HomeMy Public PortalAbout9241 GARIBALDI AVE_Building__ i
DMSION OF BVII.DING AND SAFETY BUILDING
Department of County Engineer /
County of Los Angeles APPLICATION ` �(
WM. J. FO COUNTY ENGINEER
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
G
BUILDIN �J {,f,
ADDRESS �i-1 I LOCALITY
NEAREST
LOCALITY r h� � � CROSS ST.
NEAREST --
DISTRICT NO. PUN CK. OR REC. No. PERMIT NO.
1 f:
CROSS ST.
^1' RECEIVED BY DATE OF APPL. DATE ISSUED
OWNER
MAIL 4/' � � /i � � !Y �* ! .. _. .. _
ADDRESS I!! ryg}-,Z
USONE NO. OF TYPE GROUP FIRE ZONE
CITY t- ! t/ NO / / I PLANS
ARCHITECT OR TEL. -- ZONING DATED
ENGINEER ' NO. APPROVED BY-
BUILDING _ ORD.No.
ADDRESS SETBACK LINE:
CONTRACTOR TEL. APPROVED DATE
NO. BY:
HOUSE NUMBERING
ADDRESS
LEGAL MAP NUMBER NO. ASSIGNED BY
__DESCRIPTION LOT NO. � I BLOCK
(' M �.j, j� �/ _ / �7 DATE CORRECTIONS I INSPECTOR
TRACT Jilt`I� I '+ A lV I T A F+ '/T
O. OF SLDGS.
SIZE OF LOT4 7X 30jc I NOW ON LOT
USE OF } NO. OF
EXISTING BLDG. - I FAMILIES' 0
DESCRIPTION OF WORK X
NEW ALTERATION (_ ADDITION Ixs'
REPAIR DEMOLITION
So. FT. v)} NO. OF
SIZE /'t ROOMS STORIES
COVERING �/�/ Q �Q I CEXT. WALL OOOVERI G
USE OF STRUQURE�
/J��f w
APPROVALS
INSPECTOO�R'S SIGNATURE DATE
FOUNDATION: LOCATION FORMS, MATERIALS / I/ Q�/
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS R
CORRECT.
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT, DUCTS
SIGNATURE OF LATH, INT.
PERMITTEE 'yr � /Q � q _
ADDRESSTi�C `�' ' 1•"�.�`.� LATH, EXT.
PLASTER, INT.
AUTHORIZED AGT.
PLASTER, EXT.
S 2 CPOFEE C.$ HOUSE NUMBER COR-
RECT AND POSTED
8 �
VALUATION FEE FINAL
78A688A DBS 3 2-88
pp
7BA688A CE#803 1-61 APPLICATION FOR BUILDING PER IT Ll
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS L
BUILDING AND SAFETY DIVISION LOCALITY `
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST `
WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. r�L 7�-G J'LG [.•t
DISTRICT NO. GROUP TYPE P ESSED BY
FOR APPLICANT TO FILL IN j" CONST. l
BUILDINGSTATISTICAL CLASSIFICATIONS I WBK
ER MAP
ADDRESS h y , ( (=� RG
CLASS. NO. O DWELL. UNITS ,1L
LIT NO. j4 BLOCK WATER NOT REQUIRED RECEIVED
4*7A �/ i_. CERTIFICATE: El
TRA N� �d NO OF BLDGS. No.
(CIRCLET IGHWAY STATE MAJOR SECOND, OCAL"
SIZE OF LOT �i/ f 3� J ��j/ I NOW ON LOT USF ZONE SPECIAL
EXISTUSE OIN/GBLDG. IF-141�14 f3 1 CONDITIONS
OWNER{P P C-.i �/!S� I f71 NO.
p/� BUILDING YARD HWY STREET NAME EXIST.
ADDRESS l3 "/'I�1 I HANd� SEl'BACK WIDTH
FRONT
ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE
ADDRESSCL
TEL. INSPECTION RECORD O
CONTRACTOR NO. V
ADDRESS
Q
DESCRIPTION OF WORK
W
d
NEW ADD ALTER REPAIR DEMOLISH N
SQ.FT. - NO.OF NO.OF z
SIZE STORIES FAMILIES
USE OF
STRUCTURE c�._�c._;�,c-► �'
V 141
SIGNATURE
APPLICANT -�-f
VALUATION$
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT / FOUNDATION: LOCATION
FEE $ FEE $ ` C---�' FORMS, MATERIALS
FRAME: FIRE STOPS,
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING, BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL 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.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPENSATION INSURANCE.
