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HomeMy Public PortalAbout8606 GARIBALDI AVE_Building__ APPLICATION FOFt, BUILDIN.C3 PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLI NT TO �1�L BUILDING IN ADDS r At— BUILDING /4 Y _0CAL A DD RE55 ' NEAREST - aTY ZIP S ST. NO:OF BLDGS.. ASSESSOR _ SIZE OF LOT IiN4 OWN LOT MAP.BOOK.• AGE - ARca KM G{2Qllp .TYPE FIRE'" FD BY TkACT OCC' LOT CONST ZONE OWN IBJ •_ i$1 / . J STICAL7ASSIFITION '-i; 'SEWER ADDRESS CASs NO. DNC UNIT$ BX arY -5'ao ..ZIP ' V'177s. ARCHITECT OR Ta- _ VALUATK?N $ ENGI N EER ADDRESS TEL FRONT PROP.LINE OF ISTREEII CONTRACTOR 2 NO. TOTAL SETBACK FROM TYPE OF EXISTING NIC4IWAY •f YARD FRONT PROP.LINE HIGHkAY WIDTH ADDRESS - 'LIC f. CO CLASS BLDG,SETBAQCfROM _ S I DC P RO R: N E OF IST REETI NAMEAND B TOTAL SETBACK FROM TYPE OF STING ADDRESS CITYHIGHWAY + YARD SIDERROP.UNE HIGHWAY WIDTH SO.FT-: NO.OF NO.OF CHECK } •V SI 7F ,' STORIES EAMUES ONE D&JZIPTiON OE WORK NEW P.G Fee$ Perm f Fee . ADD. Issubnce Fee ' '.r.• ALTER, - REPAIR 'Tota F FQe T. LISE OF . _. OEAAKJE _ EXISTING Bi DG: , APPLICANTTEL (PRINT) �- --� ., NOBY ISI.GNATURE) -- IHEilHY AOQJOWUDG3 THAT I HA T}i U AN D�S'fr.TE - - r mll THE i,BOVE l5 CORRU MID IAQ�TO Y All AND LA ]1NC�'�UILIXNGOOf6T%1CilON.J K�iT1 FY THAT IIF DOI THE. ' ' WORK AY I VJII�L.NOT OY MfY p�SpN TION Q� a r, ._ •. ..- — . THE LABOR-CODE OF THE SfA1 OF U]JFOR1 II�I�RHATIFJG70 W�•15COA4 . PSZA ZION I . .,.� i�'F ., _, c. - : I . - '5 2'6 .A'_ . GNATURE OF og�TO PFRhlfffEE co VK O ADDRESS TES CITY- �.�1' `( ,` NO, CLI ZONE MAP DATE44 /C wo�a5'COMpBySAT1ON DEdARATIQN ti - �,I h�"affirm that I have a.certtflcate of consent.tq seff-' _, _ - _ - _ _. I.re: of b ceftfflcc"of Workers'ComperisaZl Irourance, A .�'I�.ICA I,C�N. :. ,Q R. .B U I1, I N G PERMIT' cli or a certified copy thereof'fSec: 3800;Lab. C_) _ --4OUKN y OF.LOS ANGELES BUILDING AND SAFIFtY, Pol"No. Company - Certlfied copy is,hereby furnlshed. I FOR APPLICA To Ify.• _ Certified copy Irr filed with the'County bulldlrlg Inspec- BU NG ' Itlon'departm'ent: ADDRESS. ell Do-to-7' a Applicant CITYZ1P LGG111-Y '`C1 nFICATt QF EXE/WPTION FROM WORKERS" SLa OFLOT ONBLDG& CONDENSATION aNSURAtJCE' LOT (3Trbriectlon'treed nat be completed ifvhe It as for,ane __ _. _ I c;t4' b.0 ed dollars.(51291 Iw ) TRACT eaocx Lor NO. i �P Bba�"' I 1 PAGE: PARca usE zoNE . I.�rtffy that tri th's perfonlance of thi work for wf�lch this ZT_ NO. Perm it ti'IssUed, I shall not employ any n In any manner. SPEC m dt so as to becornersuble 'to the Workers pensetl fa - ADDRESS-- - Applh CTfY rlOT10E'TD''APPtJ(`11fJT:'ff, making' I ARCH=OR TEL RISTRICT_- GROUP' -TYPE_ _ _ .FI RF. _ _ BY .- CONST.you should b subject the 1N �T• zOt Compensation pcovlslow ofyhe labor Code,- nth ADS �. — with comply with such provisions or:thla,•perrnk "I be -- 'fg- - - - STAI15T1CAt CVS�IF PION. 1. Al'f.