HomeMy Public PortalAbout9229 GARIBALDI AVE_Building__ X11 76Aa3aA
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CITY OF TEMPLE CI'T'Y ,
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDINGANDSAFETY
FOR APPLICANT TO FILL IN
BUILD
q,2e2
BUILDING
ADORES LOCALITY
N EAREST
CITY CROSS ST.
NO.OF BLDGS. ASSESSOR
S4ZE,OF LOT NOW ON LOT MAP BOOK PAGE PARCEL
in 6 / paw DISTRICT GROUP TYPE FIRE ED BY
TRACT BLOCK L Lor CONST. ZONE
TEL-.
OWtd
STATIST}CAL CLASS IFICAT V0N SEWER MAP
ADDRESS CLASS NO. cA DWELL UNn LC_ —BK.1 IPG
CITY TEmple City ZIP91780 /.
ARCHRECT OR TEL VALUATION $ e ]�
ENGINEER NO. 'STT 9'^�
ADDRESS BL FROM
TEL. FRONT PROP.LINE OF (STREET)
CONTRACTOR — TOTAL SETBACK FROM TYPE OF EXISTING
L14 HIGHWAY t YARD FRONT PROP LINE HIGHWAY WIDTH
ADDRESS NO.
uc. +
cm CLASS C_
CONSTRUCTION LENDER BLDG.SETBAIX O
I NAME AND BRANCH - SIDE PROP.UNE Of F (STREET)
HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING
ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH O
SQ.FT. NO.OF NO.OF CHECK + U
SIZE STORES FAMILIES ONE
DESCRIPTIONOF WORK NEW El P.C.Fee b Perrjlt Fee .18,00
ADD Issuance Fee 7.00
ALTER2 Ply Owpng Fiberglas
X
REPAIR Total Fee 5.00
EXISTING BLDG.
USE DENIOL
. � _`•--'�`;""'_'P/
CANT TEL
AP RSH. L. j2andol Co' .Inc.n-288-4Q40
BY SIGNA2' 4 1,'4A
I HERBY ALQ14 LED(sf THAT I HAVE READ THIS APPLICATION AND STATE. �0
THAT THE ABOVE IS CORRECT AND ACRE TO COMPLY WF14 All ORDINANCES
AID LAWS REGULATING BLfILDING CCNSTRDCTION.I CER`n FY THAT IN DOING THE .
WORK AUTHORIZED HERBY I WILL NOT EMPLOY ANY PERSON IN VFOLATK7N OF
THE LABOR CODE OF THE STATE Of CAL FORN LA IN RELATING TO WORKMEN'S COM, 210;-0 r2'a 0 0 1
PENSATINN INSURANCE. ;o,4 u•_2�0 0.
1is
PERMITTEE I Q 2157-!7 9
ADDRESS 59g R- Volley RiVA.
CITY �.288-4040
E No ,200S >
SL00 CPONDITIONS -FINAL
' BY
DATE �--
70A63&A 1332-7 I1-e4
APPLICATION FOR BUILDING PERMIT �.
DIVISION OF.BUILDING AND SAFETY wUI R INS
SS
Depmftm.nt of City Enghum C
County of Los Ange3M LOCALITY
WM. J. FOX, COUNTY ENGINILQt NRAREST -
CAAZATT D. GRIFFIN, SUr•T OF 19UILDING 0-'—/ 7
CROSS BT:
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP I TYPE ISEWER M P
CONST _
BUILDING
ADDREiB d>ifj-1 MAP �b® STATE YES O
NUMBER
LOT NO. BLOCK 4" USE ZONE SPECIAL
CONDITIONS
TRACT v�M / K �J 4J I / 361
�J r NO. OF BLDG9. v
SIZE OF LOT fii,' NOW ON OT Z BUILDING YARD HWY A EET NAME IST'
USE OF SETBACK lbDTH
EX I9TI NG BLDG FRONT /
A P. L
OWNER SIDE
MAIL
ADDRESS ' • ,
TEL WELL 1 UNIT 5INDUSTRIAL
CITY d .NO.
