HomeMy Public PortalAbout9055 GARIBALDI AVE_Building__ LpL'C
AT(ON FOR COUNTY OF LOS ANGET.
BJI DIN N G PERMIT
DEPARTMENT of covrrTx ErrGirr�x
BUILD AND 3 DrVI§IbN
BUILDING
FOR APPLICANT TOFILL IN ADDRESS
BUILDING
ADDRESS LOCALITY
NEAREST
CITY 0 P I ZIP CROSS ST
/1-40.OF BLDGS. ASSESSOR
SIZE OF LOT��SX 13 D _,NOW ON LOT MAP BOOK PAGE IPARCEL
DISTRICT- JGRQUPJTYPE FIRE R BY
TRACT BLOCK L T NO. J _4W_E
TEL •v
OWNER NO. STATISTICAL CLASSIFICATION SEWSFF``��JJdA P
-ADDRESS CLASS NO-2-1 DWELL,UNITS E BK ioPG
CITY
USE ZONE MAP
ZIP D
NO.
ARCHITECT OR TEL SPECIAL
ENGINEER NO. 21,_
, CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES[] NO ❑
CONTRACTOR , I 1 -OTELC B G.SETBACK FROM
��++ LIC, l F NT PROP.LINE OF (STREET)
ADDRESS 4'. NO 7
CITY VHI AY } YARD _ TOTAL SETBACK FROM TYPE OF EXISTING
LIC. FRONT PROP. LINE HIGHWAY WIDTH
Q� � CLASS
CONSTRUCTION LENDER
NAME AND BRANCH
BLDG.SETBACK FROM
ADDRESS CITY SIDE PROP.LINE OF TREET) 2j
NO. OF NO. OF CHECK HIGHWAY } YARD
_ TOTAL SETBACK FROM TYPE IDTING
SIZE STORIES FAMILIES ONE SIDE PROP. LINE HIGHWAY TH13
LLI
DESCRIPTION OF•WORK NEW 1:1 + CL
/ /,;L i ` - DD CORNER CUTOFF YES ❑ NO ❑
GP LTER IN OPEN SPACE .YES ❑ NO ❑
REPAIR
USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG, DEMOL
APPLICANT TEL J r
(PRINT) NO. T /V47- /,e--c i t
BY (SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION
AND !TATE THAT THE ABOVE 1/ Co RRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
I STIIUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED -
` HEREBY I WILL NOT EMPLOY ANY PEASQN IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSAT ON INSUR
SIGNATURE FINAL J� B� ^ JJV
PERMITTEE DATE / G!Sf rG •
ADDRESS
TEL. P.C. Fee$
CITY NO. Parmlt Pea
�� Inuance Fee
m r
VALUATION$ 5r O
f V Total Fee J
PLAN CHECK VALIDATIONK. M.O. CATH PERMIT VAI.IDATIO cN. i M.O. us+I
o 8-49:HAR 1.0 2 3 .0 9.0 Ase
7GAGSGA CIE#11070 11/75 - 0 $ 5 iZMAR 10 Al 1 1 g.0 O A36
I
DEP "OEM BUILDING
T ERGO=
DIVISION OF �INC=11' cr umG AND SAFETY 1
%VL U" J. Fox. Courm WIOINme APPLICATION
CASSATT D. QMrFIN, SUr'T of Mm mama
FOR APPLICANT TO FELL IN
FOR OFFICE USE ONLY
BUILDING 131OTTO
0. Pwt Cx.Ow Rm No. �l1 O.�
L OCALlTY RKCNJYIM CY DATE OF ArPL. -7;�71 ED
=MT
■UILDINQ
OWN[R
ADDMAIL LOCALITY - lP�
RESS NEAREST
Ta- / CROSS ST. 15
C
RCHII
ZOT QR .�� FiRE NO. OF
AGR P
Rr-H ZONE FLANS
D DLDQ. �Q ��/ D. NO.
