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HomeMy Public PortalAbout8613 GARIBALDI AVE_Building__ 78AO38A Ca#50,.IAPPLICATION FOR BUILDING P MIT COUNTY OF I OS ANQELFS BEDI DFII"Na / DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY I ✓ _ JOHN A. LAMBIE, COUNTY SN(XINRR NEAREST LAM A. J UTT or MrmLomm CROSS YT. DI II7'R N O. �.� ID DY FOR APPLICANT TO FILL IN D U I LD I N G TAT LGT I CAL CLASS I F I CATION ikwxR YAP ADDRESS �'� DK NO LL-UN LOT NO. )IVY - ELCCK WATER NOT REQUIRED15�, RECEIVED CERTIFICATE: TRACT MAPRIGHWAY STATE MAJOR SECOND O NO.OF DLDGS. NO (CIRCLE) SIZE OF LAT NOW ON LOT USE ZONE I SPECIAL USE OF CONDITIONS =STING BLDG � T OWNER ANO BUILDING 'EXIST, SETDACK YARD HWY E NAM WIDTH ADDRESS FRONT ARCHITECT73R TEL P. L ENGINEHR NO. SIDE ��T O DDREBS TEL IN�►.r f.v fa N RECORD cdCONTRA CTO N _II ' O ADDR DESCRIPTIO OFWORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF IZE STORIES FAMILIES BE OF', STBU SIO RE OF APPLICANT- VALUATION PPLICAMVALUATION S APPROVALS DAT9 INSPECTOR'S SIGNATURE p,C FOUNDATION: LOCATION FEQ FEE 1 FORME MATERIALS FRAME: FIRE STOPS, 1HERLBY ACKNOWLEDGE THAT I HAVE READ THIP APPLICATION BRACING BOLTS AND STATE THAT THE MOVE I/CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL'COUNTY ORDINANCE/ AND (TATE LAW■ RIGULATINO GAIP VENT,DUCTS IUIL ANG CONET7IUCTION. I CERTIFY THAT IN DOING THE WORK . AUTHDRIZED,HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- uT1„1 INT _ TION OF THt WOR CODE OF.THE STATE OF CALIFORNIA RELAT- ING TO WOR KY[N'■COM�MMTIONURAN CI. LATH DCT. SIGNATURE OF HOUOE NUMBER COR- PE R M I TTE RECT AND POST . ADDREB FTNAL CLYDE N. DIRLAM, PRINCIPAL STRJ c PAL ENOINQiR PLAN C HXK VALIDATION m mo. cmm PEBMT VALIDATION C7,) mo, away 1 3 9 4 .4 eR 19 1' R 6 .0 0 _ APPLICATION FOR, BUILDING PERMIT . COUNTY OF LOS ANGELES BUILDING AND SAFETY WOm aum COipENSATION DECLARATION FOR APPLl—Alf r TO PILL FN I of I hereby dflm,.ttrtfe OrI neve.car tlrtoaie of coneerrt to.err insure, eUILa ��r�,e ,1 �9L,D/ or a cerfficif VVbrkwW C,ompenesdoe InsLuanc%or a cerneed copy thereof(Seo.3WQ lam.a) ZIP Pomoy No. ry SCM OF LOT NO.OF B1 D(n NOW ON LAT ❑ CerdW copy is hereby rumhhed. NEAAU3EF ❑ CerUW copy Is sled With the coLnty bLi WUV ispeotiomTR` �ro 3 BLoac LAT NO.�� USE DONE M"Na � b Dote Applicant DO SPEC A-CONDMONS TI CERFICATE OF EXENWMN FROM WD'ORS u K Sal I L-o l C3 F� ! YM NO ` COMPENSATION INSURANCE wrt�iw t000 Fr.of ecrrooL ADDFIE13B (fhb section need not be ow~if the pemrit Is for one hundred r� DfBI R1C f GROUP FA-=ZONE PROCESSED BY do0us($100)or less) 21P p 1 oerttly ttud In the porforrmanoe of the work for which this permit is he-od, I " not employ any person In any morass so Y bo BiOINa$i TEt_Na become sub}eot to the VlbrksrW Compensation L m,& B7ATt8TiCQ-CLABB&-KiJ0- N APT COMDO Dais Ap~ ADORIM CLASS NO. 0-00 MI-L UNATS— / NOnG TO APPt.QQ T. n, after msldng this certrrto.ts of RECUTED TOTAL SETBACK FROM oasT Exemption, you should become subject to the Workers' CONTRACTOR / ANO' SETBACK leUO FfW PROP LM WDTH Cwpenestion provfstors of the Labor Code,you must forthwith FRONT comply with such provisions or this permit shat I be deemed