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Home My Public Portal About9013 GARIBALDI AVE_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT CODNTY OF LOS ANGELES BUILDING WM. .J. FOX, CH1� XNGINXXR FOR APPLICANT TQ FILL IN FOR OFFICE USE ONLY 0 BUILDING DDICTNO. PLANK P6RK/I�TNO._ ADRE/I LOC.ALI.� RICS ®C [ F L IVY DATOAPPDATE ISSUED N1A - y s-� -/y-S-r CROSS ST. BUILDING //�� ADD90/ V A x J� O WN IIIR MAILQ�. 'Y LOC.A`LITY ADDROM NX ARMST CITY NOS. CROSO BT. OS N f.{,T iT ` FIRS NO. OF MS GROUP ARCH ITICT OR •B_ 70NIT PLAN! [NGINBR NO. � SETEACK LINE O O NO. ADDRESS APPROVED TE �/�} BY DATE CONT'RACT'OR .NO. "yZ.-�y USE APPROVED / NQ BY DATE ADDR[eH i�� HOU69 NUMSQRING LQGAL LOT NO. rQ' BLOCK MAP NUMBER O O RI QLD CHECK CY D EBCR 1 PT I ON C TRACT 4-9 Q NO. ABIIGN® CYC DAT ` NO. OF BU GS. CORR=oNB SIZE OF LOT . 5 k`a O NOWON LOT EXIST NG ELDGr� t` 'n F°:1 UFX6 2 d 3f.5' l T u DESCRIPTION OF WO$K NEW ALTJMATION ADDITION 0 REPAIR DEMOLITION A V/Q. FT. NO. OF Q i 6 (f ROOMS STOPJim 2 EXT. WALL ROOF COVERING COVIUUNG UB[OF GTRU APPROVALS INBPECTO 'S BIGNATURQ DATE 1 HQRICY ACKNOWLEDGE THAT 1 HAVQ READ THIS Al*- FOUNDATION, LOCATION `� PLICATION AND STATY THAT THR INFORMATION GIVQM i ID FORMS, ATQRIALS CORRECT. I AGRES TO COMPLY WITH THiK otORR[CT"ION/ LISTQD BAMIt FIRM 1'lSLG STOPS, ,J HdZ®ON AND WITH COUNTY ORDINANCKS AN STATIi LA REGULATIN UILD CONSTRUCII FURNACKi LOCATION, BIGNATUR[OF GAG VENT, DUCT'S PERM ITT LATH, INT. ADDR-IMUL LATH, XXT. AUTHORIZZD AGT. , INT. ... 7EAGSBA• 13B" I0-80 f F. C. $ m `1 ]r�a F� PLADTm JNXT. VALUATION w" so FINAL �l�n• J'Z -�� 76A"BA CEME03 E-EIS ATI MIT AP ,JC Ofd FOR BUILDI G PER COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKIN9.SUP'T OF ]BUILDING CROSS ST. DISZ-RIL:T NO G P TYPE P ]BY FOR APPLICANT TO FILL IN CONST. BUILDING Q J a ;STATISTICAL DIFICATION 9E ER ASAP ADDRESS (.T CLASS NO. DWELL UNITS BK PG LOT NO. ]BLOCK USE ZONE MAP /7 �'"'7. ��J N O. (l TRACT r SPECIAL NO.'OF GLOSS. SIZE OF LOT NOW ON LOT USE OF EXISTING ISLDO. BLDG. SETBACK FROM TEL. _ FRONT PROP. LIN[ OF (STREET) OWNERelz NO. TYPE OF EXISTING /[TEACR HIGHWAY YARD = TOTAL ADDRESS / F OM C.L. CITY ARCHITECT OR TEL ELDS. EETEACR FROM ENGINEER NO. /IDE PROP. LINE OF (STREET) TYPEOF E%IyTIXS 1[TEACK HIGHWAY f YARD = TOTAL• ADDRESS HI/HWAY WIDTH FROM C.L. TEL ♦ _ CONTRACTOR O WL_ LIC � CORNER CUTOFF YES NO ADDRE99 P NO DC7 ❑ qqee LL SEE REVERSE SIDE FOR SPECIAL APPROVALS O DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STR CTURE SIGNATURE OF APPLICANT VALUATION$ APPROVALS D TE IKSP TO R'S SIS KA TUBE P.C. PMT. OFOUNDATION, LOCATION FEE$ FEE$ / FORMS, MATERIALS FRAME, FIRE STOPS, I HEADY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACINO BOLT AND STATE THAT THE ABOVE IS CORRECT AND AOR[[ TO COMPLY FURNACE: LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATING GAS VENT. UCTS 7UILDI NO CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH.T?rr. TION OF THE LABOR CODA OF THE STATE OF CALIFORN LAT- INO TO WORK MEN'S COM nnA ION I u LATH. EXT. SIGNATURE O HOUSE NUMBER COR- PERMITTEE RE T AND P ADDRESS FINAL - JOHN F. LEWIS. PRINCIPAL STRU URAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O CASK j 2495 3 1 D 11.50'er APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BLX I hereby afflrm that I have a oertfficate d consent to