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Home My Public Portal About9064 GARIBALDI AVE_Building__ TEMPLE CITE'' 76A SA CE#8032-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BU'LDNG ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. 'T DISTRICT NO GUP TYPE !E FOR APPLICANT TO FILL IN �-t (- R CONST. /`—�� BUILDING STATISTICALCL.gS (FICATION EWER MAP ADDRESS (iYf./ y^BK i,PG CLASS. NO. DWELL. UNITS [— l[� LOT NO. Q BLOCK WATER ❑ CERTIFICATE: NOT REQUIRED RECEIVED TRACT .5-7044 MAP `I j . IGHWAY STATE MAJOR SECON , LOCAL C NO. OF BLOGS. NO. ' .t cH 'R:LE) SIZE OF LOT �5 NOW ON LOT USE ZONE tPECIAL USE OF r CONDITIONS EXISTING BLDG. TEL. OWNER (� NO. BUILDING YARD HWY STREET NAME EXIST. !ry SETBACK WI TH ADDRESS — FRONT /% '() ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L q ADDRESS /a v CONTRACTOR ADDRESS - 0 . o DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF ;^ - SIZE STORIES FAMILIESUSE �„ fi•_' � ,,, ,,; ®y ,/� STIR UOCTU RE SIGNATURE OF APPLICANT VALUATION $ /firms, �.--�� L APPROVALS DATE INSPECTOR'S SIGNATURE V FOUNDATION: LOCATION FEE $ FEES U FORMS. MATERIALSA.,.r 'ty FRAME: FIRE STOPS. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. / WITH ALL /-,;27-COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS (O BUILDING CoNSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH, INT. TION OF THE LABOR CODs= OF THE STATE OF CALIFORNIA RELAT. ING TO WORKMEN'S bOMPENSATION INSURANCE. LATH. EXT. �a -6 SIGNATURE O HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ,�r�t ADDRESS FINALX—g b�- ,GH JOHN F. LEWIS, PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK. M.O. GASH _ PERMIT VALIDATION CK. M.O. CASH L,'tV0 4 0 6 61-0 JAN 3 1 D 1 1 .5 u <` I - WORKERS'COMPENSATION DECLARATION L hereby.affirm that I have k rs' Cicnte of care Insuta �ff Ap P L I CAT I O �F O R BUILDING P IERM I T � insure, or a certificate of Worker' Compen;atlori-Insurance, or a certlfled'copy thereof (Sec. 3800,Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy.No:•PC: 975 56mpanyRp-p tbl i . Tnd amity F I - 0 Certtfied copy is hereby fumished. FOR APPLICANT TO FILL IN BOLDING ADDRESS ® �ertlfied`copy Is flied with the county building Inspec- BUILDLNG tlorrdepartmenI ADDRESS 9064 E. Garibaldi Temple City ZIP 91780 LOCALITY Darbll—I—�t�. Applicant Randol 'Roof'+� 4 Cons CITY " CERTIFICATE OF EXEMPTION kROM'WORKERS'. NO:OF BLDGS. N�AREST- COMPEN.SACON INSURANCE SUE OF LOT NOW ON LOT (Thls section neea•not-be completed If the pbrmit Is for•one � BLOCK LOT NO. MAPA BOOKpAC,E PARCEL -bundred dollar ($100)or less.) _.. QYVrERtJ0 'AJ _TEr- USE ZSPECIAL E I certify that In the perfprmP nce of the work for whlc�i thislen NO. permit li.lswed, I shall not employ'any-person In any manner _ -220 f6 Via del Sol I rfIONS - -. so os to become'subject �V to tii. drkers Compensatlon Laws, Dale 4-16-86 Appticant Randol, Roofing & Cons - - -ZIP- - -- NOTICE TO'APPLICANt: If, after' makln6'thls Certificate of ARCHffE{T t 0 DISTRICT _ GROUP TYPE _ 1911E _ BY... Exemption, you should become subject to 'the Workers q� ,�•� COtJST. ZONEADDREr Compensation provisions of the Labor Code, you mutt-forth- � _:J.sYd .,3 _ with comply.with such provisions or this permit shall be deemed revoked. �Randol Roofing TEL 288-4040 STAnFnCAL CusslFluTK N Apr. CONDO. _ Y LICENSED CONTRACTORS DECLARATION - - Lam--- -- OASS NO. DWELL UNITS — I hereby affirm that I am licensed under provislons of Chapter 9 ADDRESS 529 E. Valley B1. No. 451937 (comrnendng with Section 7000)of Division 3 of the Bushes and - uc_-- _ SEWER MAP Professlgns Code, and my license Is In full force and effect. CITYCLASS - BK PG. VALIDATION sa..FT.. NO.OF NO.