SZTSACK LIN[ T
TQ- US[ P APFROVID
CONTRACTOR /1 tY DATW
ADD HOUSE NUME /
rrs.L �} 6 s 1f MAP NU ■ o o� QH[D O. AW � �`y
DESCRIPTIONj'
CORRECTIONS
TRACT
NO. OF n*+ti
S= OF LOT NO1fY ON d h ei
NO
Uf[of . OF
HQ
DON OF WORK o —
O_
Z
RiPAIR DZMOLTTI
Q. FT. NO. OF
SIZE � -T BTORIZS
go MW rL, s r
ROOF /
US[OF RE
APPROVALS
INSPECTOR'S S1GiIATUR[ DAT=
FOUNDATIONS LOCATION _
FORMS,
ORMS MATERIAL/ 2
I Ha2ESY ACXNoVYI-EDGE THAT 1 HAV[ READ THIA AP- FRAM[i FIR[STOM
PLICATION AND STATZ THAT THE INFORMATION QIV N to DRACIN COLTa
CORRiCT' FURNACEt LOCATION,
1AORa To COMELY WITH ALL COUNTY ORDQIAHCES G"V�ff DUCTS /
AND 9TATZ LAWS LATING OU MO M"TRUOTION.
•I GNATURE OF Q/ LATH, INT.
FIRM //1WY LATH. QT.
ADD
PLASTER, INT,
AUTHORIZED AOT.
��ff^ Z FLAQT[R, EXT.
��j/ `� D• 'Q RXCT
HODS[NUMBER COR-
VALUATION firm 00 F�ALAND Po8-rm T� 1-
-Z� b )
79AWIGA 1309 8 9-M
WORt_RS'COMPENSO,TION'. ATION A,. . .. .�. ..
I r�a, affirm that I have r certlflcat� of,�corhsent to sell. ' A P Pt.1
-CA
�- - �� 1.. .1�r�I�'�`
> e, o?`a certfflcate of Worker' Compenaatlon Irmurance,
or a certified copy thereof (Sec. 3800, Lob. COUNTY OF LOS ANGELES BU'L�INfi-AND SAFETY
Pollcy C9mpany .�7 / / ,� �~ ',h (��I�- -- - -
Certlfled copy i'4 herbby fumbhsrl. „ • FOR APPLICANT TO FILL IN AADIDRRt� )
Certified copy is flled wlth`the county bulldl'n9'Inspec- BUILDING
tion dapar1rhent. t ” ADDRESS
Date.. '.r Applicont PTY ZYP: 1
CERTIFI(tA E OF-oa nnryT10N FRAM 'S• . . _ - ._. -- NO. OF BU)G - - -- - - _.-
CCMAPLINSA 4NSU OF LOT NOW ON LOT +�
(This seatlon need-rtot be,connIdted-if tF4 permit li for,one` - - . - - - - -- - --
hundred¢plIan f$_100)oriess:.� TRACT BLOCKLOT NO. 5C. PARca
.., - ' ZONE.
I certify that,ln the.p¢rformance of lfiA wgrVc for whkh this O NER� NO. }
peftitis lssuecljshdll not empI6ydny �rn any manner. - SPEC
L41. - -
so cd to becomd iub(ecYto'the Wor{cerij'CoMpenictlon Laws - � - OOtDrTlOrJs K
�uuteApplicant
c. „ ,... CITY E - - 11P_
Appllcdnt +
TFOTI� TO APPLICANT: If,' diter rnakrfiy th•I�'CertlfiEafe of � �OR _DISTRICT.. _GROIR RRE__
Exemptlon; you ahoUld becorh'e iubjed.-to, the Workeni ," ' CONST•.
Compensation'-provlslons of the Labor-Code, you,must forth- _ - _ `
Wltfr comp)y•with,sudh provisions on.thLs,,permlt shall be
deemed revdkgd,., k ti - y� STATISTICAL ClLASSIFK-A 1011, I. APL CDfDO.
