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HomeMy Public PortalAbout8635 GARIBALDI AVE_Building__ 7BA630A CE V 903 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES 13UILDINDDRESS 3J DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LbcAUTY JOHN A. LAMBIE. CouNTY ENGINEER NEAREST WIT AM A.JENSKN;SUPT OF BUILDING CROSS ST. DISTRICT NO. GV I TYPE E BY FRE R APPLICANT TO FILL IN CONST. /`� STATISTICAL CLASS ICATION S ER MAP CJ a - CLASS. NO.�DWELL UNITS BLOCK WATERNOT REQUIRED RECEIVED CERTIFICATE:MAP HIGHWAY STATE MAJOR SECON LOCAL NO.OF BLDGB. NO. (clRCLi) NOW ON LOT USE ZONE!— SPECIAL USE OF CONDITIONS EXISTING BLDG. L EX OW UIL I G YARD HY STREET NAME Imo' Hl .VY WI TH ADDRESS FRONT O / ARCHITECT OR TEL. P. L•- 1 ENGINEER NO. SIDE f� P. L "1 a ADDRESS T L. CONTRACTOR ADQREB ' �O DESCRIPTION OF WORK ADD ALTER REPAIR DEMOLISHy FT. ` NO. OF NO.OF SIZE STORIES FA ILIE90 USE OF STRUCTU E 1 SIGNATURE OF APP L7 CAM VALUATIONS E �� APPROVALS DATE I OR•s IGHAT URi FEE S FEE S 5� I M=M=M7PMT. FOUNDATFORM8I MATER LOCATIALSON FRAME: FIRE STOPS. J I HRtOY AC KN OWLEDG[ rKAT I HAV[ READ THIS APPLICATION B CIN BOLTS AND STATK THAT TH[ ABOVE I• CORRICT AND AGRC[ TO COMr LY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCKS AND STATE LAW REGULATING GAS VENT. DUCTS 19U ILDI NG CON STIIUCTION. I CERTIFY THAT IN DOYNG TH[ W K AUTHORIZED HERCSY I WILL NOT SMPLOY ANY PCRBON IN LATH, INT. T10N OF THIE LABOR COD[ OF THN STATE OF CALIFgRNIA T ]NO TO WO-RKM[N'S COMP T10*1 1 FLAN CL f LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINE PLAN CHECK VALIDATION c-K. M.O. cASIi _ PERMIT VALIDATION cK. MA. CATH e 1. 9 9 Ito MAR 2 3 A 2 6.7 5-� 2798- APR 2 1 A 53.50- . s - WORKOZ�'COMPENSATION DECLARATION Insure,�or as certlfl atte of Workers' Compensation Insurance,e, APPLICATION, FOR BUILDING PERM or a certified copy thereof (Sec. 3800, Lab. C-) COUNTY OF-LOS ANGIELES BUILDING AND SAF Polity No. Company BUILDING Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS � Certified copy Is filed with the county building Inspec- BUILDING. tion department. ADDREJS Date Applicant— QTY ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' �^7 �[ NO. OF B1DG5. NEAREST COMPENSATION INSURANCE - SUE OF LOT / D NWOON T ST. (This section need,not be cam leted If.the permit Is for one . 3 ASSESSOR hundred dollars ($100)of leas.. TRACT BL LOT NOCA fj . MAP BOOK PAGE PARCEL n USE ZONE I certify that In the performance of the work for which this NO.dC NO. permit Is Issued, 1 shall not employany icon In any manner ADDRESS i C NDnSPECIAL ONS so as to become subject to the Work m Date Applicant CITY C ZIP ARCH ITECT.OR TEL � NOTICE TO ICANT: If, after m ng I■ Certlfl of PIP NO DISTR1Ci TYPE FIRE BY Q ST Exemption,. you should become subject fo th orkers' O0* CtJ Compensatlon provisions of the Labor Code, you must forth- ADDRESS With comply with such provisions or this permit shall be G: deemed rivoked.. CONTRACTOR , Ta STATISTICAL CLASSIF ION TAPT. LICENSED CONTRACTORS DECLARATION LIG CLASS'No. DWELL UNrTS I hereby affirm that I am licensed under provisions of Chapter 9 4f tJO. (commendriq with Secnw 7000)of Division 3 of this Business and SES MAP essloro Code, and my license Is In full force and effect. CITY d �/ CLASS BK PG. VALiDATKM SQ. FT. OF NO.OF 04ECY License Number �dsa Llc CI S� sTOREsLES ONE - . V/11UA�J� PTtON OF WORK NEW Contractor Date ADD $ a/ I am exempt under Sec , ALTER B.BP.C. for this reason } REPAIR _ USE OF 18336A Date: EXISTING BLDG. DEMC4 Signature APKr_A?,T TEL 19NAL # e 0 0 0 0.