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Home My Public Portal About5542 PAL MAL AVE_Building__ cewwltleV enol fls' APPLICATION OR BUIL G PERMIT COUNTY OF LOS ANGELES BUILDING ANO SAFETY FOR APPLIChNT TO FILL IN AUDDRE55 .S Z L BUILDING ` y ADORE 7/�C LOCALITYje CITY Ef'J G y� NEAREST ZIP / (/ CROSS ST NO OF&DGS ASSESSOR SIZE OF LOT X NOW ON LOT I MAP BOOK PAGE I PARCEL DISTRICT GROUP TYPE FIRE ESSED BY TRACT I,C BLOC �L LOT NO ` CONST ;ON& OWNE Al �/Vw NL Y �JI' r STATISTICAL CLASSIFICATION SEWER A CLASS NO DWELL UNITS BIT/ aiY/�W 6 / zip / D �, ARCHITECT TEL VALUATION $ �{If� ENGINEER NO � ADDRESS E BACK FROM TEL FRONT PROP LINE OF ISTREETI CONTRACTOR NO NO TOTAL SETBACK FROM TYPE OF E%ISTING Jr�Y � �� LIC HIGHWAY + YARD FT LI HIGHWAY WID7H ADDRESS NO LIC + CITY G7 l / CLASS BLDG SETBACK FROM CONSTRUCTION LEND /i`�D� 1 SI DE PROP LINE OF [STREET) NAME AND BRANCH /�G a HIGHWAY + YARD TOTAL SETBACK FROM I TYPE OF 1EXISTING ADDRESS CITY SIDE PROP LINE HIGHWAY WIDTH O SO FT NO OF NO OF CHECK + V SIZE STORIES FAMILIES ONE d DESCRIPTION OFFLWORK L NEW PC Fee S Permit Fee OU 0 `E� T ADD Issuance Fee N O / ALTER Z lJ i� /V REPAIR Total Fee 0, USE OF OEMOL EXISTING BLDG APPLICANT (PRINT) J(J t BY ISIGNATU 1 HEREBY ACKNOWLEDGE THAT I HAVE REA APPLICATION AND STATE THAI THE ABOVE 15 CORRECT AND AGREE TO C Y WITH ALL ORDINANCES AND LAWS REGIAATING BUILDING COWTRUCIK)N CERIIFY IHAI IN DOING THE S WORK AUTHOWEED Y I WILL NOT EMPLOY PERSON IN VIQ ATION OF V THE LIBOR CODEa TATE CALIFORNIA IN TING TO WORKMEN SCOM PENSATION INSURA1 ;11025A SIGNATu # e e . e . j PERMUTE ADDR y .fC G' 2 • • 7000 ELY EH E TEL f vY� . . 970002i La _pNE OP l I Q27-78 '1/KQ SPECIAL /-'Y CONDITIONS FINAL // DATE V / �2 ,3ea E�ao3, ,e APPLICATION FOR BUILDING PERMIT 1 COUNTY OF LOS ANGELES BUILD IN DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY _ JOHN A.LAMSIE.COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO. I GROUP TY FOR APPLICANT TO FILL IN CC :T.�I BUILDING 5.3—<j SEWER MAP ADDRESS 7 j r O STATISTICAL��I(.��SSIFICATION SK PQ CLASS. NO.—LL DWELL. UNITS /Z L N OCK MAPSTAT •/ NUMBER C HWY. YES D USEZONE SPECIAL O.OF BLDGS. �j ] CONDITIONS SIZEOFLOT NOW ON LOT USEOF / EXISTING DG. BUILDINGEXIST. SETBACK YARD HWY STREET NAME WIDTH OWNER FRONT _I Q / MAIL Ij P.L. ADDRESS tIN SIDE TEL. t_jd•` P.L. rr NO. ARCH ITECT OR TEL. INSPECTION RECORD ENGINEER NO. ADDRESS TEL. �U G CONTRACTOR NO. - L ADDR , DESCRIPTION OF WORK - NEW O ALTER REPAIR DEMOLISH SO. FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE 1 Z C SIGNATUAPPLICANTO F� , �ZQ Q' P APPROVAL —Y D TE ills S1 ATURE ADDRESS FOUNDATION: LOCATION I FORMS.MATERIALS -� E P.C. S FRAME: FIRE STOPS. TJ� FEE BRACING.BOLTS VALUATION o-'V S FEE FURNACE: LOCATION. I 00 GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP. LATH INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO Y WI ALL COUNTY ORDINANCES AND STATE LAWS R UL TNG BI,U IN ONSTRUCTION. LATH.EXT. SIGNATURE OF J HOUSE NUMBER COR- PERMITRECT AND POSTED ADDRESS FINAL CLYDE N.DIRLAM, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PZW=VALIDATION CK. M.O. CA{H i^�Y Af,,5975L; 1 1 A 5.00 5 Or -rr;%� w f/ 70AG20ACKIB 11d APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING 2P r L DEPARTbIENT OF COUNTY ENGINEER ADDRESS BUIWING AND SAFETY DMSION LOCALITY T � JOHNA LAMBIE COUNTYENGINKER NEAREST ' �7 CA88ATTD GRIFFIN SUPTOPBVIL INY CROSS STT DISTRICTNO I GROUP TYPE SEWER MAP FOR APPLIC TO FRI IN 15- �- C N BK PoSTq BUILDING STATISTICAL CLASSIFICATION ADDRESS CLASH NO 7"' WELL UNIT LOT NO BLOCK MAP STATE NUMBER HWY YES NO TRACT UCHZONE SPECIAL ' �/ NO OF BLDG lQ / CONDITIONS USE F L V NOW ON LOT OO EXISTING OLD Ube OP BUILDING YARD HWYHHT M8 EXIST SETBACK WIDTH OWNER Y .1/ FRONT l� MAIL Pi ADDRESS SIDE CITY T.,-"-, E - O INSPECTION RECORD ARCHITECT OR TEL ENGINEER NO ess TEL CONTRACTOR NO ADDRESS DESCREMON OF WORK NEW ADD ALTER REPAIR DEMOLISH SG NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE /LING