HomeMy Public PortalAbout9115 GARIBALDI AVE_Building__ APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
DDRSS
BUILDING
ADDRESS balLOCALITY
NEAREST
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STATISTICAL CLASSIFICATION ER MAP
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ADDRESS
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CONT N TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY + YARD FRONT PROP.LINE HIGHWAY WIDTH
ADDRESS
C +
CLASS BLDG.SETBACK FROM
CONSTRUCTION LENDER SIDE PROP.UNE OF (STREET)
NAME AND BRANCH
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ADDRESS CFFY HI
SIDE PROP.LINE- GHWAY WIDTH O
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DESCRIPTION OF WORK NEW. P.C.Fee$ Permit Fee Q
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REPAIR Total Fee
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APPLICANT
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BYSGNATUR >[[[ 0605-79
1 HERBY Ap T4ONVLEXA THA I VE READ THIS APPUC ATKJN AND STATE 7 h ^
THAT THE ABOVE CS CORRECT AN TO COMPLY WFTH ALL ORDINANCE 4- A
AND LAWS REGL ATI NG BU LEI NG CONSTZJCT10N.I CTI FY THAT IN DOING THE
WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VFOIATTON OF
THE LABOR CODE OF THE STATE OF CAL FORK IA IN RELATING TO WORKMEN'S CORS- #.0 0 0 0 0-1
PENSATION)NSU .
SIGNATURE \� .2 o - 97.00
PERMITTE v - 9700E
ADDRESS
TEL 1, 06L05=79
aTY No.
USE ZQN MAP
/ NO. Q 0 >
r� DITIONS
FINAL BY
DATE
A'AVAIW S70 IV
76AB38A CE#80311-g7 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A.LAMBIE.COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST.
DISTRICT NO. GROUP TYPE SEWER MAP
FOR APPLICANT TO FILL IN ;. __. 'I BK PGS
BUILDING -•' CONST. F:.,f.!
L
ADDRESS / '" STATISTICAL C�ASSIFICATION I
LOT NO. - , �' �G..BLOCK CLASS NO DWELL.UNITS
MAP STATE YES -IVO
f" NUMBER HWY.
TRACT �' USE ZONE SPECIAL
NO.OF BLDGS. _CONDITIONS
SIZE OF LOT ] , NOW ON LOT _
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST.
SETBACK WIDTH
OWNER f' 7" t; /► FRONT
MAIL P.U
ADDRESS ` E ` .`P / SIDE
TEL "- P.L:
CITY - NO. T 4`/ > INSPECTION RECORD
ARCHITECT OR TEL.
ENGINEER NO.
ADDRESS
TEL
CONTRACTOR NO. ZR
ADDRESS _
DESCRIPTION OF WORK =L 12VS,
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO.OF NO.OF f F T 6Y
SIZE STORIES FAMILIES ,J
USE OF STRUCTURE YjZ
SIGNATURE OF - '�' APPROVALS
APPLICANT
i J� ,�,_,,.,••-,r , DATE INSPECTOR'S SIGNATURE
FOUNDATION: LOCATION
FORMS,MATERIALS
P. $ FRAME: FIRE STOPS,
FEEE BRACING,BOLTS
VALUATION - $ ,;;,�-••[^- FURNACE: LOCATION, f ,!
FEE �' �""' GAS VENT,DUCTS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- `
LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT. Civr Pl+viD�
SIGNATUREOF HOUSE NUMBER COR-
PERMITTEF z - RECT AND POSTED
jyr
ADDRESS ' � FINAL '2 d ?fa F> -/Y
CLYDE
" CLYDE N. DIRLAM, PRINCIPAL tTRUCTURAL ENGINEER
PLAN CHECK VALIDATIONaC- M.O. CASH PERMIT VALIDATION•' CK{ M.O. CASH
P
DIVISION OF BUILDING AND SAFETY BUILDING
Department of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER APPLICATION
FOR APPLICANT .TO FILL IN FOR OFFICE USE ONLY
_ DIBTRICT.,NO. PLAN CK.OR REC.No. PERMIT NO.
BUILDING //`' / {/, /�/ -✓- �'_ �y /
BUN EBB
9,f �c.6 Y/6LCZJ / (['
RECEIVED BY DATE QF APPL DATE IRSUED
LOCALITY 8 es Si S
NZAR[BT
ROBE ST. BUILDING
ADDRESS
OWNER
MAIL _ ___ LOCALITY !."
ADD EBB / /' z2 NEAREST /
nf[ / TEL CR 096 ST.
a /
CITY ". T NO. d�'/ -'� ; FIRE NO.OF TYPE GROUP r�--
ZDNE I /
ARCHITECT OR TEL I PLANS --
ENGINEER NO. BLDG. ,r� ` ORD. NO.
