HomeMy Public PortalAbout9559 GARIBALDI AVE_Building__ 7..nloo_eD APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELESBUILDING r
DEPARTMENT OF COUNTY ENGINEER wDDREBS
BT=ING AND 3A= DIVMON LOCALITY
JOHN A. LAMBIE, CouNTY ENotNliR NEAREST
VflLJJAM A. J our-r or BujLmNa CROSS ST. r
DISTRICT N GROWIP rYPF- P ESSED BY
FOR APPLICANT TO FILL IN CONST.
BUILDSTATISTICAL CLASSIFICATION ER MAP.
ING ,r /} a .f�-p •�1C
ADDRESS Go' e-A
CLASS.NO LL.UNJTEaL
LOT NO.C, `/t D ' Ld'f NU BER HyyyMAP 6' YE8 .
TRACT +/1�n f r' <O PAA4 USE ZONE
SPECIAL
NO.OF BLDGS. rT 2, CONDITIONS-
S=OF LOT lAS�O NOW ON LOT
USE OF qtr L-.LL IAI�
EXISTING BLDG, ry L► BUILDING YARD HWY REST ME ` EXIST.TEL SETBACK WI N
OWNER I`r NO. FRONT
P.L
ADDRESS /Z l 4 SIDE
ARCHITECT OR TEL. P.
ENGINEER NO. ON RECORD .
A
ADDRESS TE ' . } O
CONTRACTOR.-If.., 'NO.
�t OL
ADDRESS eA L 0...
DESCRIPTION OF WORK
a
DD ALTER REPAIR DEMOLISH Z .
USE ORIE8 A ILI
USE OF
STRUCTURK
C,/ t!
SIGNATURE OF
APPLICANT _
VALUATION; d O
APPROVALS JDATE INSPECT R's SIGNAT RE
P.C. O PMT, n FOUNDATION: LOCATION
FEH FEE 4' FORME MATERIALS 1!
FRAY E: FIRE STOPS,
I HER[DY ACKNOWLEDGE THAT I HAV[ RR!.LI
THIS APPLICATION BRACI N6 BOLTS
AND RAT[ THAT THE ABOVE I,S CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH PLL COUNTY ORDINANC[l AND STAT[ LAWS REGULATING GAS VENT DUCTS
BUILDING CONBTRUCTION. I CERTIFY'THAT IN THE PERFORMANCE '
OF TH[ WORK FOR WHICH THIS P113RMIT IR ISSUED I SHALL NOT u.TM INT (�
EMFLOY ANY PQISON IN ANY MANNER SO AS TO BJECOMK SUd1CCT
TO THE WORKMEN'4 COMPENSATION LAWS OF CALIFORNIA. }f `/
LATH DCT.
SIGNATURE OF T RHOUSE NUMBER COR-
PERMITECf AND POST
r
ADDR F*1NA
CLYDE N. DIRLAM: PRINCIPAL STR R.AL ENGINEER
PLAN CHECK VALmATION Y.o. CASH PERMIT VALIDATION (: .1) m.o. cmw
13 .50
U'i 0 7 1 4 3 16 ' 1 D 2 7.0 0 �
f
TEMPLE CITY
76A6EEA CE#808. 1-61 APPLICATION FOR BUILDING PER IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS y
BUILDING AND SAFETY DIVISION LOCALITY 1
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN SUPT OF BUILDING CROSS S
DI 5 CT N GR TYPE RO ESS Q'Y
FOR APPLICANT TO FILL IN Q CONST
BUILDING ��j fy! J� j] STATISTICAL CLASSIFICATION SEWER MAP
ADDRE S S�5 ` /�j �/� K PG
O m - /SO O M CLASS.NO.�DWELL.UNITS Z
LOVN L 97- BLOCK/II WATER
(` A/���T'I/1� 1 A Ili f�0 :Q
'T CERTIFICATE: NOT REQUIRED � RECEIVED
Ll
TRACT) /I rA- A I :�,/r(yo. BRAC ! MAP ,ro HIGHWAY STATE MAJOR SECOND LOCA
SIZE OF LOT 7 ( �Q I NO.OF SLOGS. NO. ;z- v O (CIRCLE)
NOW ON LOT USE ZONE SPECIAL
USE OF 9r— CONDITIONS
EXISTING BLDG.
