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HomeMy Public PortalAbout8916 GARIBALDI AVE_Building__ 76A638 CE x$803 6-62 APPLICATION FOR BUILDING PE MIT COUNTY OF LOS ANGELES BUILDING J DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. �/ r DISTRICTO. P TYPE ESSED BY FOR APPLICANT TO FILL IN CONST. BUILDING ' STATISTICAL CLASSIFICATION S WER MAP ADDRESS K CLASS. NO" DWELL. UNITS LOT NO.W, Q /S 9 BLOCK WATER NOT REQUIRED RECEIVED C ❑ /� ERTIFICT AE: TRACT V MAP HIGHWAY ,o NO. OF BLDGS. NO. 4 (CIRCLE) STATE MAJOR SECOND, O AL SIZE OF LOT 6 / NOW ON LOT USE ZONE SPECIAL _ USE OF ^�/�/ CONDITIONS - EXISTING BLDG. TEL/� v _ OWNER gl/!J NO.V/� ����B////UILDING ,v I I EXIST. SETBACK YARD HWY EET AME WIDTH ADDRESS G, � FRONT ARCHITECT OR TEL. P. L ENGINEER NO. SIDE P. L. ADDRESS a TEL. G CONTRACTOR p 1 AE L. r`J (p^' V ADDRESS od DESCRIPTION OF WORK 0 W NEW ADD ALTER REPAIR DEMOLISH N -St.IF T. NO. OFNO. OF ° Z SIZE 7/ma STORIES FA LIES USE OF p STRUCTURE f P i SIGNATURE OF APPLICANT VALUATION U APPROVALS - DATE INSPECTOR'S SIGNATURE P.C. PMT. y/� FOUNDATION: LOCATION FEE $ tom. FEE $ � / FORMS, MATERIALS - FRAME: FIRE STOPS, t/to�'? I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS 1 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 I WILL NOT EMPLOY ANY PERSON IN VIOLA- !-' LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- INGTO WORKMEN'S C EN SATION INSURA I LATH, EXT. - SIGNATURE OF HOUSE NUMBER COR- �+- rADDRESS- RECT AND POSTED FINAL _ JOHN F. LEWIS, PRINCIPALS TURAL ENGI 'EER ALIDATION CK. MO. CASHPERMIT .VALIDATION CK. M.O. CASH 623 D c 76A638A CE.'f;~803 6-62 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING J DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. i DISTRICT NO. GR UP TYPE P SS EDB Y FOR APPLICANT TO FILL IN CONST. BUILDINGQn STATISTICAL CLASSIFICATION SE ER MAP ADDRESS U T� /, CLASS. NO. DWELL. UNITS LOT NO. , �J /17 BLOCK WATER CERTIFICATE: NOT REQUIRED RECEIVED C❑, TRACT MAP 7 HIGHWAY STATE MAJOR SECONDCAL NO.OF BLDGS. NO. (C , LO IRCLE) SIZE OF LOT 7 _ NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. TEL. J OWNER & NO. J / BUILDING EXIST. SETBACK YARD HWY EET N ME WIDTH ADDRESS (�111 FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. �- ADDRESS - a TEL. �' O CONTRACTOR O'P 14 6l NO. u N ADDRESS OC DESCRIPTION OF WOR 0 u W NEW ADD ALTER REPAIR DEMOLIS C' V) SQ. FT. NO. OF Z SIZE STORIES FAMILIES USE OF STRUCTURE 40 SIGNATURE OF APPLICANT VALUATIO L 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. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT. TION OF THE LABOR C E OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S ENSATION INSU.M. ATH, EXT. SIGNATURE OF �- HOUSE NUMBER COR- PERM ITTE OR-PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS, PRINCIPAL STR URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH a COUNT'? OF LOS ANQELFS TEMPLE CITY 1 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TAPAS ALTERATION/REPAIR BUI DING AND SAFETY / LAND DEVELOP►SEINT T�LE CITY CA 91780 BL 0508 0809300005 PHONE: (626) 285-0488 ETT: LEGAL ID: . NO. OF CONST BUIIDIRO ADDRESS: TR: 5904 LT: 159 BL: .001 9Q. FT STORIES TYPE 8916 GAR�aTnI AV '`. b�el�l e ' STRUCTURE: 800 V-B TEMP CA 917801517 ASSES90R INFORMATION NUMBER: NEAR= CROSS STREET: 5384-017-039 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEiMPLE CITY, C TENAIPT: RT-T T BLDG USE: SCHDO USE ZONE: R-3 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 09/30/08 SR 03/29/09 058NER: TEL. NO: BLDG9. NOW ON LOT: VALUATION: FINAL, DATE FINAL BY: CODE: LI, SHERMAN (626) 572-4044- 8,500 3859 N. ROSEMEAD BL. ROSEMEAD, CA 91770 FERS PAID DESCRIPTION OF WORK REPLACE EXISTING SIDING FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: C?NT: TEL. NO: JEWS CONSTRUCTION, INC. (626) 203-2387- AA BLDG PERMIT ISSUANCE 27.75 5612 HUDDART AVE. AE STRONG MOTION OTHER 8500.00 VAL 1.79 SPECIAL CONDITIONS: ARCADIA, CA 91006 D2 PERMIT W/0 EN-HC 8500.00 VAL 199.80 TOTAL FEES 229.34 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR 9IMgATURE JEN'S CONSTRUCTION, INC. - (626) 203-2307- 5612 HUDDART AVENUE LIC. NO LOCATION AND SETBACKS ARCADIA, CA 91006 897784 B SOILS E90IN ER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS C.C. CHANG CONSULTING - 1701 W. CEDAR 9T. 49 LIC. NO: SLAB ER FLOOR ALiAMBRA, CA 91801 NONE RAISED FLOOR FRA141M - MAP NO: SERER NAP BOOK: PAGE: FIRE ZONE: CMP: /� Il UNDRRFIOOR INSULA=ON 150H265 3 01 `"1G�DY NO. OF FrI�iIl.rEa; DWELLING UNPT9: APTNOCOM�: STAT CLASS: � FLOOR SHEATHING rv�ri,11"� V�; OOcCd�/�Y ROOF SHEATHING SCHOOL WITHIN HAZARDOUS �+1(`/' �,7— (�'Y� "t• (2 -O� • SHEAR PANELS AIR QUALITY: 1000 FEET t4kTERIALS I _ NO NO NO FRAME IMSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP T. WIDTH: FRONT FL- INSULATION /WEATHER STRIP SIDE PL- INTERIOR LATH/DRYKALL EXPRED,00f EM=OR LATH RATED FLOOR/CPTL A9SD>al. RATED WAIS, ASSEMBLIES RATED SHAFTS OPENIl7G9 T-BAR CEILBV09 LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF 1,08 ANGELES TEMPLH CITY / 0508 BU LDING PERMIT ( DEPARTFIOFT OF PUBLIC WORKS 9701 Lab TSB TENINT INPROVIDiEIiT VIII LD— WEED BAlRTY / LAID DYVELOPKXNT TEMPLE CITY CA 91780 BL 0508 0607150005 PHO12. (676) 785-0488 EXT: LEGAL ID: I0. OF CONST NRR BUILDING ADDRYSS� TRi 5904 LT: 159 BL, .001 SQ. FT STOR.IHS TYPE OCCUP GROUP 8916 GARXBAI]DI AV STRUCTURZ. 0 1 VN C TEMP CA 917801517 ASSZSSOR INFORMATION NUMBERi HIULR ErT CROSS STREET: 5384-017-039 THOMAS PAGE: 596 GRID: E2 LC{)LLITYz T314PLE CITY, C TIMUXTc EXIST BLDG USE: COMMI USE SONE1 ISSUED ON: PROCE89ED BY: EXPIRES OYc YOUNG PZOPLY'8 VTLJ.0 E EXIST OCC GRP. B 10/70/06 JK 10/15/07 OMWER1 TZL. NO: BLDGS. NOW ON LOT. V3LLUATIOI: FINAL DATH Fir, CODE: DR. SH 03W 8. LI (676) 577-4044- 45,000 3859 ROSHMXKD BLVD. I ROSZKZAD CA 91770 YXIS PAID DESCRIPTION OF WORK INTERIOR REIpDELIYO BRwzZl WAY BR'IWKM 6037-6043-6051 ROSE[Ie FYI DIBCRIPTIONs QUANTITY: DUMC AMOUIITAD 3• WALL EXTENSION MATCH ZXSSTIRG ALONG ROS/MMD aPPLICAIR: TIL. I0i C.C. CHaRO (676) 533-5959- AS PLANCENCX W/EN-HC 45000.00 VAL 715.97 11971 GOLDRIIO RD. AA BLDG PIRMIT ISSUAICY 77.75 SPYCIIL CONDITIONS: ARCADIA, CA 91006 AZ STRONG MOTION OTHIR 45000.00 VAL 9.45 A7 Plm T M/EfYRGY-HC 45000.00 VAI, 847.37 TOTAL FEIN 1,595.49 COITRACTORt TEL. NO: APPROVALS DATE IYBPIICTOR SIGNaTCIRZ DW CONSTRUCTION, INC. (676) 390-9789- P.O. BOX 7375 LIC. NO LOCATION ARD SZTBACKS SAI GAB.RIEL, CIL 91778 770598 -B SOILS ]=INZFR APPROVAL ARCHITZCT OR =GINEZR� TEL. NO. - FOU!FDATSOI TRENCH FORMS LIC. NO: SLkP UNDER FLOOR RAISED FLOOR FRAMING MAP NO, BRRZY MEP BOOL: PAGZi FIYY ZONE: CMP: UNDIYILOOR LISULATIOEI 3 04 FLOOR SHEATHING NO. OF FAMILIIBt DWRLLIIG UNITS+ APT COED. STAT CLA3Sz 30 77 ROOF SHEATHING SCHOOL WfITHII HAZARDOUS SAY PIEEL.B ASR QUAL I TT i 1000 YKZT MATIERIALS NO NO NO FRAM= I398PEClIOI FIRS SPR13maR DANGERS ' ]3TSIILITION ME]►THEY BTYIP INT-ERIOR LATE/Dnw �P EXTERIOR LATH RATED FLOORCELL ARSE K. RATED MAIN, ABSOMT IES RATID SHAFTS OPKlaXG8 T-BaR CZILINGS LOT DRAINAGE REPORT ID. DPR761 ROUTE TOi BS0508 • COIINTY OF LOS ANGELYB TEMPLE CITY / 0508 BUILDING PERMIT DEPARTM=NT OF PUBLIC WORKS 9701 LAB TIIIILB ALTERATION/RIpAIR 'bUILDIIG AND SAYE= / LAND DYVIIAP}DIIT TNMPLB CITY C7 91780 BL 0508 0610110029 PHONE. (626) 285-0488 YZT: LEGAL ED NO. OF CONST BOILDIIG ADDRESS: TRS 5904 LTi 159 BLS .001 SQ. FT STORMS TTPE 8916 GARIBALDI AV STRUCTURE. 