HomeMy Public PortalAbout5651 PAL MAL AVE_Building__ APPLICATION FOR BUILDING PERMIT I
COUNTY OF LOS ANGELES ' BUILDING
DEPARTMENT OF*COUNTY ENGINEER ADDRESH J / / LC
BUILDING AND SAFETY_DIVLSION LOCALITY
JOHN A LAMISIE,Cou NTY ENGINEER' NEAREST
CASSATT D GRIFFIN Sup T of OuILDINO CROSS ST 1 ✓C OR'
DISTRICT NO GROUP T•ypE PROCESSED BY
FORM7UCANT TO FILL IN 5 = coNsr r
BUILDING / STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS /
pp 1 B PG .
LOT NO �/ I I frim, 0 BLOCK CLASS NOZ4 DWELL UNITS
MAP U STATE YES O
C yL G G �j NUMBER HWY
TT+'"'�' C U6EZONE SPECIAL
NO OF BLDGS .4 , CONDITIONS
SIZE OF LOT ^ �{� NOW ON LOT / '�^
USE OF ' I�F01/CI� of r � t
C ST
SET AICK YARD HWY STREET NAME ., WIDTH `
OWNER -1 / i O FRONT 0 '
MAILJ /Q✓� / P L
ADDRESS SS / HIDE 1
' I � '� NO P L
ARCHITECT ORCITY TEL IS INSPECTION RECORD L ;
ENGINEER NO
ADDRESS . � r
(� �/ TEL
CONTRACTOR k- /� W NO - G '
D E S�104 / L- , , ,
'DESCRIPTION OF WORK 4
NEWL ADDc ALTER REPAIR DEMOLISH
NO OF NO OF
STORIES FAMILIES
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USE OF 6TR UGTU1
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SIGNATURE OF APPROVALS i
APPLICANT , r
ADDRESSe DATE INSPECTOR 5 SIGNATURE /
FOO RMSTMAT ER IIALSTION // /fj/_ M
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/ V FEE BRACING BOLTS - V rJ�7/� P ��
VALUATION FEE S , FGAS VENT DUCTS LOCATION I19-a2- 4
1 HEREBYEDGE THAT 1 HAVE READ THIS AP
4
PLICATION ANDND STATE STATE THAT THE ABOVE IS CORRECT AND LATH INT
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
STATE LAWS REGULATING BUI,TlUCTI0N LATH EXT
SIGNATURE OFHOUSE NUMBER COR
PERMITTE RECT AND POSTED d' '
ADDRESS FINAL
CLYDE DIRLAM PRINCIPAL STRUCTURAL ENGINEER r�
PLAN CHECK VALIDATION CK H O CAeH f PEOUT VALIDATION CK mo CASH
4-9�' SEF,�26 2 s°A " I6.r751"F2
t M5 4 1A(N OCT 1 1 A 3 9:00` I
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT ( TEMPLE CITY CA 91780 BL 0508 0011290007
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
TR 8822 LT 2 BL 001 SO FT STORIES TYPE 5651 PAL MAL AV
STRUCTURE 0 VN TEMP CA 917802855
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LIVE OAK
8586-012-024 THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY
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TENANT EXIST BLDG USE 3150 USE ZONE R-1 ISSUED ON PROCESSED BY ERrrR`FrZV
r EXIST OCC GRP 11/29/00 UT 05/29/01
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OWNER TEL NO GS NOW ON LOT CODE
KAM SUSAN (213) 345-6434- j 3,150
PAL MAL AV s-
5651
TEMP 917802855 I��R-(6TION OF WORK
TEAR OFF EXISTING ROOF, RECOVER WITH 20 YR COMP SHINGLES
FEE DESCRIPTION QUANTITY UDM AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 3150 00 VAL 0 50 SPECIAL CONDITIONS
02 PERMIT W/0 EN-HC=X3150 00 VAL 115 80
PNGEL EST`TAO FEES 144 OS
CONTRACTOR TEL OSOS V/V�,r A P LSINSPECTOR SIGNATURE
SAME AS OWNER -
LIC NO LOCATION AND SETBACKS
ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH F5RRg-
LIC NO 111111 SLAB/,UNDER
150H273MAP NO 5EWE MAP K 3 111,�U Eo) �i 1S /nl /T®�fl/J �
NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS -
NO 21h fl r ,SHFATHING
SCHOOL WITHIN HAZARDOU j�3 p u11
MTUIFTANELS
AIR QUALITY 1000 FEET MATERIALS `\` Q9 _ �
NO NO NO A O ® y INSPECTIONFRAME
SETBACCK YARD HWY PROP LINE WIDTH le RONT PL- Se�v)ceThaS I
SIDE PL-
INTERIOR LATH/DRYWALI--
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Tnlw-
RATED WALL ASSEMBLIES
SHAFTS/OPENINU--
T-BAR CEILINGS
` REPORT ID DPR261 ROUTE TO BSOSDB
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