HomeMy Public PortalAbout8751 GARIBALDI AVE_Building__ 76A"BA CPr #003 1/]I
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�• � 1 1•l �• IA,4 - LJ
IY APPLICATION FOR B ILDING
c COUNTY OF LOS ANGELES AssEsoa � �J',-.�_;^ • _ -.4DEPARTMENT OF COUNTY ENGINEER MAP K PAGE PAR ,
r BUILDING AND SAFETY DIVLSION BUILD
ADDRESS
COLEMAN W:-JENKINS, SUPT OF BUILDING LOCALITY �' T
R APPLICANT TO FILL N NEAREST
(Print or tyoe only) CROSS ST.
ABUILDING DDRESS I / DISTR_ T NO. G UP TYPE �. ROG ED BY
CJa/ CONST. c
c
STATISTICAL CLASSIFICATION SEWER MAP
LOT NO. BLOCK
GLA s3 NO,—Ij—DWELL.UNITS B PG V
TRACT USE ZONEI MAP
NO.OF BLDGS, r NO.
SIZE OF LOT .IS d NOW ON LOT SPECIAL
USE OF CONDITIONS
EXISTING BLDG. fi
OWNER 8`jJ de a+ NO. BLDG.SETBACK FROM i
ADDRESS � �f / �
FRONT PROP.LINE OF 1BA1-17. (STREET)
TYPE OF EXISTING SETBACK HIGHWAY 4 Y.336 = TOTAL
CITY HIGHWAY WIDTH F1R9M C.L. -
ARCHITECT OR TEL. D[ + O' _ �`
ENGINEER O NO, BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CONTRACTOR NO, HIGHWAY WIDTH FROM C.L
ADDRESS LIC.
O + _
LIC.
CITY CLASS CORNER CUTOFF YES
CONSTRUCTION LENDER �-
NAME AND BRANCH SEE REVERSE SIDE FOR SP IAL APPR VALS
ADDRESS
SQ. FT NO. OF NO. OF` NEW JEE] ��SIZE r STORIESFAMILIESUSE OF ADDSTRUCTURE O ALTERSIGNATURE OF REPAIRAPPLICANT DEMOL to
VALUATIONS �Q .R1r�►I7ti L
APPROVALS DAYL INA TOR's 17NATUN[
P.C. PMT. FOUNDATION: LOCATION
FEE i
FEEf FORMS MATERIALS
FRAME: FIRE STOPS,
I HEREBY ACKNOWL[DAC THAT I HAV[ RKA.D THIS APPLICATION BRACING BOLTS Z
'AMD STAT[ THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCE! AND LAW! REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR COD[ OF TH[ STA OF •CALIFO NIA IM RELATING TO
WORKMEN'! COMPENSATION INAURAMC E.
LATH, EXT,
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED Ul
ADDRESS FINAL -417
JOHN F.
�L�E.WIS.. PRII•�NC17A4 STR URAL ENO
IBC$ R
PLAN CVALIDATION CK. M.O. CATH _ rf��.pl�yly VPL IDA1I
6 7 '§54 JA29 Z D . 3 .25,
APPLICATION FOR BUILDING PERMIT +�
COUNTY OF LOS ANGE M BUILDING AND SAFETY
NG
FOR APPLICANT TO FILL IN ADDZISS
I� //�� ADDRESS
ADILDRESS ✓ A 1T Up LOCALITY '
N EAR EST
CITY FL zip 'ql77Y CROSS ST.
NO.OF BLDGS. .rl ASSESSOR
SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARC
�r�Q 1 ` DIST GROUP TYPE HIRE BY
TRACF-3 7 O`a BLOyyQ��C LOT NO.lY O Q COQ ' E
OWNER &5 C` TEL Q 0 Cl � V
W MAP
ADDRESS .�I I ( Q + ��NO �-sTATIsTKAL H T� EL UNITS__j BKIO
CITY Cl Q pL C ZIP. / 7 5-
ARCHITECT OR TEL VALUATKY1 $
' ENGINEER NO. 7
ADDRESS BL M
TEL FRONT PROP.UNE OF (STREEFI
CONTRACTOR NO. HIGHWAY. + YARQ TOTAL SETBACK FROM TYPE OF EXISTING
LIC FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS NO.