- deerned,revoked. , . , , L. • - , ;r[ ,..' CONTRACTOR NO. isl- ' UCY4SED CONU42ACTORS DECIAMMON ,: _. -- - - --- - -- .. .. _�. _ -. •_ CLASS 46. DWEU_ UNITS - . I herTby affirm that I am Ilcprsed ender provWQns of Chapter 9 ADDRESS jcgmmendnp with Section 7004)of Won 3.qf the&Mtm and _._.. _ - SEWER MAP : . .- y , -LiG• - [ PrnfMloro Code, end my lkense Is In full fors a�d;efF t. CITY aASS -VALIDATION Clcin}iTlumBir "LIG Clan - FAM U ES " VALUAT10N - -- - - t NEW Contractor pates D6SCZWTK I orwoR1C- ADD I am exempt undw-Sec .A.L TER B.d8.C. for th N reason5y Abu RJPA1R - - -. - EXISTfNG IN DG DEHMOL -_ # 6- -o Slglre .._ r APPUCANT TEL �Al OWNER-BUILDER DECLARATIONnNT) NO. r --I hereby,affirm that I am exempt-from the Contractor's License DATE w - - -1 ��o ' ��8 8 -� Law for the following¢Teh;otv' 703.1.5, Business and ADORES FINAI'. Profeula .° • � � BUILDING RJ- It,as,,owner of the property, or.my employees with - .. _ ADDRESS 1•2,3 1 +6 wage as theta soli th tomperisatlon,will do e work and the structure Is not Intended or offered for sale on tOCALrrY 7@41;Bwlnesr and Professlom'Code� ' -• -- - MgvltdG .. _; . . .- ..... _. .-. _ _ .TEL .-_.. _ _ :- _. _ ---• -_ .___ .. 1 as owner of the property, am exclusively contracting CQNTRACTOR . NO. J Y. • with•Ifcerried contractors 7o:conttnact7heRro(ect (Sec- ADDRESS - ._.-_. _ _ ...- . -- —., _ ,-_-- __-.-- __ _ _ •__ C..-' , _.� =, _. _ tion,7044, Buslnew and Professions Coded r TOY CONSTRL7CT1ON LENDING AGENCY - - "IRM - ' PARD MWY PROP:utF NnD - 'I hereby affirm that there is a conitruction lending agency for �T the performance of the work•for-which,thls permit Is hsued -. P - - - --. - -- (SeC 3097, Clv_C.� SIDE } - ' F-L. Lenders Name J - - _.% ._._ LDmA Ref. f "" y, 1 Lender s Address P.0 F..f Penins -.1 urttfy that_L have read this application and state that the - __ - - _ ` fee -- LDMA P/G# abovq Infbrtnatbn is correct. l agree to comply with all County Inveptlgrrtlon Fee gcdlr>Qfrcer! and $tate- IQws rslatlnfl,t9.bulldllrg-4onstrutlon, ►`�i r1t� U)MA Perm. f { and hereby authorize representatives of this County to_enter upon t above-men pr for Inspectlgn.purposes. _ - 1 M W1/¢U X0LANATOkY L.ANGUAGM i gr� a ^ knit Dote �_.. rRKERS}COMPENSATION DECLARATION --` APPLICATION FOR BUILDING PERMIT I affirm that I have a certtflcats of consent to self InsJre, or a certtfimte of Workers'Compensation Insurance, or a certffled copy thereof(Sec 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy Is hereby furnbhed. FOR APPLICANT TO FILL IN A S ❑ Certified copy h filed with the county building Inspec- BUILDING tion,deportment. ADDRESS LOG411T1 NEAREST Date Applicant CITY7Z5110ALP CROSS ST. CERTIF)CATE OF EXEMPTION FROM WOOURS' �g OF LOT I O NO.OF ON LST� MAP BOOK PACS PARCa ASSESSOR COMPETJSAT}ON INSURANCE3 (This section need not be com leted if the permit is for one TRACT BLOCK hundred dollars (;100)or less. �� J } SPECIAL I cwttfy that In the performance of the work for which thl,! � NO. 11 CO►DMONS tL DISpermit Is Issued, I shall not employ any Person In any manner ADDRESS TACT17,51p �/ ZRE BY, so as to become subject to the Work Corrtpensatlon15 5t/� CIT ZIP O Date 2Y 'Appllcant STATISTICAL CLASSIRCATION APT. r NOTE TO APPLICANT: ffifff after making s Certtficat , of 'moi �OR V Exemption, you should become subject to the Workers ENGINEER �' CLA55�' DWEL� UNITS a Compensation provisions of the Labor Code, you must.forth- Alm SEWER MAP rn with comply with such provisions or this permit shall be z deemed revoked. CONTRACTOR TEL.. Bic F PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provbions of Chapter 9 ADDRESS NO. VALUATION (commendrp with Section 70D0)of Dlvhlon 3 of the Busin ass and LIC Professiora Code, and my License Is In full force and effed. CrrY CLASS i , SQ. Fr. NO.OF NO. OE' CHECK License Number LIc.Class Sig STORES LIES ONE i Contractor pate DESCR-IMON OF WORK � ❑ ADD ❑ I am exempt under Sec. ALTER ❑ FlN/►L �� ❑ DATP B.BP.0 for this reason REPAIR USE OF FIN Date. EJ(1STING BLDG. DEMOL .❑ z Signature APPLICANT TEL OWNER-BUILDER DECLARATION (PRI NO. I hereby affirm tftcrt I am exempt from the Conb-ac o s License Law for the following reason (Section 7031.5, Business and P�ro{J"ns Code): I, as owner of the BUILDING property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY o o The sfi,tcturo b not Intended or offered for sale(Section ( I ( 2 y 7044, Business and Professions Code}. MOVING TEL.CONTRACTOR f I, as owtmw of the property, am exclusively.contracting �' with licensed contractors to construct the project (Secy ADDRESS tion 7044, Business and Professlons Code FROM CONSTRUCTION LENDING AGENCY SET I YARD HWY pROp u� WIDTH (hereby affirm that there b a construction lending agency for FRONT , the performance of the work for which this permit Is Iqued P JSec 3D97, Civ. C.)• r SIDE _ Lenders Name w ::2�-2 f`� &C , Lenders Address P.C. Fee i Permit Fee I certify that I have read this application and state that the hsuance Fee above Irtforrrwtion h correct. I agree to comply with.all County Investigation Fee ordinancee and Mate laws relating to building conatnrctlon, Total Fee and hereby authorize representatives of this County to enter upon above-mentioned pro for Inspection purposes,r - / M F2VWM POR EXPLANATORY LANGUAGNie JeA �t of Appikont or A4e" J Date WORKERS-COMPENSATION DECLARATION , Mure� r that of Workers'Compensationconsent "If �I► P,L1 AT�01 FOR BtJILDIN� PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES, BUILDING AND FETY Polley Nd. Company BUITDING ! Certified copy u herby,furn lshed.;,. EOR APP ICANT TO•FILL FN ,ppm,. Q Certtfled co Is filed with the county Inspgc.; BTJILDINC PY / {� tlortidopa"ent. ',r.. ADDRMri . , Date Applicant CIT1G10 ZIP 21 7-5 LOC.