HomeMy Public PortalAbout5626 PAL MAL AVE_Building__ TEMPLE CRTY
APPLICATION FOR BUILDING PERMIT.. w_ , �.
COUNTY OF LOS ANGELES BUILDNG
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST '
WILLIAM JENSEN. Bur Tor BUILUINO CROSSST P
DISTRICT NO I GROUP I TYPE PR SED BY
j FOR APPLICANT TO FELL IN CONsr
STATISTICAL CLASSIFICATION
SEWER MAP
ADPRESS, Mal
SK
^ CLASS NO DWELL UNITS
L h,ate..` -,3 2 BLOCK MAP STATE CN a CL YES NO
/I
TRAT --G,a A✓/I'FA . r1 \ C; A—
�HI USEEZONE SPECIALNO OF SLO
H Y
SIZE OF LOT /90 X`S S NOW ON LOTS C% /_)_ CON DITION9 '
USEOF
EXISTING BLDG \IJ\'Y,CA Cr CP t2Y 3.q C BUILDING EXIST ,
11 11 TEL SETBACK YARD HWY STREET NAME WIDTH
OWNER hCOTI I ,&3 L Iu, e_I SC,NTO— ^NI 67573 FRONT 914
- -
_S(�.1 Cr r8� 1-la\ \ 1 `�Y P L
ADDRESS
SIDE
ARCHITECT OR /-� TEL - P L
ENGINEER d TJ NO I 1I /�J/ INSPECTION-RECORD 7 A, J ,
J/ ^
ADDRESS TEL rl/�/4� �.fLl�rJ "/✓/Jn d.YRC.9 Y? ;7
CONTRACTOR NO
ADDRESS ��� •� P� �
DESCRIPTION OF WORK
NEW [ADSCI FTCD//� LTE REPAIR DEMOLISH
/ ^( / / fv / - ^�J%1 y�
NO OF NO
SIZE C9? /
STORIES FAMIOLIEB / fLL.S� ��f✓1 /LIAo'IP K 1Y fff�j444,
SUSEOF
TRUCTURE F'a m I'I /COC)YH •` / /�� ,�/�C ` FI
SIGNATURE OF A✓I�-a.ve �.1.r1/1 -� — +.�1'S�� ,
AP LICANT
VALUATION'$ , �/J'• _ f�'��
c
APPROVALS V DATE INSPECTOR S 4RE
P C PMT / FOUNOAT ION LOCATION `y
FEE $ FEE $ FORMS MATERIALS r
I HERESY'ACKNOWLEDGE THAT I HAVE READ THIS AP- FISAME FIRE STOPS S //d/j;
/ i.
PLICATION AND STATE THAT THE ABOVE I9 CORRECT AND BRACING BOLTS FURNACE LOCATION
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS
STATE
/in
WI
ITCERTIFY.V HAT GN DOING THE WORK ULATING BUILDING CAUTHOR AUTHORIZED LATH INT IAN/IYIII•L 7
//. f'}y•i/�lil
> 77�isYYJ J+RJ�f/y�'
WILL NOT EMPLOY ANY PERSON IN VIOLATION IA THE LATH EXT ` -
WORKMEN COMPENSATION LAWS OF CALIFORNIA
91GNATUR F HOUSE NUMBER COR- U ! ,
PERMITTE RECT AND PORTED _
goDREse FINAL
CLYDE N DIRLAM PRINCIPAL ST URAL ENGINEER
PLAN CHECK VALIDATION cx mo cneR PERMIT VALIDATION oK m o �H
�aj p 65 8 Q3 ✓<R 2 7. 1 D 18 .0 0* ®.,
7s•e9eA c£aeoere-aA APPLICATION FOR Bl'JILDIG' PERMI ,
COUNTY OF LOS ANGELES auILOINo 626 P
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY Temple City-
JOHN A LAMBIE COUNTY ENGINEER NEAREST
COLEMAN W JENKINS Sul T OF BUILDING - CROSS ST Live Oak
DISJ.BIC N UP TYPE PRO B
FOR APPLICANT TO FILL IN �� �}� CONST
BUILDING SLASSTATISTICAL L SSWIFIC TION L SEWER MAP
ADDRESS 5626 Pal Mal Avenue NO O -ELL UNITS -� BK PG
C
LOT NO 322 BLOCK USE ZONE MAP .
