HomeMy Public PortalAbout8612 GARIBALDI AVE_Building__ „ °M-• APPLICATION FOR BUILDING PERMIT ]�
DIVISION OF BUILDING AND SAFETY BUILDING
DepaC>o�aa�ta�t of County EaQinwr
JOHN A. =8 E, COUNTYgY*E OINKM NEAREST.
CASSATT D.GRIFFIN, 8ur-T or Summime CROSS ST.
FOR APPLICANT TO Fill IN DISTRICT NO. GROUP jTypm SEWER' MAP
Z CONST. D
BUILDING �g MAP STATE
ADDRESS i-)5 NUMBER HWY � YS6 NO
LOT NO. S I •p / 8H Z NE SPECIAL
COND-ITIONH
TRACT J
NO.OF BLOTH.� BUILDING EXIST.
ARE OF O rNOQW ON LOT�_/ SETBACK YARD }{WY STREET NAMK WIDTH
UaE O fN L�- / +/ �Yr FRONT G,�>?rpa ,60
HXIBTI
`F P. L.
OWNER ^I cIt SIDE 3r
AIL
ADDRE” !VI Q pf� � �`��J! O TRACT DWELL I UNIT DINDUSTRIAL
CITY tiJ/7 /,B/�-fel NO 9 DWELT 1 UNIT 6 PUBLIC BLDG.
ARCHITECT OR Tom„ 2 BUPLM( 2 UNITS 7 ADDLTC,
ENOINNER NO. 3 APT. UN
B MLSCEL
ADDRESS 4 COMMERCIAL ��}}
CONTRACTOR O. �' INSPECTION RECORD
ADDRESS /�fK 5r,
DESCRIPTION OF WORK i
NEW ADD �-�I REPAIR DEMOLISH
SQ.FT. ' , NO. OF NO. OF /
SIZE STORIES I IEE
USE OP U¢TURL
_ lfLir .�
l � -
SIGNATURE OF
APPLICANT APPROVALS
ADDRESS DATE INSPECTOR'S 316KATURE
FOUNDATION: LOCATION
P.-c- S FORMS.MATERIALS
FEE FRAME: FIRE STOPS,
VALUATION &100'0 9 _ BRACING. BOLTS
FEE FURNACE: LOCATION,
1 HEREBY ACKNOWLEDOE THAT 1 HAVE READ THIN GAS VENT•DUC 8
APPLICATION AND STATE THAT THE ABOVE 18 COR13KCT
mi
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH, INT.
AND 8TATK LAWS REGULATING BUILDING CONSTRUC-
TION. LA D«.
SIGNATURE:OF � HOUSE NUMBER COR-
PHRlI1TTE RHCT AND POffTED
ADDk
JOHN A.LkMBIL, COUNTY ELNGINKKR VALIDATIQX CLYDE N.DIRLAM. Clilzr BLDG, INAPKCTOR
CK Mo
LAC�6 2
6 OZ9 MAY22 1 6.00 n.
WORDS' COMPENSATION DECLARATION f�
'I hereby affirm that I have ce''Coate consent to self AP P L I CAVO N .FOR BUILDING . P E RM I T
Insure, or a certificate of Workers' Compensation
ation Insurance,
or a certified copy thereof (Sec 3800, Lab. C) - COUNTY OF LOS ANGELES BUILDING AND SAFETY
Pgllcy No. Company
❑ BUILDING p/�
Certified copy Is hereby furnlahe�. FOR APPLICANT TO FILL IN ADDRESSaQ ( j
❑ Certlfied-copy Is filed with the county bulldIN Inspec- BUILDING
tion department. ADDRESS
Date r Appllcont' CITY ti[� ziP l 7 LOCALITY
CERTIFICATE OF EXEAAPTION FROM WORKERS, SiZ1 OE LOT NO.OF BLX NEAREST
NOW ON LOT
COMPENSAT'I ON I NSU RANGE ASSEMAP BCC
(This section need not be corn leted ff the permit b for one. TRACT BLOCY LOT NO. �p gpp� PAGE PARCIEL
hundred dollars (;100) or less
OWNER Ngo. Ej �,
USE zo, MAP
I certify tkat in the.perforrhance'of the'worl< for 'whl' this SPE.
permit is Issued, I shall not employ any person In any manner ADDRESS t tS
ClAL
so at to become subject.to the Workers`Compensation Laws 0 1;2 L2 {� �m� O
CITY ^r ZIP 7 / (/J U
Date - Applicant ARC}iffECf TEL
NOTKE TO APPl.ICANT:.If, after making this Certlficate of ENGINEER GROUP' GROUP TYPE FIRE PROCESSED BY O
Exemption, you should become. subject to the Workers CONST. 1/ E
Compensatlon pr9v1s1ons of the Labor Code, you must forth- ADDRESS
with comply with such provisions or this permit,shall be TR_ STATWKALCIASSIFKI,T}ON APT. COlJDO.
