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Home My Public Portal About9046 GARIBALDI AVE_Building__ 7iwaAO&"a-1• � Q APPLICAT9ON FORB ILDING PERMIT 1 DIVISION OF BUILDING AND SAFETY S iLDING D R ESS . Dfparhamif of Co>mt1 EaQlafft ' Cmnty of Los AnQflff LOCALITY WM.J. I<OX,COUNTY ENGINEER CAMATT D.GRIMM,ful-T OF BUILDING DISTRICT PO. GROUPE f[I R CON J�p � FOR APPLICANT T O FILL IN ■UILDING YAP STATE �,ES ADDRESS NUYBR. HWY LOT N0. BLOCK U E SPECIAL CONDITIONS- TRACT NO.OF■LDOdS. A SIZE OP LOT NOW ON LT SETBACK YR HWY E WIDTH UTE OF - FRONT / .P. L OWNER gs = Aa RJIDE MAIL O TRACT DWlIJ- 1 UNIT ADDRESS is INDUSTRIAL. 77/ I DWELL- I UNIT a PUBLIC BLDG. ARCHITECT OR Ta, Y DUPLEX I UNIT 7 ADDN., ALT.. LTC. ENGINEER NO. 8 APT. UNITS B YIfCEL ADDRESS 4 COYY'L>RCIAL CONTRACTORO INSPECTION RECORD 7 , DR E I O N>f DESCRIPTION OF WOES NEW ADD ALTER REPAIR DEMOLISH i SQ. FT. T�O.OF N0. OF ■IZE STORIES FAMILIES X USE OF CTU LU p D b Z c s f SIGNATURE OF - APPLICANT APPROVALS . 1 ADDRESSDATE 1HIPECT011's si TULE l F;OOUNDATION:LOCATION LVALUATION P. C. R - 'fOMATERIALSMEFRAYE' FlRE MSTO . A `_ JRACING,DOLTS FURNACE: LOCATION. I HEREBY ACKNOWLEDGE THAT I HAVE TREAD THIS VQIT DUCTS APPLICATION AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES -LATii INT. AND STATE L UATI G ■USED! G CONSTRUC- TION. LATH Vff. SIGNATUREHOUfEHUYBt2R COR- .. PERP RECT AND POSTED ADDRpf cv MAL WM.J. FOX,COUNTY ENGINEER VALIDATION C. N. DIRLAM, CHIEF BLDG. INSPECTOR M6 4 1 5u MR26 1 6 1 7,5 Q , m LEO 6 5. 2 4 ti MAR 2 8 1 35-00 �' WORKERS'COMPENSATION DECLARATION hereby affirm that I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T Insure, or a certificate of Workers'Compenstlon Insurance,.or a certifled copy thereof (Sec. 3800, Lab. C.) . COUNTY OF LOS ANGLES BUILDING AND SAFETY Policy No. Company Certlfled copy Is hereby furnished. FOR APPLICANT TO FILL IN BUILDING 9b �/ ` ADDRESS A 1 Certified copy Is filed with the county building Inapec- BUILDING Ilan department. ADDRESS LOCALfTY /l Applicant NEAREST Date C:( O ST. V�G CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. ASSESSOR COMPENSATION INSURANCE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed If the permit Is for one r f USEZ TR CT o"( BLOCK LOT tJO. NO. huddred dollar (5100)or lesa.) 1• _ TEL SPECIAL a 1 certify. that In the.performance of the'work for which this OWNER IVO. COND{T{ONS O permit Is Issued, I shall not employ any person In any manner RKT _ GROUP TYPE FIRE PROCESSED BY U so as to become subject to the Workers'Compensatlon ADDRESS b s ZOrEIx Date Appll ARCHITECT OR CrTYZIP -! 7(J v STATUI AL CLASSIF{G4T10N "AFT. CONWp. NOTICE TO.APPLICANT: If, er making this Ce iflcate ofTEL / Exemption, you.should become subject to the Workers' ENGINEER NO. CLASS NO.. DWELL UNITS H Compensatlon provisions of the Labor Code, you must forth- ADDRESS SEWER MoP Z with.comply with such provisions or this permit shall be deemed revoked. C001RACTOR NO BK. PG,;?".o VALIDATION LICENSED CONTRACTORS'DECLARATION Lr— I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATI N (commendng whh Sectbn 7000)of Division 3 of the Business and UC Professions Code, and my license Is In full force and effect. CITY CLASS $ SQ. Fr: ONO. OF } NO.OF 1CHECK 0 License Number LIc.ClassSIZE 0 ISTC)RIES 1 FAMIUES 1ONE Controctpr Date DESCRIPTION Df WORK NEW I am exempt from the licensing requlrements as I am a jA ADD licensed architect or a registered professional engineer ALTER ❑ FINAL � ��ti� acting In my professional capacity .