1625 VN TDO? CA 917801517 1BSE8SOR IN70RAXTIOK NU4BERt NXA3 BT CROSS S7=: ROSIOCCAD 5384-017-039 .THONkS PAGE: 596 GBm l H2 LOCALITY. TEMPLE CITY, C TRIELNTL EZISP BLDG UBR: COPM GSE EONS. R-2 ISSUED ON. PROCESSED BYi EXPIRES ON. R=IBT OCC GRP: 10/11/06 sc 10/06/07 ORYIR. TILL. NO BLDGS. NOW ON LOTS VALUATION. FINAT DATE FINAL BY: CODE. BETH }CINE LII (626) 572-4044- 9,000 755 SINGING ROOD r ARCADII, CIS 91006 FIM PAID Asa PTION OF WOR[ RE-ROOFING ABOVE BY RDIOVIXG =BT37G ROOFING COVERING AND ME DIBCRIPTION: Qm(FrITYI UM(: AMOUNT- INSTALLING NEW 570{/SQ. CAPSTRANO QAALL ITR TILES APPLIC3LNT. TEL. 190: Hal (626) 327-7468- AA BLDG PERMIT ISSUANCE 27.75 1039 I. VALLEY BLVD. AE STRONG MOTION OTHER 9000.00 VAI, 1.89 SPECIAL COEDITION8z SAI GABRIEL CA 91776 D2 P W/O ED-HC 9000.00 VAL 199.80 TOTAL FEES 229.44 00IFTRACTOR, TIL. NOS APPROVALS DATE INSPECTOR SIGNATURE ROOFIZ - USA, INC. (626) 327-74687 1039 E. VkLLXY BLVD. LIC. NO LOCATION AND SrPBACZS j BAN GABRIEL CA 91776 863567 C39 SOILS ENGINEER APPROVAL ARCHITECT OR E19G14rEERt TRI,. NO FO�TION TRENCH FORME LIC. NO: BLAB DNDER FLOOR . EAS SRa FLOOR FRAMING MAP NO: SEWER MAP BOOK. PAGE. FIHY ZONE: CKPi GNDERYLOOR INSULATION 15031265 3 01 FLOOR-SATE ING NO. OF FAMILIES: DWELLING UNITS: APT CONDI SLAT CLASS NO 22 ROOF STH ING SCHOOL WITHIN HAZARDOUS SHaR PANELS LV A8 QUALITYI 1000 7= XkTl9rALS NO NO NO FRkMS INSPECTION REQUIRED TOTAL SETBAC3C FROM EXIST FIRE SPRINKLER H ANClXRS HET BAC[ YARD] HWY: PROP LINE: WIDTH: �r FRONT PL- INSULATION WRATHER STRIP SIDE PL- /" — TNTERTOR LATH DRTPMJ L ' XKTevrOR LATH v RATED FLOOR CELL kSBEM. RATM WALL ABHD(BLIES RATED SHAFTS OPENINGS T-BAR C3CILnFGS IAT DR>I1u3R REPORT IDc DPR261 ROUTE TO. B80508 WORKERS;'COMPEN.SATfON.DE-(7ARATK)N surety gfflnr, that IofW a certtf mpdof co�nt ff APPL1CAtION. FOR �BUKDIHG PERMIT ' Insure,or a cbrttficate Of Workers''Co4npolzsatlon lrnarance,, or a certtfled topy:theretlf.(Sec'X800 Lab, G�- . . . ' - . I ' . • ' _ COUNTY_OF LOS ANGELES WLDINGLAJMD SAFETY Polly No. Cbrhppny ❑ -Grt 6d copy-�i. .r.by furolihed' FOR APPLI�P TO FILL IN El `Certtfied.copy is-filed wfth-tfrq county building I¢spec= BUILDING. . tion department. ADDS Uate; fi 'Appllcght _ i QIP LC)<ALITY -.QEW1FFCATE Of:.tCNMQN FROM WORKERS' SIZE OFT 'NOW ON LOT Ts1� ` COMPE145AT10N I NSU RANC>; (This section need hdf.be completgrilf the permlt'Is for one TRACT LOT NO." ASSESSOR Bp01( PAGE PARCH +hdRdred dollars($100)grjeec. . . TEL 11 ",) I OWN t, NO. ZONE t I.tsr lly-'thdt