_SETBACK LINE i-- Gf It
'"� � C +
ADDRESS
USE ;ti„' APPROVED
TEL, ZONE t BY DATE
CONTRAOTOR NO. t7 G'1 HOUSE NUMBERING
ADDRESS MAP NUMBER 7 d NO. ASSIGNED BY
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
t
TRACT
r NO. OF SLOGS.
SIZE OF LOT :" I NOW ON LOT .
USE OF NO. OF
EXISTING BLDG. FAtalucB—r
DESCRIPTION OF WORK A
NEW ALTERATION ADDITION 2
D
r
REPAIR DEMOLITION
9Q.FT. N O.OF
SIZE ROOMS f 9TORIE9
EXT.WALLRQOF
COVERING OGVERING
USE OF7 STRUCT RE
s'
r
INSPECTION FOR APPROVALS
OCCUPANCY AS INSPECTOR'SSIGNATURE DATE
FOUNDATION: LOCATION
FEMM% MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN 19
CORRECT. BRACING, BOLTS
I AGREE TO COMPLY WITH ALL COUNTY 13RDINANCEH FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF �� LATH, INT.
PERMITTEE
LATH, EXT.
ADDRESS L'
PLASTER, INT.
AUTHORIZED AGT.
_ PLASTER, EXT.
$ FrZE
CE HOUSENUMBERCOR//�} �G RECT AND POSTED
VALUATION V 0 rv FINAL
76A638A DSS 3 1-52
COUNTY OF LOS ANGELES TEMPLE CI'T'Y 0508 B=ING PERMIT .
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0802270006
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUSKING ADDRESS:
TR: 5904 LT: 222 UN: .002 SQ. FT STORIES TYPE 9115 GARI ALDI AV
STRUCTURE: 576 V-B TEXP CA 917801622
ASSESSOR INFORMATION NLMBER: - NEAREST CROSS STREET:
5384-010-001 THOMAS PAGE: 596 GRID: FII LOCALITY; TEMPLE CITY, C
TENANT: EXIST BLDG USE: RSSID USE ZONE: R-1 ISSUED GtG: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 02/27/08 SR 08/25/08
OWNER: TEL. NO: BLDGS. NOW ON LAT: VALUATION: DATEFIIFLL BY: CODE:
HUANG SHU 7ANOISHOW JANE (626) 287-5263- 46,080
91,15 GARIBALDI AV P --z Z7
TEMP 917801622 FEES PAID DESCRIPTION OF WORK
REPAIR El-=I 0 GUEST HOUSE AND GARAGE NO KITCHEN FACILITIES
FEE DEBQtIFTION: QTTANTITY: UPON: AMOUNT:
APPLICANT: TEL. NO: .
AMPB CONTRUCTION, INC. (626) 284-3260- AA BLDG PERMIT IS-gUANCE 27.75
2618 W. MAIN ST. $C AC S'T'RONG MOTION REBID 46080.00 VAL 4.61 SPECIAL CONDITIONS:
ALHAMBRA, CA 91801 B2 PERMIT W/ENERGY 46080.00 VAL 834.41
FR INV WORK W/O PERMIT 257.00 DOL 257.00
_ TOTAL FEES 1,123.77
CONPTRACTVR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
AMPB CONSTRUCTION, INC. (626) 284-3260-
2618 N. MAIN ST. LIC. NO LOCATION AND SETBACKS
ALHAMBRA, CA 91801 863573 B
90 EPOIBFII2 APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: - WERF'ICOR INSULATION
150H265 3 01
_ FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT/COAD: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANES ,
AIR QUALITY: 1000 FEET MATERIALS
NO NO 190 FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HAH19IIL9
SET BACK YARD: HWY: PROP T. WI=:
FRONT PL- IFSUTATION WEATHER STRIP _
SIDE PL-
OR LATH DRYWALL
E17KRIOR LATH
RATED FLOOR CEIL ASSEN.
RATED WALL ASSh97 DT,IF=g
RATED SHAFTS OPENING8
T-BAR CEILINGS
LOT DRAINAGE-'
REPORT ID: DPR261 ROUTE TO: M0508
• COC= OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC MORES 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1112070031
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS.