2 DUPLA UNIT 6 PUBLIC BLDG
ARCHITECT OR TEL
ENGINEER NO: 3 APT UNIT 7 ADDN.,ALT., ST
ADDRESS q, COMMERCIAL 8 �LM119cm-
CONTRACTOR NO. rte / INSPF.GTION yirCORD
ADDRESS
i DFSCREMON OF WORK /
NEW ADD ALTER REPAIR DEMOLISH Lrs _
HQ. FT. NO. OP" 11A�0. OF
SIZE STORIES P'AM ILI ES F
UBE OF STRUCTURE
7
SIGNATURE O
APPLICANT APPROVALS
r
ADDREB� DATE INSPECTOR'S 3I9KATURE
• , FOUNDATION: LOCATION"
P O Q FORMS MATERIALS •O'I -� I'
fes•'] FRE _ FRAME: FIRE STOPS, _� u
VALUATION f —.7 0,
BRACING BOLTS '
FEE URNAC LOCATION,
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS GAH VE DUCTS ��• �,
APPLICATION AND STATE THAT THE ABOVE IS CORRECT u. INT.
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING mu
I UC- Q'
TION LATH EXT. v I' S S' '�
SIGNATURE OF f rt HgUHE NUMBER COR-
PERMITTEE ECT AND P08TED
ADD FINAL
WM_ J. FOX, COUNTY ENGINE VALIDA'T'ION
BY 444:9r, �! 7 16 �.. 89 im10 1 22.0 , .
._ DEP.I= UTY
9Y BY /
� DEP /f[ r DEPUTY
. .7.�. >u�� �; , p►PP�.ICAT ON' 'O-F�- BU1 :I FVC PE T
+ C�,QU�NryTTY OF. LOS ANGELS .'y. . BU14�ING,
DOAliTMErI�'.•O COUNTY ENGll\LCA ADDRE$fr
BUILblfi AI`FB SA M37Y, DIVISION LOCALITY
JONN.A. LAi MEB : COUNTY r=NGINEER•' NEAREST. J '
Ij_LIAM A.-JENbEN, SUPT OF+AuILDIHd CROSS.ST...
16T'RI Nb'. -(5-ROUP. TYPE R CE6SED B ,
F94' I.ICA.NT .T9' FILL IN coNsT.
,L
SUIL .'0- _ - .STATISTICAL C IFIC)RTI N EWER MAP
ADDRB- f 16 1 BK PG
_ "�"'9S,NO DWELL. UNIT$'
1;OTyNO-.. .B C.k WATER NOT'REQVIRKp J� C•EIVfD
TO l• + 16� N�jP - He TecLY1 'sYAf�M OR SECdN�, CAL
. O.OF.BLflG c7•..
.$ ;88F LOTI'.. - - Nb ON LO USE�ZONE SPECIAL ,
USE.-OF .. - - CONDITIONS
IS-0IK 4 BLDG.•
BUILDiJG EXIST.
.y�J.� CK 'YARD.�� HWY � STREET NAME WIDTH
,AL')DAE89 JJ 41 Btid4in Ave.,'gpsct.3S.11 F '
ENG EER. `} NO. SIDE
ADDRESS
TF
ICON i2A OR -
DDRESS A -2 O
'F.RESC J]MON..OF WORT.
NEW ADD• ALTER REPAIR. OEMbLISH - r _ - Z
.BQ. i..1 O.;QF NC,..OF
Sae: b`TbRJ-E8"' z A ILIEB - -
USE45F—
ST
F ,.
STRuc rLIRE
�t VALUATIONS 104 :00
APPROVALS -D IN�crows s1 Tultx
-.p C _ MT FOUNDATION: LOCATfON
FEE $ - FEE S FORMS, MATE IALS I'
. ,FRAME: FIRE.STOPb,
1• HIER"y ACKNOWLEDGE YH/.T I HAV'[ �� TNI[ A{FLICATiON BRACT BOLTS ,
wND•STAT'q-YHAk T}I[ A19OVE I• coRR[c7 ANS'AGRQ To cbwI"4r , FURNACEr LOCATION.
WITH'ALL COUN Y oRL1INA-14 K8 XND STATE LAWS FMGJLxTING I'dAS VENT. DUCTS '
-]9j ,CONSTRUCTION. 1 CKPITIFY THAT IN DOING-TH[ WORK _ r
• AdTHORjHfR[SY I WILL NOT [MIlLOY'AHY PILR ok IN VIOLA- LATH', IN.Y. '
'TLON OF THE LASOIf CODd OF THE RATL,OF;CALIFORNIA "LAT-
vl;ib T?,.WOnKkttN'e COM dAT1ON INsuItANUI LATH.E.X'T.'
�SIaNATURE. S p�1UM BER COR- - ,
-?A�F#MITTEE• REC •hND POSTED -
An, e I ASL
JOHN,F.,LEWIS)PR CIP L ST RA NGI R
PLAN .C17=' 'VALEDA.tION Ta.o. cishl' r _ PEflMIT VALMATIOPI cK M.o. Aril
0 8 8 ' APk 2�' 1' D 8.00- 7`