TRACT 8822 See Attached SPECIAL r
NOF BLDG$
SIZE OF LOT NOO W ON LOT
USE OF
BLDG SETBACK FROM
TEL FRONT PROP LIN! OF • (STREET)
OWNER NO TYPE OF lxISTI NO e!T_BACK HIGHWAY YARD ='I TOTAL
ADDRESS 26 al A X Y M C L '
CITY Temple City _J -+ _
ARCHITECT tR TEL r� BLDG SETBACK FROM _ _ -
ENGINEER "• Adams NO SP 3-2210 BIDE PROP LINE OF (BTAKET)
p T� TYPE OF EISTING SETBACK HIGHWAY + '• YARD o ' TOTAL
ADDRESS O ` S Firestone Blvd
HIGHWAY WIDTH FROM C L D.
L, _ 0
CONTRACTORAnthQ Pools NO JP" +—22n10
ADDRESS B 1 E. Firestone HLio 1 O1 -C CORNER CUTOFF YES NO O
CITY South Cate LIC SEE REVERSE SIDE FOR SPECIAL AP�PROV S
DESCRIPTION OF WORK 9 _ i
NEW XX ADD ALTER REPAIR DEMOLISH •{
SO FT NO OF NO OF . _
SIZE , STORIES FAMILIES
USE
STRUO TURE -201 E 341 M 001
STA tee, A i
SIGN&TU
APPLIC /
VALUA N$ 280O.Or
APPROVALS DATE, IN CTOR BBI X VA!
P CMT FOUNDATION, LOCATION
FEES PEES FORMS MATERIALS _ I! NY
FRAME FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT
ANO STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
9UILDI NG CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WLLL NOT EMPLOY ANY R IN VIOLA LATH INT
TION OF THE LABOR OO OF THE STAT Oi A O IA RELAT
ENO TO WORKMEN C NL.TIDN INSU AN LATH EXT ,
SIGNATURE HOUSE NUMBER COR _
PERMITTEE ND POSTE
ADDRESS FIN AL
(e�
PLAN CHECK VALIDATION CK MO CASH _ JOHN F LEWIS PRINCIPAL yytLSURAL ENGINEER
PPLAN CHECK VALIDATION Om 0 CERMIT VALIDATION(\ CK CASH
LAL,04049—� APR 32.2 0 -5.63-
L&4 0 5 0 tS
5.63-L&405055 APR 3 1 0 22.50-
• - - -� -
JIMN&RIMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
NTY OF LOS ANGELES �UIY "UN. ® 1 N G A. A n'
I WM. J. FOX, CHIEF ENGINEER !!�� i� L y�
FOR APPLIC4ZTT TO FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN CK ND' PERMIT NO
Q ! ^
ADDRESS J'C / / \))) s?