LATH,EXT.
SIGNATURE OF d
PERMITTEE —` �i' `� HOUSE NUMBER COR-
RECT AND POSTED
ADDRESS ---__—-- --- --- FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN FNEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH J
LAL10 5 7 8 8" OCT 19 1 0 4.0 O-
98.3 25M SETS 9" - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES BUILDINGWM. J. FOX, CHIEF ENGINEER
NO. OF 'BLDG. ORD.NO. DISTRICT NO. PLAN CK. NO. PERMIT NO.
PLANS �/ SETBACK LINE
FIRE
APPROVED �'�
ZONE BY DATE RECEIVED BY DATE OF APPL. DATE ISSUED
USE ; APPROVED
ZONE < BY DATE
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
BUILDING
O K NAME j~ ADDRESS �.+-
F W G ,
W Z ADDRESS LOCALITY r ��' •
F
= Z NEAREST
U W CITY CROSS ST.
5
STATE TEL. �f�f,.�
LICENSE NO. NO. E NAME1p
W
MAIL
0 NAME 3 ADDRESS
U r O TEL.
Q ADDRESS CITY NO.
Z ,fir 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
OZ CITY t APPLICATION AND STATE THAT THE ABOVE IS CORRECT
U STATE � TEL. AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
LICENSE NO. p NO. AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
• u r 7 t x 3 o o I SIGNATURE OF -
Z LOT NO.�/�. .J q we _ SIZE OF LOT OWNER `j
NO. OF BLDGS.
Q IL BLOCK .�*� NOW ON LOT / AUTHORIZED.AGT)A�— 'r"-' ,
O C
u a a r ep If 1'7 t z a a h CORRECTIONS
W TRACT
D USE OF SLOGS.
NOW ON LnT
DESCRIPTION OF WORK
USE OF l
BUILDING -a ex'' r: d•4
O
A
Z
a
I J r
NEW 'T'YPE � GROUP
NO. OFNO. OF
ALTERATION ROOMS 21-/ FAMILIES
ADDITION SIZE O`9
REPAIR STORIES
MOVING WALL COVERING •L6'C-
DEMOLISH I ROOF COVERING
FEE FINAL APPROVAL
� Q INSPECTOR'S
VALUATION FEE (� DA TB� / �� NAME
WORKERS' OOAAPQ�tSAi!O�J J�rLnqN �
T APPLICATION FOR BUILDING PERMIT
I hereby gffirm that I have a certificate pf consenl,to self
Insure, oTa certlficde of Work"' CAmpinsaTlon Irsuran
or a certified copy thereof (Sec. 3800, COUNTY OF LOS ANGELES BUILDING AND SAFIETY
Policy No. C�`�"�-�`�Company ,�
El Certified copy u hereby#umished. , FOR APPLICANT TO FILL IN AMR I� ' Pt r c i� l /at'
Certified copy is filed with the county building inspec- Bulu)iNG 2
tion department. � I �� 1
Date 7� oAPPlicant Cm l �-�1:`y U� 71P LOCALITY
NO. OF BLDG&
CERTIFICATE OF Bgmx ON FROM SIZE Of LOT C720S.5 3 NOW ON LOT CROSSSS
ST.
COMPENSAnON INSURANCE. ASSESSOR
(this section need not be cam leted Ff the permit Is for one TRACT / r BLOC7C LOT tJ(7' MAP gppC P PARCH
hundred dollars (;100) or lea.
T .. OWI+ER L ✓�W TET..