Z
.deemed revoked. CONTRACTOR UG - CLASS NO. C-2� DWRi UNITS .
UCBJSED.CONTRACTORS DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3'of.the Business UC
and Professions Code,and my license is In full force and effect.. CITY CLASS BIC VALIDATION
SQ. FT. NO. OF. NO. OF C}IECK
License Number I Ic Clas+ SIZE STORIES FAMIUES ONE
VALLLATION
Contractor Date DESCR1PTKJN OF WORK NEW ❑ ;
� ADD ❑ •
❑I am exempt-under Sec y' ► -❑ ,
B.BP.C. for this reason 3V REPAIR ;
❑ate: USE OF �Lj
DEMOL ❑
EMST1NG BLDG.
Signature- APPLICANT TEL ANAL
AL DECLARATIONWet NO. 39�O
I hereby affirm that I am exempt from the Contractors License /� DATE , 1
Law for the f9llowing reason (Section 7b31.5, Business and ADD. ��z � � 19NILL JL
Professions Code): PREUNT ByNG
�•�.r
YL� I, ¢s owner of the property, 6r my employees with ,pp
wages as-their sglecompensation,will do the work dnd
the structure Is not Intended or offered for sale(Section LOCALITY
7044, Buslheu and Professions Code.) M MNG TEL
❑ I, as 9wner of the property,.am_excluslvely contracting rF�*
NO. TOTAL 93 - 63
with licensed contractors To cbnatruct the pro(sct (Sec- ADDRESS � l i •f
tion 7044, Bwlriess and Professions Code.) ,
CONSTRUCTION LENDING AGENCY Vg 1161D YARD HWYTOTALPFROM,
I hereby affirm that there Is a construction lending agency for
the pefiformance of the work for'whlch this permit Is Issued
(Sec 3097, Gv. C.} r,�,�� r�rr��
7Arl p_�Ji ri l 1 V/ 9 Irk,
Lenders Nome /
y WMA Rsf. ► 6779. 1 AN 11:ice
^ PsrFn h Fe.Lenders Address . . ,
o ft
I certify that I have read this application and state that the Issuance Fss 7� LD�WA P/C f
above information Is correct. I agree to comply with all County p /
ordinances d State lows relating to building construction, Total Fee rJ b Y LDMA Perm.
` and h a assize representatives of this County to enter
yY1 cepa the entlohed property for Inspection purposes
SIE MIEVM i roR DMARATOtY LANGUAGA
5♦q of Applkant«AQsnf ,Date
FOUNTY OF LOS ANGELES TE14PLE CITY D508 BUILDING PERMIT
DEPARTMENT OF Pl13LIC WORKS 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA w - BL 0308 9612090029
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5903 LT: 107 SQ. FT STORIES TYPE 8612 GARIBALDI AV
STRUCTURE: 0 V SCAB CA 917752616
ASSESSOR I NEAREST CROSS STREET:
5386-014-072 THOMAS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY
TENANT: MMT_nT9_ME: RESID USE ZONE: 1 I SSUED ON: PROCESSED BY: E)( IRES ON:
EXIST OCC GRP: - 12/09/96 TC 12/09/97
CODE:OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL
CHIANG WEILI (818) 309-0263- 1 1,200 Lt�-3`9
8612 GARIBALDI AV
SGAB 917752616 FEES PAID DESCRIPTION OF WORK
RETROFIT--BOLTING OF FOUNDATION TO ILL PLATE
FEE DESCRIPTION: QUANTITY: UOM: APK)LINT:
APPLICANT: TEL. W:
J. A. CONSTRUCTION (818) 382-8249- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION�R I� E0� F VAL 10.20
VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/0 '1d�
r 110.45
CONTRACTOR: TEL. NO: INSPECTOR SIGNATOWE
J A CONSTRUCTION* (818) 985-0127- �
6212 BEE}U1N AVE LIC. NO r ] LOCATION AND SETBACKS
N. HOLLYWOOD, CA 91606 714819/8
1 1 t
ARCHITECT TEL. NO:
LIC. N0: _ ! ^i I `II'II\� SLAB
FRAMING
RAISED FLOOR
15OH261 3: 01 r- i ' _;_. i'-
T/COND: STAT CLASS- FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: AP
No 21 R100F $HEATHINZY
SHEAR PANELS
SCHOOL WITHIN RAIJURI)OUS
AIR QUTALITY: 1000 FEET MATERIALS C,:'.P,`', j,'
I I f"
NO NO NO -- "y. FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM B(IST FIRE SF`RI
SET BACK YARD: HVY: PROP LINE: WIDTH: ti 7• _ '} !
FRONT PL- INSULA
SIDE PL- INTERIOR� —'�
EXTERIOR LATH
RATED WALL ASSEMLIES
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT VINAGE--
REPORT ID: DPR261 ROUTE TO: BS05O8