-CIE ._ CHECK LlcenseNumber 451937 Llc class'(—'39 SIZE STORIES FAMIUES CNE VALUATION . Dt�iPrK)N OF wow Re—roof house &- Contracor Randol Roofing Date 4-16-86 $ 1,982.00 ADD 1 am exempt under Sec. .3-n-ly Owens/ ALTER , B.BP.0 for this reason _ REPAIR Date: USE SFD DEMOL DUSTING BLDG. - Signature APPUCsNf TEL _ iMRqmdo1 Roofing No. RHAL OWNER BUILDER DECLARATION DAT - a hereby affirm that I am exempt from the Contractors License ADDSS Law for the followlnq reason (Section 7031.5, Bovines and Professloni Code): _ - I as owner of the o or m em to ees with BUILDING �r wages as their sole compensation,will do the work and ADDRESS - the structure Is not Intended or offered for sale(Section Lf, ( ° ° �k C/'8 8 .. . 7044, Business and Profession*Code)_ `" MOVING _ . .. _ __ I I, as owner of the property, am excluslvely'controcting OR NO. 4 4 88 with'licensed con"ctbrs to construct the prdlett (Sec- tion 7044, Business and Professions Code). ADDRESS CONSTRUCTION LENDING AGENCY- T BAac YARD TOTAL PROP. WNE WIDTTSETBACK FROM EUXJ i - - -- 06. 1 8 8 6 I hereby affirm that there Is a construction lending agency for FRONT The performance of the work for which this perm ft is Issued - P.L - - - (Set. 3097, Clv. C P SIDE 8 _ pL --- r Lenders Name 8 39.38 LDMp,Rif. ! Lenders Address F"-$ Psrm it Fee - - ' -1 certify that I have read this application and state that the lasuanow Foe 10.50 - LDMA P/C! - t bove Information is correct. I agree to comply with all County Invesrlpatton Foo, ordinances and State laws relating to building construction, - nd hereby authorize rnp"nentatives of this County to enter [Total-Fee 49.88 LDW Perm.'! upon the above mentioned property for Inspection purposes. T 0 4-16-86 So REMM PDX DPLAIWATGEY LANGUAGE Signature of Applicant or Agent - Dote . COU-TY OF LOS ANGELES TEMPLE CIT( f 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WOW 9701 LAE TUNAS ALTERATION/REPIIIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 1D508 031.7300021 PHONE: (626) 285-0488 EXT: LEGAL Ip: NO. OF Ccw9T 13ULLDING ADORES$: TR: 5904 . LT: 320 EQ. FT. STORIES `TYPE X3064 GAR IBALD I AV STRUCTURE: YN TEMP CA 917801915 NEAREST CROSS STREET: HART 5384-015-016 THQ41S PAGE: 596 GRID: H2 Lor- LM: TEMPLE CITY, C TEXANT-: EXIST BLDG : REBID USE ZONE: - E)(IOT OCC GRP: 12/30/03 VG 12/24/04 TEL. W: SLOGS. NOW ON-LOT: VALUATION: F I KALL Q�TE VO TAT (626) 864-1867- 10,000 FIKAL CODE: 964 GARIBALD AVS. INPLE CITY 9 7817 RE-RODF GAR & PORTION OF RES Y/-HOT MOP, RPLCE 2 WINDOWS APPLICAN[T- TEL. NO. FEE DESCRIPTION: QUANTITY: UOM: AMCWT: ME ALL PLUMBING i CONVRT GAR BACK,TO INTENDED USE SAKE-AS OWER - AA BLOG PERMIT ISSUANCE' 27.75 AC STRONG MOTION REBID 10000.00 VAL 1.00 D2 PERMIT W/0 EN-HC 10000.00 VAL 21 :60 TOTAL FEES 245.35 TEL. W: APPROVALS TE INSPECTOR,SIGN-ArDWE SANE AS OWNER - _. - LIC. NO LIC. NO: RAISED FLOOR FMING WER W PAGE! FIRE UNDMftOOR INSULATION _ ZONE: Xx 3 01 FLO13R SHEATHING MO 21 ROOF SHEATHING SCHOOL WITHIN KAZARDOUS SHM.PKRELS AIR QUALITY: 1000 FEET MATERIALS NO .NO -NO R EQU I RED 799 sETW= FROM EXI ST FIRE PR ER HANGERS SET BACK YARD; HWY: PROP LINA; WIDTyi:' FRONT PLINSULATION/WEATHER STRIP - SIDE PLS INTERIOR LA77R7910,� EXT61OR LATH RATED SHAFT976M9ffffW REPORT IIS- OPR261 ROUTE TO: .8E0508