HomeMy Public PortalAbout8838 GARIBALDI AVE_Building__ ENT OF BUILDING AND
DEPART COUNTY OF LOS ANGE ESAFETY BUILDING
WM. J. FOX, CHIEF ENGINEER
APPLICATION
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. oR REc.No. RMIT NO.�
BUILDING
ADDRESS
/ RECEIV D BY DATE OF APPL DATE ISSUED
LOCALITY
NEAREST (((-CROSS ST. BULD ING ADDRES
S
OWNER `' /
MAILi - LOCALITY
ADDRESS LC-.' NEAREST
�J TEL CROSS ST. , 1�Q-'L 1
CITY N FIRE NO.OF TY F. . GROUP
ARCHITE TEL ZONE �"" _.I PLANS T
ENGINEER / NO BLDG. 17 ORD. IJO.
- SETBACK LINE
� ,--
USE r APPROVED
TE ZONE. "' ? BY DATE
CONTRACTOR --'! N l HOUSE NUMBERING
ADDRESS -' � MAP NUMBER _NO. ASSIGNED BY
DESCRIPTION
-LOT N� BLOCK CORRECTIONS
TRACT
NO. OF BLDGS.
SIZE OF LOT O NOW ON LOT
USE OF NO. OF /
EXISTIN BLD _,R. ., - 7 FAMILIES
DESCRIP ON OF; ORK °m
0
NEW ALTERATION ADDITION Z
D
REPAIR DEMOLITION r
SQ.FT. _ NO. OF
SIZE ROOMS STORIES
n
EXT.WALL ROOF ( i
COVERING I COVERING C 4U:t
USE OF STRUCTURE
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS FRAME: FIRE STOPS,
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE O ,' t4za_.k�, � LATH, INT.
PERMITTEE -
� LATH, EXT.
ADORES
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
D � FEE HOUSE NUMBER COR-
VALUATION
RECT AND POSTED
VALUATION FEE � FINAL
76AS36A OBS 3 7-51
T
f I A ROAD DEPT. PEkMIT IS REQUIRED `
FOR Ai"_,T TIAL MRAG= C.2 W. )RK
DONE IN THE ROAD RIGHT OF WAY.
-�•�•��. APPLICATION FOR BUILDING PERM 1
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUELDING AND SAFETY DIVLSION LOCALITY
JOHN A. LAMBIE, COUNTY ENGIN[KR NEAREST
CASSATT D GRIFFIN iur^r of Du Lbims CROHS 8T
DISTRICT NO. GROUPCOR EE
88D BY
FOR APPLIC TO FlU IN ��T
KAPBUILgING STATISTICAL CLASSIFICATION(_ MR AP
ADDR0919 CLr� KTPG
A88.NO UN
LOT NO. - , BLOCK MAP ,�(( STATE YES
NUMBER' LJ' HWY.
-TR,,� _ USE ZONE SPECIAL '
NO.OF BLDGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING EL.DG BUILDING EXIST.
SETBACK YARD HWY FTRErr NAME WIDTH
OWNER FRONT
HAIL
P.L.
ADDRE89 SIDE
TE
CITY NO INSPECTION RECORD
ARCHITEG'i' O TEL.
ENGINEER NO.
ADDRESS pi
T$ ,
COM'RACTO NO
3 .t/c o 1j7 SD,
ADDRESS •
DESCREMON OF WORK
ri
NEW ADD ALTER REPAIR DEMOLISH
8Q. NO. OF NO. QF
F SIVEFT. STORIES Fr"I IES
U8qq OF / !•� 6'- 4, T l
BTF2UCTURE
SIGNATURE OF I 'rti
APPLICANT
• APPROVALS DATE INSPECTOR'S SIGNATURE
,�pRggS FOUNDATION: LOCATION
d FORMS MATERIALS
VALUATION ; FRAME;FIRE STOPS,
BRACING BOLTS -
FURNACE:LOCATION,
P.r_ PMT. GAB VENT' DUCTS
FE PEE -40
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT. <
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL couNTY ORbINANCEH AND LATH,EXT. 3
STATE LAWS TING DUI IN UCTION.