LOCALITY /lam - RECEIVE BY DATE OF A�PPL DATEISSUED
NEAREST
CROSS BT
NG ADD EBUILDISS 3 0
OWNER w
MAIL //� LOCALITY
ADORESf. &4\
NEAREST
CROB6 BT
CITY NO /R 777"'
4 FIRE NO or TYPE r �J�j GROUP-Y,
ARCHITECT OR TEL. ZONE PLANE �� // `T/z J
ENGINEER NOBLDG
' ADDRESS /JN_(� SETBACK LINE
CONTRACTOR PF,IR` Z � �NO LOQ APPROVED
BY DATE
Q� �YI I �� •
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL
DE2CRIPTI I IA BLOCK h� u 15 CORRECTIONS
TRACTa"AAAa _ I _/ -� 9 G�
NO OF BLDGS
SIZE OF LOT /� �`� NOW ON LOT v
USE OF - NO OF NO OF
EXISTING BLDG FAMILIEe ROOMS
DESCESPON OF WORK
NEW ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH 0
BO FT NO OF Z
SIZE 1101 A & ROOMS STORIES 1
WALL '^ ROF F
COVERING Cto I COOVERIN
UBE OF NEW
S UILDING
/� k2o
r�
00
0000
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION' LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS
AND STATE
LAWS REGULATINGLA�eTl(�n.INN-O�•YrJj-I�ILDING CONBRJCT10N
Y FMEFIRB
SIGNATUREOF •PIad"4A sA%* B BOLTS /•L lz�- C�G/
/
OWNER 11 I ` `a LATH. INT
AUTHORIZED AOTyl 1�+--� LATH.EXTA���
DBB 3 ]BM B"S 4-47 $ P C PLASTER.INT _
V L� FEE v v PLASTER.EXT
r eo
VALUATION 2' �� FINALpyy_
FEE
APPLICATION FOR, BUILDING, PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN _ BUILDING ADDRESS
BUILDING ADDFiEBjy�/
1 hereby scum that I have a c ipmeete of surmi i to sec msure
a a certlllces of Ykrrkere Compermetgn Insurance or a certdred
.copy thersollll(Sec
3Q00 Lab
b.C) ' ; CI at IZIP LOCALE
P-OIICy No Cm
'„_"'_'�"^CopBnY �4 S2E OF L NO OF SLOGS NOWON LOT 1 LL-
❑ Certdled copy m hereby fumnhed ' NEAREST CROSS ST -
`MCertlfred COpY m flied WIVE tf1B COUnty building Ina6ctiorl TRACT BLOCK LOT 11SE ZONE MAP NO `
department f ASSESSOR MAP BOOK PAGE PARCEL I j
Dada!&--4!:Q0 Applicant _ SPECIAL CONDITIONS _
CERTIFICATE OF EXEMPTION FROM WORKERS' DwN
e e O
COMPENSATION INSURANCE / WfT}11N 10Oo FT OF SCHOOL? YES NO
ADDR
(This section need not be compared It the pertnd Is for one hundred I _ n DISTRICT GROUP TYPE CONST FIRE ZONE F1 VCdollars($100)or lam) r f•I certifydial In the performance OI the Work}O whichthis permiteZIP ^ ^ .3 Ze* 'm me /
ued I shall not employ any person In any manner so m to AR ITECT INEER TEL NO -
bacome subject to the Nbrkers COmpeimatm Laws STATISTICAL CLASSIFICATION_ APT CONDO
Date ApPllcerrt r ADDRESS � GLASS NOl DWELL UNITS .
NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM DOST
Exemption you should become subject to` the Workers JJ -'SETBACK YARD HWY' PROP LINE WIDTH
Compensation prwlsions of the Labor Code you must forthwith • l
comply with such prmislore or this permit shell be deemed revoked I AD UC NO FRONT L
LICENSED CONTRACTORS DECLARATION • ' SIDE
a
I C ^ . UC CLA59 PL a
I hereby affirm that I am licensed under provmrorm Of Chapter B SO E NO ORES NO OF FAM UC SEWER MAP C
,(commencing with Section 7000)of Division 3 of the Business and - -
ProlemKaro Code and my license Is In full force and eSect NEW ❑ BK PG Poo. O
D IO ADD vALUl1 N MV,I
License Number Lw Clem d
Contractor Date �'��7n/� ALTER ❑ s iZi
=
❑ I am exempt under Sec REPAIR ❑ $ I
B BPC for this reason DEMOL ElLDMA P/C• _ _ '
Date - USE OF IXIST r URM ❑ _
Signature /
TEL NO LDMA Perm♦
❑ 1 as Owner of the property or my eeployess with Wages ss = L -
their sole compensation will do the work and the structure m AD r "F pCCT•v
not Intended or offered for Sale (Section 7044 Business and Q
Professions C.Ode). MILLTHEADRJGINTOR nfnxiEBUIlD1N0 HINOLEA IMT9ILLL � .J.]V7 ]J•b�
❑ I m owner•O} the r , Oe A YIxTURE OOHIAININa A HAIIHOOUa NATFAIAL EQUAL TO OFt OBFATER THAM T��C
property, em exdualvely contrechnp with T-1EMKM1,1 a IMCNTHEHALJmIXIaW(TEWNdINFORMATION GUIM PNNLBY > 1TEM5
licensed contractors to construct the project (Section 7044 -
rE,s
Business end Professions Code) ❑ TOTAL 93 - 63
WILL THE IMENDm USE OF TIE MMIW BY THE APRMJNr OR FUR1pE 9111 M.
