HomeMy Public PortalAbout8806 GARIBALDI AVE_Building__ 7BA095A CE0/03 fl-°°APPLICATION FOR.',BUILDING BUI G PERMIT
L N
COUNTY OF LOS ANGELES o LDIN C1
IN
DEPARTMENT OF COUNTY ENGEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF' BUILDING CROSS ST.
FOR AP LI T T F LIN DISTRICT NO. GROUP TYPE PRESSE
Print or •T CONST,
BUILDING STATISTICAL C IFICATION SEWER MAP
ADDRESS 8806 Garibaldi Avenue CLASS N DWELL,UNITS B d PG
LOT NO. BLOCK ZONE MAP
NO.
TRACT SPECIAL
NO.OF BLDGS. CONDI
ON DITION3
SIZE OF LOT 3 NOW ON LOT
USEOF
NG BLDG. Residence BLDG.SETBACK FROM
TEL FRONT IjrKQP.LINE OF (STREET)
OWNER Alex Lewschin NO. TYPE O[w'
STING MTBACK HIG1iWAY + YARD = TOTAL
ADDRESS 8806 Garibaldi Avenue HIGHWAIDTH FROM C.L.
CITY Temple City + _
BLDG.S BACK FROM
ARCHITECT OR TEL. SIDE PRO OF (STREET)
ENGINEER NO.
TYPEOFEXISTING SETBACK HIGHWAY + = TOTAL
ADDRESS TEL. HIGHWAYWIDTH FROM C.L
t
CONTRACTOR Ri id Mf C No. _ GG
ADDRESS 337 S NO ❑ NO ❑
CORNER CUTOFF YES
O'
CITY Los Angeles CLass C-39 SEE REVERSE SIDE FOR SPECIAL APPROVALS t�
CONSTRUCTION LENDER
NAME AND BRANCH4;EQ
ADDRESS !J 11 .Vf vj,/��fTf, Q�; '�S Z
SQ. FT. NO. OF NO. OF NEW -
SIZE STORIES FAMILIES
USE
F ADD
OSTRUCTURE Re-roof with ALTER ❑ F7S
composition
REPAIR❑
SIGNATURE OF
APPLICANT DEMOL ❑
VALUATION$210.00 APPROVALS DA& INSPECTOR'S EISWATuRE
P.C. PMT. FOUNDATION: LOCATION
FEES FEE S9•00 FORMS MATERIALS
FRAME: FIRErSTOP1,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
AND STAT[ THAT THE ABOVE ID CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING COX- GAS VENT, DUCTS
STRUCTIOX. I C[RTI FY THAT IN DOING THE WORK AUTHORIZED
HERESY I WILL NOT EMPLOY AMY PERSON IN VIOLATI ON
OF THE LATH, INT.
LABOR CODE OF TH[ STATE OF -CALIFORNIA IN RELATING TO
WORKMEN'S CQMPB NIATM W- G•A �n At\Tv LATH, EXT.
SIGNATURE OF iCjtsllJ HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCT RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. cAfm _ PERMIT VALIDATIONCK M.O. CASH
0 '9 9 v OC i y 1 _ 0 A-ck;
APPLICQTION. fOF2 BUILDING. PER T.-
COUNI'Y .OF LOS eUILDIN6 �►
DEPARTMENT OF COUNTY- ENGINEER ADDR��s'•
- BUILDING AND SAFETY:DIVISION = •LOCAL-LTY' r
M_ JOHN A. LABIE, COUNTY ENGINEER.-' -NEAREST r '
W4-LLIAM' M-
A- JEN• N, SUP.'-t,-QF euILDIHa CROSS ST. .
ISTR NO. G OUP. TYPE 8SED 19Y '
FO$'APPLICANT TOFILL IN CON
BUILDINGpp� '" STATISTICAL CLASS( ICATIQN _.� 8 En MAP
AbnRESS'8W6 GsrOal i Aver44� : r BK
CgABS. NO. DWELL. UNITS Af
LOTNO4— v/1 BLOCS( WATER 'CERTIFICATE:—NOT REQ
411RFD- "RECEIVED
`.
TRACT' MAR G HIQHWAY _STATE MAJOR SECOND, L
}
NO OF SLOGS. NO. (CIRCLE)
SIZE OF LOT - NOW ON LOT' ( -
USEZONE PECIgL
USEOF - .., CONDITI NS .
EXISTING B DG. .c.'
OWNER Al NO l B ILDING I pC1ST.
p�/� nt SETBACK- YARD HWY. BEET AME WIDTH,
ADbREr,8".G&#ba ldi A4E+:, T Ie Ci FRO T
.ARCHITECT.OR TEL' P.
