HomeMy Public PortalAbout9541 GARIBALDI AVE_Building__ 76AE3 BA'CE Ne03 a-aa APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
f�
B=ING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINSAUP'T OF BUILDING CROSS ST.
DISTRICT NO. GR TYPE PR ESSED BY
FOR APPLICANT TO FILL IN .
CONST
E UI L D I NO / STATISTICAL CLASSIFICATION / S B AP
ADDRESS CLASS NO.--Z-DWELL UNITS
-� LOT NO. BLOCK USE ONE MAP - h
NO. J`C
TRACT SPECIAL r
r
SIZE OF LOT S C�D
to Q NO. OF ■LD/a.
NOW ON LOT
USE OF
EXISTING ISLDQ, ■LD/. SETBACK FROM
E I FROMT PROP. LIN[ OF (STR[[T)
OWNER ,
p1 PYP[ OF [KI/TIM/ 1[T6ACK HI/H WAY YARD = TOTAL
ADDRESS, 1 �►^ / F OMC L.
CITY
ARCHITECT OR TEL. /LD/. SKTSACK FROM
ENGINEER NO. /ID[ PROF. LINE OF (STR[[T)
TYPE OF [KIaTIX/ /[TRACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
TEL. + _
CONTRACTOR ..{{ ��NO
ADDRESS V3 .f- IC CORNER CUTOFF YES O NO
I� LIC I
r 17 SEE gWL EbP ROVALS O
DESCRIPTION OF WORK ,
rPL
ADD ALTER REPAIR DEMOLISH / ' '
NO. OF NO. Or ICu+ e+ ih� I �, ':n. Rord Dnp+., Alfad/naSTORIES PAMILIES u, Or T. C. Co. Er.,�,,cccr'3 fTiEicn c:r.i:-' oy r
n,l it not sta
RE -'D Dfil PrrmH hrs I,• "'+c� P�:' or per_T: tmo porml+ at T. r.
E OF AfT
N
APPROVALS DATES / IXSP To,
O I/NATURE
LOC
FEE$ o�D �- FEE's FO FORMSUNDA !MATERIALSON '� FJ ./�•'
FRAME, FIRE STOPS,
I H[R4�Y ACKNO'WLEDGI THAT I HAV[ RIAD THIS APPLICATION BRACT NO BOLT
AND STATE THAT THE ABOVE IS CORRICT AND AGRL[ TO COMPLY FURNACE: LOCATION J J
WITH ALL COUNTY ORDINANCES AND STAT[ LAWS RIOULATING GAS VENT. DUCTS
lt.ILDI HO CO NRR L-7'ON. I CERTIFY THAT IN DOING THI WORK
AUTHORI7ED HERKSY I WILL NOT [MPLOY ANY PERSON IN VIOLA- LATH. INT,
TON OF TH[ LABOR CODE OF TH[ STATI OF CALIFORNIA RELAT-
ING TO WORKMEN'/COMPENSATION INSUFA'NCE. LATH. EXT. F
SIGNATURE OF •
HOUSE NUMBER COR- �---`a
•
PERMITTEE �l'� ///---))I RECT AND P ST D
ADDRESS FINAL s-7'.01
JOHN F. LEWIS. PRINCIPAL ST RAL ENGINEER
'PLAN =CX VALIDATION GK. M.O. CASH PERMIT VALIDATION CK. MA CASH
LAJ�09 2 1 1�8 JAN 28 2 3 D 3 5_.50,
�, `_ LAJ,09 4 9 WS FEB 8 1 0 7 4ZON V
WORIJRS'. .CON1PN AT1�N *2ARATION -
hereby crfflrm tfpt I have.a certtf lcate•of conseat t ro self A � _�► t ON-F O I. O Lr D I NG PERMIT "
Irrwro; or a ceAfflcate of H(oflcers Compensation Irnurcince, - - - _ - {,-. �.
or p certffied coPYRr.of (Sec 3800: + - -
t COUNTY OF LOS ANGELES I ';�_ ElJIL61NG-,AND SAFETY
, . - .
Policy No. { , . .--;I,
Company. -
BIJIDltK3 J
C:ertified-aopy'ls_hlreby furmisi ed: . :...: t FOR - PLICANTz O ILL IN ADDRESS
tet41Ned cgpy Is filed wlth-tb `caUnty Wr nips- BUILDING
' tion department. .. -
--. ��: i - T�•. __•_fir - - - —�---.. . .._. - - - - -�. ,
Da� JAL. I
t'► �. Applicant Gil ZIP LCIGVITY
CERTIFICATE OF EXEh1PT FROAR RS' 31�E.OF LOT �t•�!p0• OF - - - -
i'..• a ret COMPENSA URANOZE T F10W ON LOT ST. _
`(Thls`sec&W•need nbt-be campleted-If the••pecmit. s fcr`,one — - - - -- -_
kty+ndred dollgrs(iloa),or le•• ) . �• c TRACT Buoac LOT roe �n�a PARCH
Oyyt,62 - -. �' E� NO.
=1 Certify that,I•n,the perfotmancq of•trig-`v._ fof,vv.'th this
�-rm t Ii-Issued, I shdll•hot employ any persori•In any manner _•- _ -_. - _._ _. _.
as'to become,`su�Je2T to�--the Workerr'Comp'en�aflon'lws. - COhDIT10N5 - -
CITY_
bate +r A�plicdnt '' ,,•.,: -- Ai2G IREET OR TE3
T- IIQTICE'Ta CANT:•.ff; after itlakl tfils'C6rtlficate of DLSTR1cl;_ . cwoup! ryPE_ _ _HRE _ _ BY .
