HomeMy Public PortalAbout5538 PAL MAL AVE_Building__ 7 17 M k7i. H tl
APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS l- /
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUP1T Or BUILDING CROSS ST. J 1
FOR APPLICANT TO DI�`$$I CT NC�[j GROU TYPE PRO�LAES B
�J Q ,.J � CONST. 4 - ROC S
BUILDING /��d Q' � STATISTICALC 1FICATION SEWERMAPS
ADDRESSBK
_ CLASS.NO. DWELL. UNITS L
LOT NO. 1 �-` -.3 BLOCK NUMAP MBER DD H ATE YES O
TRACT USEZONE SPECIAL
O.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT -
USE OF
EXISTI G L BUILDINGEXIST.
-ffTEL. SETBACK YARD HWY STREET NAME WIDTH
OWNER NO. FRONT 1 I,
P.L.
ADOR S SIDE
ARCHITECT OR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS
TE W
CONTRALTO NO. O
ADDRESS ()
DESCRIPTION OF WORK 0
NEW ✓ADD ALTER REPAIR DEMOLISH
SO.IZ F7. STj OF FA OF
SIZE ST R S FAMILIES y
USE OF 7
RUCTURE G
SIGNATUREOF
APPLICANT
VALUATION$ 3 C-6
APPROVALS DATE I NSPECTORS SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE FEE $ •� � FORMS MATERIALS , ----�•
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
BRACING BOLTS
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION,
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE LAWS REGULATING BUILDING CONSTRUCTION.
I CERTIFY THAT IN DOING HE WORK AUTHORIZED 1 LATH, INT.
WILL NOT EMPLOY ANY PER ON A1,111VIOLATION.10F THE
WORKMEN'S CO SATIO S O IA
F CA . LATH,EXT.
SIGNATURE O HOUSE NUMBER COR.
PERMI E RECT AND POSTED
q
ADDRESS FINAL
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION cm. M.o. cABH PERMIT VALIDATION cK m.o. cAsH
L11CD 6 4 2 -EF J y 1 0
7......1E APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES BADUILDING 3
DEPARTMENT OF COUNTY ENGINEER DRESS CI J
BUILDING AND SAFETY DIVISION LOCALITY
.JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SOP'T OF BUILDI-- CROSS ST. /71
DISTRI T GR P TYPE B
FOR APPLICANT TO FILL IN y' CONST.-
BUILDING`/''9�j STATISTICAL C (CATION ♦ 1StYelfR MAP
ADDRESS BK G
CLASS. NO. WELL. UNITS
LOT NO <�� BLOCK MAP NUMBER H ATE YES CNO
TRACT USEZONE SPECIAL
NO.OF BLDG$. / CONDITIONS
SIZE 4 LOT I NOW ON LOT
USE OF
EXISTING B G. BUILDING EXIST.
TEL SETBACK YARD HWY STRE TNAME WIDTH
OWNER NO. FRONT �J i7 A
P. L. OC(/ V
ADDRES SIDE
ARCHITECTOR TEL. P.L.
ENGINEER NO. INSPECTION RECORD
ADDRESS
C'/ YZv
CONTRACTO ow
NO. O
ADDRESS
U
DESCRIPTION OF WORK VO
F
NEW ADD ALTER REPAIR DEMOLISH
SO. FT. NO.OF NO.OF a
SIZE IES FAMIES y
USE OF
STRU URE
cJ
SIGNATURE OF
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
/ FOUNDATION: LOCATION
FIE $ FEE $ �_ FORMS,MATERIALS
FRAME:F IRESTOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- BRACING BOLTS C
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS N
STATE LAWS REGULATING BUILDING CONSTRUCTION.
1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 LATH,INT. t7 -
WILL NOT EMPLOY ANY PERSO IN LATION OF E
WORKMEN'S COMP S TION S F LIFO NI LATH EXT H a
SIGNATURE OF HOUSE NUMBER COR-
PERM ITTE RECT ANO POSTED
ADDRESS FINAL I
CLYDE N. DIRLAM, PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION CK. M . CABR PERMIT VALIDATION t) M.D. cisH
I v 73 5 fiUG j 2 VC)
p5936
COUNTY OF LOS ANGELES TEMPLE CI7Y 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9712220027
PHONE: (818) 285-0488 EXT:
LEGAL ID No OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE 5538 PAL MAL AV
STRUCTURE: 0 VN TEMP CA 917802848
ASSESSOR INFORMATION MUMER NEAREST CROSS STREET
8586-010-023 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE RESID use zmff—w-r— ISSUED ON PROCESSED BY EXPIRES ON:
EXIST OCC GRP 12/22/97 UT 2/22/98
OWNER TEL NO BLDGS NOW ON LOT VALUATION: TTIENE-Mr— flMAL CODE
LESSA PAT;CAROLYN F (626) 442-8582- 1 5,200 I_2�4
5538 PAL NAL AV L i
TEMP 917802648
TEAR OFF AND RECOVER WITH COMP. SHINGLE 25 YR
FEE DESCRIPTION QUANTITY LION AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG NOTION RESID 5200 00 VAL 0 52 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 5200 00 VAL 150 00
TOTAL FEES 178 27
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR 31MUTUffr
SAME AS OWNER
LIC NO LOCATION AND SETBACKS
ARCHITECT OR ENGINEER: TEL NO FOUNDATION/TRENCH FUW
LIC NO SLABIUNDER FLOOR
RAISFD FLOOR FRAMING
MAP No. SEWER PAP BOOK: PAGE' FIRE ZONE: CRP: UNDERFLOOR INSULATIMr__3
150H27 3 01 FLOOR SHFATHINr
NO. OF FAMILIES DWELLING UNITS APT/CCND: STAT CLASS'
If0 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY 1000 FEET MATERIALS
MO NO NO FRAME INSPECTION
REQUIRED TOTAL 3FlVXW715r-'Mff9r- FIRE SPRINKLER MANGERS
SET BACK YARD: HWY: PROP LINE WIDTH-
FRONT PLINSULATION/WEATHER STRIP
-
SIDE PLINTERIOR LATH/DRYWA=
-
REPORT ID DPR261 ROUTE TO SM08