The URL can be used to link to this page

Home My Public Portal About5524 PAL MAL AVE_Building__ J COUNTY OF LOS ANGELES BUILDING PERMIT DEPARTMENT OF COUNTY I GINEEA APPLICATION BUILDING AND SAFETY DIVISION UILDING FOR APPLICANT TO FILL IN ADDREss B BUI(DING U AODR ESS LOCALITY / CITY / Ee;pl, ZIP NEAREST CRCSS ST NO OF BLDG'S ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARC /� Q ^� DISTRICT GROUP TYPE FIRE ROC D BY TRACT"" BLOCK LOT NO-.A d� Q CONST OWNER / NO STATISTICAL CLASSIFICATION SEWER�MAP ADDRESS CLASS NO DWELL UNITS LBV/ (j6J CITY USE ZONE NOP ?Q O ARCHITECT ORf TEL / SPECIAL ENGINEER NO CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONTRACTOR TEL BLDG SETBACK FROM N FRONTPROP LINED F (STREET) LIC ADDRESS NO HIGHWAY } YARD -_ TOTAL SETBACK FROM TYPE OP EXISTING LIC FgONT PROP LINE HIGKWAY WIDTH CITY CLASS CONSTRUCTION LENDER } NAME AND BRANCH BLDG SETBACK FROM o ADDRESS CITY SIDEPROP LINEOF (STREET) U SO FT NO OF NO OF CHECK HIGHWAY } YARD _ TO TAI_ SETBACK FROM TYPEOF EXISTING EE= SIZE STORIES FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH DESCRIPTION OF WORK J"o ( NEW } H DD CORNER CUTOFF YES ❑ NO WiLed rkrAb ❑ LTER ❑ A216 ,Q J EPAIR IN OPEN SPACE YES ❑ NO ❑ USE OF y 6 IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG EMOL APPLICANT TEL (PRINT) NO BY (SIGNATURE) H I HEREBY ACKNOWLEDGE THAT 1 HAVE R[AD TXI APILICATION AND STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY WITHALL ORDINANCE• AND LAWS REGULATING BUILDING CON 3T RUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED men[ST I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE "a.R CODE OF THE STAT[ OF CALIFORNIA IN RE ATING TO '�j/Z WORKMEN S COMPENSATION INSURANCE V SIGNATURE OF % FINAL I / I PERMITTEE ` DATE I j ADDRESS TEL PC Fee$ Permit Fee CITY NO ( Isuan®Fee VALUATION Y f d !/ C/ Total Fee PLAN CHECK VALIDATION CK MO CASH PE[kNIT V 171ON cH M 0 CASH 7 6 7 1 U 1 3.0 0 wyo ]SALE., Gi.WEY IE/TE � ' - TGA6T�RA A-„ 64 'APPLI CATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ICROSSST UILDING �((�LL DEPARTMENT OF COUNTY ENGINEER DDRESS t!J BUILDING AND SAFETY DIVISION OCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUPT OF BUILDING . DIS�ICT N GljpVP TYPE P Te- BUILDING BY FOR APPLICANT TO FILL IN � � CONST. , ApORE55 ..5 S ,/, l� /�� /V��J� STATISTICAL CLASSIFICATION SE ER MAP CLASS NO. DWELL UNITS BK / PG LOT NO. I��,ql BLOCK USE ZONE MAP NO. TRACT 04 SPEC� / CONDITIONS SIZE OF LOT S-U X l CJ NOWOONBLOT S. USE OF FXISTIN III AIIIAOK 6- p BLDG. SETBACK FROM OWNER /I/ � /'(��/C� NO, CfI J� II�. TYPE OF PROP.EXISTNGNE F SET BACK HIGHWAY YARD = (STREET) ADDRESS HIGHWAY WI F MGL. rT CITY ��"I P�� ./ ,CT-p,� _'S + SAV ABLDG. SETBACK FROM ARCHITECT OR TEL. ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. 