&IrTY CERTIFICATE OF OMPTIOfv 12oM WORKERS' NO.of BLDG& NEAREST COAAPENSAT1bN INSURANCE SIZE OF LOT Njow Sfi: (Thb section need not be completed elf-the Permit Is fog one ' - 1 h u odred�o1I ars'($I OO)or I e*a. TRACT BLOCx LOt NiO. AMP DDOIc PARCCL �. Te - Al' /! L I certify tIw} iA perfo�manoe-0f the wbrk for+tvhlch•this v;'; r / permit Is,l�sued,1 t1Wil not employ qhy n7n-ony'manner ' r mow• + 4o a. becodle:subjeGct to the peIa 10ri ADDRESS' 4 — �T XWS NOT1Ci TO APPCI¢4NT: It, trfter igbkl la Certfflwte of- OR . • MR K-7 TYPE FlRf BY Exernptton, you should bicome wbl •-to the Workws' I OOMSi. ZONE Compensation provlslora bf the Labor Code, you must forth- Alibi �. �. with comply with' such previsions or this permit shall be Ta. deemed revoked. STAT15T1CAL CIASEIHUTION APT. ; LKINSEO CONTRACTORS DECLAR �T10N .. _ .t� CL tASS NO. DWELL UNrrs' J z I hwebyafflrm that 1 am Ircenstd 0nOw provisions of Chaptec 9 ADOMS SEWER AARP {cornFrtertd with on 7000)df Divbfon 3 of the Busine�and _ /,' _ LK_ ProfeMlOat CadR arfq my Ilarne'Ts In Evil forcr.a effett. CrtY' / yMRAT�M . {.. .. S4 Fr. No. Of NO..OF C-EC]c •Llcensei�lumber r �Ic.Clo.: SIS Contrecibr' Date IOW I am exertl't under Sec. (! A h �° •—, um OF VWNQ a=. AIDAPRJCAW Wt� odNo1 . 1I AJA Ta � oS9nature INT ,o OWER-BUILDER DECLARATION . DAT1 ere I hafflrmahat.l am exem from the ContraFtoes License ` ` Law.fb � the following reason (Section 7031.51 Butinees ao4L 1'1.03'-,-$7 f!rofeetlorn Code):' *y -, I, cm owner of the•property, or.my.employ*",with wages as their soli Gontpensotlon;will do the wv r -and r. the structure Is not Intjnded or offered for sale(Section- J� 704A, Buslrl*W and Profestlons Code)_• Y NO - r, at owner.Oyhf property, onr exfl`ualvely contracting- with licensed contractors to construct the prblect (Sec- tlon 70", Business and PrbfestlonFCode} CONSTRUCTfON LENDING AGENCY YARD FIVYY , I hereby affirm thaf th"is a construction lending agency,for FRONY1_ = the performance of the work for which this-p�rmIt It Issued p (Sr- 3997,.CIv: t Lenders Name r 19 � - . � IDM, Ref. i J end r`s Address : P.G FM i n : certify.that, have r*od thli applI atlon and state that the Ws ance Fe... O' LDAkA P/C ti ai?a"lrrformotion-is correct,r agree to campy with all County InvsRtigatioq F« $ ordirx n-c�yi and Srate lave r relating to building bDrah-uctton, ,. T L Fee LDA"Perin_ ! and auth'brize repr}sentutives of this County to enter $ upon a Ngned for Impaction purpbs♦a• l = - 7, SW R,ri Err Pot RMA,fAT69Y l 16 l►,tOUAO. %rA3KW6jf.Applkmt orAgent - Dale WCQXFW-COA4P4JSAnON ON hereby affirm?hut I have a cetttfioN. of I �ro T APPLICATION .FOR. B U I L D I N G PERMIT Insure, or a c»rtlficate of Wo�icersYi f., or a certified thereof (Sec 3800�ab..� ) �.e COUNTY OF LOS ANGELES ��... . BULDING AND SAFETY (/V J 67 Com h S C `' y Y -'policy Pa Y c \ Cgrtifiedl copy is hereby fumishecl. EQR A. I TQ. F t I K, AL b to C�BUFJMNG ro Cecttfled'copy is filed with the coon bulldlrrg Inspec- -� tion department. Date � 2 Appllcarit ` QTY �n TIP LOCAUTY FICATE•OF E tkw.rION FRom WORt�RS' SLE,OF LOT NOW ON LOT d4=-ST. O S Q T -- COMPENSATION INSURANCE- (This NSURANCE _ (This sectlon.r4ed not be corn let*d If the perrnit,is for one TRACT OEC LOT NO.' hundred 8oIIa"rz ($400)"6r lea. ` ^^rIC& PAGE PARCH " 0.W ER. L Q L 2 — / USE ZONE MAP. I certify that In ihn"performance of.thq work.for whlth this cc permit.I4.lssued, l ihall not•rmploy Cny Person In any manner t}f�.Q.