I certify that In the performance of the work for which this hF0 E OtE MAP
permit Is Issued, I shall'noi employ any person In any manner ADDRESS 3 o �j, L USC' 1
SPECIAL mOt-ts
so as to become subled to.the WorkerV Compensation Laws. O
arY ZIP
Date Applicant lcanT TEL
DiSTRI G P TYPE FIRE NOTICE TO APPLICANT: If, after making this•Certificate of �� U NO. CONST. 0
Exemption, you.should become tubled to the Workers' 222 �, VA� WD A b/ V
Y
Comper»ation provisions of the Labor Code, you•.must forth- ADDRESS «cJJJ v s
� 5 D 14V
with comply with such.ch� provisionsor this. permit shall be Ta- - STATISTICAL C]ASSIRN
CATtON AFT.' Z
deemed rbvoked. CONTRACTOR NO. _
LICENSED,OOfJTRACTORS DECLARATION uC CRSS NO. DWEL UNITS 21 -
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS
,(commencing with Sedion 7000)of Division 3 of the•Business LK_
SEWER MAP �T
and Professions Code,and my license Is In full force and effect. BK_ �' 'pG �q �/ALDAT70N 411.E
SQ. tJO. OF NO. OF ❑-IEC [7.�
[iconic Num ?7'u1 (lass SrZE STORIES L- FAMILIES ONE 1 ITEM
l} VALUA ON
C ontrador e f / DEscRIPnON OF Wart o o �NEvv TOTAL' -4 1. 1. 75
El am exam nder Sec 3 O ADD , ► (A-EC ,411.79
ALTER
B.BP.0 for this reason O REPAIR ;5 ��o •OC►
LISE FJ(IST1�NG BLDG.S+NCANTi,�� `���'1�1�C/. ' 6"F— 000&-M
W�1��5,Y1 r1 �X1I48
Signature �(PRl lri� C44, NO. l. FI 000 -M1 1V�1V/C-7
OWNER-BUILDER DFcwRAT1ON VJ �y Vp 6?1h 1 AI110:sb
1 hereby offlrm that I am exempt from the Contractors LJcense 2'� -7
Law for the following reason (Section 7031.5, Buainees qnd ADDRESS FINAL 1
Professions Code): _ - BY
❑ I, as owner of the property, or my employees withADP tJG ACGT.i
wages as their sole compensation,will do the work and - -7 7 5
the structure is not Intended or offered for sale(Section L�VITY polo. - ■92
7044, Business and Professions Code.) MONG TEL
❑ 1, as owner of the property,.am exclusively contracting CONTRACTOR NO. .11TEM
with licensed contractors to construct the project (Sec- Ami - TOTX 504. 52
tlon 7044, Business and Professions Code.).
C 3t STRUCTION LENDING AGENCY gT YARD HWY C�ECK 5N■57
I hereby affirm that them is a construction lending agency for FRONT cli*� [1{i
the performance of the wb--k for which this pe it'Is Issued P.L.
(Sec. 3097, Cly. C). SIDE f
P.L.- l ILAAl-1 t1�J 1 1! 9/pm
7 V
Lenders Name LDMA
Lendees Address
P. Fee Perm ft Fie 1. ,W p 8146 1 .1E 1 -.41 ..
o I certify that I have read this application and state that the I C Issuoncu' 5 LDMA P/C f
O abovVinfo n Is correct. I nee to comply with all my Inv«tlpvtlon FM
QR ordinState laws r Ing to building co Ion, Total Fa LDMA Perm.
and Ize repr ntatives of this County entuponantlo5pWoperty for in}pedidn �}
7 m nvFOR EMANATORY LANGUAGE
e or AQ.nt Date
WORKERS' QCMnPl3�1S PN o TION
I prebQ gfNrm thlat l have a certcntete of con::mf<fo salt ]CATION F QR BUILDING,'P E RM I T
�trnuro, or=d certffica�p of Workert' mper{saflon Inwrance,
or a certified Copy-thereof (Selo 3800, Lab. C.). COUNTY OF LOS ANGELES WILDING AND SAFETY
Policy No. Company' Q
: C.'t fieri copy d. hereby fura7shod ' FOR APPLICANT TO FILL IN o�,Do
H. Certified copy b filed-with the county.bulldlnq Irtm— ADDRESS
tion department. ADDRESS
CfTY y1 '- ISR LO(.�1JTY
Date r Appliooht ,�BLDG&.+� J [�
CERTIFICAlFe-Of•DffiYJMON FROM WORtCERRS , SIZE OF LOT NOW ON LOT CROSS ST.
COMPENSATION I NSU RANCH
(This sedion'•need not be comleted.tf thi permit Is for one TRACT Block LOT NO. MAp. PAGE PARCEL
hundred dgllprs ($100)or less.
.� �� .• _ OWPFR .. USE -
I.oertlfy,that in the per`formancr of the work for Whlrh this r
permit Is Iwueperson
d, I shall not employ.any In anymanner•. ADDRESS r g� �- �'f�3 / COSPECL�mONS
sous,to becar"sybl.ct to the Workers'Compensation Laws O .