ENGINEER NO: SIDE
ADDRESS 1 CL
CO NTRACTC�RMfg,
T��EL.AN 3518 - .. Q
ADDRESS A - i!J DL
GO
. DF4CRIPTION OF WORK
W
CL
NEW ADD. ALTER• REPt41 bEMOLISH _
SQ. PT. - NO. OF .
SIZE STORIES F AMILI£8
USE OF - -
`STRUCTURE .I .
I
SIGNATURE,017 -
APPLIqANT MM -
vALUATION'S M.00
APPROVALS DATE IHOPICTOR'•sI a NATURE
P;C. PMT. - - FOUNDATION:,LOCATLON _
'- FEES ..� + FEE S - FORMS, MATERIALS -
KRAME: FIRE
BTAPS.
I H[R[DY AC KNOYy LiDd[ THAT'I-HAVE iiEAD TH Ie APPLICATION BRACIN B L
AND STAT[ THAT TH[ AeOV[ IS CORRECT AND Aa"A TO COMPLY FURNACE, LOCATION.
WLTHALL COUNTY ORDINANC" AHD-eTAT1[ LAWS RIaULATINa GAS VENT, DUCTS
smu)No'CONB`rRU(.TION.•I-CEFiTllr' THAT IN DOINa TH[ WORK
AUTHORIIjgp H[REeY I'WILL NOT EMPI-QY ANY ""MON IN VIOLA- LATH, INT.
TON OP THkl LAROR GOD[ Of TH[ /T.AlW OF CALIFORNIA REI..AT-
INa TO WORKMEN'S COMPYNOPAnINe URANCE. LATH. EXT.
816NATLRE-0RUSE NUMMER COR-
PLrRMITTEE' RECT AND POSTED ./ +
•A1?PReSB _ NAL d
JOHN F. LEWI PRINCIPAL STn-K
RAL ENGINEER
'PLANCHECg VALIDATION ax M.P. CASH. _ PERMIT ALATION M.O. CASH
Lt�Lo 7 9 5'3 APR 21 , 1 A 6.00-,
71SAe36A dEle03 3-ee
APPI4ICATIQN. FOR.IBUILDING PERMIT ,
COUNTY OF, ibS GET BUILDING.
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY '
JOHN A. LAMB16,'COUNTY EryaINEER NEAREST- .
COLEMAN W. JENKINS, •uP'T of oUILDINa
CROSS ST.
DISTRICT T. GO. RO CQNS
FOR AP I T N _.el TYPE P BY
rinlor only)
BUILDING 3806 GSribald3 STATISTICAL CL IFICATION SFFr
WR MAP.
.I ADDRESS CLASS NO DWELL•UNITIS Bk Pt7
LOT NO. BLOCK USE ZONE MAP
NO.
TRACT CONDITIONS
NO.OF BLDGS.
SIZE OF LOT NOW ON LOT
USE.OF
EXISTING BLDG. BLDG.SET-BACK FROM
TEL FRONT PROP.LINE OF,• - - (STREET).
OWNER Alex S. Iewsrflin NO.
ADDRESS
3806 Garibladi TYPE OF �SDTIN CSG HIGHWAY + ARD = TOTAL
CITY Temple City
BLDG.$$ETNA OM. _
ARCHITECT OR. TEL. SIDE 40P.LINE (STREET)
ENGINEER NO. TYPE OF EXISTING -SETBACK AY- +- - YARD = -TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. -
CONTRACTOR R gid I: g. _Gbm ty 3-5181 + -
ADDRESS J D 8 NO. - CORNER CUTOFF YES ❑ N U
CITY CLASS SEE REVERSE SIDE FOR-SPECIAL APPROVALS o
15
DESCRIPTION OF WORK
W
d
NEW ADD ALTER REPAIR N DEMOLISH —
SQ. FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF residence
STRUCTURE r
SIGNATURE OF
APPLICANT
VALUATION 3 15Q.00
APPROVALS DATE, INSPECTORS SISMATUR[
LOC
FEE S FEE f 6.OO C. PMT.' FOU I MATERIALS ON
I HERESY ACKNOWL[ OPP
DGK THAT I HAVE RAD THIS APPLICATION FRAME: FIRE B 2 .
AND STAT[ THE PW [
HIN TAVIS CORRECT AND AGRIX TO COMPLY BRACING T'g
FURNACE: LOCATION L
BWITHUIL ALL COUNTY ORDINANCES AND STAT[ LAWS REI7lJLW0RK GAB VENT DUCTS
■UILDINO CONlTR UCTION, I CERTIFY THAT IN DOING '1'Fi[ WORK
Aura ORrcrD HVMWY I WILL NOT EMPLOY ANY PRSON IN VIOLA- LATH, INT.