P]cehiptyoir;'you-'should 'becornl-jublecl -fo.•'t-te WdrkeTs - � �` z UMNEEROOtST!y/ �
Compernatlon-provisions of the Labor:Co4el'you"must•fortfv ADDRESS �J '✓! _,.-'-.1�'J
With comply with .suth:•provlsloru or.thl�.permit shot]. be'� - . ,
�OemedS. •,• 14 12066 STATISTICJII CLASSI TION AFT CONDO
L10EN5�CONTRACTORS DECLARATIOtJi ,• ,', - - - - - - or - -' t OlSS NO. `, UNF175
I:hereby gfftrrn,that I am Ikensed under provls of Chapter 9 / NO. SEWER MAP
(�om�r�!!eer�nnpp�YNh 7000)of-�)vvhfon 3 of the BuslmM artd __ - - - n - r
profeesloits CocJe,'a Y I.I. Is.lri full force ar�d effect. CITY _ Y "�-� 5- PG. �V { I VXLDATFON
_ SQ. FT NO. -_ I ,
!'I� •LI��I S� STOi�1F5 -ANO-4--1F
L 4ense�lpmbgr � t // __ VALUATIQN�'_
Conhactor i, "4• 'i 2rb'-. ___ DESKMi FT10N OF WORK i_ �W- ;
F11 am exempt under Sec. 7 _ - - - ALTER Pr
naso Rf�Ai R- r-
n USE OF I1
- Ddta . EXtS1lNG BLDG. DEMOL.
Signature - NO. L Qr
OVVNQt$UILDER'DtCLARA
I herebyaffirm that I arrr exempt-from--t"Controcto�sllcense '
Law for the foll&Mnij•Feason TS&tldn•7031.5, Business ands ADDRESS ? �7rn i --
,9A
Profaas16 s code
I, as owner of the eroperty� oc my ""ayees wltti .-- -
BUILDING
L.
wages as their soli compensation,will do the work and
the structure h not Intended or offdred for sale(Sgctlon , LOCALITY
l ° °9; •7 5. -
$uslr»w ar>d•Professrarn Codbj M _. _ �. - r- N7H0 o•o o -6-75 ;
1,
ca owner of the property, am exclusively controctlpq
with licensed contractors-to-cortstruct-the prplect (Sec ADDRESS
Non 7044, Buslr>ba and Prb"lgns Ccde}
- -
CONSTRUCTION-LENDING AGENCY SET eAac YARD PROP. LRE WIDTH
r hereby affirm that then Is q construction lending agency for FRONT
I
the,performance of the'wodi for which thls permlt I*-hsued --
(Sec, 3Q97, Clv. C. 51 DE
fom
Lenders tilarr» y P.L. - - -- -LDIMA Ref. f'
8 L rider's Address
Perm it r 1
T - �,.
r cert that I have rood-this-a II • - = -
I{y pp cation:and state that-the .- Iaar>n Fie EDAM P/C-f
above Information b correct. I agree to comply with cill County Investtpatlon Fee
ordinances and State laws relatlag•to bullding cohstr'j�pflon, -- _ -' .... _.. T total-fsr - LBAAA Perm.it
and Lie representatives of this County'to'enter
apo antloned property for Irmpec4on purposes,
f=•wrM=Pbl DITLAHATPRtt LANGUAW
v Slgrrorur.of-Applkant or Agent -."'Dot.
COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0503010076
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ON FILE SQ. FT STORIES TYPE 9541 GARIBALDI AV
STRUCTURE: 3000 VN TEMP CA 917801651
ASSESSOR ER: NEAREST CROSS STREET: PRIMROSE
5385-012-019 THOMAS PAGE: 596 GRID: J2 LOCALITY: TEMPLE CITY, C
TEXANT: EXIST BLDG : RESID USE ZONE: -
EXIST OCC GRP: 03/02/05 JK 02/25/06
06MER: TEL. NO: BLDGS. NOW ON VALUATION: FINAL DATE FINALKNIPSCHEER, DAVID (626) 599-8118- LOT- 5 000 � -
5529 EL MONTE AVE r 7 L .r
TEMP 917801651 DESCRIPTION OF WURK �-
REROOF HOUSE i 2 CAR GARAGE STRIP SHAKE ROOF AND SHEET
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: W 2/16 OSB BOARD COMPOSITION SHINGLES
SAME AS OILIER - - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG NOTION RESID 5040.00 VAL 0.50
D2 PERMIT W/O EN-HC 5000.00 VAL 132.60
TOTAL FEES 160.85
CONTRACTOR: TEL. NO: APPROVALS INSPECTOR SIGRATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGI99EW-)3T3RYVJE-
ARCHITECT TEL. NO: FOLINGATION7TRINCT-FOW
LIC. NO: SLABAMDER FLOOR
ZONE: RAISED FLOM-FOANT
CHP: UNDERFLOOR INS"TION
15DH265 301
FLOOR SHEATHING
160. OF FAMILIES: DWELLING LIMITS: APT/CCIND: STAT C[Xgg--.
MO 21 ROOF SHEATHING
SCIKM WITHIN SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO ND
SET BACK YARD: WY: PROP LINE: WIDTH:
FRONT PL-
SIDE PL-
REPORT ID: DPR261 ROUTE TO: BS0508