CONSTRUCTION LENDING AGENCY COAST AIR aiALlrerev wiEu°AeT+r a 1=j
' WORKERS COMPENSATION DECLARATION
I hereby affirm ihae l haver certificate ration Int r sel: APPLICATION FOR, BUILDING{ PERMIT ' r
insure:or a cefif¢ote of Workers' Comperuaeon Ynsurance _
or a certified copy thereof (Sec 3800 Lab C ) , f "- ,
' • -� - � - �COUNTY OF LOS ANGELES....`.--, ��.. _ `BUILDING�AND,SAFETY
r ,Polmy,No " Company t
EJCe'rhPY.' Y,
fied co '4 hereby,fu_rnished TT FOR APPLICANT TO FILL'IN ADDRESS- BUILDING - .-
.,
❑< Certified copy is filed with the county building inspec-': "1)1Laess^1 r G " - - - S jJ - -
tion department - s + ' ' + - �, _ 7 '
• - , + ' { r CIN' ' ` ZIP LOCALITY
i Date Applicant " ' , NO OF BLDGS
NEAREST N
CERTIFICATE OF EXEMPTION FROM WORKERS'U SIZE OF LOT "` ' NOW ON LOT1 - CRASS S7 Q EL j,/LDI�iC.,
+ • ` 'TCOMPENSATION INSURANCE ASSESSOR
N(Thcs section need not be completed if the permit is for one TRACT " BLOCK _" ,�. LOT NO MAP BOOK - • PAGE'i PARCEL '
hundred dollars ($100)'or less ) ` •t c , + 0w _ 7-� e
4 1• C 4 . .t (� ^ . 1 ' — OWNER O_ - NO /�. O 7.r USE ZONE" IND
1 certify that in the performance of the work for which this • , r _>y SPECIALL x - _ r b +" ,F Y
permit is issued, I'sholl not employ any person in any manner ADDRESS - =< CONDITIONS ' - •„ a '
Yso as to become subject to the Workers Compensation Laws e _ ��yJ ) O
'. I Y -C- ' -' CITY - •.< ZIP' _ r •- _ - � V•* C lJ
S Date Applicant ^ ARCHITECT OR TEL ` , F DISTRICT _ ,GROUP TYPE . -FIRE, PROCESSED BY ^O
NOTICE TO APPLICANT If„r offer making this Certificate of .. ENGINEER , NO - �. "_ CONST t ZONE”
Exemption, you,should become subject to the+Workers . r � g
Compensation provisions of the labor Cade you must forth- ADDRESS r �� `"� • - ✓ •'.a
,withcomply with such provisionsIorpthis permit,sholl be r TEL i, STATISTICAL CLASSIFICATION , ' ♦ , APT 'r CONDO' '4Z
dee medilrevoked , 1 ,v, ,i<; 1 • CONTRACTOR NO - - -- -.-
LICENSED CONTRACTORS'DECLA.RATION LIC CLASS NO DWELL UNITS_
MY gDDRESS } NO ,
I hereby affirm that 1 am licensed under provisions of Chapter 9, _ SEWER MAP
(commencing with Section 7000)of Division 3 of the Business , , LIC -
and Professions Code,and my license is in full force and effect _ CITY , OAff' '' BK I'G VALIDATION •`
SQ FT - NO OFNO OF CHECK r -
License Number, ' b'c ,Class SIZE STORIES FAMILIES ONE _
1:1
VALUATION ,
y t NEW )' ' •
,r
Contractor_ ' DoDESCRIPTION OF WORK te $All
❑ am exempt under Sec , ^ ADD+ El
�. ALTER 1❑ - ". _ .-
• B 8P C for this reason ` ,' 6
-' REPAIR ❑
Date _ USE OF _ - _ - _ DFMOL tR
Id r .• 1,
Signature APPLICANT TEL _ _ ,- FINAL
OWNER-BUILDER DECLARATION (PRINT) = NO DATE
I hereby affirm that I am exempt from the Contractor s License
Law for Ihe,followmg re`oson` (Section 7031'5,'Busines^and ADDRESS- - ^ FINAL n 1
Prof ions Code _ '.', . r _ _ _ - <.�.