(Section 7051, REPAIR ❑ DATE )) Business and Professions Code), LSE OF FINAL EXISTING BLDG. ❑ LIc.or Reg. APPLICANT APPLICATEL. By OWNER-BUILDER DECLARATION PRINT I NO. I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS O L�Professions Code): BUILDING /Z„r l Lb A '^ 1 2 36 Q 7 A 6AL I�(I I, as owner of the property, or my employees with ADDRESS v wages as their sole compensation,will do the work and 4'0'0 0 0 0 the structure Is not Intended or offered for sale(Section LOCALITY 7001,Business and Professions Code). MOVITRACTOR NO 2 0`0 r6 1,O 0 ❑ I, as owner of the property, am excluslvely contracting DID RE with licensed contractors to construct the projgct (Sec- o O e 6 1.p O tion 7044, Business and Professions Code). ADDRESS REQUIRED TOTAL'SE BACK FROM EXIST.' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 0 4 1 2'-8 2 I hereby affirm that there Is a construction fending agency for FRONT the performance of the work for which this permit Is ]&sued P.L (Sec. 3097, Civ. C.). SIDE P.L. • Lender's Name f Lender'yAddre&s P.C. Fee f Permit Fee - I certify that 1 have read this application and state that the Issuance Fye above Information Is correct. I agree to comply with all County Inv.lgatlon F. CQ ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter Upon the above menTloned property for Inspection purposes. � �/ LEL REVERSE FOR EXPLANATORY LANGUAGE o n Slpnatun of Appll of or Agent Doh _ � COUNTY OF LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 020924-0042 PHONE: (626) 285-0488 EKT: LEGAL • NO. OF- CONST BUILDING ADDRESS: TR: 5904LT: 319 UN: .002 SQ. FT STORIES TYPE 9046 GARIBALDI AV STRUCTURE: VN TEMP CA 917801619 ASSESSOR NEAREST CROSS STREET: ROSEMEAD 5384-015-014 TWKAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 PROCESSED BY, EXPIRES ON: E)(IST OCC GRP: 09/24/02. JK 03/23/03 OWNER: TEL. NO: BLDGS- NOW ON LOT: F IPX 7TRJTgy: GARCIA ROBERT - 5,200 L CODE. 9046 GARIBALDI AV f TEMP 917801619 FEES PAID DfSCRIPTI UF WURK ' C SHINGLES FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T/O;IM.8TALL PLYWOOD i 3GYR WORLD'S BEST ROOFING (626) 334-8866- AA BLDG PERMIT ISSUANCE 27.75 686 5 ARROYO #271 AC STRONG MOTION RESID 5200.00 VAL 0.52• SPECIAL CONDITrafF_ PASADENA 91105 D2 PERMIT W/ �EN�HC�'�52Q0.00 VAL 149.40 �-� CA1LES l�,FEES 177.67 CONTRACTOR; TEL. W: /�.f ! ;\v eft WORLD'S BEST ROOFING (626) 796-8550- 686 80. ARROYO PARKWAY LIC. NOLOCATION AND 5ETBACKS #271 726379/C39. PASADENA, CA 91101 .'. (� '�� \ \�,v ARCHITECTOR ENGINEER: f �' ( `� �;�� / I � � 1I _ -- ,� TRENCH FORKS Lrc, NO-// :,, '9M7WER FLOOR RAISED FtOM MAP NO: PAGE: FIRE 150H265 ZONEUNDERFLOOR 199UGCrrW_ 3. 1 '�� —', — L ^`, - LIF i,ij 90. OF FAMILIES: DWELLING UNITS:' APT/CDND: STAT CUM�_� MO 211' -__ r —� ROOF SHEATHING SCHOOL WITHIN HAZARDOUS \ f r`` EAR PAXEts AIR QUALITY: 1DOO FEET MATERIALS N0 NO FRAME�IWSPPCTIDN v INSUL�TIONAJEATHEIR STRIP SET BACK YARD:REQUIRED TOTAL SETBACK FROM EXIST HWY: PROP LINE: WIDTH: �'ti I l . �� ;S; '•;%� FRONT PL- SIDE PL- _ INTERIOR LATFAR7WTE__ EXTER�OR LAM XEIL . LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BBI508