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Home My Public Portal About8727 GARIBALDI AVE_Building__ 76A636A CE y" 803 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILD[N G % /Q /% DEPARTMENT OF COUNTY ENGINEER ADDRESS o 0 BUILDING AND SAFETY DIVISION LOCALITY am /�,/ JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. TN RICT NO. GROUP TYPE P ESSED BY FOR APPLICANT TO FILL IN - coNsr� BUILDING �[ ISTICAL CLASSIFICATION S WER MAP ADDRESS •VQ/�/ BK PG SS. NO. DWELL. UNITS �' IOI LOT NO. T BLOCR NOT REQUIRED RECEIVED ❑ CERTIFICATE: TRACT O �f HIGHWAY NO.OF BLDGS. !� ICIRCLE) STATE MAJOR SECOND, LOCAL SIZE OF LOT s �(JQ NOW ON LOTONE SPECIAL USE TI CONDITIONS EXISTING BLDG. TEL. OWNER «� NO. DING EXIST. ACK YARD HWY STREET NAME WIDTH ADDRESS Q d/• NT ARCHITECT OR TEL. L O / / dENGINEER NO. E L. D D °- ADDRESS mL O TEL. �1 a CONTRACTOR NO. to ADDRESS LIZ 0 DESCRIPTION OF WORK s "@ PKE ADD ALTER REPAIR / ` i H T. NO. OF NU OF r`'' J„»1.J'L.i a� •fi/ Z SIZE97 /STORIES FAMILIES USE OF . STRUCTURE f/�4& OM Q 0 hq 1�f1� SIGNATURE OF APPLICANT >'± VALUATION $ '� /�,/q v VV APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPEN TION INSURANCE LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS r72 FINAL JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH 3 0 x 8 eo 0EC 31 A 1 5.00- 76A638A CE-_9 803 1.62 APPLICATION FOR BUILDING PE IT COUNTY OF LOS ANGELES BUILDING j DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY q r JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP I TYPE O ESSED BY FOR APPLICANT TO FILL IN CONST. ; BUILDINGSTATISTICAL CLASSIFICATION S WER MAP ADDRESS ,2 7 ' K /,/FG/ CLASS. NO. DWELL. UNITS C- LO BLOCK WATER CERTIFICATE: NOT REQUIRED I IA/TVE/N RECEIVED ❑ TRACT MAP HIGHWAY STMAJOR SECOND, CA NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE PECIAL USE O �( -CONDITIONS EXISTING BLDG. //'�' TEL. OWNER NO. BUILDING YARD HWY REET AME EXIST. SETBACK WIDTH ADDRESS clf FRONT /J J ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. ADDRESS d TEL. yF #:' CONTRACTO NO f V ADDRESS ,. O DESCRIPTION OF WORK (544 be ° 1 C If u a. NEW ADD ALTER REPAIR DEMOLISH / 4/ ✓LZ SQ. FT. NO.OF NO. OF (� -Z � , vlD SIZE STORIES FAMILIES USE OF STRUCTURE _ rCIA* Yee SIGNATURE OF qd/ J f," -_y / APPLICANT VALUATION $`�q�_-o APPROVALS DATE INSPECTOR'S SIGNATURE FOUNDATION: LOCATION .� FEE $ FEE $ FORMS, MATERIALS FRAME: FIRE STOPS, / A 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- T, LATH, INT. ON OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COM ENSATIO INSURANCE. LATH, EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS J 1~INAL JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 76AG30A Ci�}`807 &-E2 APPLICATION FOR BUILDING PER W T COUNTY OF LOS ANGELES BUILDING � DEPARTMENT OF COUNTY ENGINEER ADDRESS ` BUMDING AND SAFETY DIVISION LOCALITY ' JOHN A. LAMBIE, COUNTY ENGLNERR NEAREST WILLIAM'A.JENBEN, tUPIT OF ]BUILDING CROSS ST, t�[7 DISTRICT NO. GROUP TYPE, P 98ED BY FOR APPLICANT TO FILL IN CONST. BUILDINGSTA ISTICAL CLASSIFICATION SrfJER MAP ADDRESS n CLASS. NO. DWELL UNITS K LdT NO. _' BLOCK WATER NOT REQ IFI RED RECEIVED CERTIFICATE: TRACT FIAP HIGHWAY ' NO.OF BL...• NO. (CIRCLE) STATE MAJOR SECOND LOCAL SIZE OF LOT /a' NOW ON LOT USE ZONE SPECIAL USE OF 6VA CONDITIONS EXISTING BLDG. . TEL OWNER NO. BUILDING YARD HWY I�RR ME 11)(I ST. B BACK 4WIDTH ADDRESS FRONT ARCHITECT OR EL P. L ENGINEER NO. SIDE P. L ADDRESS D_ 3 l�J o O TEL V CONTRACTOR . 