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.-)"-