ZIP U
. Date Applicant I P 1. ►p TYPE w BY Q
NOTICE TO APPLICANT• If; after making;this ErrTlflcate of
Exemption, you you. becorne:iuble& to, the Workers' CONST � +_
Compensation provisions of the Labdr-Cody� U e, you must forth ADDRESS W* p �
with comply. (Ith such,proylsions•-Pr,this permit. shall be TR_ STATISTICAL CLASSIFICATFOfJ APT. COPDO,
deemed revoked. r. CONTRACTOR NO. .- _ .
LIC>WS® COWRACTORS-DMLARATICNI. LFC CLASS•NO UNITS
I hereby affirrh that I am licensed under proyblons of Chapter 9 ADDRESS NO. ___
SEWER AMP ��ry '94.70
1� -y�,
(commerulnQ with Section 7000)of Dlvltlorr 3 of ilia Bµslness CLP�SS .. .�7 9Tfl.!V
and Professions Code,and.my license h In full force and effect. Z y
SQ.'FT. OF NO.
of, CH �TZR�T'
LJoense Number :ll Class_ T_ SIZE StORtts FAMILIES70
OfE
VAWA'nON MAL -946."
Contractor s DEswnoN OF wc4m SI ' NEW
❑I am exgmpt und.c Sbc Abib $ b , j[{��yy� 946.7
�
I v 7 A1TER_ poll
1 i1-�7tz .OD
for-thLs reason i I R $
• EPAIR -
DUSTING BLDG.
. . . �: .._ .
USE
�c,HT
I t�
APPLICANT
IN
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contradors License 2 2"7 -
Low for the following (eason (Section 703.1.5, �usinees and
ProfesslohA Code): PRESENT
Q }, as owner of the or m employees. wl BUILDING
prop" Y tis _ _r r�
waQes as their sole campersatlon,wlll4o thework and LOCALITY
-
the structure Is not Ihterxied or offdred for sale(Section
7044, Business and Profb.iiem Code.) ANDNANG TEE
I, as owner of theiproperty, amexclusivelyco6fracting �'
with licensed tontracfb{s t4,.wrjft-ud the proled (Sec- ;ADDRESS
tion 7044, Business:and Profemlorts Code:)
CONSTRUCT10K LENDING AGMCY YARD I-W AL FROM
hereby affirm that there Is a construction lending agency fdr FRONT
the performance of the work for,which this permit.Is lssued _ P.L
(Sec. 3097, Ov.'C.) .' SIDE
P.L.c
y Lenders Name
P. FM .. _ LDAAA Ref. !
Lenders Address PermN Fee
o I tbrttfy that I have rood this appllcvtlo.n and state that the Lsuiance F« LDAAA P/C!
above Information Is correct. I ogres to tenseply with all County. nvgsrfgatlon F«
ordinances and State laws.relating to b'ulldlriQ consiruatlop, Trial Fee LDMA
and hereby authdim represenTatlyes bf this County To enter
upon the above-mentioned property for Inspe;�tlori purposes.
5.0 WeW Po!IDQwiAM*Y'LA*GUAO!.
Signature of ApOloant or Agent. Date 7.
APPLICATION FOR- BUILDING. PERMtT
COUNTY OF LOS ANGELES. BUILDING AND SAFETY
wor 'a C01 ea�tiioN D a ►TION MR APPLICMT TO PLL N BLK Dno ADDFJM
I hereby affirm ttrd I hem a oerdfic a of ocx to a.ff lrnure AaDFtT9B �TI
or a cdrtfAoate of VlbrfmV hompenestbn Ihournwe,or a a
copy thereof m o.9900.Lab.C.) .. aT�r� 23P
_,(�yy, Locurrr
Ploy-N. /b���1.�?'L compry 'L fllg of Lor NaoF BLooB Nfow ora LOT
❑ copy la h.—byfurnished.
NEAREff CABB OBT.
ercvrttfled riled %ffh the pour" bulldinp Insp odor �3I r SOCK LOT P•
um mNE YAP yC
l]dem /� s ABeEeeoR YAP BOO!( PAQE PARCELcJ
c OE OE r (.ry
TE Ce FR011 WORKEFIS Ta.NO.