Twokbd. ADDR2391B LIC.NO. PL >- LICI D CONTRACTORS DECLARATION CITE Llo.CLAM PL o� I hereby of mn that I em licensed ender provisions of Chapter gSty UAP $ (oommarckrg with Section 7010-of DivWon 3 of the l3usness and84 8r� NO.OF BTOFd33 Na OF FAAILL� NEW ❑ BK PG Profenions Cede,and my Doane In In hal force sad eAscL , DESCRIPTION OF WORK ADD ❑ VALUATrOM '1 LJcerlss NLmber LJc.Close 95 COnbWtDr Date l ALTER E] $ z ElI am exempt under Seo. RFJ'AIyR ❑f $ R P.a for this reason DEMOLVLDMA M# Data USE OF DQSTING BLDG URM ❑ i Signahue APPUCANT O*WM Tp–Na LDYA Pam. f I, as owner of the property, or my employees With wages as ACCT,i thdr scie oompensatlon,will do the work and the struoafe In ADOPrres Eta oAn 7 . not krb44 nded or offered for ssis (Section 70 , Bustrress snd ProfedonsCode.) WILL,re,,PPLKAMTO KJTLWAeua.orQOCCUFW(TrHra)ILeArwAFEOUB WaVIAL — f ITFMS OR A Monti CONWAW FNZAFDOUS IHrTF UL L4ML TO OR Q�IUen THAN ❑ 1, Yrsed w of the prop",rtrruuct 7044, yes THe A+raxrs sPt��ON�wvAroo(b u�Ari sarorawbN a der MAL BY > TOTAL s a., � 00 Business and Professions Code.) Ym❑ No❑ /�y.y WLL TFE MTQDM LM OF TF!SU LDHM O aT TFIR APPMANT OR TFE ■A DM UED, W.V-I OCOLFWT FROWN Fffefr FOR CONSTRUCTION OR HbOPIbJV M40M THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR OU LFTY LVIVa6err DETROT PaWfi i a Pe\STTWQ CH DICAU -L��Lr� FOR GK De* C�A4GE .130 I hereby affirm that there Is a oonabix;6on lending egenwy for rza❑ wo❑ the performanoe of the work for which this permit is Issued(Seo. i K WV MND Tri HAZARDOUS LUTWLALB MeoR UKDON ausx AND TFIR eo,+orD o 3087,City.a). P.MaTTHO cHwKusT.I L*ceRrWo W FSnLwamerfs UNDER TFw LOS ANQtiee 00010-000 f fU/till 7 U Lenders Nam ZMD d. COUNTY [1•Y 0001.TTLCHAPr i LW SUCTIONS lJMrm THFIOU L.sarQ COHMOi42 ��00010-000 (1 i �D FNOIA M WAM "F�ORTM MD POR 001UWQ A FWifF!—r FROM TJi�? f AN f V:L 1 Landers Address �a,A saff I certify that I have reed this sil>oombw end stats thed the above RQ FEE P�rfT Fit k4ormatibn Is corecL I agree to comply With all county ordirsnoee and 8tsie Imn reisting to bultding oonatruotim and hereby authorbs reprMKtSttves of this County to enter upon 09LIANCEFEE / the above-mentioned property for Irspeotbn purposes. >° Z_� :�.�`1) _4a LNVEETIGQION FEE TOTAL FEEQ QA.r �Ll��• Q WE REVEM POR makAMTORY LANGUAGE APPLI CATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY 1 WORICEFI'S COMPENSATION DECLARATION 13 KM APPUCANT TO FLL N BUu_DM ADDRESS ADorieee 'I hereby afftrm that I hese a certlfkwte of ooneent to saV Insure, b or a certtffoafe of Warfare'Compensation Insurance,or a oertffledy Dopy thereof(sea 3800 Lib.C.) Cmzip LOCALIT g -7 LE I Nftr No. Cary SLrE OF L% ?,10.Of IN DOS NOW ON LOT ❑ Cant W copy b hereby tumfsted NEARBTrCROBB Elcerttt{od oopy is filed with the minty buikiing inspeawn TRACT LOT Na UBE ZONE MAP Nle. � 1 o s AppUcarrt G BPecvlLCONDIT W }T �P CERTIFICATE OF EXEMPTION FROM WORIERs' � T�Ira WITHIN 1 O Fr.OF SCHOOL? YES NO CO PII NSATION INSURANCE ADDRESS (This section need not be completed If the pem1R is for one hundred DLBTRICT GROUP TYPE FRE ZONE BY din 411 or l9m) CITYZIP r�) I owttfy that In the pertomwice of the work for whloh thle