UC. +
CITY CLASS BLDG.SETBACK FROM
CONSTRI)CITON UEN5ER SIDE PROP.LINE OF (STREETI
NAME AND BRANCH
HIGHWAY + YARD TQTAL SETBACK FROM TYPE Of EXISTING
ADDRESS CJTY SSI E PROP.LINE HIGHWAY WIDTH
SQ.FTNO.OF NO.OF ) CHECK + V
SIZE STORIES NFO
. AML
ES / ONE J/
DESCRIPTION OF WORK NEW P,C. Fee S PermTt.Fee Tl��
Ob Issuance Fee yQ
ALTER Z
f[�AIR Totol Fee _
USE OF DEMOL
EXISTING BLDG.
APP(PRi , M 1`� De 0- A ND 8 7 `
BY ISIGNATUREJ
I HEREBY ACKNOWLEDGE THAT VE READ THIS APPUCATKXJ AND SSTTATT�
THAT THE ABOVE tS CORRECT AND AGREE TO COMPLY WITH All.ORDINANCE
AND LAWS REGULATING BL.RLDI NG CONSTRUCTK)N.I CERTIFY THAT IN DOING THE
Y,K)W AUTHOOZED HBtEBY I WILL NOT EMPLOY ANY PI SON IN VKJLAT04 OF
THE LABOR CODE OF THE STATE OF CAL FORKA IN RELATING TO WORKMEN'S COM- � � � � 7.3 A
PENSATKM W5UW+CE. {.�
r # O O o o oSIGNATURE
l
PEREE OF
MITTZ o o -
5
. o520-0
ADDRESS O O ' 52006
TEL.
Cm No. 11. 06-78
7�77PECIAL
d
CON D TTK)NS
' / BY
DATE
7GAa.Aax#&o2 APPLICATION FOR BUILDING PERMIT �.
B=NG AND SAFF,TY DriMON BUILDING
ADDRESS
Dtp=ftn*W of Conntt EaQInM!
County 0f LOCALr 1' A.
JOHN A. LAMQIE, COUNTY ENGIN13Ei N REST
CASSATT D.GRIFFIN,SUr•r OF Di umims CROSS 8T.
DISTRICT NO. GROUP .�E �f' QKWHR MAP
FOR APPMC TQ FILL IN �" coN -K.—
=
— a PG
[TRACT
uILDING
D�JRE88 YTATISTICAL CLASSIFICATION
OT NO. 70 DLOCK CL1HB. NO DWELL. UN
MAP ATE YES
NUMBER I-IWY
USEZONE SPECT L NO. OF Of DGS, O CONDITIONI E OF LOT O OW ON tOT SEOFleeXISTING BLDG ,4- B TNG YARD- HWY STRHET NAME EXIST.
BLTBACK - - WIDYH
OWNER Q FR-L /
hIAIL d F. L. -
'ADDRgSS J trI SIDE
TEL P: L.
C NO - INSPECTION BECOHD
ARCHITECT OR TEL. _
ENGINEER NO.
ADD
TE L
CONTRACTO f NO.
D EbH td �•4 v E
DF'SC=ON OF WORE
NEW 'HADD ALTER REPAIR DEMOLISH -
BC. F-r NO. OF NO. OF
-SIZE STORIED FAMiLIEH
USE OF R CTURE -
APPROVALS
SIGNATURE OF
APPLICANT 4 DATE INSPECTOR•5 SIGNATURE
ADDRESS FOUNDATION: LOCATION
FORMS, MATERIALS
FRAME: FIRE STOPS• r
r �'YJF
f J
}/.,/ � / B CING. BOLTS
VALUATIO f 33 OAS VENT,DCUCTSN�
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH, INT.
PLICATION AND STATETFAT THE ABOVE IH CORRECT ANO
AGREtE TO COMP Y WIT LL COUNTY ORDINANCES AND UffmLATH.EJCT 0 < .
STATE LAWN R ILDI � ONSTRUCTION.