TON OF THR LABOR GOD[ OF TH[ STAT[ OF CALIFORNIA RELAT.
INa TO WORKMEN' INS urn- . Y LATH, EXT,'
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEI&Z4&>�lx� RECT AND POSTED /
337 S. 'WOOCLS Ave,
AdDREM Fi N AL
JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER
PLAN CHECK VALIDATION C*_ M.O. CA.H _ PERMIT VALIDATION cK- M.o. CAS
725 Z�S MVI 3 1 G
P
APPLICATIONf R BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S GGMPENSATION DECLARATION FOR NT-TO FILL IN . BULDW 8
I her" atftm thea I have a cefUrcets of consent to setf h&M /
or a certHbaLe ot Y*xiwm' Compensation Irmuranoe,or a
°OpyC !C � /�� LOCIIJTY
Poky No. of LOT NO.of BLDOS.NOW ON LOT
(] Ceti ri copy Is hereby fur41N
NEAREST CA088 sr.JI 17
b ftbd with np hmpection TRACT BLoox LAT NO.
LtSE a�rtE MAP NO,
Appikart ASSESSOR MAP BOOK PAOE PARCEL .
SPECu,L oornrTloNs
CERTIFICATE OF EXEWORKERS' �� ScraoL7 YES tJo
COMPENSATcE D K { {�� VFTHN Fr.OF
(Thfe section need root be completed N the permtt Is for one hxndred DSTPoCT OROLIP TYPE CONST. F FIE20rE By
doLELm($-100)or lase.)
CITY Z
cer
I tify that in the pertormence d the work for which this perrr)Ft _ . 3
Is lesued, I stroll not dmpby arty person h arty nwrler so as to
becoe mbled to the Wkxkam'Cornpernatlon Laws. ARCHITECT OR EtJOf�ER TEL NO
m
8'P(1Tg,7G4L APT CONDO
Date Aapucarn ADDRESS al3S Na =DWELL L/NTTS
NOTICE TO A AJC4W.- ff, after maklnp this Cwtthoete of REOUI ED TO-O L SETBACK FROM EXIST
E)mmptbn, you ahorid beoorne al))Dot to the Workers' TEr 7 . SET BAC( )IM HWY Pf10P LIE WDTH
C eVermaion provWorm'of the Labor Co(* you must forttrvfm d ✓1 ia/2 [/
comply w@h suoh provisions or thin pwTnR shall be deemed revoked. 1727 FRONT
4 / !I OZ PL r
= a
LKENSED CONTRACTORS DECLARATION saoE
LIC.CLASS PL 0
1 hereby af}Irm that I am licensed underprwbla-e d Chapter 8 SEWER MAP
(commenoinp wIth Section 7000)d Division 3 of the Basham and co No.of Ers No of F�iEs NEW El pa O
Prohmaiorn Code, h to l force
L.berne Nkmber Uc_Cs;m ADD ❑ , U
LLJ
Data r ALTER ❑ CL
/ / z
❑ I am g G REPAIR $
Z
BBP.0 for. TAf SLAN Pic•
Dam USE of EXISTNG URM ❑ 1
sov m r �,(L_ TEL NO. LAMA Penn• ACCT..i
❑ � � owrw d _ U Fi44 T
property, or my empbyeee with vYepee as
their sob oompeneakr> wEl do the work and the etnL re Is ADDRESS .
not Intended or dfbred for sale (section 7044, Sueheee and FWAL DATE 3303 2091 IT�]tS
29
Proke6o 1e Com.) WILL THE.APPL�vrT OR FUTLFIE Buono O�wT HANDLE A i AZArooue►wsati
❑ I, as owner d the OR A L4XTL E OOKwAIG A HAZAFCKXM MATMAL E01-ML TO CR orsJvw THAI!THE
kermed oora adore m conetrmtt the pr0)ec.-t (se o� AUO1f' THE HAZAFDXM UQ15 ALa IFOI Y ekl)E1 FWAL BY TOTAL 209 -25
BoWeas and Prdeselora Code.) YFa❑ c�yy__1��M/�// 209 275
YALL M OF THE BUELMn aY THE APPLCANT OR R1TLFE OU Taro A,{tL4T� LV7.2.
OCQFWT RECLOVA P6Y7 FOR CCOCSTRMT)ON OR AIOnFCA ciN FROM THE aOUTH .
