spec Knowl ❑ revoked LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION Panic Devices ❑ 1 hereby affirm that 1 am licensed under provisions of Chapter f !VrYPERMIT❑ (LIST ITEMS BELOWI 9(commencing with Section 7000)of Division 3 of the Business No or EXITS and Professions Code and my license is in full force and effect L� O,V I' PARKING REO D D PROVIDED License Number Llc Class . SPAces Contractor Date LIMITED TIME USE ❑ DATE 1 ern exempt from the ilcensing requirements as { am a rrwM DATE ro licensed architect or a registered professional engineer acting in my professional capacity (Section 7051 Business Mn°F NG Or IN oR s and Professions Code) ExleTwc BLDG sroRlEs Lia or Reg Na Date PRESENT USE OF BUILDING •(/ F FINAL APPROVAL HOME OWNER-BUILDER DECLARATION No OF EXISTING BUILDINGS / ON LOT AND Inc //e"/ /� 1 hereby affirm that 1 am exempt from the Contractor s License N y �` Ul Law for the following reason (Section 70315 Business and ACCT' Professions Code) NO MRKIN6 ❑ I as owner of the property will do the work and the SPACES PROVIDED 3�3 A 242 70 structure is not Intended or offered for sale(Section 7044 PROPOSED USE OF BUILDING Business and Professions Code) ). ITEMS CONSTRUCTION LENDING AGENCY TOTAL 242. 70 1 hereby affirm that there is a construction lending agency for CECK 242.70 the performance of the work for which this permit is issued (Sec 3097 Civ C) IMOPOSED MAX OCC .00Lender s Name A CANT iL No mar rwvrLor m/ A s -ax Lender s Address ADDRESS 1 certify that I have read this application and state that the 5 A- YC! 1 5/23/96 above information is correct 1 agree to comply with all CountyPERMD PEE 0M 1 PM 5;43 ordinances and State laws relating to building construction and I� hereby authorize representatives of this County to enter upon IElWLNCC PEE L' Q the above-mentnone perty for inspection purposes TOTALP E Z• 0 I L. 42A SEE REVERSE FOR EXPLANATORY LANGUAGE 81 et a of Pe ti Date KCE e7875(11 E4)ERS COMPENSATION DECLARATION 7BMMISCELLANEOUS APPLICATION {� LJ I hereby affirm that 1 have a certificate of consent to ser COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION insure, or a certificate of Workers Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) ,Poli No Company woowoeii 0 AL "cvw cY Pa FOR APPLICANT TO FILL IN Certified copy Is hereby furnished SUILDINc O L.. MAL !� ✓ E/yQ�� e/ wO or¢SS LOCALITY ❑ Certified Copy u Filed with the county budding inspection LOCALITY �J�` C'/-rj/ NEAR iT DfJ/i{/e�s department Date Applicant NEARCROS:Sr A� ��S Dler�� • eow�r ,/ Pw OCESSKO [r cwo SS AT /u CERTIFICATE OF EXEMPTION FROM WORKERS' Lao I. To COMPENSATION INSURANCE DESCRIPTION Lor No DLOCK T AP ....RAY STAT[ Mwrow e c No LocAl p No or •LDGS No (elR USI (Thu section need not be completed if the work involved TRACT B82 Nor ory Lor US 0N[ SP[elAl eo NDlrlo rve by the permit u for one hundred dollars (SI00) or fess.) USE or SIzK OF LOT dJ( Z," [XISrING DIDo =Sf COjJE Ei5/�p2C�.=ME/17'7^ ri I certify that in the performance of the work f s luck this 14/ permit n issued, I shall not employ an person y man._��n�errrr orn[w U S 14 aD u to become subject to the Wo fs MALL OCCUPANCY GROUP "3 OC )( Date 1--750? APphwnt 002.CL.L ROOK[..S3 a L /L//jL �✓ W r[L OCCUPANT LOAD NOTICE TO APPLICANT If, after making this the Workers' a of clry P/�C'j� No B/� S�ooz& s` Compensation Exemption, you should became subject to the must forth- APPLICATION FOR EXIT HARDWARE Z Compensltion provmons of the Labor Code, you mart forth with comply with such provisions or this permit shall be TRAILER USE ❑ GEOLOGY INSPECTION ❑ No Spec Knowl deemed revoked LICENSED CONTRACTORS DECLARATION OCCUPANCY INSPECTION Panic Devices 1 hereby afftrm that 1 am licensed under provmons of Chapter SAP¢TY PERMIT ❑ (LIST ITEMS [SLOW) 9 (commencing with Section 7000) of Division 3 of the Busy No or [xlrS ness and Professions Code,and my license a in full force and lc./ d�tJd/A.✓2.�� PR effect SrAwKInGCES REOD PROVIDED License Number Lic Class �TE,P fA�T ,Qy�/j LIMITED TIME USE Contractor — Date � // O.T. DAYS 1I am exempt from the licensing requirements w I am a "967 •OM TO licensed architect or a registered professional engineer nzE or No or INS CTOR S acting in my professional capacity (Section 7051, Bus- EXISTING DLDa g STORIES n AruwE mess and Professions Code) Ltc or Reg NO Date PR uenT USE or auumrvG d �/(l /,,/ -7— FINAL APPROVAL HOME OWNER BUILDER DECLARATION No or EXISTING BUILDINGS 30 oN LOT AND USE �,C.r.T I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 70315, Busr 3307 1170.190 ness and Professions Code) NO PARKING 1 ITEM I, as owner of the property, will do the work and the SPACES PROVIDED structure Is not intended or offered for sale (Section •T(JIAL 80 - 50 7044,Business and Professions Code) CHECK 80.50 CONSTRUCTION LLNDING AGENCY PROPOSED USE or BUILDING I hereby afirn that there a a Construction lending agency d PNEP✓ �7'O CF�NGE .00f for the performance of the work for which this permit u issued(Sec 3097,Civ C) Lender's Name Ou"o 1 1/26/39 Lender s Address PROPOSED MAX occ 0764 1 AM10:37 I certify that 1 have read this application and state that the PERMIT FEE above informatwn is Correct I agree to Comply with all County ISSUANCE FEE ardttunces and State laws relating to budding Comlruction, and hereby authorcte re7_ trves of this County to enter TOTAL Fee upon the!,b?semen u d property for raspectron purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of PArnace Date �2lfe