1�f ) v BUILDING r _- - By
ACCT. .
SCJ as owner ofsthe Property or my employees with ADDRESS ,. p - cc.
.G wages as t6mr sale compensation°,will do the work and vim• - r t- q--.- - ".i --_ . . 3305 - i 125.5
the structure is not intended 5rr,offered for sale(Section, LOCALITY + ITEM
Business and Professions Code ) , 4 MOVING - _ TEL _ ,Y _ _ 1 i,+ 1 ITEM O
❑ I as owner of the property am exclusively contracting CONTRACTOR NO
<with licensed contractors to construct the project (Sec's'+-- ' - - - - - -� -- - - - - - TI�TAL'- 125 X 55
hon 7044 Business and Professions Code ) ADDRESS- - `3 y (HECY `,125.50
I _ REQUIRED -s TOTAL SETBACK FROM EXIST s ,
/ CONSTRUCTION LENDING AGENCY, SET BACK, YARD HWY PROP LINE + WIDTH
I hereby affirm that there is a construction lending agency for FRONT - I CHANGE ' - .00
the performance of the work for which this permit is issued - PL—
- - - , - 'r •- _r
(Sec 3097, Civ C ) , SIDE
Lender s Name - p L0000-0001. 6/126/96,
�
Permit' _ Fee
_ y,a LDMA Ref IT -- 7142- 1 ., FM 5-30
' P C Fee 5 O ;
Lenders Address _ �• y x D -y
a . I certify'that I have read this appbcahan and state that the f Iswance Fee u0- LDMA PiC X" '
above information is correct I agree to comply with all County Inveaogaeon Fee ` ,,,, -
ordinances and State laws relating to budding construction, Total Fee' ✓ + LDPM Perm X
and hereby authorize re'presentofives of this County to enter
uponC\�/�_bove menlici property for inspection purposes
�-- ' SEE REVERSE FOR EXPLANATORY,LANGUAGE
Signature of Applicant or Agent' Dote ` '• -
' W, bby".