permft 11 C-� W Rte✓ Y Issued, I shd not-employ any person In arty manner so Y to AFV>WrEC7r OR ENOLNE333 become vA*ct to the V*wkwW Compensabon Laws. 4KS O GI A '�S � L 3-q C(Z SMUVnICAL / aAPT CONDO A.W W� co�ri fv A CLAM MO. DwL UNrrS NOTICE TO APRJCANT: tf, after malting this certfncete of ( 1 v REpUWM:) I TOM L SETBACK FROM EXW Exemption, you should become subject to the Workers' CONTRACTOR TEL.N( SET BACK VM HWY WIDTH Oorrrpertearion provWons of the Labor Code, you must forthv th FRonrr comply with such provWons or this perm It shall be deemed revoked ADDRE138 Lac.NO. PL i '1 LICENSED DECLARATION CITY LK;.CLASS PL =7 629.75 I hereby affirm that I am Ilosnsed under provisions of Chapisr 9 SEWER MAP en � (conYndng with section 7000)of Minion 3 of the Business andSC U Na OF STORES NO.OF FA��� NEW El 1K PG 1 ITEMS Profsaslona code and my Ilcense b In full arca and effeoi D p�P,TON OF WORK ADDWALLu►71ar , TOTAL f� 4 759 License Number LJc.Class Corrtr.Otor Date toff ALTER E3 # (-�� 6624.7--a❑ I.m ewempt under Sec i REM ❑ # .vq 7, 10eO o o — I�W a for this reason �� `� DEMOL ❑ LDMA P/C r Dem USE OF oQBITN G BLM URM ❑ 1 7/26/90 APPUCMT(PP&MTe-ra LDIM Perm. 7 Al 1 9 1. as owner of the proportX or my amployess with wages as yr—H 113(5-9(1 Ij their sob compensnibn,wol do the work and the structure bnot Intended or ofbred ar sale (section 7044, Bn�less and V W, ct�\nN•l�i,Lf4FFRINLAV�LDATE ` 7 9t t.L!' Profee.lon.code) VALL„eAPP�wTORwn�au<DnoocouFWHTFYWX ww�zAfooi�eLL-01 AL G� 1 ITEM ❑ 1, se owner of the TH A N7mli Corr mOOMM A H HAXAFEC SMAUVMAUTFLlPEQUAL IA on ard4il TFw1 TOTAL 904- 89 prop”, em eucntl,.+v.ty oontnctit,g wnt, Tw A1roL.rro ersL�a+Tw IwARDoue 1ua�1w.srorawloN a,mer bwnwd contwoiors to constn,ot the prefect.(section 7044, Ise❑ No❑ Bustnew and Pro+e.dorr Code.) Gl Et`�' 904. WILL THE RUNCm USL OF THE MAHO DBY THE APNX-Off OR PUTU R RITru \ 619 OOOUNNT rnol>E1a A PGifr POR ACTION OR I0000761 nON 141011 THR 20U'TH CONSTRUCTION LENDIND AAENC"Y casT AIR QUALM MM44GENOU DW"=Ieewlof e¢PW1lsrrM aiaarT aW4E .C(I FOR[1UIles NWI I hereby afflim that them In a corstruation lending agency for Y®❑ NO❑ the performance ol the work for whlah thle permit In Issued(sea I H#YE ROAD THE HAZARDOUS WvgaALS 94-0R11ATION QUIDe AND THE DGAOrND 3097,Clv.C.). o�i MCH T I Uar"01°>PM WY nNOUNIMADfrS roH�THE Los 1 1�0�y/23/`13 Lenders Marne FAZARDOUR LVOWLA S FNYKWr10 AND FOR 06VUHNo A PVFMT PRou THO ed AMID. p 33 •`3 1 A I 10:L) L.snder's Address '�/3/• 9� COPMaANOff I cert fy that I have reed this appiloatlm and state that the¢bore RCFEE Purr �9/ Inarnnibn is corrsoL I agree to compty with all oounty ordlrhwxm and state lewls reledng to buflding consb,ratlorl,and 1 97 hereby authonine representatives of this County to errler uponv OBLANCE FEE ` the aboDwHrwrtimed ply for hapoodon pr+Posse WVEBTxiKnoN FEE TOT7L FEE \ WE FWVWM iR 03UMATO"LAHaUAM. WORi0RS' C'OMPENSA7)OP}DECLARATION herelay. affirm , I haW a cW CQme of consent In to gaff APP�LICA.TION. F.OR BUILDING.