HomeMy Public PortalAbout9118 GARIBALDI AVE_Building__ TEMPLE CITY
76A638A CE x6032-63 APPLICATION FOR BUILDING PERM-IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS (J
BUILDING AND SAFETY DIVISION LOCALITY /
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST.
DISTRI T NO. GROUP TYPE PR SED BY
FOR APPLICANT TO FILL IN Q V CONST.
BUILDING - STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS L. BK G
CLASS. NO. DWELUNITS
LOT NO. / BLOCK WATER NOT REQUIRED ❑ RECEIVED ❑
CERTIFICATE:
TRACT rj MAPHIGHWAY
NO.OF BLDGS. NO., � ICIRCLEI STATE MAJOR SECOND, CA
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OF ;� ( CONDITIONS _
EXISTING BLDG.
TE 77-00
OWNER _ N . BUILDING EXIST.
SETBACK YARD HWY ? TREET NAME WIDTH
ADDRESS FRONT /
ARCHITECT OR TEL._A P. L.
ENGINEER NO. SIDE
P. L. �t
ADDRESS
r EL
CONTRACTOR ) O A if, e 1
/ a. ce
ADDRESS O
DESCRI ION O WORK uV,
a
N
NEW ADD ALTER REPAIR DEMOLISH '
SQ. ff. ✓ NO.OF NO. OF l '. ;,,_y.� -k.�' ' -�..a: •".!
SIZE STORIES FAMILIES
USE OF $I. "�$�. RP.a., oG�?-.:LWL,
11w_ 4W
STRUCTURE -7
SIGNATUREOF "•� �' -,hn+�e6 .«'�'� L•?+Lip
APPLICANT `
VALUATION S LllQG7
APPROVALS qTE INSPECTOR'S SIGNATURE
P.C. PMT, FOUNDATION: LOCATION
FEE S FEES FORMS, MATERIALS
FRAME: FIRE STOPS,
1 HER ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION.
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 1
TION OF THE LABOR,CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR- ` d
PERMITTEE RECT AND POSTED Cp low
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPALS URAL ENGINEER
cK.
LAN CHECK VALIDATION M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH
nq 5 5.7 5
75 ._
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A Li:�o 4 4 2 6 OCT 1 1 Db 7,5 0'-'
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76A638A CE #803 3-69
APPLICATION FOR BUILD NG PERM �I
*COUNTY OF LOS ANGELES BUILDING
$EPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY / \
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS, SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN
DISTRICT JO GRO TYPE C R SE
(PRINT OR TYPE ONLY) (/�,'l)
BUILDING / STATISTICAL CLASFICATION SEWER MAPF
ADDRESS f C( 7 ar/ i S/ CLASS NO. – -DWELL.UNITS BK �- PG
LOT NO. ` BLOCK USE ZONE MAP
-2
/
NO. `,
TRACT ��O SPECIAL
NO. OF BLOGS. CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. �nn �/
il, .s- BLDG. SETBACK FROM
TEL. FRONT PROP. LINE OF (STREET)
OWNERr4 -p N0. ��17
EXISTING SETBACK HIGHWAY + YARD = TOTAL
WIDTH FROM C.L.
ADDRESS '7,11 f- _ ✓' f'
CITY +
ARCHITECT 0 TEL. IIALIGSTBACK FROM
ENGINEER f� �)� N0. _ _ SIDE PROP. LINE OF (STREET)
.f �J• Z TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS `.�V fU �C v/Jf %s/✓ �/7• HIGHWAY WIDTH FROM C.L.
CONTRACTOR 4 �L� NO` _�'L d +
}
LIC. CORNER CUTOFF YES NO
ADDRESS G f0 ���/ NO.AJ L? G O
CITY L- / CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS
CONSTRUCTION LENDER
NAME AND BRANCH
W
ADDRESS N
SQ. FT. NO. OF NO. OF Z
SIZE 44 STORIES FAMILIES NEW
USE OF ®1 ADD
STRUCTURE Lt /A & –O
ALTER
REPAIR
SIGNATUREOF / OEMOL E]APPLICANT pj.,l,
O
VALUATION $ APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION
FEE $ FEE $ FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE: LOCATION,
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE.