CONSTRUCTKNJ LENDING AGENCY COW AR r DisrracT(SCACW SEE PEFitT a-E Mff FOR C GE
I hergby afffm that there Is a construction lerd agap y for YES❑ aro
the performar)ce d the work for whish this permit b famed(Sec
3097,ay.c) ;'f "`°�"°'O ,°HE,a DOtli 1! 996
Landers Name , .FOR oeW44Q A PEFUT FO THE
THFKXM 4161 At19:48
Larders Address
cwmwa
I certtfy that I have read this appllcaibn and state order penally
of perjury that the above hfOrtnatlon fs.correct.I agree to comply P.C.FEE PERMT FEE
with all oounty stale krm rebtinp to fxildnp /
corntrcbm, and MPreeantativee Of this Canty ISSUANCE FEE
to enter coon the property for A//
NVEST M ICN FEE TO"GL FFA A 4
Mrs. p}
SEE REVERSE FOR EXPLANATORY LANGUAGE
76eAL d"803 3-65
FOR BUILDING PERMIT
COUNTY OF 1. BUILDING <7 ,R-06
C. MR OF COR ADDRESS -----A
� C
BQII.DING AND SAFET.-_ jN LocAuvY,
YEi
JOHN A. LAMBIE, COUNT --rNER
POLEMAN W. JENKINS, SUF'T OF BUILDING NEAgEST-
CROSS ST. y
FOR P T T DIS ICT NO. CRTOUR C T PROCESSED BY
Print or • only O8 y Q
BUILDING STATISTICAL CLASSIFICATION SL'WEFI MAI?
ADDRESS -CLASS NO- DWELL,UNITS ;^ BK Pb 10C
LQT NO. Po-L 03 BLOCK US -MAP O NO. Q 1109 l P
TRACT --t- SPE
LNO.OF BLDGS.
CONDITIONS '9° -1
617E OF LOT4-63k 131 NOW ON LOT
�p i
EX16 ING. BLDG, 1��7�����I D�N C C BLDG,SETBACK PROM ` i '
OWNERA1 PIV/4�-/AT►T L EL /���� FRONXFIROP.-LMIE-0F-017 - t n C.&2 (S-TREET7.
D' _��47TYOEOF ISTINO SETBACK HIGHWAY( +' -1'ARD = TOTAL
ADDRES$ •/ A L I A4E
Hl"AY WIDTH FROM C.L.
- _
CITY ! L- M L 6- / �4 I + Xc 1G1
BLDG SESEACK-FROM - --" - EE f)
RCHIT T OR 1 ' "TEL SIDE PROP.LINE OF
ENGI-NEER D1✓A/ek NO.
TYF?E-o WRNO S�fBAC -FN
K O R!�'- +TA13
ADDRESS HIGHWAY WI-DTH FROM I
+ -
CONTRACTOR NO. o I
ADD ESS NO. CORNER CUTOFF YES ❑ NO U I
CITY CLASS � SEE REVERSE SIDE FOR SPECIAL APPRgYALS �
DESCRIPTION OF WORK
/ � z
NEWADD ALTER REPAIR DEMOLISH Zf 9f
SQ.FT. NO. OF NO. OF I
SIZE d T STORIES � FAMILIES
ST�RUOCTURE L / L Nw
i
SIGNATURE OF
APPLICANT
VALUATIONS I•��. i
APPROVALS PATE IRsr[croR••!W•Kwru [
P.C. PMT. �� �+ -FOUNDATIONI LOCATION { I
'SEE 5 FEES l `�L, FGRASS MATERIALS ® C 1
' FRAME, FIRE STOPS,
I HERONDAB
Y ACKOW L[ G[ THAT 1 HAVE R[ D THIS APPLICATION RACING BOLTS
A71D STAT[ THAT THE ASOY[ 19 CORRLCT AND AGR[i TO COMPLY FURNACEI LOCATION,
WITH ALL COUNTY ORDINANCES AND SPAT[ LAWS REGULATING GAS VENT, DUCTS
I SUILDING CONSTl1 UCTI ON, I CART FY THAT IH DOING THE WORK /
( AUrH011 rzm HERESY I WILL HOT EMPLOY ANY PLIfON IN VIOLA-
T70N OF THE LABOR COD[ OF THE STAT[ OF CALIFORNIA R[LAT- LATH, INT. I
iING TO WORKMEN'S COMPENSATION INSURA� LATH, EXT.
SIGNATURE OF HOUSE NUMER COR-
1 PERMITTE F RECT ANBD POSTED
ADDRESS
FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION ex M.O. cAn+ _ PERMIT VALIDATION cK, M.O.
i -9- 44- "3-p 1 0 17.2!5-' "'