SIGNATRE OF BUHOUSE NUMBER COR-
PERHTTTEH REC'T AND POSTED LIP
ADDR FINAL
JOHN A.LAMRIE, COUNTY ENGINCKR, CLYDE N. DIRLAM, PRINCIPAL EiTRUCTURAL ENOINEEA
PLAN CEI= VXLMJ TrOA �t ) Y.O. GeH pIDMT VA,MASIOA, Y.O. CADS
2-6461 SEP 241 5 1AP;5h42r s&27 33.5Q m
WbRKERS' COMPI NSATION DECLARATION 9-5 B 618.
hereby affirm the t I have d r ertlficate of cormer,t to self AP P LI CA,T I O.N �_ R BUILDING' P E RM I T
Insure, or.4 certificate of Workers' Compensation Insurance,
or o certiFled copy thereof (Sec 3800, La-b7—C ) : COUNTY OF LOS ANGELES BUILDING•AND SAFETY
Policy .��tConipany � f�
r� BU ILDt NG
jf� Certlfied copy h.hereby famished. FOR LICANT TO FILL' IN ,,ppm 6-0
❑.:_Certtfied copy b filed with the county building Innpec- BUILDING' r^
tion department: ADD CJ
Date -7/-SXAppllcpnt. aiY ZJPNO. OF BLDCR& NEAR!EST
LocrLrrY
CERTIFICATE OF POAPTION F SIZE OF LOT NOW ESN LOTCROSS ST.
-COMP114SATI ON F I NSU RANCE ASSESSOR
(This section heed not,bq'.completed if the pel`mlt Is for one TACT BLOCK NO AMP BOOK. PAGE PARCELhundred do3dr5'($1 OO)or Iem) USE ZO
OWNER } MKp
I✓certify that,in the performa" of the wock for which this `• '
SPECLAL
permtt 14•Is4ued, I iholl not.employ any Pgnon In 9ny manner CONDQIONS �.
so as to become sub[ect to.the Workers CompRnsatlon flaws- O
C>T LP
DateApplicant ARCH OR TEL
NOTK:E 1O`APPU.�APjf: if, after making this Certlflcate. of E?JG41EER NO NSTRI GROUP TYPE. P
RQQESWC: BY O
Exemption, you should. beoome-subject to the Work"': Q
ompensat�on provisioris of Jh• Labor Code, you must fortht- .. .. ADDRESS QO
with corr4* with such provistons• or this pormlt shall be TFi STATMT1C4L CLASSIFICATION AAT. CONDO. Z
deemed revoked. CONTRACTOR NO. ���'0 Z
UgNSED OWI ACTORS DECLAMTIONUC. LASS NO. UNITS,�r '
I he-re byafRrm that lam IIcwnsed under provblons of Chaptw 9 ADDRESS l No.
(commencing.with Sgctlon 7000)of.plvlsion 3 of the-Busineu, CFC. SEWER MAP
A 11.e Ad
and Professions Code,and.my license ls'inf}tll force and effect.. ' q,.mL BK FG. _ VALIDATION
SZ FT. P NO.OF - No..OFCl L
ticgnse Number �7" Llp: .gdas� qZE STORIES FAMILIES _ ONE
C NEIN -El
VA/L7UATION
'C-onMxtor �.�rL�1 7 C/U I7 DESCR1PnCM{OF wgR1( `.' L $ l Z
�- / ADD El ,.
1 am exempt'urKew Sec pmIALTER ElB_BP.0-.for this reason 4T_ M9 ;
ai213'AI R
USE OF
_ EJOSTING BLDG. DEAMOI
Slgnaturr. _ _ _ FINAL
NO.