LATH, EXT.
SIGNATURE OF
n
PERMITTEE HOUSE NUMBER CORRECT
Cd l AND POSTED
ADDRESS—176 O , FINAL
JOHN F. LEWIS, PRINCIPAL STRUCTURAL EnS.
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALIDATION CK. M.O.
Ij ref 1 9 9 60" SE?25 1 d 9.00- 0
I
i
I
WOI�}�RS'COMPENSATION DECJARATION 856.fA8 SLA"'
a ., C�II
L,hereby � tfpt.l.tea a cgrttflcate of.tion Int to .e� A P LI Ci�►T`10 i� FOR 'O UI LDI-�V_ C P E�tiV1IT. JL
Insure, ar a certificate ofrWorkeri Comperuatlon Insurance, V
ora certified copy thereof(S`ec 3f300;'Lab. C) COUNTY OF LOS ANGELES BUILDING AND SAFETY _
epllcyNo1V,84-22316 npany Fremont .Indemnity- - -
E] .'Cdrttfiedctpy Is-hereby.fusnlshed:. FOR APPIICANT TO:FILL IN �111L41MG . 9
6WIfrocl cop* is f116�with tFhe'tounty`Ji}�Ildlhq In,p«- 118 Ga r i be l d i DD
tion department:," ADDRESS
z/,l2%85 .• Applicant— V t rg iii. Roof Co. Crrr Tem l e- City ZIP
CERTiHdATE OF EXLIPTION FROM WORKERS'. _. _ _ - _ __ No.-oF BLBGS.
' OOMPB,4SATION'INSU RANCE " fl SIZE Of LOT NOW ON ST n
(fhli sebflon.seed notbdcompleted.ff the permN.li for one - --- - — m - _ r1 `,.r
hutx}ed.dgllars ($)00)'oc,leis) ,1. TRACi BLOCJC LOT NO. MAP BOOK" PAGE, PARCH
�.
OWNER . -Mr. Papararo - — . . TEL - ug ZONE a
�5�1 the► In.rhe,:Peffor�i,p nci of•rhe *ork., vhlch this O.
p�r'mH is Iwudd 7`i}id(I,nof e}hbldy any person In ar(y ma nen _ _ _: SPECl41
�i l. ADDRESS - CONDMONS Q
as above- VV
sG"ds'to become si117�ecL to the Wo`rkerk'1Compdraatlb'n Laws.
- :�. ,, .:[•. ., . . ,. gar _ '.S
CITY Zip
D �—�Apfi Icanf '
NOTICE-TO PLICAI�FT"}f, offer rAl�kl �'thN* ertF#i to of ARCH OR i PISTR1Ci C,ROl1P T. _.. ZONE BY-
NO
becom¢ sublett -to'tke' WOrke s' �Ijj--nn
Gompensatfon proybionvof the Labor'Code;you muiY forth- ADDRESS Y �./.`s+�_ x�3. _ ✓ .-- ..
.with comply. wlthvsuchtpcovislons br this,permft-shall -be - —
deerried coNTRacrOR V i rg 1 n Roof Co. X287-0507. sTAT15T1caL arssrF T10N ART.
_ . .
LICENSED CONTRACTORS DEG1AkATIOtJ -—__ .: _ "Q Nb. y - DWE1L'UNiTS
I h¢rpby affirm that I am Ilcerised un�er.p{ovtslonsaf Chapter 9 ADDRESS P•0, BOX-.1 NO. 1 G0650 SbMER
(cornmprXlrg wJ}f]Sectbn70bQ�of_Divtsibn' of the B�alnes and MAP
Profdwlor»Codb, an{f'rr,y llceni."'Is In'fuil'ford�ap effgci. ary San-ri8b"nidi 1778 T C39 VAMAT0N ;
1 r. .; r, gic PG.
so. FT.
v NQ-No. of
jc C)rm gl STORfff FAMILIESLicense Num : r ,
_
•:�v._ - DEscRiPTIONOFwoRx-Tear off -and re- NEW. -
Contractor bgte $$10,00'0.00,..