TR: 5904 LT: 222 UN: .002 SQ. FT STORIES TYPE 9115 GARIBALDI AV
STRUCTURE: V-B TEMP CA 917801622
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-010-001 T-p PAGE: 596 GRID: H2 LOCALITY: TEFLPLE CITY CA
T3ULNT: EZIST BLDG USE: REBID USE ZONE: R-1 LSSURI) ON: PROCESSED BY:
EZIST OCC GRP: 12/07/11 SR
OYlNER: TEL. NO: BL". NOW ON LOT: VALUATION: F12AL F,;�BY: CODE:
HLANG SHU 7ANG;SHON JANE (818) 286-8177- 1 6,000
9115 GARIBATDI AV
TEMP 917801622 FEES PAID Dt9CRIPlIO19 OF BORE
TEAR OFF AND PI ROOF WrTli 30 YR. CO[G)OSITION SHINGLES
FEE DESCRIPTION: QUANTITY: UCM: AMOUNT:
APPLIC)IM: TEL. NO:
BEH 4 LI CORPORATION - AA BLDG PERMIT ISSUANCE 27.80
AS STATE GREEN BLDG FEE 6000.00 VAL 1.00 SPECIAL CONDTTIONS:
AC STRONG MOTION RESID 6000.09 VAL 0.60
D2 PERMIT W/O EN-HC 6000.00 VAL 149.70
TOTAL FEES 179.10
COM RACTOR: TEL. NO
- APPROVALS DATE INSPECTOR SIGNATURE
BEN AND LI CORPORATION
(626) 905-0077-
- 5657 ANDOVER STAY LIC. NO L4)=O9 AND SETBACKS
CHINO HILLS CA 91709 837201
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEIR: TEL. NO: FOUNDATION TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOL: PAGE: FIRS ZONE: CMP: UNDERFLOOR INSULATION
150H265 3 00
FLOOR SHEATTEM
NO. OF F : DWELLING =S: APT/COND: STAT CLASS:
0 NO 22 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALSTY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
FIRE SPRZYKLER HAN IERS
INSULATION/WEATHER STRIP
INTERIOR LATH DRYWALL
EXTERIOR LATE
RATED FLOOR/CEIL ASSEM.
RATED FALL ASSE 4BT,IE,4
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF IAS ANGM, TE?PLE CITY ¢ 0508 BUILDING PERMIT
DEPARTNUWr OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 9178Q _ BL 0508 1111140047
PHONE: (626) 285-0488 ETT:
LEGAL ID: NO. OF CONST BU-IJ DI G ADDR&9S:
TR: 5904 LT: 222 UN: .002 9Q. FT STORIfi9 TYPE 9115 GARIB LDI AV
STRUCTURE: V-B TEMP CA 917801622
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-010-001 'THOMAS PAGE: 596 GRID: H2 LOCAL=: T124PLE CITY CA
Thr: EXIST BLZ)G USE: RESID USE ZONE: R-1 ISS ON: PROCESSED BY:
EXIST OCC GRP: 11/14/11 SR
OWNER: TEL. 190: BLDGS. NOW ON LOT: VALUATION: FfNAL DAM FINAL BY: CODE:
HUANG SHU YANG;9HOH JANE (818) 286-8177 1 3,500
9115 GARIaALDI AV
TEMP 917801622FE:FR9 PAID D 9 P-ION OF WORK
LSVIMGROON AND BEDROOM DRYWALL, 129STALL ONE GLASS SLIDING
FEE DRSCRIPTION: QUANTITY: DOM: AMOUNT: DOOR AND RELACR 8 WINDOWS
APPLICANT: TSL. NO:
BEN 4 LI CORPORATION - AA BLDG PERMIT ISSUANCE 27.80
AB STATE GREEN BLDG F" 3500.00 VAL 1.00 SPECIAL, CCYDITIONS:
AC STRONG MOTION RRSID 3500.00 VAL 0.50
D2 PERMIT W/0 EN-HC 3500.00 VAL 116.00
FR INV WORE W/O PERMIT 257.00 DOL 257.00
CONTRACTOR: TES,. NO: TOTAL FERS 402.30 APPROVALS
DAT& INSPECTOR 9IC$ATC7RE
BEN & LI CORPORATION* (626) 905-0077-
5657 ANDOVER HAY LIC. NO LOCATION AND 9E'ITACT„g
CHIM HILT 9 CA 91709 837201
SOILS ENGINEER APPROVAL
ARCH=CT OR ENGINDg2: TSL. 190: ON TRENCH FORMS
LIC. NO: 9LLB/UNDER FLOOR
RAISED FLOOR FRAM1290
MAP NO: SEWER MAP BOOR: PAGE: FIRE ZONE: CMP: UNDE{tF`LOOR INSULATION
15OH265 3 00
FLOOR SHEATHING
190. OF FAMILIES: DWELLING UNITS: APT GOND: STAT ClmA -
0 NO 22 ROOF SHUN} NG
CU300L WITHIN HAHZMUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INS PE=0'
FAME SPRINKLER HANGERS
INSULATION/WEATHER STRIP
INTERIOR LATH DRYWALL /
EXTERIOR LATH
RATED FLOOR7ciiL ASSEM.
RATED WALL ASSEMBLIES
RATED 9HAFTs O.i�
- _ .r..' _ �- .y���_Ty�, r..__• .- -�ti•,,.�..-�J .t.. :w'-�-� .I .. T-BAR CBLr4Sa$... - �,� S _ •tom
.A
REAW-f-II), DPR261
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