Z
OWNE!E4AY ///r / CY NOfr /J'U
BUILDING YARD HWY STREET NAME EXIST.
•�.r`q /'1t At
j SETBACK WIDTH
ADDRE s� VV 77 (�`/�}/'� LJ FRONT
ARCH IT CT OR TEL. P.L.
ENGINEER NO. SIDE
P.L. }
ADDRESS TEL. INSPECTION RECORD p
CONTRACTOR NO. U
w
ADDRESS O
DESCRIPTION OF WORK u
W
(L
NEW AD ;ALTER REPAIR DEMOLISH to
Z
SQ.FT. (� NO.OF NO.OF
$IZE �'1S//� �?STOR/IIES (,� F(A`M/'IILIES
USE OFSTR CTUR4/'� .Drl�P0l-1"s� /J,�U . lC �
SIGNATURE OF
APPLICANT
VALUATION
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT. FOUNDATION: LOCATION'_
FEE $ I FEE FORMS,MATERIALS
FRAME: FIRE STOPS,
IHEREBY ACKNOWLEDGE THAT 1 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
AUTHOR I
ZED HEREBY I WILL NOT EMPLOY ANY PERSON N VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNA RELAT.
ING TO WORKMEN'S C MPENSA. ION INS NC
LATH,EXT.
SIGNATURE OF ,��� HOUSE NUMBER COR- '
PERMITTEE ���� �� � �� fAl RECT AND POSTED
ADORESS)5i_'Jd / / -
ALffAr FINAL
CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL E R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
I �VO .rCOAAPENSATiCtN TION - 8,506-20 -S$-
zen! to sa If
Iniur racertlHcatel'4ffWoriersComFe ipensQtlospf n Insurance, APPLIC��IO I ■ O� -BUILDING PERMf.
Ifi�id"c thergdf Sec.'.3800;' -ab: C _ .
4 ( r.1 , ..,�... :, , .
COUNTY OF LOS Af�GELES dUILOIhIG ANd SAy
r�oltcyNq.Ii B`5'�2,2-5.J..6rp oyreiliont 6a iity
CerHfled,tQpy-`is-hereby furnlsheclFOR APPUcAW TO ILL IN BUILDING ,
ADDRESS
rtifiejd copyrs filed wlfh'thslcoon-ty bulldrng Ir*-- BUILNNG
,
'tioh`d��nnmenhl. r, r ;,.. ADS 9559 Garibaldi Ave.
p ie -'/$S,,Awllcbnt,Vir&irf,-Roo•f 'Co aTv 'Temple City ZIP
&_kTlFlCAtbF DcfMPTK)N-'FROM WORKERS - -NO.-Cf:BLDGS.-
nL ., •• gOMPINSATK>N-ANSURANCE'r ..a
SIZE(DO OT Now ON LOT ST.. j 1
{Th1i' etllon•h'eedndb, corn let-gd If the-perrnit:li'for'Qne r'-
t,• t.. t
hur)dUed,dollSra,(t10( qt,�e .� - __ . . .__ LO�NO. INAP - PAGE PARCa
.['cbrtify fbtif In'Tfie+t Fo4rT�ncb�roi fhe work for wrhlch this 1 owt,ER- r i 1, jfeinrichNo_ _- __ ZOtE NO t J
petFnItJsJiki; tiitharhn0retpptbyaf,y�df�o'it4lh.arlymanner ADDRESS 557-. Garibaldi Ave.
so ai<to 666 6Iitb'iu§Igl4,to-the'Wbrkwi Cbmpensatlontgrws_' - - - CO DSS r_
tiµ~ µa. 1•.�,,.'„ stir .. .� �e_C�
;.f)OT1(IFTO APpLI�AlIFf tf,'diter'hKikIhjj]this Lerttffc8te of ARCU22H OR TEL.NO. 4 7 GkQ�1P _ RRE,_ __ BY_
E,Zachotion;_'ybu sYibuld become wblect+to '•the.Worker: - o T' Z�
Compensahoh pr;ovlslohibfrthe Labor Code,.you.mustforth- ADDRESS +. �
wlih._corhptf.witit:i uicb�pfOyfslbns Ar,thlF'psmit,sftpll be _ _. _. _..--.----- _ _- .