DIGNATURE O HOUSE NUMBER COR-
PERMITT RECT AND POSTED
ADDR FTQJ
CLYDE N. DIRLAM, PRINCIPAL ST5ettyRAL ENGINEER
PLAN CHECK VAIMATION « H.o. CASH PERM.VALIDATION -o' �+
LU5292:S M10 1 A 6 0 �,
TEMPLE Vlll
7S408AC94111033-0e APPLICATION FOR BUILDIN ERMIV
COUNTY OF LOS ANGEIFS BUILDING
DEPARTMENT OF COUNTY ENGINEER A D O R E sa
BUn DING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE. COUNTY ENGINEER REAREST
COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST.
IDS RIC�71 O IP TYFQ- , P
FOR APPLICANT TO FILL IN CONST.
BUILDING STATISTICAL SIFICATION aH MAF
ADDRESS887,8 E. agrj ipai aj CLASS NO._fL_DWELL UNITS T BK O
LOT NO. BLOCK USE ZONE MAF /r
TRACT SPECIAL C/ V
IIO. OF ■LQGG. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
BLDG. SETBACK F#OM +
TEL. FRONT PROP. LINE.OF (STRIN-0
OWNER H A -
[OF EXISTING SETBACK HIGHWAY YMD - TOTAL
ADDRESSJIM WAY J C
Q + Q /D
CITY
' H R TEL. - ■LDS. S LAC[ FROM -
NOINE�R NO. SID[ PROP. LINK OF Ill[
T1TE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. -
TOL. J . .- + � = �C�
CONTRACTOR V NO H r_
ADDRESS
LIC CORNER CUTOFF YES NO 8
O
ciTY San Gabriel CLA",LICC— SEE REVERSE SIDE FOR SPECIAL APPROVALS oc
DESCRIPTION OF WORK
NEW ADD ALTER DEMOLISHr r
Q.FT. NO. OF NO. OF
lIZE STORIES FAMILIES
UDE OF.
STRUCTURE
lTn,ngA with
SIGNATURE OF
APPLICANT
VALUATIbN$ r •Q� APPROVALS bATH INSPECTOR'S SIG NATURE
P.C. PMT. FOUNDATION, L CATION -
FEE$ FEE$ 17,25
Z FORMS MATERIALS
R E, FIRE STO
I HEREIIY ACKNOWLEDGEA
THAT I HAVE READ THIS APPLICATION BRACING OL
AND STAT[ THAT THE ABOVE 18 COMIECT AND AGREE TO COMPLY FURNACEI LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. DA NT
RUILDINO COHSTII ON. 1 CERTIFY THAT. IN DOING THE WORK
AUTHORIZm = I WILL NOT EMPLOY.ANY P[l1iON IN VIOLA- LATH. INT.
TOM OF TFDI OF THE STAT[ OF CALIFORNIA T-
ING 7D WORlSM[N'S noof
� LATH. EXT.
SIGNATURE O HOUSE NUMBER COR-.
PERMITTEE
ADDRE FI NAL
JOHN F. LEWIS. PRINCIPAL ST RAL, ENGINEER
PLAN CHECK VALIDA'T'ION cK_ M.O. ClS:H _ PEDUT VALIDATION 1611.0 CABIN
1.1 4 (JCT 1 1 1 D 1 7235^ '-
J
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES � ' � D ' � � 1
WM.�I. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTR ILT NO. PLAN CK.NO. - PERMIT NO.
BUILBUIL �!
ADDRESS / /7°p
LOCALITY '� .C_._ L' ! - RECEWED BY DATE OF APPL. DATE ISSUED
NEAREST �� M .� f '
s f
CROSS ST. '� - - - - �.. -Et�! _ R'
r
+ ! BUILDING
t h
e �,1 t r� 7'J'•t�`jjl 7 (E
ADORE
OWNE SSS
MAIL ,+ LOCALITY
ADDRESS k O Q
NEAREST
TE CITY - NO. 111f CROSS ST.