) KERS COMPENSATION DECLARATION r .• _ f•I
! vm Thor have o certdrtoteof consent to self •x •� _ - '.7IL,II
insure or a certificate of Workers Compensation Insurance APPLICATION-FOR BUILDING PERMIT
or a certified copy thereof (Sec 3800 Lab C ) - 1
tP-o-htcylP2� Compony SN774tg fk1W' COUNTY OF LOS ANGELES,+ - BUILDING AND SAFETY '
Certified copy is hereby furnished v s FOR APPLICANT TO FILL IN BULu
ADDRESS
Certified copy a filed with the cou y 6uddm9 mL�' BUILDING- s^'
tion deportment ' F ADDRESS
Date Z Ap ant CITY I ZIP - _ LOCALITY Q I I/
' CERTIFICATE OF EXEMPTION FROM ORKERS 'r yy NO OF BLDGS / NEAREST r + r
' - COMPENSATION INSURANCE SIZE OF LOT /L I7 NOW ON LOT CROSS ST - - -
(This section need not be completed if the'permit is for one _ _ ASSESSOR -
hundred dollars (5100)or less ) ,- TRACT BLOCK LOT NO MAP BOOK PAGE PARCEL-
' r TEL U ONE MA
I certify that in the performance of the work for which this OWNER N N
permit is issued I shall not employ any person in any manner _ SPECIAL ' y. _
so'as to become subject to the Workers Compensation Laws ADDRESS M/� U � CONDITIONS T^ O
4 1 ' r C-)
Data Applaanl ' '�• _ CITY IC C--/ ZIP - - - -•
NOTICE TO APPLICANT If after making•this Certificate of ARCHITECT OR ' TEL DISTRICT GROUP TYPE FIRE PROCESSED BY OF
Exemption you should become subject to thei Workers' ENGINEER NO t CONST Z _
Compensation provisions of the Labor Code you must forth �� ✓\ IY'3 W
ADDRESS
with comply with such provisions or this,permit shall be,
deemed revoked TEL !.� STATISTICAL CLASSIFICATION A CONDO 'ICn
CONTRACTOR tJ0 S,�d� Z
LICENSED CONTRACTORS DECLARATION, _ LIC CLASS NO'" DWELL UNITS_
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �/QO NO ZL/f
r (commencing with Section 7000)of Division 3 of the Business andLIC
CITY e2 C/Q' p SEWER MAP ,
Professions Code, and my license is m full force ark effect CLASS D 'BK PG t VALIDATION'-
um
�(J] SO IT NO OF NO OF CHECK _
License Numb rJJ�.Z Lic Class SIZE 2 STORIES FAMILIES ONE
' Y ,r VALUATION Q
Contracts Date Ja DESCRIPTION OF WORK j NEW ❑ $
ADD. (f
I am exempt under Sec )e9 EJALTER
B 8P C for this reason s TREPAIR $
• _
Date USE OF -
EXISTING BLDG DEMOI
Signature - APPLI� TT A QN TtJO �i '� t FINAL r z n
OWNER-BUILDER DECLARATION eQ ��,s FINAL L� �=qb�
,I,hereby affirm that I am exempt from the Contractor s License I IDAADDRESS /COS 6 e�•/�'s^v' - -
Law for the following reason (Section 7031 5 Business and FINA: }
Professions Code) - •• - By _ .-
O
BUILDING ^ 's
I, as owner of the property, or my employees with ADDRESS
'I,
as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044 Business and Professions Code) MOVItJG - - - z fs #'e • • •1e-1
Oas owner of the property am exclusively contracting CONTRACTOR >< NO µ L ix +I e,l .3 Q.2,5 -
With hcemed contractors to construct the project (Sec - ,§ S
,. hADDRESSon 7044 Business and Professions Coda)
REQUIRED TOTAL t - tl� _~ \ 1 3 12 5�'
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY i PROP LINE WIDTH "••l >-` -''-.+ _ ' e e
hereby affirm that there is a construction lending agency for Y FRONT �' '` A 1_
ti k i ,;4 1'22 i_ B8
the performance of the work for which this permit a issued •. P L _ Q
(Sec 3097 Ov C ) SIDE s
Lender s Name •- _ `+ L + ' ,
' C LDMAIRef N c - • p'.�
Lender s Address P C Fee f - Permn Fee / 2-5, _7
_ L
11 certify that I have read this application and state that the - Issuance Fee ` Q 50 LDMA P/C N r V
9 above information is correct I agree to comply with ail County