COWSMATM II+!WRANCE df Mrl-W i000 Fr.of 8CHOOL? Y N.b
(Tfi...Oon need not be coni b tfthe pwn*In for omh nd fed ' 06TR1CT RRE ZONE
dohs(#100)or 4—) �� f
I cerftfy,th.0 kh the perlmmar"of the work for which this-Wmtt fes✓ .�G -
Is Hued. I .hal. not empby P4rsQn In arty mauler eo fr.to ENGMEE t TEL Na ��' JJJ
become wA*eCt 10 the Wofk.re ConVermdIon Lava ,l }� 6 MAMMAL B MAL CLAWFICJQION APT CONDO
� f W f� � - - . aA li4 —owaL UWM T�
AlOnCE TO At�Pl GANf-: tl, Siler making M" QwW$osM'o( e�E�1BB�/�CCxK
E xerrlptibn, you- should beoorne subject to the Workers' T�NO SET ETBAC3' vAM I-w uPROPIJNE WfDTH
Compeniabon proykkxr of the Labor Code, you mut forntwid
oompy vnffh.uoh�rovl.lorr or tNe pprmn shell be deemed n�roked
K=DDR-Me� LIQ'NO. PL
PL
Awe �0
LICENSED DECLAAAMN Cr1Y L1C cLAee PL �
I hereby aMrm dW.I am Ikxerred Onder prWt.fOns of.Chop W 0 t� B� NO MOW(8 NO OF i MWIM
(oomiTenoft with Section 70M of�fvi.fon 3 of the Bu.lnpn and
Prolpealons Code, mUc
y erre,Is Ln ful f6rw and NEW EV
L k*m Number✓/D/ 110 Cess OF of WORK `. a.t A� r Poo.
C &aptor o.>I. ,4LTM $
st RI�FWR. fl 0I am exempt indw&w.. #
B-W.C.for this reason ITEM L LDYA PIC.
oabx LOBE BUSTM MDC3C URM. ❑ 1 .
819atrae r APPLICANT(Pewit) Tit NO. LDMA Peru.
❑ I, arr ow w of he er or my 0ayme-with woo"as ACCT-.'T
t)»lr.ois o0mperm&ntf wlh do the work end the ainrohre Is ADOFWM ,+ ,
not 1Rtarlded or onwed for.ale (Section 70+4, Bu.tne...nd IMML DAT! aha 7 163.68
Rol.eelorls Cod..) VMLTFOAPK"JCr bre RJTllEellL OM 0000RWrK4"-WA KVAMaA MaMFUL. i ITEM
hJ
OR A Ia7L" OSOFIED C1 T IW.MOOU.MIQEAL.oLur_TO on gra THAI, > TOTAL 1�i� _ ��
❑ I, � owner d the.propwtX am exot ueFr.fY.� with ni AMouNTs�ON TFc FNZMoale MATl.AU M'Or7{A7101f able f�Y1L all
low pontreobrr to obnWniot the pro}eot.(Section 7044 Yae❑ No❑ -
Biskvw.and Prolanlons Code.) DECK 1�5.�}+°
wLICI
L THE MTaD UM OF TFE aULD.M MI
BY TFE APPLIOT oR rLnu*I•■DNQ
oOCLp1NT FiauiwA PaMaT POR OolEn%xmoN OR YOcwwlcxN wor TFE.OUTH
comhmucnON LQMl*Q AGENCY MW A.1 OLLMnY MNL%QMerT DWUNCT mcAa of m rm%K ma off =Jl r .00.
1 hereby�tflrrn that ttMn i.a con.truc8on hrx�rp apenvy for Ye,❑ No❑
t�hlep7prjrfornlanp d the wdf}r for wftloh this p.rmtt i.issued(Seo. HAN FEAR TFE WZAFooLM MlO'E."Pf'OHYQION aloe AND n;80ACOM �yyy' yyy i i( �(�
'^^I I Ci•,. cowry OOD4 Trnz f.(Kwan im sam ■L11�unm ODimomveq VQ�ICIL�VC'�l.R.rJ 1{ y�ry 14pr 7yV�
Lender'.Nam. FNZMM0UWWXVLAL1 F�OWM Alai FOO OWMa4m A PM frFROM TF!*M%QM. 7+,Y.1'1 1 F71 7 CFJ
L..nd.r's Address
01MM OR AMINrz
I certify that I hwe rind this apploation Md able that tM above
I IfORDatbn Is oorreot I IEtoctlk
comply with a➢ P.C_FEE PEFWT FEE
ordinances Stda wevebu6dtriQ and
jSR1 � to MUM MFIM
for Inspeadwwn
` ! FfVSMjaXDON FEE TOTAL FM '
SM IFIEWOM KM WOMIJU TOa,rIANQUAOFi