ADD
n am exempt under.Sec..L - of house & are e.".WI th FTS( - - , y ALLTER
-, -
B.&�.C:for`I;re0;on - r. Med. Shakes. 33 1/2' sqs• REi?AIR i ;-- l - ' - 1 5"a 5-A
(,irk,..- USE Of - + -
_ EXISTWG BLDGdwelling i n. -...
DEAMO 00
- •
'# o-0 0 • 0-1 �
Ipn�r�,ro _ _----- ._. Virgin Roof Co.Ngo. 287-050 FWAL
OWNER-BLJILDER DE�i.ARA1iOrI (miDA --; .:'. _ ( .• 1.2 Q $a-
I hereby-af rm that!arri exempt from-thb Contractors License P.O-. BOX .1 s Sa hGeb r i e 1 117
Law for th* following•rea3on•(Section 7031.5, Business and
ADDRESS 9.17
°
ProfbAlohit'Code'):
as owner of tfip propdrty or my employees with �ADDREILWNG
S$ _ _ _ _ _. O 2 2 O t,8 1 r.
wogei aj'fheh sole corn msa�ffoir,will do the Work and
the structure Is not Intended or offend for sale(Section es V
7044;"mess and Profeeslons Cadet _..TEL CONTRACTOR
nI,.as owner of the property,.am excluslvely contrnctlnq NO
with Ilunsed-ca ntractorf"to'construct the prgIee (Sec-
tlon 3044, B�slness and Professions Coded (Sec-
ADDRESS
:CbNSTRUCTION LENDINGAGENCY YARD MMY, T PROP. UNE WIDTH - - -
I hereby affirm.thot there Ise construction lending agency for FRONT '
4he performance of the-work-for which thWpermlt-Is Issued P.L
jSec:3047, Cly. C. SIDE
.r.
Lenders Name
LDMA W. /
$ L�nde�s Address - -- - P C $ - P•rm tt Fee 114.3 8
_ ' .,i..
t c.r,t yjhot J-f rve-reod.this application and state that the - --- - 1��50 -- LDMA P/C 1• - -_ _ _. _ .
',above lnform&k>n is correct. I agree to comply with all County• I�F—
Fee
F•• 124 88
ordingTkes and Sate)avTt_rQlatlfhg.ro-WIldlnq prufructi°n, Tot°I f.. - •- IBA+A P.m,. s'.
drx{ authorize representatly"of this County to entef
t e tioned f _
�..°
• n
M RifVli!POR OQLARNITO[Y LANGUA9411
Viature of APPI Lar t qr
COUNTY OF LOS ANGELES TEMPLE CITY f 0508 BUILDLNG PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADO/ALT/REP
BUILDING AND SAFE=TY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 D208210M
PHONE: (626) 785-04.88 EXT:
LEGAL ID: *0. OF CONST NEW Ski I
TR: 5904 LT: 346 SQ. FT STORIES TYPE OCCUP GROUP 9118 GARIBALDI AV
ASSESSOR INFORMATION N ER." STRUCTURE. 288 1 VN R3 TEMP CA 917801621
GARAGE: NEAREST CROSS STREET: HART/LOMA
5384.014-017 OTHER: THOMAS PAGE: 596 GRID: H2 LOCALITY: TRIPLE CITY
TENANT: mnrr=U9E: USE ZONE: I nm ow 13y: EXPIRES ON:
EXIST OCC GRP: 09/10/02 JK 03/09/03
U�M: TEL. NO: nTff.-RW-ON LOT: VA I LIAT I' FINAL DATE CME:
SWISFINAL BY:
9118HGA1� BALDI AV DAVID - 4000 /I 2-11-.p3
TEMP 917801621 FEES PAI6 DESCRIPTION OF WORK
V
ADD FAMILY RM AND C/O ALL YINDWS
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
ROSEMEAD CONSYRUCTIONy (626) 573-4'110- AA BLDG PERMIT ISSUANCE 27.75