SIGNATURE OF APPROVALS APPLICANT AA � ADDRESS L. DATE INSPECTOR S SIGNATURE FOUNDATION LOCATION FORMS MATERIALS FRAME FIRE STOPS - O FEE $ D BRACING BOLTS y1 O V VALUATION FURNACE LOCATION L �' ']. GAS VENT DUCTS C 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT L J PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REO TING BUILDING CON UCT ON LATH EXT O SIGNATURE OF HOUSE NUMBER COR PERmirrgw RECT AND POSTED ADDRESS FINAL CLYDEN DIRLAM PRINCIPAL STRUCTURAL EN PLM CHECK VALM=GN OL Y O CAVI PBBSIT VALUATION OL Y O CAVI L&4 5 3 6 N SEP 5 1 A 2.0 0 A m. a--e c, • APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELE8 BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION APPLICANT TO FO.L �44, �41, � I hweby ether that I have a certificate of coned to sell Insure eu llo L `�� or a owtilkase of Work= Compensation Insurance,a a certified / copy thered(Sec 3900 Lab C) /E / ZW / L Pbllly f10 Canlperry 812E NO OF NOW ON LOT ❑ Certified Capt'b hereby hu fished /= NFARE4T ST ❑ CwHiled cdepwonentopy b filed with the county Willing Inspection LOT NO f r 77 1 5q l USE ZONE ~NO Duro Applicant MAv PAGE / SPECIAL CONDTION9 CERTIFICATEOF EXEMPTION FROM INSURANCEORI�R6' COMPENSATION i¢,VC t?Z(/i ON �Y1�.3 MTM toadrTaP804OMv dollars 1(f D0)rleed be Completed Ho [Thl**actiondo penngbMoneWMRdor less.) �pE DISTRICT GROUP TYPE OONST RREZONE BY I certify that In the performance,of the wk for which this permit ZIP // Is pawned I shall not employ army person M any memw so a to ARCHITECT ENGINEER TEL ND 5-OV —3 beconrs tubba to the VWrken Compensation Iowa. STATISTICAL CLASSIFICATION APT Cowo Data AppBcent CLASS NO DWELL LOM NOTICE TO APPLICANT if. after making this GNfkate of RC-0IIIRED TOTALSETBAcxFROM ExISr Exemption you should become subject to the Workers' CONTRACTOR /; TEL NO SET BACK YARD NWN PROBACK WID751 Campermtbn provision;of the Labor Code,you must forftft fROlrt P LINE comply with such provbloa or this permit shall be deemed revoked ADDRESS % SND PL LICENSED CONTRACTORS DECLARATION r LIC w.SS\� am g I herby Man that I am licensed under provblorts of Chapter 9 SO No oF�OmaNo FAwWtl �� co (commencing with Section TWO)of Division 3 of the Business mid NEW ❑ Sic PG Prolene u Code,arnd my Ilcerres b M NO force and etbct ► l.lcena Number Lk Class DE5CRAnom OF WORKADD YKUA w Contractor Dara ALTER ❑ s , ACCT.i = ❑ 1 am exempt under Sec REPAIR ❑ $ 3307 105.'.5 Dara URM ❑ S SPC for this reason L DEIAOL ❑ 'ANO Los"P/C. 1 ITEMS TOTAL 1135.25 ❑ 1 03 OWn0f d the property or my employes* With Wages as / /Signature LDMAPwm. $ CHECK 105.25 their tole compwmgor%will do the work and the structure Is _ ,FG 1E FINAL F CHANGE .00 not lltwldetl w ollered for role (Section 7014 BwlMa and <�' Profadom Code) wunaArnrwroRRnuR[euaesaa¢zwwrNNmrcA:�z.M r,vewL ❑ 1. as owesr of the property. errs exclushety contracting with oro A.mnuw CON01swq A NAIAIOOIIe rArowL eouAL ro aR mwwTea nuw licensed contractors to crorstroct the project (section TodYES �aNn.NArARaml,arAreaN,..owrATaNauma, ww > 0000-0001 3/28/90 ee snsand Prolasslorta Code) WaL n.t„�uw or T e euanero er ne A srrwrr oa n A..A Do 0 9759 1 AM 8:59 OCGIMNTriMlp!ArBean PoRO01@fAx;neNORrlOSEKR10Nf11011 Titemu21�'� CONSTRUCTION LENDING AGENCY oerwer tarAolml sea FnsrrTea aa!aaraT ar FOR I ha"affirm that then b l•construction Kft agent'M ra❑ ^Q/ the? Ch, ) of the Work for which titre permitb lausd(Seo I HAVE READ nor NArArmam ruieSune PeoAMATrON MADE AID TIE cram 30W CNC 1 rENar.sro osorMar r enrwv�arn ASTER n roe ANaDea RneA PrAIr �roo wCvrcvowo Lwlwfs Name Naaws Rlvr Tlesuom Lerlwfa Address a,mr R I owtily tlnet I have reed M application and*rote that the above Information Is Correct I agree to comply with all county PG FEE PERMIT FEEQ ardinarca and Stab laws rNatlronq bubding wnstmoCdon and OI y.Mnnorhe txeantawes m info county b sew�^ 133WNCE FEE / b b-mentis prop for Inspectlorn purQog6 le ( y��Q INWE$TIOIITION FEE TOTAL FEE /Z)3. ^ rNra...r.. �C SEE REVERSE FOR EXPLANATORY LANGUAGE