'= MgARAT1ON. Iu1T6
I hereby affirm that I r.xnmpt from the Contractor's Ucerise SAW,
Law for-the followtng,reaibn (Seclon 7031.3; Business-and ADDRESS FINAL
Profeulons Code): . _ w.. c j
BU ILDI No
1, as owner of the property, or my employees with i T
wagrrs as their sole-compensati9h;will do His work and 1OC19J7Y •�.r -
the strutture isnot Intended or offered forwle(Section n{
7044, Businees and Professions Code.) 1 '�Jv
I, as-owner of the property, am exclusively contrbcting
CONTRACTOR NO. I i Gl K,'
with.licensed contracton to construct the project (Sec-. .
tion 7044, Buslhew and Profeuions.Gode.) ADDRESS V I_I� 173, 49 3
CONSTRUCTION LENDING A&BJCY '' AL
I h:==,df there Is a cgrutrudlon lending agency for YARD FtW1 LIAECK
the performance of the Work for yvhich thls:permf Is Issued
(sec ,.CIv. C_)_ .
P.L
Lenders Name
' y P:C Fee Permit Fie . Law,W. !
L.er,de's Address ;
o I caKify that I ha4e read thIi.application and state that the isuanu LAMA P/t•
�L t AM 1�1:31 _
above Information Is carred. I agree to comply with 811 County I on J( /�
oid(nancqand Sate'laws relatlrig to building construction, Total Fse ✓ •7 LDMA Perm.
< and h authorize pretentatives of-this County to enter
IYR utton above meat nod pro or Ihspedlon purposes.
�+
M WAM i'Ol p0$,ANATR[Y LANGUAGE
Sr Applf=t or Agent Dat*
COUNTY OF LAS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTK�HP OF PUBLIC NORIS 9701 LAS TUNAS ALTRRATIO&/REPAIR
BUILDING AND SA-F= / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1306040022
PHONE: (626) 285-0488 ETT:
LEGAL. ID: NO. OF CONST BU=IM ADDRESS:
TR: 5903 LT: 50 UN: .002 SQ. FT STORIES TYPE 8751 GARIBALDI AV
STRUCTURE: 2200 V-B SGAB CA 917752651
ASSESSOR INFORMATION NUhSER: NEAREST CROSS STREET: MUSCATEL
5386-009-045 TIKAOLS PAGE: 596 GRID: G2 LOCALITY: TEMPLE CITY CA
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
EXIST OCC GRP: 06/04/13 SR
0lem: TEL. NO: BLaGS. NOW ON TAT: VALUATION: I Fruai. DATE F BY: CODE:
MANDELSLA GEORGE JIbADiA (626) 286-2754- 12,000
8751 GAR BALDI AV
SCAB 917752651 FEES PAID m*SIO OF WORK
T/O (3 LAYERS) 4 RE OF 22 SQUARES TO A SFR (HOUSE
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ONLY) WITH CIDERTILE TILES 600 LBS PER SQ. PITCH • 4.12
APPLICANT: TEL. 190:
SANCHEZ, AAAbMA (626) 780-0175- AA BLDG PERMIT ISSUANCE 27.80
19020 E NORTHAM ST AB STATE GREEN BLDG FRE 12000.00 VAL 1.00 SPECIAL CONDITIONS:
WEST COVINA CA 91792 AC STRONG MOTION REBID 12000.00 VAL 1.20
D2 PERMIT W/O EN-HC 12000.00 VAL 250.20
TOTAL FEES 280.20
CONTRACTOR: - TEL. NO: APPROVALS DATE INSPECTOR SIGNAT-TRE
LOUIE RIOS (626) 780-0175-
19020 NORTHAM STREET LIC. NO LOCA OF AND SETBACKS
WEST COVINA CA 91792 968981 +
SOILS ENGINEER APPROVAL
I
ARCHITECT OR ENGINEER: TEL. NO: FOUNTY.'i"rON TRENCH FORMS
LSC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
3 00
FLOOR SHEATHING
NO. OF FAMILIES: iHrri.i.nan UNITS: APT GOND: STAT CLASS:
NO 21 ROOF SHEATHING j
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAM INSPECTION
FIRE SPR-T]CrL&k HANGERS
INSULXTION WFATHER STRIP
INTERIOR LATH/DRYWALL
. E' rOR LATH
RATED FLOOR CEII, ASSEM.
RATED WALL ASSHMBL.IFi9
RATED SHAFTS OPENINGS
T-BAR CEILINGS
+ ADDITIONAL DA-TA ON FILH
LOT DRAINAJGE
REPORT ID: DPR261 ROUTE TO: BS0508