- CONTRACTOR —
LICENSE.D CQNTRACTORS D�CLARAT"*, -- - - -- - - UC. CLF�55 NO. DWELL UNITS - -
y hereby af-Inrl,that I am II.consed�enderprovl Ions of Chapter 9 ADDRESS . NO. 3/7
LIQ SEWER MAP ti,+
(commencir th Section 700b)of D{vfslon 3 of the)3vslnes�and.. _ _ -• _ { :-VALDATF�H
Profeailortiz Ce, and my I_Icenie h�n fulY force 4nd effect. CT[y lam ' pS. - - -- _.1 _ __ _ I
LlSense Number- 'Llc:CI -- - 51 7 -- - FAir{IUES
VALLFATI" { "
NEW
Contractor''' �r � J DBCF2IPTION OF WORK ��(J _._ __ -J l ,
ADD CP /
.F� I am"exempt under Sec. - -
r. ALTER
B.&P.C,for this reason _ A1R
VSECF
EXISIING BLDG. �MOt
`5lgriafvrsd!�
TEL FINr.1
OVff ID2-8U IO
TN I n NODATIr
.
I-hereby aafflrrn-that ka dsdxemfft from tla*ContractortLlsense _
Law for the follo,40r*fen"(Sealon 7031.5, Business and. ADDRESS
EJ
- 1, as owner of the Property, or my gTpiI, .with AAODRE -- _ -- - tit• I .� i h :',
wages as their sole compensation,will do the work and
the ttInjc ure Is not Intendrff
Intended ooered for sale.(Sectlon tOGALfTY - f 1 '.t�J�'
'7W4, Bualnew and Professions Code) r MOVING_ __.�. _ _ TEL
. I'
I, as owner of the property, am excruslvely cgntroctlnfl ►�' 1 Ci ti -"„
with llcens'ed-coMractors to-constrptt the'prolect (Sec- - - - - -ADDRESS : : TQTA ` 1 +
tion,704d, Business and Professions Code). �4 _
CONSMLXTFON LENDING AGENCY _. SS
SET
rADDRE -Y�. 'HVirY PROP. UNE WIDTH - - - - - Yi- - - -- - y5
I hereby affirm that there Is a con;trurtlon lendlntl agency for 4he performance of-the work for which this permit Is-Imued - -^ Cy
-- -3097, CIV. C.Lerxiers Name . - - - -� f
LD,AAA Ref. f � 000Da. f 7L.- .. P.ermIt Fee - - _ ,7 ::I1❑Lender's Address "ii`I certify that.I have read-this application andstate hat the - ncs Fee - LDMAP/C fabove Infomhatlon la correct. I ogres to compiy whin all County Yre
ordlnancbiL and State relating to_bvll�lo9 corh4truStlon, Total Fee - i f� r
and hereby 8uthorl hfcrtives of this County to enter tDNA Perm.
s upon t abov" tlo pr or s.Inspedlon purpose
_ K*VDQLANATOCY LANG JAGA
<� bh
349Apel—ht or Agent -- Dan
r. COUNTY OF LOS ANGST,F_9 TILE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVEIOPIKE TP TTi14PLE CITY CA 91780 BL 0508 1103300054
PRONE: (626) 285-0488 EZT:
LEGAL ID: NO. OF CONST BUILDING ADDR&SS:
TR: 5904 IT: 190 ON: .003 SQ. FT STORIES TYPE 9055 GARIBALDI AV
STRUCTURE: 2200 V-B TEMP CA 917601620
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-008-001 TFKACLS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
TE2V+Nr: En= BLDG USE: RFSID USE ZONE: R-1 ISSUED ON: PROCESSED BY:
ED= OCC GRP: 03/30/11 SR
OWNER: TEL. 110: BLOGS. NOW ON LOT: VALUATION: FViAL DATE F BY: CODE:
MII.OLASKO, DAN - 9,900
9055 GARIBALDI AV
TTi211P 917801620 FEES PAID OF WORE
