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HomeMy Public PortalAbout9553 GARIBALDI AVE_Building__ 76AG38A CE.#803-7-SB APPLICATION FOR BUILDING P R M I T Z BUILDING AND SAFETY DIVISION B U I LD I N '/� --� Department of County Engineer ADDRESS J County of Los Angeles LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICUP. SEWBER MAP PG FOR APPLICANT TO FILL IN j .L ITYPE coNsr. BUILDING ADDRESS rA di STATISTICA LASSIFIC�jION LOT NO. /C` 6C(* `"�` BLOCK CLASS. N C UNITS MAP STATE YES O e 1 NUMBER © '\ HWY TRACT SCI yo� IqG � 434A e1b USEZONE SPECIX_L ,/ 3 NO. OF BLDGS. CONDITIONS SIZE OF LOT �O/t c)Q Zl NOW ON LOT �n� USE OF C ('} '\ EXISTING BLDG. _ ) J ']-)C1 "TC�'M I `) 1/Q�CyV�Ir BUILDING EXIST. SETBACK WARD HWY STREET NAME WIDTH OWNER 7 T lot 3,7 FRONT f MAIL '' P. L. ADDRESS �� Gq r( / SIDE �-- TEL. P. L. CITY !I c_ NO. INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS jn7 p CONTRACTOR S _f L. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH - / SQ. FT. . OF NO. OF v SIZE ORIES FAMILIES USE O STRUCT RE �^� ( /24'4) / �/>� APPROVALS SIGNATURE OF APPLICANT DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS. MATERIALS P. C. $ FRAME: FIRE STOPS. _ -�� FEE BRACING. BOLTS S VALUATIO"1 $ J FURNACE: LOCATION, 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,4Q RRDINANCES AND LATHEXT �/(i0� STATE LAWS REG IN BUILDING/CONSTRUCTION. — SIGNATURE OF . .HOUSE NUMBER COR- PERMITTEE � -ti, RECT AND POSTED ADDRESS z FINAL ZS JOHN A. LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO CK. M.O. CASH i'_.0 6 6 2 1 MAR 2 9 1 4.0 0 WORKERS'COMPENSAT10N DECLARATION l-Iwvby afflrm that I have a'certificate of coasdnt to sekf Insure, or a certificate of Workers'Compen=tl.on Insurance, A P P L I CAT-1 �l .O U IL D I N G P E RM I T -".41. or a-certifled copy-thereof (Sec. 3800, Lab. C-) COUNTY_OF LOA ANGELES BUILDING AND.SAFETY PoITcy No Company BURRING ,.Gertffied copy 13 hereby furnish _ R APPLI Ta 1`111 IN - ADDRESS, ❑ Cart ffied copy b filed with to ng•Inapec- BUM NC3 tion depactm ADdZE59 LOC.411TY lF"' l lC G+ vi�kl6i� dote r Appllca'nt QTY Ca�l >! LP CROSS ST. CEOF1CATE OF DEMI?i1 FROM WOkKVS'. of eLDGS MAP DDDK PAGE PARCEL C©MPENSATK� INSQURANCI OF LOT NOW BOO MokP (This section need not be,com ted If the peTTnit is for one USE ZOr hundred"dollars($100)or less. TRACT BL= LOT NO. TEL3 SPECLIL }.- . I. that In theLow nce of for whlah this COtDTflONS Y Pia DISTRICT P TYPE R �BY O poimlt It lssupd, I shdll not e,_6 ny n arty mdnner Iso of toV,- 4u to the W on ltrwa ADDRESS t �' wLY ZOf E V 1, , r d� LP rvo� ` , wog „PT ° '� Appl lca ARCHFIFECT TEL STA F� NOTICE Jo ApkrANT: m thls:Certtfl�ate NO. arsSNo. �DweL_-UNrrs 1 tJ 'Exemption, you thould wblecttq the W IL Colnpensatlon provisions of.t}1e,Labor Code, ybu/n.ust forth- SEWER MAP With znOy with such ptovlslons or. rills p+rmtt shall by . _. deem revoked.revoked. CONTRACTOR- f e NO • pc3 VALDATIGN ILIM4SED CONTRACTORS DECLARATION LL+� LK;_ I hereby affirm that I dm en licsed Urader provisionsof ChgpW 9 JL-( NO. VSAM (commenting with Section 7000)af Dtvlslort 3 of the Business and Profe�lonn Cddp,'and my lkerse b I.n full force effect QTY . (, ClASS i 1 ��j�� SQ Nb:OF -OF ., CHECK •Llgftse N. �f7<JLZ��' -Llc SVE STORES I FAMILIES Ot¢ DESMPT1bN OF WC)RKPev.1k10NEiN ❑ t Contractor Date;' 'r t � lD �a am�jcempt under.Sec. b . I ✓\ ,tS�C RN T ❑ DA B.d,FIL for ifi REPAIRUSE [� Date D(75TI�t3G DEMOL. Sig TJON APPIJCAN7 EYK e—Ir' . 