eeff Inane, BIA ora cerffi to d Vkrkgm' Coapansafion fneurence,or a cerdW oopy thereof(Sec 3800,Lab.a) ZIP � . LOCALfF1' Polcy No � SFZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy le hereby furnished. NEAREST CROB �D ❑ corned Is tied with the Canty I T� BLOCK LOT NO. /C C��,�� + 113E ZONE MAP Na 'ld" Appksrt AS8ES80R MAP SOCK PAFiCF1 sPECLAL COfaTIOHB CERTIFICATE OF EXEMPTION OM WORKERS' ` YESCOMPENSATION INSURANCE ` WtTHN 1000 FT.of 3CI- o ? NO ADDRESS I (this section need not be completed H the pwTrtt ie for one fxmdred / DISTRICT GROUP Z FIRE ZONE PROCESSED BY dollars ($100) or lees.) I certify Met fn the periommrrce of the work for which this permit le Issued, I da not employ any person In arty manner so as to TEl NQ becort,e subject to the Wor kers'Compensation Lews SwtBTICAL APT CONDO Date Appkant ADDRESS CL/448 Na �{� DWELL umn NOTICE TO APPLA"AW: If, after maklnp this Cer"mte of REQUIRED ED TOT L SETBACK FROM EAST E rptbn, you ehxC become subject to the Workers' TEL NO. �` �- SET BACK wm Fwy PROP LRE WDTH Compecraetbn provbbna of the Labor Code, you must torthwIttr `/T! 'JC`L�LC7 complysuchorm with provielor thle permit shall be deemed revoked. FRC>Kf LIC;. P L LICENSED CONTRACTORS DECLARATION 3 SL P L I hereby affirm twit I am.lbneed e � urlderprovbbr,s of Chapter 8 � 8EWER MAP (oomrrrendnp with Section 7000)of DMabn 3 d the Business and 9(1 FT.SFZE NO.OF STDFlES NO OF FAAi1E3 Prefeesbrte Code,and my license la In full force e{d etfeot NEW ❑ BK PG a Licerrne Number Lia Clava 61311 xADD ElWLuAnON dp Q Camactar 24; ?n2 ALTER ❑ C� 5 T REPAIR El lam a- pt oder Sec. $ . B-SP.C.for thio reaeon DEMOL ❑ LDMA P/C t Data USE OF MSTING BLDG URM ❑ i APPLICANT(PWJ7) TEL NO. LDMA Perm• 1 El 4 as owner of the property, or my errpioysee with wapee as = ACGT■T their Bole cornpene kcf will do the work and the st irttue la ADDRESS not Intended or offered for sale (Section 7044, Buatrbas and FKADME Profeeal m Code.) wLL THE APPLFCJvrr OR RJPJFE BULor10 OCCLFANT F- N A FAZA DOLIS M� ❑ 1, as owner of the property, err, e):chP vty contractinQ with 4OR A►XnA:IE COH MiM A KVARC008 MASSilA1 EQUAL TO CR aFP n"TFE AMOLl SPEC ON TFE HAZAFDOUB UCERI"NFal4OloN 0"? FkkL BY Bimfr d contractees oonetnict the project (seotl3r, 7044, Yea❑ No El TOTAL 10$a $0 fie end Prvfeaeiorm Code) Yea L TFE M@CED 0eE of TFe DLNXM er THE APPL03 W(DR nmiFE e0LON0 (* .i� A PPF*.n FOR CONCTTECT"OR M0ol1CAnON FROM THE e0UTH CONSTRUCTION LENDING AGENCY KA+VOE61EENT DISTRICT MCNIlkoi se Ps firr1Ho a-Ea FOR WINE .00 orl�rEs I hereby affirm that there b a Conan ction lending epency for Ym❑ No❑ the performance of the work for which this permit is ladled(Sea m I HAVE FEAR TFC HAZARDOUS A&AUEF ALS PFOAl4rON DUDE AND THE SCA_PETVLrTN3 3087,CJv.C-) uDEaarAFD Mr REauFE►erTa u�a THE LOS ANDES C"47Y COOL IYRL 4,C1-NPTHi 220= 2211,40 CONC6i003 FLAZAFDOUS 0000--Ml i i AI} 9:43 I 9/25/95 Lena Lenders Name UgEFL FEPWM AND FOR Oav�aro A PffW FTDM THE Sa%CA erF Ldere Address 2448 ] O Owe,OR A!R I certify that I have read this tbn and state udder penalty P. Fid Pfl3lff F� d perjrny tfrel the Is correct I spree b Comply with al Canty iawe MMIV b br1!>dnp conal UCt10n, mpresentativee of thls Canty ISSIJAN E FEE 07 jd b above- property for frreped-prrpoeee r 0 NVESTxIA,TaN FEE TOP,L FEE o O• /D I SEE REVERSE FOR EXPLANATORY LANGUAGE