� OWNER-BUILDER DECLARATION (PRINTDATR _I hereby affirm that I am exempt from the Contractors License p ADDRESS,? 9 2 fl 5 0 Law for the following reason (Section 7031.5, Bwlness and 19 � Profeuions Code): PRESENT 0 o 628,500 ❑ BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and LOCALITY ) 1 :1 1 8 7 the structure Is not Intended or offered for sale(Section 7044, Business and Professions Coded MOVING TEL I,as owner of the property, am exclusively contractingrADDRE NO. with licensed contractors to construct the project (Sec- tion 7044, Business and.Professions Code) CONSTRUCTION LENDING AGENCY YARD HWY PROP UFS DTH I hereby affirm that there Is a construction lending agency for the perfermance of the work for which this permit is Issued(Sec. 3097,Clv. C }Lenders NameLDltAA Ref.Permit Fso Lenders Address Ior I certify that I have read this application and state that the lasuance FeeP/Cabove Informatlon is correct. I agree to comply with all County ee ordinances and State kNa relating to building construction, TotoI Foe S LDMA Penn.# and hereby authorize representatives of this County to enter $ upon vo-mentloned property for Inspection purposes. W 29VIIIIIIIIS1111 POR E Pt.AMTORY LANGUA04 SigrwMe of ApplI7aApnt ._—� �N�RtCk725' COM?13iSAT10N DEdAkAT10N f hw,&by affirm that I have a cortftorte.of concent to seFf' Insu��a tffhtebfWa.i<�' Campensatlar,.,nwran� APPLICATION --�0� BUILDING�:PFRMI��. .. &,5 r certffled copy thafeof (Set 3800; b �) ' {OUNTIF OF LOf'ANQElEE'' -dUI4DIH(i.AND SAFETY ' {3d ,Qertrfl.d copy.l}her.by.'fucrilsh: . FOR APPLICANT TO FILL IN. auh�lrfc' 63.� _ . FILDJiCertfied WPYofiled wh fae mumyballdrngI - ' ( * . tlon dboartment. ADDRESS ADOR�9 - CCJJ Date` Applicant GTfY- - .e ZIP NO. OF QST - CER_hEICA� P MP n f�0N1 WORKERS''' ` LOT- NOW C*-LOT CROSS ST. ' COAAPEN5�4T}6N INSURANCE (This section')ied not be;ootnpleted If the permit,is for orae TRACT' BL= LO7 NO. p�ppj�. PAGE PARCEL ' hundred dollars (;1d10).or.lesi ) 9 �LL QMR� S.- NO :3� USE�� -. cbolfyfth'dt Jrnthe•perfortnance•of the worst for which this {' �. /� _ povmlt Is IssueaL fj))dl(nof employ gnypgrsbn 10 gny.monmer - 63 �/� CONDIDOW so as to become sublechto.tkaq Worker Comper}saflon Laws. O0 C77Y ZIP Qate -- Ilcant � 'I ARCNLIEU OR Ta a N.QTICE TO ARPU If, after making thla.Certificate of. ItJ�t _ tip r D I t,�Ol1P T ZON BY O fxerihptIQn,, you s}ouId•.�ecome,.Wb ect-%to.'tk;e;:Worker' _=Corrlpensatlon provisions of the Labor Lobe; ydu,must forth- A -.' _ _ _ .rf/� -' _ .✓' .`...with comply with.such.provlslons or'tbls pefmlt,.shall be �� � � �TATI$L1CAL CL,4SSIF1CATiQN- . kPI. CONDO. �. dbemed rovoked,. L r ��jj — (JC]'NSEp.COfJTRACTORb.4L�RA110N- . l,7�JI� rro. CLASS NO. uNrrs -'l herebyafflrm thiol am licensed under proxislons of Chppter.9 •�, LIC SEWER MAP t(commencing.wJtfh.5q tlon 7000)orblvlslah•1.6f the Business N �� !d end pro 4loos Code,andlny f Icd*s Is4P full force a effect_ C°� 3 BK Pg VAS JDATION SQ Ff:, NO.Of NO. Of Ucense N�q,�er' '�5 3� sic. G sag STORIES t F UES oto a AwAT}O//N iControctor O td.