1818 SAN GABRIEL AC STRONG MOTION RESID 24000.00 VAL 2.40 SPECIAL CONDITIONS.-
SAN GABRIEL B1 PLANCHLCK /I�NERGY77!1�_ 00.00 VAL 422.43
B2 PERM �fq QO VAL %'5
986
CONTRACTOR: TEL. 0- ��� C�►�-F E4,,, 949.56
APPROVALS DAIE IMPECTOR SIGNATURE
ROSEMEAD CONSTRUCTION (626) 573-4110- s f~``�
1818 S. SAN GABRIEL BLVD. LIC. NO �/ �' ' � LOCATION AND SETRACXS
SAN GABRIEL, CA 91776 221544/B * '
Y `\
LIC. �. '1113}11 1
WING
NO. OF �AMTLTES: DWELLING NITS:APT7LOg6: STAT-C �L
NO 21 - j 1r20 LEVZL FL
AIR QLMLITY: 1000 FEET MATERIALS �+ \ /'7r
KO NO MO `�` `� I� \ 1 I �,�V
4FI-RE Dt�T. E INSPECT
SET BACK YARD: IM1A: PROP LINE: WIDTH. �:U/jC Ll 00
FRONT PL- SerVICe ►at ifSHEAk PANELS
SIDE PL-' �y
/ -
LOT DRAINAGE
9W DETEMTW-DW=
FIRE DEPARTROU-PRME
i
* ADDITIONAL DATA ON FILE
REPORT ID: W9261 ROUTE T0: BS0508
COUNTY OF LOS AWGRT,R9 TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS 'TUNAS ALTERATION/REPAIR
BUILDING AND SAFE'T'Y / LAND DSVELOPIENT TENS CITY CA 91780 BL 0508 1205310016
PHONE: (626) 285-0488 EXT:
_ LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 LT: 346 SQ. FT STORI89 TYPE 9118 GARIB LDI AV
STRUCTURE: 3400 V-B TEMP CA 917801621
ASSESSOR INF'OR3UMON NTWSHER: NEAREST CROSS STR.EfiP:
5384-014-017 TSOb0LS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCZ99ED BY:
EXIST OCC GRP: 05/31/11 SR
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: .FINAL BY: CODE:
SIRSHU, DAVE (626) 437-8398- 8,000
9118 GARIBALDI AV ng-, /TV
TR?P 917801621 FEES PAID EASAIPTION OF WORK
REMOVE EXI19 'TNG WOOD SHALE - INSTALL 30 YR COMP
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT:
APPLICANT: TEL. NO:
CUSTOM ROOF COMPANY (909) 753-6449- AA BLD33 PERMIT ISSUANCE 27.80
AS STATE GREED BLDG FEE 8000.00 VAL 1.00 SPECIAL CONDITIONS:
AC STRONG MOTION RFS ID 8000.00 VAL 0.80
D2 PERMIT W/O RN-HC 8000.00 VAL 183.00
TOTAL FEES 212.60
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CUSTOM ROOF COMPANY (909) 623-7753-
293 E MCIINLEY AVE LIC. NO LOCATION AND SETBACKS
POSCNA CA 91767 859220/C39
SOILS ENGIN= APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. P0: SLAB FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER FRP BOOL: PAGE: FIRE ZONE: CMP: ' - - UNDERFLOOR INSULATION
150H265 3 00
FLOOR SHEATHING
NO. OF FA)CaZ S: DOMJIING UNITS: APT COND: STAT CRSS:
0 NO 21 ROOF SHEATHING
SCHOOL WIT= HAZARDOUS SHEAF. PANELS
AIR QUALITY: 1000 FEET MATERIALS
ALS
NO NO NO FRAME INSPECTION
FIRE SIIRIICE ER HANGERS
INSULATIONSTRIP
INTERIOR LATH DRYWALL
EXTERIOR LATH
RATED C31L ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
` T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: B80508
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