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Home My Public Portal About5534 PAL MAL AVE_Building__ DIVISION OF BUILDING AND SAFETY BUILDING U ' L D ' N G Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY c DISTRICT NO. PUN Cc, OR RO:.No. PERMIT NO. BUILDING �C �waS / / J� ADDRESS I J A� C ! [IVCD BY DATE Or APPL. DATE I ED LOCALITY ✓ ti S - jr t► NSAR[BT SAI /� (� )� ,{,/ ROBE BT. `_, 1 ADDRESS J �3 7 /I/p �(J / 4.1 OWNER MAIL LOCALITY rE ! �Y ADDRESS ~ NEAREST DROBS ST. K/ V r �Q TEL` CITY N0. / S FIRE N0.D► TYPE ;74 zONE — PLANS v ARO" IINEERT OR ./ _� p _ NOL 2 _�3 y :XT, �} .�� /y ORD. NO. �f ''K+ G� B[TBACK LIN[ 1 O �� ADDRESS f." UBE "PROVED TEL ZDNC BY DATE 'AS CONTRACTOR NO. T (4[ MOUSE NUMBERING ADDRESS - L i MAP NUMBER— —NO. ASSIGNED BY_— - LEGAL •� CORRECTIONS DESCRIPTION LOT NO.t{ BLOCK AA TRACT Y et --- NO. or BLDBB. _.--- SIZE OF LOT / NOW ON LOT USEOF EXISTING BLDG. < d T �` �i ►AMlup DESCRIPTION OF WORK -- --- Ga 0 NEW ALTOIATION ADDITION �'� IF REPAIR DEMOLITION SO.R. �d NM OF SQE ROOM■ STORIES COV[N r RODE I =RING USE OF STRUCTURE INSPECTION FOR APPROVALS OCCUPANCYAS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION FORM111, MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP PLICATION AND STATE THAT THE INFORMATION GIVEN I■ FRAME: FIRESTOPS, CORRECT. BRACING. BOLTS 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCO FURNACE: LOCATION. AND STATE LAWS REGULATING BWLgIND//II CONSTRUCTION. GAS VENT,DUCTS SIGNATURE OF / 4� ADDRESS LATN. INT. PERMIE /A J1F �. LATH. EXT. Y-�'� _ PLASTER. INT. AUTHORIZED AOL _ PLASTER. EXT. U FEE- HOUSE NUMBER COR- _��. RECT AND POSTED VALUATION FEE BJ FINAL � ' b 76A639A DR33 I-S4 DIVISION OF nt of County r.TY ®BUILDING AND SAFBUILDING DepBrtmeSt of oty Engineer Oounty of 149 Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY S UILDINO DISTR�IOT•N6 PP....CIL CIL an Rai No PERMIT NO. ADDRESS V �Z 3 / IDLiy[ DATE�- DATE 1-190 fd LOCALITY l/J.�J - a lawgsrr Wr. 1 o S L L OWNER MAILLOCALITY FILE C Ao°" MEAR=r L i dE A K CROSS OT. 1 ma &,L 97 TG rrtRz "PLO.Or KIII y TYPE �1 DRouP�. [NOUN[R OR H0.TKI. 3 -A BLOM y y o s SETBACK LINE L NO ADD [ USE q/ APv[D °oNTRADT°R q f !�/S�r L ZONE PwoBr DATE �/��yy MOUE[ NUMBERING ADD 0 1 U eta / MAP NUMBER 2049 NO. ASSIGNED By — LEG I LCT Na)tb,�Z ■LODE CORRECTIONS 67 0 .52 2 G'rl Tr TRAaT q 0O7- O l -, No. or BLDed SISE or LOT T O NOW O"LOT UB[or EXISTING BLDG NO.NO.Dr Or DESCRIPTION OF WORK o NEW ALTOtAT10M ADDTFION 2 REPAIR DEMOLITION 01M rr. I �o.Or BDG: Do"B BTCgI EXT WALLWXW COV[RINO COVERING USE or STRUCTURE a- 1 r f I INSPECTION rOR / APPAQVALS OCCUPANCYAS IN R•S IONATUR[ DAT[ FOUNDATICHI LOCATION rmHIS. MATOIUUJ• i PLICATION AND STA°�TE[DGE THAT TME INTO MAT ON OI IVCN IR rRAME1 rIR[STOPB. /� r CORRECT / BRAOING. SOLTS I ASR[[ TO COMPLY WITH ALL COUNTY ORDINAND[B FURNACE LOCATION. AND STAT[tLAWB REGULATING BUILDING OONSTAYOTION BAB V[N7 DUC /1 I SIGNATURE PERM- Cr /1 _ LATH. INT. -r TrJ I ADOq[Bnn Z w uTH. sXr. AUTHORIZED PLASTER. INT. AOT PLASTER. OCT. 8 Q Cm em r[6 S /Q ?