FIRE NO.OF TYPE OROU,
ARCHITECT OR TEL ZONE PLANS '.
ENGINEER NO.
BLDG. ORD.NO.
ADDRESS SETBACK LINE
APPROVED
TEL. - BY DATE
CONTRACTOR ��/_/1 NO. -` �i�j ;_
_ USE APPROVED
ADDRESS !11.64ZONE BY DATE
LEGALW% I CORRECTIONS
DESCRIPTION L O. �/� �I BLOCK
TRACT
NO.OF BLDGS. V
SIZE OF LOT ��� l�y I NOW ON LOT `� �;7-,,:•r _ _
USE OF NO.OFNO.OF
EXISTING BLDG. �— I
FAMILIES
'--I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
A
_REPAIR MO_V_ING DEMOLISH c7
Sq.FT. /y NO.OF Z
_SIZE ROOMS STORIES r
WALLROOF
COVERING —. r. I COVERING
USE OF NEW •� E- �,
BUILDING j: It Jls a�
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS, /
SIGNATURE OF �-; �. - BRACING,BOLTS -'C�✓�t
PERMITTEE 6�1/� sv � � _` -
�. LATH,INT.:
AUTHORIZED AGT
LATH,EXT.:
Des-3 sore SETS 7-47 $ Sod P.CE. PLASTER,INT.
Fj FEPLASTER,EXT.
7 6
E
VALUATION FINAL
FE -.00-
APPLICATION FOR BUILDING PERMIT �
, COUNTY OF LOS ANGELES BUILDING AND SAFETY oe
WORKER'S COMPENSATION DECLARATION FOR APPUCANT TO FILL IN BULDM
ADDREs9
I hereby affirm that I have a oertHlcate of coneerut to sett knsure, Bt�DNOCr / C
or a certlficate d Workers'Compensation km a
copy ra)PoII = _ � ..t%► �- ( v L.oC1JJTY
CSIZE LOT NII OF BUD-3a NOW ON LOT
*CEFICATE
hereby fumlehed. NEAREST CROSS ST.
ftied with the County bufiding I TAT BLOCK LOT NO.
USE DOfr£ AMP Na
R MAP BOOK PAGE PARCEL
SPE{',U1L C.OND(fi01JS
OF EXEMPTION FROM WORKERS' OYAF-R TEL No.
COMPENSATION INSURANCE YATHN 1000 I T•OF 3CO7 YES No
(Thio section need not be completed If the permit Is for one hundred DtSTFOCT GROUP CONST. FFE DONE PROCESSED BY .
dollars($100) or less)
I owtffy that h the pwiorrruanoe d the work for which thIs perndt
is ksaued, I shell not employ any person In any manner so as to
become sub}ed to the W orirars'Compensation Law&. ARCi GFECT ENOIIJEFA TEL NO. 8m 19 T}C AL(��] �/�q�pN APT CONDO
Deice App6carrt ADORESS CLASS NO.XL_ DDY E LNTS
N1ODCE TO APR",NT..• If,f after making this Certfficate of FEOUIFED TOrM SETBACK FROM EXIST
Em ptbn, you sbxk become aub)ect to the Workers' SET RACK y� Hwy POOP LME WIDTH
Com�erxatbn provW"m of the Labor Code, you must kxtiwAth FRONT
corrpty with such provielons or tide pemilt sha11 be deemed rav c. ADW l { p L
LICENSED CONTRACTORS DECLARATION C PL
CTTY � LIC. P L
I hereby affirm that I am Ikcwn underproviclone d Chapter 9 O'%,-f SEWER MAP
(o0 M"ioft with Sec,-tion 7000)of DlOsion 3 d the k3&hese and sa FT.817E No.OF STORES NO.OF FAM I ES
Pro(esaSons,Code, my 1lCenee Is In full force NEW El RK PO ,
License,Nui Uo Ckeas r DESCl3PT10N OF YrC }c ADD El �— Q
Contractor S O 4 ALTER El0� 8
❑ I am e)a under Seo.