4 NO. ADDRESS e16-MCRIM OF WORK OOr 5G NEW .,DD ALTER REPAIR DEMOLISH IL N .FT. NO.OF NO. OF Z 61ZE STORIES FAMILIES USE OF STRUCTURE ' SJGNATURE OF APPLICANT VALUATIONS ' d'D APPROVALS DATE INSPECTOR'S•IONATURI FOUNDATION. LOCATION FEES `- FEE S '��^-�� FORMS AT)tRIAL8 FRAME. FIRE STOPS. I HERESY ACKNOWLmG[ THAT I HAVE RE .4 AD THIS FLICATION BRACT O AND STATE THAT THE ABOVE 16 CORRECT AND AGRLK TO COMPLY _ FURNACE: LOCATION. - WITHALR, COUNTY QRDINANCL/ AND /TATIC LAWS REGULATING GAS VENT, DUCTS SU ILD I N d'CON/TRUCTIOI/. I CD L nFY THAT IN OfNG THE WORK AU:HORIZID H[RESY I WILL NOT KMPL.OY ANY PERSON IN VIOLA- LATH: INT. TION OF THK LABOR CODE OF THE STATE OF Ck4IF6"IA RELAT. ING TO WORKMK?4�8 COM -ION INSURANCE. LATH.EXT. SIGNATURE OFHOUSt NUMBER COR- , PERMITTED RECT AND POSTED ADDRESS 2 FINAL ✓ JOHN F. LEWIS, INC. AL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION c M.O. cAsrl LLD 1 7 3 6G MAR 6 1 A 6.0 Q t/ r,P )NORKERS'�C)MPENSATION DEClAItATION J ,hereby a certificate fica have a �rfCompen tion Int to .elf APPLICATION- FOR BUILDING PERMIT Insure, or a certlflcate of Workers'Compensation Insurance, or a cwtffled copy thereof (Sec. 3800, Lab.-C.) . . , COUNTY OF LOS ANGELES' BUILDING AND Policy No. Company BUDDING El Certified copy Is hereby furnished. . FOR APPLICANT•.TO FILL IN ADDRESS z Certified copy ita.filed with the'county building Inipec BUILDING " troh department. ADDRESS Z. pulp "Applicant QTY / ZIP F .7 LOCALITY C>:RTIFICATE OF E)CEMPTFON FROM WORKERS' . NO-OF BLDGS- 1. COMPENSATION 1 NSU RANC E SIZE OF LOT&S' •NOW ON L T �/T� ST. (This section need not be completed if the,permit is ASSESSOR for one TRAM BLOCK LOT NO. M� PACE PARca hundred_dollars (;.100)or leu.) , 415E Z - ST k2 I certify that In the performance of the'work for wklFh this h hl0 permlt Ii Issued, I'shall not employ arty Peden In any'manner. oC �� I SPCTUAL so as to become subject to the Workers Compensatlon Caws. Date Appllca Qn'S ! ZIP NOTICE TO APPUCANT: If,.after making'ihli Certificate of ARC}iffECr DISTRICT P TYPE RRE BY ExeZCNE mption, you should become subject To the. Workers tJa J.aX,45T • J omp tlzon,provisions df the Labof.Code, you must forth- ADOfif55 (1 V Yy IyJ with comply with such provisions or-this permit shall be _ 7FL ATTSTIGAL _ deemed revoked. CONTRAC-'TOR S j's G F a 5 LIC ID61M CONTRACTORS DECIARATFON.',, . '+ LIC. . - CLASS NO. VNELL. UNITS *- I Frwoby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (cdrtNre n!with Soden 7000)of DivWon 3 of the Business and SEWER ER MAP. salons Code, and my Ifgnse b In full force and'effect. CITY CLASS BICVALDATION SO NO.OF NO.OFCHECk I U4ense Number. I-Ic.Class SIZE STORES F OPE . (ontroctor Doti DESCRI OF WORK $ F-1ac.I m exempt under Sersn IS 1 t ADD ALTER .13.3P.C. for.thls'-1— REPAIR = LM OF EXISTING BLDG. DEMCX Signature NF12 BUIL3fER DECLARATIONA- NO. � 6 MA _ I hereby affirm that!am exempt from tfieContractofs Licensei Law for the following.reason (Section 7WI.5, Fsuslrtess and. ADS ProfeWons Codec I, as owner of the property, or my employees'with ADDRESS I r =1 ' �8,1 2' T- as thelr`sole tom on,will do thsi work and � � b A wages 1 J J J the structure Is not Intended or offered for sale(SectiLOCALITYon I o 7W,,Business end Profenlons Code}.. MOVING - .. TEL a r� ( . I, as owner of the property, am exciuslvely,controcting NO. r q with l"rtsed controctgrs to construct the project.(Sec- - ADDRESS I ton 70k1; Buslrew and Professions Code} CONSTRUCTION LENDING ACi0NCY - - BU YAkD tMl1" UhE TH I hereby afflrm that there Is a construction lending ogency for FRONT the performance of thte work for which this permit.is Issued (Sec. 3097,CIV. C. SIDE P.L. r Lenders Name ) Ll)tM Ref:f $ P.G"Fw i Permit Fee Lenders Adicl s'� I certlfy that I hove read this application and state that the Issuance I" �V LDAIM P/t/ above Inforn otb is correct. I agree to comply with all County. Inveerfgatiorl Fee grdlntancee and Slate lawns relating to.bullding carutnxton,' Total Fw LDAAA Perm.t Q and hereby authorise repreeentatives of thli County to enter upon the above-rteritlored for Inspedlon pVrpoees =`( L� .• x ,7 WI KM EXPCAMATORY LAMOIJAW Sig nartwe of Applicant or Agent Date