1 TEL. + = 0 CONTRACTOR NO U LIC CORNER CUTOFF YES NO K ADDRESS NO 0 CITY LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS v w DESCRIPTION OF WORK 7- z NEW ADD ALTER REPAIR DEMOLISH SO.FT. NO. OF -NO. OF SIZE STORIES �”- FAMILIES USE i STRUCC TURE �� +7 SIGNATURE OF �J�J APPLICANT VALUATION$ (}-}� / c APPROVALS GATE (NSP EC TON'551 BB P.C. PMT. ��7..y FOUNDATION, LOCATION FEE$ FEE$ -f ` (/ " FORMS, MATERIAL S iJ f FRAME, FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT, ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION ]i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS t GUILD ING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. II TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INC TO WORKMEN'S COMPENSATI0 URANCE. Nc LATH. EXT. 1 SIGNATURE OF C� HOUSE NUMBER COR- 1 PERMITTEE ` R'CT ANO POSTED ADDRESS t' FINAL ` + PLAN CHECK VALIDATION M BH JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENG ER PERMIT VALIDATION K. M.D CASH TEMPLE C17 5 -z APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILOI NCI;/ , A/ DEPARTMENT OF COUNTY ENGINEER ADDREs BUILDING-AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. �(/ DISTRICT NO. I GROUP ITYPE P ESS E BY FOR APPLICANT TO FELL IN LS 0 T coNsr. BUILDINGL � M4 STATISTICAL CLASSIFICATION SEWER MAP ADD ESS n/ CLAS$. NO. DWELL. UNITS /— BK IG� LOT CO' > BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE: TRACT !� / NO. 2pp IGH EI STATE MAJOR$ECON OCAL • NO.OF BLOGS. SIZE OF LOT / NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. 3/ .1p&_ I TEL. I OWNER // O. BUILDING EXIST. /� � SETBACK YARD HWY STREET NAME WIDTH ADDRESS /� /i 7-A FRONT ARCHITECT OR TEL. P. L ENGINEER N SIDE r P. L. d ADDRESS TEL. 1' ¢ `r � O OV CONTRACTOR NO. K ADDRESS Q N �vr O DESC TION OF WORK S 6v 1 NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF USE OF SIZE STORIES FAMILIES / STRUCTURE SIGNATURE OF ♦ 4 APPLICANT Ce ` VALUATION $ (e, �m ROYALS �' A E INt[ OR't 810 E FOUNDATION: LOCA ION p FEE S FEE $ /�O FORMS. MATERIALS FRAME: FFIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION BRACING BOLT$ ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S COMPENSATION IN URANCE. LATH.EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE-` RECT AND POSTED ADDRESS vFINAL F JOHWF. LEWIS. PRIhICIPAL STR CTURAL PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M CASH LAL;o3504ZZ SEP 3 1 D 11.50~ L I l APPLICATION FOIt\PUILDING PERMIT COUNTY OFLOS AAGgLES BUILDING AND SAFETY WORKER'S FOR APPLICANT TO FILL IN BUI ADDRE88 ��WORKER'S COMPENSATION DECLARATION eLnLallo ADORES9 N i9-L I hereby of inn that I hew a cMUatlflfate of eonamt to aeM Insure , or a certificate of rkers'Compensation Insurance,or a certified OAP copy thereof(Sec 3900,Lab C LOCALITY Policy No BCompwy� F S Tm�,�•2�/'D SUE OF lAy NO OAGS NOW ON Lor �n ❑ Certif ed copy b hneby fumbled •A,_ NEAREST CROSS XC flied COPY Is filed with �e Coun 'k71 irspeCtiDR TRACT (ROCK LOT NO department LISEZONE MAP NO Data �j ja_ _,gym ABBE680R MAP NOOK6 — PARCEL�LMP� � SPEGAL fX7fmITLONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNERTEL NO `rs WrTNIN t OF SCHOOL? vES No COMPENSATION INSURANCE (TTde section reed not be Completed R the parmit Is for one hundred Lam- (.