REPAJR �
RAP.C.for thio reason DEMOL ❑
LDMA P/C t LU
Data USE OF 03"NO ON /�� URM ❑
S&gnatu re ,SPPL�Jyrlr! 1 I� /1 UDAM Perm f Z i Z
El I, as owner d erty
the prop , or my enpbwages aa with wagas / J �1' _ O
theirthe 1
sole Compensation, will do e work and the at-ucture Is F : T.y
riot Intended or offered for sale (Secri)n 7044, Busineee and v d v«'� Ff"! D.XM �1� Q T
Pro4eeaione Code) wa.L n-e APPLICANr OR FUTUFE 91-11-DING OCCLF Wr HANDLE A FVZARDC1UA N VF1ihL G ] 1
❑ I as owner d the property, am wrfueh'ety cof c ng with AM A AtOC SPEPIE corrwuiu0 H ARDO Ue XrEJ; LB EQUAL To CA GLIDEGFF-K?
F1 T VW T C .
kl;.E n contractors to co jmi the pro}ed (Section 7044, YEs El B a` ON!Tri HAZAFDOU9 sue ot>oE� FlIAL BY
Siamese and Profession Code.)
vEl,❑ No❑ � 1 ITERS
KnE�USE of„O 6ONSTO CY „� A rr 0A nrnAE i. -M TOTAL
O�,r�r�.E A�,.-r FOR «�►,o�,o"FROM„�&«m-I- Q ��J 165-2- 60
CONSTRUCTION LENDING AGENCY COAT AIR OuwTY u4wAEMENT�tac#CW�PEF&&TTM a-ECXLZr �. W S0�;�crlO.EUNE16-5.60
I hereby efftrm thffi there Fe a cor»ttudbrT kendlnp agency for YE&❑ No❑ /-��y-�
o the performance of the work for which thio permit Is Issued(Seo �a +GE ��I
3087,Civ.C.) o�eoa ar. UrREAD THEa RECLE�ar UNDER nye�r►toMELE.sTHE�coUNTY�
Tate z aWPTET 220 aECTXYPM 2-20 100 T1ROU(31i 220.140 COHCE14M HAZAFDOUB
LerxWa Name wrEFLkS RFPOATNG AND FOR 0OW440 A FEYAU FROM T1f scAnn /
Lendere Address orr:OR.r•r - 1 {
Qo 1 partve My that I haread this applkcafbn and state Under penalty P.0 FEF PEAAffT FEE -0'� 1 X7/28 9All 8:41.
y ci per)ury that the above Information Is correct I agree b cony
R I county ord darns and Stift kewe relating to buklim
and hereby author4 repreaentatl es of this County ISSOANCE FEE
i. property for Inspectlon P-P-
-7
1NEST)OATION FEE TOP,L FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE
f
J.
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BULDM ADDRESS
I hereby aiitrrn that I have a cartfficato of conaerrt to self Mire, BULDNO ADDRE ,
or a OarUfioats d woen
kem' Compensation Ineurance,-or a certified99 aL(
oapy thereat (Sec 3800,Lab.a)
Policy No L"WJ0 L a2sy a ,� T C iz'p 0 LocurrY _
OF Na OF B1DGa NOW ON LOT
�,Cwtffled oopy Is hereby fUrn%hed. NEAREST CROs
❑ Certified oopy is flied the RMIng Inspeatbn TRACT BLOCK LOT Na
t 118E ZONE MAP NO
Dake LD'S-'tS AppBcarrt ASSESSOR AMP DOCK RbE l'AACEL
SPECIAL CotnrTIDNS
CERTIFICATE OF EXEO ROM WORKERS' ITEL No.