144-2- I - I het�by I am ekeMpl from the ADDkESS Conilactor aLosAA :x-2.4 9,4 A 'Law for the fpllawing reason �Sectlon 7031,15 B and l 1'rofewlons Cade):. I, as Owner of the property, or my employees with BU3 .I 1 o o .o. o o - woges as the.lrsole compensation;will do th•work and this atrurauro is riot lnteFlded or offerid far sale(Section _ °;°-b Ci 121 Q 5 0 7044, Business and Profsnslor4 Coded P TEL I, as 6*TW of the propedy,'am exclusively contracting �' ° ° ° 6 Q 5 05 . wfth jlcert;ed contractors to construct the.pro�ect.'(Sec- 'tlon 7W�, Buslnew arta Prof*UlorSa Coded �T o7.•©93'a5 CONSTRlJCT10N l$JDING A6$4CY. Y�ADDRESS �pROP�'�`« W�IDTTFiI hwvby affirmihat there Is a,construct16n,IandIng agency forthe performante-of the work for which this permit Is IssubdrSec. 3x97, CIVIC).-,Lenderp Name Lenders Address Permit Fee ,b• C� I certtfy.that.1 haw?add ihli'application arfd slam that-the Fawaxe Fee ' '-Zabove 1 0 1 agree to comply with.all Cour?tY Invesngotton Fee dl cei d Iatlnp to•bulldIng conshixiton, Total Fee a ves of this County to enter - u n ed properfy.fdr inspection purpo ses J - ( � M Q1/=i POS DQLANATQ[Y LAlOGU^09 of Applkant or Date- COURTS OF LOS AIIGKLRS TEKPLM CITY - # 0508 BUILDING PIER T DEPIRTKNNT OF PUBLIC WORKS 9701 LAS TUNAS ALTNRATION/T? AIY BUILDING AND aA7= / IAMID DNVKWPKZWT TIMPLY CITY CA 91780 BL 050E 0507780049 PROUD. (676) 785-0488 IIT: LJKIAL ID: ro. or CONST BUILDING ADDRESS: ON FILM BQ. IT STORIMS TYPE 9753 QARIfLDI AV STRUCrURZi 7E VN TIRP CA 917801676 ASSESSOR INFORMATION NUMBER: NMIREBT CROSS 87V=: OAK 5385-003-015 - THOMAS PAO➢i 596 aN_ID: J7 LOCALITY: TEMPLI CITY, C 713ELNTr EXIST BLDG US➢i RMSm USE SONE: R-1 ISSUND ON: PROCMBSED BY EXYIRMS ON. EXIST OCC GYP, 07/78/05 JL 07/73/06 OWNER: Tm. NO- BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE, DING, WEEDY (676) 483-4530- 9,750 9753 GARIBALDI IV ti TEKP 917801676 FEES PAID DESCRIPTION OF WORK TTAR OFF AMD RIROO7 NEW COMPOSITION SHINGLKS HOUSM i GARAGE FEE DBSCRIPTION: QUANTITY: DOME AMOUNT. APPLICANT. TML. NO: GARVEY ROOFING (676) 358-9708- AA BLDG PWRKIT ISSUANCE 77.75 174 W. PCK)THILL BL AC STRONG MOTION R=8ID 9750.00 VAL 0.93 SPMCIAL CONDITIONS: MONROVIA, CA 91016 D7 PERMIT W/O EQ-HC 9750.00 VAIN 716.60 TOTAL FENS 745.78 CONTRACTOR: TEL. NO APPROVALS DATE INSPECTOR SIGNATURE GARVEY ROOFING (676) 358-9708- 174 W. FOOTHILL BL. LIC. NO LOCATION AND SETBACKS MONROVIA, CA 91016 697839-C39 SOILS ENGI3 XR APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOLNIATION TRZNCH FORKS LIC. 190. BLAB/UNDER FLOOR RA-ISED FLOOR FRAMING FAP NO. SEWS& MAP BOOL: PAGM: FIRE EONS: CMP: IINDERYLOOR INSULATION 15011765 3 01 FLOOR SHEATHING NO. OF FAKILIESi DWELLING UNITS: APT COND: STAT CLASS: NO 71 ROOF SHEATHING SCHOOL WITHIN . HAZARDOUS BHHAR PANELS AIR QUALITY. 1000 FEET MATERIALS NO NO NO FRAKE INSFXCTION REQUIRED TOTAL SITBACL FROM XMIST FIRE SPRINKLER HANGERS SET HACK YARD: HWY: PROP LIN-Z: WIDTH: FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LITH DRYWALL AY'rBRrOR LATH RATED FLOOR C=IL ASSEM. RITID WALL ASSEMBLIES RATED SHIFTS OPENINGS T-RAP CEILINGS LOT DRkINAG= REPORT ID: DPR761 ROUTE TOr DS0508