REMOVE MOOD SHINGLES G COMP F INSTALL OSB PLYMOOD ROOF
FEE DESCRIPTION: QUANTITY: DON: AMOUNT: USIM 30 LSFETIMF CLASS A CC@POSITION
APPLICANT: TTS,. NO:
D 4 G ROOFING (909) 593-4982- AA BLDG PERMIT ISSUANCE 27.80
1407 FOOTHILLD BLVD. AB STATE GREEN BLDG FEE 9900.00 VAL 1.00 SPECIAL CONDITIONS:
LA VERNE, CA 91750 AC STRONG MOTION REBID 9900.00 VAL 1.00
D2 PERMIT W/0 RN-HC 9900.00 VAL 217.10
TOTAL FEELS 246.90
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
D AND G ROOFING (909) 593-4982-
1407 FOOTHILL BLVD #307 LIC. NO LOCATION AND SETBAC?S
L.A. VERVE CA 91750 534986 C39
SOILS ENGINEER APPROVAL
ARCHITEC'i' OR ENGI2=: TEL. 140: FOUNDATION TRENCH FORMS
LIC. 190: SLAB/UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEVER MAP BOOR: PAGE: FIRS ZONE: CMP: UNDERFLOOR INSULATION
150H265 3 00
FLOOR SHEATHING
110. OF FAMILIES: DWELLING UNT TS: APT GOND: SAT CLASS:
NO 21 ROOF SHEA7U2+0
SCHOOL WITHIN HAZARDOUS SH AR PANELS
AIR QUALITY: 1000 FEET NO TERIALS
NO NO NO FRAM INSPECTION
FIRS SORRIITKLRR HANGERS
INSDIATION/WEATHER STRIP
INTERIOR LITH/DRYMALL
PRIOR LATH
RATED FLOOR CELL ASSEM.
RATED WALL AS9E?BLIE.9
RATED SHAFTS OPENINGS
T-BAR CETL•rNGS
IAT DRAINAGE
REPORT ID: DPR261 ROUTPE TO: B80508
'COIICTY OF LOS ANGELES TEMPLE CITY 10 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUiAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPNMDMT TEMPLE CITY CA 91780 BL 0508 0204170025
PHONE: (626) 285-04x8 EXT:
TR: 5904 LT: 190 UN: .003 SQ. FT STORIES. TYPE 9055 GARIBALDI AV
STRUCTURE: VN TEMP CA 917501620
NEAREST CROEE STREET: SULTANA
5384-008-001 . .THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
MaIT-90WW RESID USE UM t: 1 I SSUED ON: PROCESISED BY: EXPIRES ON:
EXIST OCC GRP: - 04/17702 JK 10/14/02
OWNER: TEL. 160: - VALUATION:
�5;�IMDSUNGVELM . (626) 287-620¢- 700 CODE:
TEMP 917801620 FEES PAID DESCRIPTION OF �
C/O:*WINDOWS, CLOSE 2 WINDOWS IN LIVING RM
. FEE DESCRIPTION: QUANTITY: UOM: AM}OUlNT:APPLICANT: TEL. L',
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 4
AC STRONG M DTIOysRESID-- --. ,700.00 VAL 0.50 SPECI4 CONDITIONS:
D2 PERMIT — 7po 00 VAL 43.65
1Es. 71.90
CONTRACTOR: TEL 160: .z DATE INOECTOR SIGN.AlLift
SAME AS OWNER -'
LIC. NO � LOCATION AND SETBACKS
SOILS ENGIM
IR ENGINEER: TEL. NO- TWAT LON/-TRENLT—Fow
r LIC. NO: I u, �. a}1 y1�yt - —
o
UNI)ERPLOCiR INSULATION
150H265 n 3FLOOR SHEATHINff
� O1
ROOF SHEATHING
NO 21 IV
SCHOOL WITHIN
1
AIR QUALITY: 1000 FEET MATERIALS ` _�
NO Ac NO ti'•l ,, I l � S !tf ,�
� ,
FRAME INSPECTILM
REQUIRED TOTAL SETBACKFIRE S:PRI9C9rl9UMZW--
SET BACK' YARD: 'RWY: PROP LINE: WIDTH: imsmuicKAJEArRM
FRONT PL-
SIDE
L SIDE PL -- �...
EXTERIOR LATH
RATED'WALL ASSEMBLIES
T-BAR CEILINGS
LOT. DILA I NAG E
REPO{tT ID: DPR261' ROUTE TO: BW508
r'. .. ..