` �. bESCRIPAOtd OF WORK QO NEW 1 "Ji. / 0 ADD / ❑a am exempt under Sec; - . ., . _ ►' - _ ALT6t ❑ B.BP.C�for.thl► P' t/� vt �' REi'AIR ❑ ; i _. r ^}� xWoL . Signc ATLIT OWNU-BUILDER DECLARATIQN PRINTF' t b DSL 2 I hereby.affirrn ftlat l am exempt from the Corltrgcto�s Ucensq ` low for the fbllbWfrg �eps6n-(SecHor1 7031.5, Buslnek and AD� FINAL 7_.. 93'.+ Profbralons Code): -:. - - W - ❑ Y'as own BUILDING i T pF�of the property, nor-my employees with ADD „ B r, % i, 1Tas. wogea o:their sole compenption,will do thework and �. --; the structure Is not Interdedoe offered forsale'(Settlon LOCALITY T � 7044, Busingss gnd Profesilons Code.) - AOR Ngo -. } {rrl t : © I, as�rvner of tb6'prop";am excluslvely contracting with ilcensod cohtractors to-cg6stroct_the proled(86c, iron 7044, Business and Professlo'rul.Code.) CONSTRUCIION LENDING AC',QJCY YARD REQUIRED Al - l f hereby affirm that there is a tonstructlon lending.agency for - tfle.performance of the�work.f6r'whI& this permit is Issued -'P.L �" r� 7 i (Sec 3097, CIv.,C.). :SIDE. - P.L -Lbr{der`s Name LDAAA Ref. f . lender-s Address P:C fee Pon.It Foe I eertify that I fwve read this appllcatlon and state that the Issuance LDMA P/C above Information Is correct.,fngree.to 4ompply,wlth plJ County Inwrtlgatlon Fee ordInances and State laws relating.'to building coristructlorr, T000I Fee Perm an auth rbpresentatives.of tW1� County to enter u v ntloned property.for Inmpectl n pU k 7 Lat W RllfV1_ PO E04 AMTORY UU#G 1A0I SIgnatur#of Appakont or Agetrt ` .r'. COUNTY'-OF LOS AMGEL�S TEMPLE CIT`( 0508 BUILDING PERMIT - DEPARTMEMT OF PUBLIC WORKS- 9071 LAS TUiA$ ALTERATION/RIPAIR BUILDIK AND SAFETY / LAND DEVELOPMENT �. TEMPLE-CITY CA BL 0508 970627007_ - 1. PHONE: (818) 285-0488 EXT NO. OF CONST BUI TR: 5903 _ LT: 17 BL: -100.1 SQ. FT STORIES- : TYPt 8¢35 GARI*LDI AV STRUCTL E: 0 VN SW G 917752615 ASSESSOR I-NFORKATION NUMBER: NEAREST CRM STREET: BARTLETT 5386-007-OE9 T 0MA3 PASS: 596- `GRID: G2 LOCALITY: TEMVL� CITY. - - . EXIST OCC GRP: 06/27/97 _. .-TC 06/27 1993 SCHULTZ TRUST;SCHULTZ CECILIA - 1 1ti000 - 8635 GARIBALDI AV SCAB 917752¢15 1-thti,PAL U DESCRIPTION F WORK .,0: REPAIR 1ARTHQUAIE DAMAGED CHIMNEY kEE DESCRIPTION: QWWT-ITY:. L MI: ' AMOUNT:-n C-liliff- APPLIMT- PATTERSON (626) 968-3884- AA BLDG 'PERMIT ISSUMjCE 27.75 AC'ST"G MCITION RESID 1 .00.VAI 0.50 D2 PERMIT Y/0 BI- 0► VAL 6&_25 - SEES 93.50 CONTRACTOR: 'VEL. NO:' . .DATE I NSPMTOR SIWTLRF CHIMNEY CRAFT (818) 351-0660- 3850 STARTOUCH LIC. MO LUCATIUN.AND PASADENA G 91107, 550868 B CoNUILS ENGINEER ARCHIIECT OR ENGINEER:- TEL. NO: ULKUA F� LIC. AO: b nl MAP NO: SUER W BOOK: PAGE: FIRE-Z MDERFM JNSL.ILA!I ON, 150H261 Y 3• -01 I PUBLI ® S � NO 21ico $HEAR PANELS.. RODE SHtkTHrwff SCHOOL WITHIN _K f� AIR QUALITY:- 1000 FEST_ MATERJALS � �/ Q No .- No - No Q - frwI RED TOTAL SETBACK I RE SPR I W:ER - SET BACK..YARD: HWY; PROP LINE: NIDI FRONT PL- SI L- . . � . +��f1a.� SIDE PL- l: I C l `l HER ST'RIP _ r EXTERIOR LATH n t ' LOT DPAIWE REPORT ID: DPR261 ROUTE TO: BS0508