Ip the performance df tho-vto-rk for "Ich this _ O pwrplt Is:[sued,:4 ah¢I1,not.mplay arTY Peron In arry'mtgnner, ADDR¢S _ sd as to me,sublpc:t to the Wgrk6W Corhpgnsatlon Q8 "m bate.F' I �RCT+IT�cr oQ re... a GRQUP zreE eY p NO a ng thb. cdte.of ENINN ER No. Examption, ,.you should beco�nb- tubled .to--the"� W6rkers .,1�� '? T%7TOAE, Compensation provisions pf the LBboF Code, you must forth- *DDRESS I�:I 1 /lam y✓1m,�p}y-with• such. provlsIgns ,Qr'thla.pMnl1,#4pll bb Ta STATISUC.ALC]ASSIRO;AT"4 v� deerFed»yoked.: - "bbN-TRACfOR T NO.- L Z LJCENS� CONIRA4T'.RS.D TARA-I" .' NO. (d fv a+�`55 NO. rr�i UNITS I hereby-affirm that!am ficenm uhder kroKluorm of ADDRESS . (cpmYnepcing with$edlon 70QQ)of Dlv,4ilon 3.O£the 8uslness C SEWER AARP ary. Q'(�g ICO IV A CLASS' -' , /►L1DA N and Prof6saigns,Code,and,my.IIcenbe 4 Inful�1-grob ande fact. _ ,. V �. 5C] FT:" NO. QQFF NO. .. CHECK - Llcense Number_,' iJc C7oLs,' l i ' STORI$ FAAULES ONE oa4rador r t DPte. r D6C]�1P]lON OF WC1R1C NEW_-El � ADQ is - �F,Bm exempt under$ec,' .8 _C, f{r this,reaso�� - I�AI�i�❑ ; ban slvc ��{ '� oE�AoC❑ _ , _ OWNER BUILDER PECLARAT}ON I �' DATE � . 14rl..6 . - I hereby affJrm t(wti.arp exempt from the Contwdo(s.Llconse _ �- Z P� fpr the f6lleowing reasoq,jSecTiq]r1.'70J1_5, �sihew and - FiiAL f�"fji�, J� r: 3 eat ): PRESENT f BUILDING ❑ I, as ovvnQr pf the property, dr my.-employeea.'witf> L _ 1Q3.`► wageeasThefrsolecornppnsWfpn,wlHdothe workand the structure I%not Iri*kkod-or Wired for sale(Soolon LOG41lfy 7044,Basln°°��"Mand Prbfeglons Code.) MOWING TET 1 as owner,of_The:property,am.�xc.luslwfycontractlno OOfJIRACTC)!2 �' ` with licensed•contr'actors to construct ibe proled (Sec- ADDRESS lion �*,$uiinew.and PTofeulons�ode:)... i - JON LENDIIJG ANCY YAC FI1MYTOTA-L FROM r *fin 1 �' 1vf i horeby affirm)that th&v is a cohstT 61 n-lending Ogency for the'performbr)ce-of tfioZWbrk for,whlch this p"It Is Itwed (Sec 3097, Civ. C). Sam • - - - _ - - �P.L. _ .. - - _ Lsnde{tr Name - r' �.,. f7.�f LDAM Ref. is LePd �Address P.C_ F«. Permit F« r� I certify.that I havg}read this oppII scion and stbte that the Isn,ar,c.Fee �` /' / LESAAA P/� aboyel.nforrriatfon Is corred.•I agree to comppt�y with alLCounty I Ipatlap I" ordinances end State laws relating.to.bolldlrrg consirudipn, Total Fee/D LDi1M Perm - and author ntartly"of.this'County to enter _ 1 e abp bd.property f inspection purposees. SW W M rUR EULANATORY LA .GUAGN' ` of App itwTst«Aoenr -h`r.-)"-