COMPENSATI I INSURANCE r6er wm-lw 1000 F7.of sCi-aoL7
YES NO
(This eac#bn need not be oortpieted K the permit Is ADDRESS
for one hundred DfBTR}CT t3flOtJP TYPE COk8T. FRE ZONE PROCESS®BY
dollars ($100)or lom)
I aMtfy that ti the peri work for which tNa permit
b Issued, I shall nd erry h any manner so Wto ARCrQTECT OR Ta 40.
become subject to the APT CONDO
ADDRESS 01188 Na =DWELL UNrM
NOTWrE TO APR)CIA T- If, this Certificate of FEOUff TOUAL SETBACK FROM EX18T
Exemption, you etnould sub)ect• to the Workem' CONTRACTOR SET BACK )IM HYN PROP LFIE yon -
Cornpermation provisions of the Labor Cade, you moat forthwtth j. I 2q t-7 YV FFXIoN-r
comply with such provbbns or this ponm shall be deemed revoked. LIC.Na P L
LICENSED CONTRACTORS DECLALI
RATION 0 2-C. P P L L
I hereby afffrm that I am Uteri undeipmvbbns of Chapter g
SEWER MAP
(oonunendng wwrfth Section 7000)of Dfvbbn 3 of the Bue(neae and 9U Ft.Bag NO.OF TS NO E8 NEW 1-1 BK PO
Profesaions Code my license Is In full force and
Llcenee Number Lb cmma DE OF work y ADD ❑ yujjAaxw O
Contrecto 1 ivt p . S^ I'011 d J/ ALTER $ U
❑ I am exempt under Sec REPAIR ❑ $
BS P.C.for this reason DEMOL ❑
CDMA P/C 0
Dato� USE OF EXIST1rxi BLDG URM ❑
s+a APPUCANT(PRUT) TEL Na LDMA Perm. 1 ITEMS Z
❑ I, as owner of the Property, or my ernployeee with wages as z
thalr sale oompeneatkx>, wtlf do the work and the abuaure Is ADDRESS TOTAL 356 - 53
not IrrkKded or offered for sale (Section 7044, Business and Fl D11TE
Prdeaabns Cade.) YOLL THE APPuc,rwr OR enure BUILD o CCC~wMaF A rAzAio«Ie WATW o— 9'S OEM 356.5$
El 1. as owner of the property, am excluatvety oontrootlng with OR A►orrUPe CONViN!O A HAZAFCCL19 WU9iAL EQ1W TO OR OFMIGUR TFM 7r a7 �uS
.
Moaned contractors to conabijct the pro)eot (Section 7044, AMO1HTe CN Tri wzAroou ►te
e a ra<ar"UM QUIXI FCIAL + J WINE M
Ym 1:1Business and Profam"m Code.) / `
NLL THE NTBOm use OF TFf w n wa 9Y rte naPrxvvrr OR ruTuae euLoslo
UrrH
CONSTRUCTION LENDING AGENCY OCCUPANT r�UFIE A Pr"sr Toa corerDu CAC OR EE PS Sur FROM rFE FW 0000-MOl 1O/ `�95
toner Art ouALm Ww[3®s�nT o1eTFiCT faGwOl�i eFF PgYTfTlO a-eaa.isr lar
rr CE.Fa
I hereby affirm that there le a oonst irOw lending agency for Yo❑ „YIV 2650 1 AM11:26
N the performance d the work for which dhis permft is leaued(Sec i tWF READ rue uATEF%&Ls INFORMCnON Quos AM n-E ecaao PE:b r
3007,Ctv.C.) gi�WYrrs uro�rte Loe,v+aeFe COlrrV cool;Lender's Name AAn PE7M1 THE CONCEMING s
Larders Address
o art+rn
I certify that I haws read this applicatbn and slate under penalty P.C.FEE PERMT FEE
that the above
d Information Ea correct I agree b oarrnply
alxiffty ordkumcee and State laws relat V to bAdIng
and authatre re"Wrtati," of thte County 1B8t1ANCE FEE 30
property for fr�t
MNEST WICN FEE TUVkL Fad (�
d
SEE REVERSE FOR EXPLANATORY LANGUAGE