-.PERMIT Insure, yr a certificate of Workers' Comperhsatlbn Insurance,' •• •or a certified copy thereof (Sec 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND'SAFETY Policy No. Company" BUILDItJo ❑ .Grtffied copy is hereby furnished.. FOR APPLICANT TO FILL IN ADDRESS - ❑'� Cart ffled copy Is filed with•+m-county building 4.hspec- BU LUN NG , tion department. ADDRESS 0613 Date Applicant QTY' D P LpCALRY 1 NO. _ NEAREST CI3MFICATE OF E)SYPTIONFkOM WORRH4 SIZE of LOT O 6 NOW ON LOT h COMPENSATION IWRANCf rfs section need not be completed ff the permlt is for ane tR11CT 51.0a LOT NO. PAGE f.Y> PARCELO hundred dollars ($100).od less ) usa zow I certify that In the pgrformance of the Work for whlGh.thls SPECIAL _ yy permit Is issued, Ishall not employ-any person In any manner ADDRESS -abolf ��,/ CONOffIONS 1]r so as to become subject,to the Work-ws Compensation Laws O (,'fTY ... 'ZIP (Y. Date--Appllcant t•:- . ARCHfTECT OR TEL D P TYPE'- RRf , PROC�T3Y NOTKa TO TJ CAM: If, after making this Certificate of ENGI NO - ' C,�T ZONE Exemption,..you should becomI� subIso to the Workers• n Compensation,provisions of-the Labor Code, you.m6wforffi- ADDRESS with comply with suchproylslon4,or.this permit shall be - nJ,., ' J STATISTICAL aA TK)N GO►pp, 2 .de+med revoked, ODNTRACTOR IpOF �' Q !a — 41aN.5m bDNTRA&O;;i&DECLARATION uc- CLASS NO. U I hereby affirm that I am Ilceniw d under proviflons pf.Chaptw9 ADDRESS LFC (commencing with Section 7000)'of DlyfTlon 3 of the Business SEWER - and Prafa lons.Code,and n5y�lcense IsJn fyll force and,effed..,. CITY CLASS pG VALIDAMN SQ, Fr. No. CW NO. OF QiE¢C Ucense Number-: tic-Class_ SIZE sjo{tIES FAMIUEs OtE VALUATION Contractor pate bPCRIPTQNOF WORK NEW El ❑I am exempt under Sec AL4 . ... ALTER El B. P.C. fbr thls redson REPAIR u ; . r]ritw•. IJS� - DFAAOL 0 BLD-'. Slgrwture I,PPUCA►!r'. _ TEL.... FPtA1 OWNER-BUII�FR DECLARATION NO. DATE r- I hereby affirm that I am exempt from the Contractors License Low for,the follolving reason (Section 7031.5,,Bialrlesrr and . ADDRESS RNAL 1 Profeulona Code): 1�iT.i ® I, as owner of the property, w my, employees-with BUILINNG wages as their-sole compensation,will do thq work and LOCAL!f1 . the structure Is not Intended or offend for sal6(Sectiori {I. 13 7044,Buslness and Professions Code.] AAOVII�C3 Ta - -. ... �.T Q I, as owner of the prop", am exclusively contracting, � NO. . ` with licensed conhbFtors•t9-corAtrud the proloct (Sqc,- AD.RESS ITFM tion 7044,3usiness and ProfesslOns'Code,} TOTAL SnB DUST. TQT 1 1 u CONSTRUCTION LENDING AGENCY YARD HWY PFQP I-hereby affirm that there Is a construction rending agency for L �1�; i 17'.w the performance of the wofk,for which this permit Is Issued .. p:L' _ (Sec. 3097, Civ. l.} SIDE- .LRI P.L 4 Lenders NameRef. i y i+/ice�7 • P.C. FIs+ M fie IpJV V t1LR11 T 111 11!�7 1 Lenders Address �— i a. f csrHFy That I'have read this appllcatlon and state that the huxnce Fee LDMA P/C# ,, �, 1 � 4:?.y above info...mation is correct{ I agree to comply with all County Inviwigatlon;Fee - ordinance's and State laws relatfng to bui)ding construction; Taal Fee rO LDMA Perm and hereby auti>ortze representatives of this County to anter upon the above-menTroned property fbr fnz.pection purposes 9rw9 17 om MOM I'bt E04AJ4ATORY LANGUAG4._ ture of Appiicorrt or t Date . UUU 4 .