� . DLSfNCT OROLIP ITYPECONST FIRE ZONE PROCESSED 9Y dollars($1130)or Wa) CITY ZIP I certify Est In the perlo menoe of the work for which tie.permit �f v .3 V 3 b blued I atoll not empty any Dante In any manner p tl to ARCH OR ENOINEEA TEL NO � �' . .. subject to the Workers'Comp0lgation Laws, STATISTrAI CLASSIFICATION APT CONDO Dao Applicant ADDRESS CLASSNO,.9--L DWELL UNITS NOTICE TO APPLICANT If, after making this Cartifiate of TELREOUVRED TOTAL SETBACK FROM EXIST Exemption you should become subject to the Workers l SETBACK vARD i!A^/ PROP UNE WIDTHCam mperDon provisions of the Labor Code you must forthwith FRONTOl Cnply with such provisions On 9116 permK shell be deemed rewVlted �9 �/Z P L �7S DE d LICENSED CONTRACTORS DECLARATION QTY' LIC CLASS v L I hereby.flat. tit I .nI Ilowsed under provisions of Chapter 9 NO OF STORES NO OF PAMWES ❑ SEWER MAP (oo..encing with Section 70DO)of Division 3 m tiro Business and a--2— NEW PG ProteMions Code and my license b In full force and Llcenles NLieClefs DESCRIPTION OF WORK ADD VALUATLON ani l� ON ALTER $ z ❑ 1 em exempt under Sec REPAIR ❑ B BPC for this reason 67/�/ + DEMOL ❑ USE OF NG BLDG LDYA P/C e 09% USE �LGI/AL� URM ❑ L� n LDMA nn11• ❑ L sass owner of the property, or my errlDLDyass whh wages ss n rr •fir—' �� - � � � ' -r�.T their sole compensation,wig do the work and the structure Is F not Intended or offered for sale (Section 70", Business ami 5buu.OATH < 1 LNofeWons Code) vnlLrauwlaWraR RlTIIUNRDpDOCCIxMNr NAIOL.A1MTMmQq NATa141L ❑ 1 a owner of the with OR A nc(rLa1E 00N1Ae4rO A 11ArAnooLs num .n,.. To OR GREATER Property,construct athe prvo t(S ction9 nswmurrraePecs®on nclwrAROole wAreaua KORLwION cutest Fact eY tkerleed and Profess on C;odv xa tie wDieDt (Section low Tea❑ No❑ Buehnsse and Professions Coda) - - wXL ra arreom see or ra OTR[ erMmSunnaOI er ra vwalcnWfr ce RRrOntas111eEuaxf1OUvTnG11 ? _Ttrl:, CONSTRUCTION LENDING AGENCY toAar mauNurnr� sWlsMCwQLM5211NUMOnw au n GUIDBIy I OTrL 83 / - 19 1 hereby affirm that then to e coroWCtlm lending agency for v®❑ No❑ the performance of the work for which this permitb beued(Sec r — r(we nwM ra NATMtO[Xle NATe11INe PnwnrAT1ON UNDER Aro ra ecAOLo _I'��; t. 7o-t.1" 3097,Civ C 1 PswrnTeo awrE«a.mr I uNOBroDND w 16D(leBO(n VIDEn T1s aero ANDHTS OaenrcoacmLexowrmsmeacrcnes.snlmnwOuoNxmlocaRcmww LC AWIE .IV poees Nann IMTAIOp16 WlBIW1 gEpDRnKI Alm nOR OeiAearK1 A'FAOr nloenra eCAOm. Lender's Address tAwatw.senr I certifyna ion is c neo thbag application complywtheme con bove PC FEE PERMfT FEE /O 69 ��_IDj—Ol:lj0/21 Information b sorest I ordinances and State Inn rsletirq to bWWhq conetrlctlon and L ISSUANCE FEE 7c� �,( �`�1b S the eboe� Property forainspeeft purposes u 6? 73" e NYESTKIATKIN FEE TOTAL_ -.I-. SEE REVERSE FOR EX PLANATM IaIIGUAOE