� NO NUMBER COR- RECT AND POSTED in Ir VALUATION FQ S Z / �� FINAL / TawmeA 0003 1-92 IF WORKERS COMPENSATION DECLARATION hereby affirm that I have cote of consent to self Insure, APPLICATION FOR BUILDING PERMIT rs, or a certificate of Workers' s' CoCompemahon Insurance, or a certified cop thereof(Sec 3BOO, lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Pohq �Pa^Y J BD DING Certified copy a hereby furnished FOR APPLICANT TO FILL IN ADDRESS .�� s P&- ❑El Certified copy Is filed wit he unty b t Ing I �REss IT / hon department �O Dat -y-,hc CITY C_ ZIP C..�' LOCALITY Q. �..� CERTIFICATE OF EXEMPT] WORKERS' NO OF CROSS T SIZE OF LOT NOW ON LOT CROSS ST COMPENSATION RANCE ,�� o section need not be completed if the permit is f one TRACT BLOIX LOi NO MAP BOOL PAGE PARCEL undred dollars ($100)or leu ) USE ZONE MAP OWNER NOINO 1 certify that in the performance of the work for which this SPECIAL } permit is Issued, I shall not employ any person in any manner ADDRESS CO DIN MONS so as to become subject to the W ri ampensolton la O CITY ZIP V Dote 'sr Applicant ARCHITECT OR TEL ITR P TYPE FIRE BY O NOTICE TO APPLoi ICANT If, aft eking thb C iflmt of ENGINEER NO CONST ZONE G Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- ADDRESS �'�� with comply with such provisions or this permit shall be TEL STATISTICAL CL459FICATION Z deemed revoked CONTRACTOR s �.® � f LICENSED CONTRACTORS DECLARATION UCws.. T/ CLASS NO DWELL uNlrs I hereby off irm that I am licensed under provisions of Chapter 9 ADDRESS v N6�7 (commencing with Section 7000)of Division 3 of the Business UC SEWER MAP and Profession Code,and my license Is In full force and effect CITY V CIA55 C'' BK PG VALIDATION �. � (y 50 FT OF NO OF CHECK Ucenss Number tic Class r SIZE STORIES FAMILIES ONE VALUATION 64. Contractor CQ GDate •s T/' Y� DESCRIPTION OF WORK C')Q/' ff NEW ❑ ❑I am exempt under Sec ! h // ❑ D /l ► B 8P C for this reason ALTER/1 REPAIR ❑ $ Date USE OF EXISTING BLDG ceMr01 ❑ Signature APPLICANT TEL FINAL 13111 ILDER DECLARATION WiMT) P I hereby offum tho exempt from the Contractor s License v DATE Law for the foil reason (Section 7031 5, Business and ADD ^ � FINAL Professions Code BY ❑ I as owner of the property, ar my employees withIU NG BUILDING wages os their sole compensation,will do the work and the structure is not intended or offered for sole(Section kADDRESS TONT, Business and Aofmroro Code ) TEL ❑ 1 as owner of the property,am exclusively contracting NO with licensed contractors to construct the project (Sec hon 7044, Business and Professions Code ) -- •-- ST CONSTRUCTION LENDING AGENCY REQUYARD HWY LT'TIXFROM II hereby affirm that there is a construction lending agency far the performance of the work for which this permit is issued(Sec 3077, Gv C )Lenders Name PIL LAMA Ref e Lender s Address Permit Fee q C , g I certify that I have read this application and state that the Icwoncs 1 J TDMA P/C N above information is correct I agree to comply with oil County Invesugmwn Fee ordinances and State laws relating to building construction, Total Fee V —/ LDMA Perm / ` and re authorize repre"mcies of this Co ty to enter YE u a ve-menaoned prop=. i ion purposes SH RNQfI XP FOR EXPLANATORY LANGUAGI ur•of Applicant or Agent IF