Investigation aln Fee ,
0 ordinances and State Iowa relating to budding construction Total Fee s,( LDMA Perm Y w'
R and hereby outho ze repreae totives of this County to enter
nYhe above- n1c r party for impact on pL_ urpase•(ss . - r
LL V
+ SE!REVFJLSE FOR FXNLANATORY LANGUAt]E
SIRa f kwhit.n,wAg.nt Dote - _ e
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS DEMOLITION
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 SL 0508 0707230003
PHONE (626) 285-0488 EXT
I LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPES 5626 PAL MAL AV
STAOCTURE TEMP CA 917902853
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET
18586-009-020 v THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY C
TENANT (EXIST BLDG USE RESID USE ZONE ISSUED ON PROCESSED BY EXPIRES ON
' (EXIST OCC GRP 109/23/07 'SR 01/19/08
TOWNER TEL NO IBLDGS NOW ON LOT VALUATION IF O F BY CODE ,
1SUN SARA (626) 824-2384- 1 5 000 yI
5626 PAL MAL AV
ITEMP 917802853 FEES PAID Ell
OF WORK '
ISWIMMING POOL DEMO
'FEE DESCRIPTION QUANTITY DOM AMOUNT 1
(APPLICANT TEL NO
IKWON (626) 524-4427- AA BLDG PERMIT ISSUANCE 27 75
(
11350 HIGHLAND DR ' 02 DEMOLITION INSPECTN 163 50 SPECIAL CONDITIONS
MONTEREY PARK 91754 TOTAL FEES 191 25
ICONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
YOUNG KWON (626) 524-4427-
1350 HIGHLAND DRIVE _ LIC NO PEDESTRLAN PROTECTION
MONTEREY PARK, CA 91754 864209 C53 1
SEWER DISCONNECTION 1
(ARCHITECT OR ENGINEER TEL NO 1 - iABMDON PRIVATE DISPOSAL(
LIC NO UNDERGRND STRUCT REMOVAL(
y HAND(SOIL RECOMPACTION
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP
115OH273 01
NO OF FAMILIES DWELLING OMITS APT/GOND STAT CLASS
NO 24
I I I I
1 SCHOOL WITHIN HAZARDOUS 1
LAIR QUALITY 1000 FEET MATERIALS `
1 NO NO NO
I I
_ I
• - _ 1FREPORT ID DPR261 ROUTE TO BS0508
•' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0710260052
• PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
ON FILE I SQ FT STORIES TYPE OCCUP GROUPI 5626 PAL MAL AV
ISTRUCTURE 442 1 VN R3 I TEMP CA 917802853
(ASSESSOR INFORMATION NUMBER j GARAGE NEAREST CROSS STREET
18586-009-020 1 OTHER 668 1 VN R3 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY CI
1TENANT EXIST BLDG USE USE ZONE TISSUED ON PROCESSED BY EXPIREB ON 1
EXIST OCC GRP 103/03/OB SR OB/30/08 1
I I
OWNER TEL NO HLDGS NOW ON LOT VALUATION IFINAL DATE FINALBYCODE
SuN SARA
124 550 1
15626AL MAL AV (626) 411-1122-
(TEMP 917802853 t FEES PAID D CRI ION OF WORK I
ADD IBR/2BA, CLOSETS L STORA E REFRAME (E) ROOF RELOCATE
I (FEE DESCRIPTION QUANTITY UOM AMOUNT DINING RM LIVING RM, REMODEL 1 BR INTO 2BR
(APPLICANT TEL NO 1
ISO (626) 376-1863- IH1 PLANCHECK W/ENERGY 124550 00 VAL 1 359 30 1
19536 E NAOMI AVE IAA BLDG PERMIT ISSUANCE 27 75 (SPECIAL CONDITIONS 1
ARCADIA CA 91007 IAC STRONG MOTION RESID 124550 00 VAL 12 46
• B2 PERMIT W/ENERGY 124550 00 VAL 1 599 18
I - TOTAL FEES 2 998 69
CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1
SING-YUAN XZE (626) 579-2807- I -
14279 N PENN MAR AVE LIC NO I VACATION AND SETBACKS I I1
TEL MONTE CA 91732 '- B64105 B
(SOILS ENGINEER APPROVAL
1ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS
IPETER LEE ENEGINEERING (626) 280-9000-
18748 E VALLEY BLVD LIC NO SLAB/UNDER FLOOR
ROSEMEAD CA 91770 S3948
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COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0805160002
PHONE (626) 285-0468 EXT
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