d°QTed reyAked�,... , n-ti * ,. �'". .'. a.;,, COMRACTcItir in Robf"Co. r o.287-0507 sTAnsncua�ssw Tagg
IICays�CONtRACTORs arpita - -- - 0 Soa"J ''� —160650 : bUs3sib. waL UNITS
I rby gffjMthat I.Qrfi llaen{ed LjrKk '.provl{lpns of'Cliapter 9 No. I
rrieii 66 Sectfon7000)of[3;vislon'3 ftf>4 Buslnesagnd _ - UC._ MAP
Prefbsifor Co¢b,;dnFl :llcdrnb'b'JnvllfdFce ari4tgtf&( QTY. sB31"C�$tftYBl C39 t -. ,` -- - v/►LDwTFON - .�
Bic RG. �
4 SGL FT. No. OF I NQrQ� CHECK
bEehid�lu�n�ie V' it 160650 `' YiG`cla:r' C39 ' SIZE STOMEs �AhULJEs -
eo�i�«r r Virgin gpf; a/27,1;85 IPn Re-•roo.f-.,heuse - - Y ►T
orrwc�atc. ; 896,00-
with
- Q I-am x:mpt under Sec_' - with Class A ,Ilberg�ass aDo, -
? v: + ALTER i f
C�foc t�,1 rias n ^ . T "shiggles. .. 10. squares REPAJI�_ - - -
" oma - ocsE bFF eiD we 11 ing - f c
SIrD Y ' . _ _ ��_ '.._ ,_, �•�. -- -,P1tcnxr Vir -in Rbo£. Co�" NO.20-0507 Flrt�u } ^ 'OPACM
4 4,9 AT '
�W1ER BUILDER QE(lARATION'. =DAA.
._I"hOreby affirm bat lbm exemptl�ofn the Coatioctgr's License - - Y-0--$ba "J _San ` a5rie1 g1 7 .'�°.'+U J_
Lbw for the follovilrk�rgait5"Sddtl6'0 7031.5, Business and 's`�� ' Ra*i p'
'1Profe�lorti`�d4•�•..... ..•,- ..,,
BUILfll NG r - nt
El r,-as_owner of the' 7 em I 'with' 1' I•. 142 048
�roeer ty or p oYees '- ADflRFss `�
wades 4itheirr sale cbmpensaflon,w It do the work-prld
the Fe li not intended or offefed'for sale Lon P-11D
Y
— 7&U,-&,siness and-Profpsslons Eode} _-:.- � _ _ ,._ _TEI_
owner of the property, am exclualvelY c�n7radinp ' NO.
^" rirlthllcemed-controclors to consth>d the project (Sec-tron 7014, Business.andProfBsslonsCode)coNsrRUcrlofr LENDIf`}G aGENCY - vAgn. Irvvy �oP.UNE oL SMACK FRCIM
l herebyOfflrrn that them is a construdlon lendlny agency for-the-performancd'pf-the wont=for.whlehthis �ermlt.-Is issued �... -3097,CIV. C 30;0.0LDMA kf. f- - Psrmtt Fee 50
_certify that Lhbve read this.appllcatlon dnd st&e-tbbt-the _ _ hNandfse. _ LDMA R/.C•I
-. -
a,b¢ve Infortnatbn lacorred, I ogres to cdmply with all Countx. InwsHpirtlon Fws'~ {' rIA' I
ordlnances and,State IcKvs_relaMN to building coeml, ctlon, Dial F:. 40.50 4A m.♦
andetet� utvo
y arize repr"s*ntaflYet,of this County fo ter
U fhe bbove-mentioned rty'for InspeOlonn pur�poosssees�'
JM*9vlf♦t roit EMANA7OU LAMGUA04
- of App or-AQ,.ht-