HomeMy Public PortalAbout8627 GARIBALDI AVE_Building__ APPLICATION FOR BUILDING PERMIT
FORAPPLICANT TO FILL IN (Print
or tyfp'e only)
COUNTY OF LOS ANGEL
PENGINEER
S v ��1/7�-�J7��✓ DEPARTME T OF COUNTY GIN�I;
` BUILDING AND SAFETY DIVISION
ZIP J
�y NO,OFBLOGS. BUILDING
LOT ,`j O 1/ NOW ON LOT ADDRESS aP
BLOCK L NCr � LOCALIT
TEL. q ry,�� EAREST
NO. �-CJ ! CROSS ST.ASS �J
S Z 1/.�jQ / MAPBOOKPAGE PARCEI��
J .DISTRICT GROUP TYPE FIRE ESSED Y
ZIP CONST. ZONE
ECT OR TEL.
ER NO. STATISTICAL CLASSIFICATION SEWER P
S CLASS NO DWELL.UNITS K &G
TEL.
CTOR USE NE MAP
LIC. NO.
ADDRESSNO. � ( SPECIAL
LIC. CONDITIONS
CITY61 CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES []- NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG.SETBACK FROM
ADDRESS CITY FRONT PROP,LINE OF (STREET)
HIGHWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING �.
SQ. FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
❑ + _
`DES"C RIPTION OF WORK NEW
r BLDG.SETBACK FROM
/ Q TO SIDE PROP.LINE OF (STREET)
y4,LTER ❑ = TOTAL SET4ACK FROM TYPE OF EXISTING
H
/C HIGWAY } YARD HIGHWAY WIDTH
EPAIR❑ SIDE PROP. LINE
USE OF } _
EXISTING BLDG, tf,,-. DEMOL ❑
APPLICANT —�� // I TEL Qom/ CORNER CUTOFF YES ❑ NO ❑ .
(p RENT) J, WQ.i NO.�U? 7
BY (SIGNATURE) IN OPEN SPACE YE9 ❑ NO ❑
t /� IN COASTAL ZONE YES ❑ NO ❑
VAt UATION$ ;?-Soo
CATEGORICAL. EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION EKVIRONMENTAL
AND STATE THAT THE ABOVE Il CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDIKANCIS AND LAWS REGULATING BUILDING CON- _
STRUCTION. I CERTIFY THAT IN DOING THI WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HERESY I WILL No EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO //
WORKMEN'S COMPENSATION INS RANCE. I� Flo,, 0' " • 0""'}-'-^L r
SIGNATURE OF
PERMITTE
ADDRESS
,/ e� f FINAL BY
CITY�fr /7{// 1�� NO. DATE X, ' +
hMAKE CHECKS PAYABLE TO: P. PMT'
FEEE FEE
HARVEY T. BRANDT, COUNTY ENGINEER �7����7+�. T� /
PLAN CHECK VALIDATION CK. M.O. CASH PERNIIl VALIDATION CK. M O. C"
9 94DEC 3 1 A 1 9.0041-16
76A638A CEaeoa 7/73
COUNTY O� LOB. ANGELES TEMPLE CITY #.0508 BUILDING PERMIT
DEPARTMENT'OF PLULIC WORKS 9071 LAS TLMAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 970605DOM
PHONE: (818)285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDING ADDRESS:
TR: 5903 LT: .16 _ SQ. FT. STORIES TYPE OCC,P GROUP 8627 GARIBALDI AV '
STRUCTURE: -0 1 l/N R3 SGAB CA 917752615
GARAGE:" NEAREST CROSS STREET:
5386-007-038 - OTHER: 144 1 THOMAS PAGE: 596 GRID: Gl LOCALITY: TEMPLE CITY
T13MT: EXI ST BLDG USE: USE ZONE: PROCESSED BY: EXPIRES ON:
QQ ST OCC GRP: 06/05/97 TC 06/05/98
UWNL:K: TEL. NO: BLDGS. NjOW ON LOT: VALUATION.z FINAL DATE FI CODE.
KOUO TSONG 7•TCHAN-Y- (818) 286-4466- 2_ 5,770 �p
8627 GARIBAL61 AV V'
SGAB 917752615 FEES PAID OF WORK
TEAR OFF AND- RECOVER WITH 1/ " CD)( AND APPLY WITH OPENS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CORNING COMP. SHINGLE`25 YR. AND'PERMIT EXISTING•SHED AT
APPLICANT: T EL-NZF---
AMPB (818) 284-3260- AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5770.00 VAL 0.58 :
D2 PERMIT W/O EN-MC- 00 VAL 150.00 STORAGE ONLY-MOT HABITABLE
i^,• �QCEE$ 178.33
. APPROVALS DATE INSPECTOR SIGNATURr
B.GEN ERAL CONSTRUCTION (818) 284-3260 LOCATION�.,`
1600 ORANGE STREET LIC. NO
ALHAMBRA, CA 5490618 y \. �
SOILS ENG I WEER
xwmTnTm-M ENGINEER: TEL. *0: .
i. \
LIE. NO: SLABAINDER FLOOR
-
i
J LA
3 01
�u
1ST LEVEL FLOOR SHUTFF
MO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:
*0 21 2ND LEVEL FL55FTRUTT
AIR QUALITY: 1000 FEET MATERIALS •r•�, ,�," _ / p"��'�
No
DEPT. FPA14E INSPECT
SET BACK YARD: MN: PROP LINE: WIDTH:;
FRONT PL- SHEAR
SIDE PL- INSULATION/WEATHER STRIP
INTERIOR LATH/DRYWA.LL
Q(TERIOR LATH
LOT RAINAGE
SMOKE DETECTION DEVICES
- f
ADDITIONAL DATA ON FILE
REPORT ID: DPR261 ROUTE TO: BSO508