�' d���\p `�•.._ . f. � �� COND OM so as to become subject to"tlae Wofken Compersatlon haws O . ` 1 ZI R _ _.. U Date Appllcant ARCHITECT OR .— 'TEL. IASMCTGROUP TYPE P BY, NOTICE.TO APPLICANT: If; after'making this Cwll4ltpte of ENGINEER NO. ' 'Exemption, you. should b*corne subject to .the .Workers OONST./ ZONE Compensation provisions of the Labor Code,•you must forth- ADDRESS ;��! 'L` +i. N with comply with such provlslotu.or This permll,s},all be TEL STATISTICAL CLASSIFlIO CATN AFT!: CONDO Z deemed revoked: CONTRACTOR / _ UCB�LSED.COfJTRP.CTORS•DECLr,RAT10N ADDRESS D I g' C.I � NO. 5 I � 3.-7 CLASS N4• UNITS I hereby affirm that I am licensed under proybions-of•Chaptm 9 (commencing with Section 9000)of-Division 3 of the Business UC. SPH�MAF SS and Professions Code,arid my license Is Ih full force ani effect_ �t w.. ds I C— Br< PG.90 VAUDAt0N' S(]. CF t,40. OF - CHECK: 1 License Number-S17'3-7,Z :yl� clq,. ��'3 Z � O D SrORZ FAAIIUES l Ota -.0VALUATION Contractor DESCR:11`710N OF WORK ADD- ❑ 2 1 p J 0 I am exempt under Sec. ALTER ❑ - ► B.$P.G for this riason - T O sr- 0�.� L o`er" ; REPA1 R _ ' .. 'Date: USE QF Slgrwture APPLICANT. TEL -'OWR-BUILDER.DECLARATION . �� �•y��L t�tJO,S 9 NESc-07 DATE I hereby affirm that I am exempt from the Contractors License A ..�O �,` lJ - i Lliw for the followJng reason (SedL drr 7031.5, Buslness'and FINAL,;' Professions Code): :' _ w * TJL ❑ 1, as owner of,the l r or•m -employees with BUILDING F �a ft'�°P°fTY, Y P�s � wages as t6lr solttompersatlon,WHI do the work and LOCALITYI . - _ S�)� ,.� 7 12W3.63 the structure Js not Inthnded or offered for sale(Section 'y� r 7044, Business and Professions Code. . MOVING. . -. TEL t ❑ 1,as owner of the ooNTRACT60 NO. � �� TOTAL 128 - 6,3 property, am exclualvefy contractlpg • with licensed contractors to construct the-proled ($et- _ _. ._ _ _ tlpn 7044, Business and Professions Code.).,. ADD 22), & CONVRUCTION LDMIN�{G AG44CY .YARD- HWY _ 1 hereby affirm that there Is a construction lending agency for'` FRONT 'l�� the performance pf-the-:work for which thts--pgrrnit rs Issued P.L: - - (Sec. 3047, Civ. C.). S1DE. �i Lenders Name P.L. COMp p -E.031 5/12.1./.T2 . n Lenders Address , p G"FM Permit FM �!t'0" LDMA W. 347 1. 17!f U J 1 I certify that I have read this appllcation and state #hat the Issuariu _ �7 / LDMA P/C I above Information Is correct. I agree to,cpmply with all County Investlflotlon fee' ordinances and State laws'relating.to building construction,_ To1oi Fee � • -� LDMA Perm. and hereby authorize representatives of this(county toenter uponp4 above-rnsntloned.property for,1 loci p rposee. - Z\ �'� iia iiV■tiat l'o�EULAXAT0[Y U06GUAW Suture of Appllcr or AQsrlt Date