HomeMy Public PortalAbout9647 GARIBALDI AVE_Building__ APPLICATION FOR b'UILDING PERMIT �1
FOR APPLICANT TO FILL IN (Print or type only) LJ
BUILDING COUNTY OF LOS ANGELES
ADURESS DEPARTMENT OF COUNTY ENGINEER
clrY zIP BUILDING AND SAFETY DIVISION
NO.OF BLOGS. BUILDING
SIZE OF LOT NOW ON LOT ADDRESS
TRACT BLOCK I LOT NO LOCALITY
TEL. �. �- NEAREST `
OWNER Q, �;¢ NO. CROSS ST.
ASSESSOR
ADDRESS f ( MAP BOOK PAGE PARCEL
/� Q o DISTRICT FGOUP TYPE FIRE PRO SSUD BY
CITY'r��C.L ZIP /I 7d L� CONSZONE
ARCHITECT OR TEL. 1�
ENGINEER NO.
STATISTICAL CLASSIFICATION ,SEWER MAP
ADDRESS CLASS NO.�-DWELL,UNITS L.�BK G
CONTRACTOR NOL USE ZONE MAP /1
LIC. NO.
ADDRESS NO, �v SPECIAL
LIC. CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES E] NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH LDG.SETBACK FROM d
RONT PROP,LINE OF (STREET) CD
ADDRESS CITY IGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING
SQ, FT. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE STORIES FAMILIES ONE
} V
DESCRIPTION OF WORK NEW ❑ N
ADD BLDG, TBACK FROM Z
SIDEPRO EOF (STREET)
ALTER ❑ HIGHWAY } YARD - TAL SETBACK FROM/( EMOL ❑ TYPE OF EXISTING
fJ REPAIR❑
SID P. LINE HIGHWAY WIDTH
USE � +
EXISTING BLDG.�,(�M ! 4l/V'�
APPLICANT TELCORNER CUTOFF YES ElNO
(PRINT)- . lo' 0. Ops' 6
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
Q IN COASTAL ZONE YES ❑ NO ❑
VALUATION$ �� CATEGORICAL EXEMPTION YES❑ NO ❑
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE)
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON-
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
-
WORKMEN'S COMPENSATION INSURANCE.
SIGNATURE OF
PERMITTEE
ADDRESS Q{ i
�6 _) '- FINAL - BY
TEL. DATE
CITY NO.
MAKE CHECKS PAYABLE TO: FEE $ ', FEE'
HARVEY T. BRANDT, COUNTY ENGINEER 01
PLAN CHECK VALIDATION CK M O. CASH _ PERMIT VALIDATION CK. M O. CASH
1 68�JUL 25 1 D 28.5 J ,&
76A638A CE#A03 7/73 .-
- APPLICATION FOR COUNTY OF LOS ANUS
EER
BUILDING PERMIT
DEPARTMENT BUILDING SAFETY DUNW IVISION
BUIU)ING
FOR APPLICANT TO FILL.IN ADDRESS 7 c
BUILDING
ADDRESS 9647 Garibaldi Ave. . LOCALrrr
QTY Terrple C ty ZIP NEAREST
CROSS ST.
NO.OF N DGS. ASSESSOR
SIZE OF LOT NOW ON LOT 1 MAP BOOK PAGE PARCH
TRACT 132 BLOCK LOT NO. l5 DISTRICT GROUP TYPE F1 RE ED BY
CONST. Zm
TEL. b . dg V
OWNER J Gandiotta NO. 285•-7646 STATISTICAL CLASS IFICA ON SEWER MAP
ADDRESS S e CLASS NO. DWELL UNITS BK
CITYZIP USE ZONE MAP
_ T�L �Q NO. 0
ASPECIAL
Ei4G4NEEA OR L. Su188r NO. CONDFK)NS
ADDRESS TEL ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO 4
CONTRACTOR Alixe fool NO. 748-82441 BLDG.SETBACK
LIC FRONT PROP.UNEOF al �� C ,0-( CSTREI=D
ADDRESS 1526 Wa NO. 2 090 TOTAL SETBACK FROM TYPE OF EXISTING
HIGHWAY YARD - FRONT PROP.LINE HIGHWAY "WIDTH
CITY Zoe Angeles UcA' '+.0-61
CONSTRUCTION LENDER +
NAME AND BRANCH
_ BUX'i.SFTBAOC FROM U
ADDRESS Crr( - SIDE PROP.UNE OF (STREET] O
SQ.FT. NO.OF NO:OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF E�STING 1
SIZE 462 STORIES 1 FAMILIES 1 _ONE— SIDE PROP.'UNE HI AYI WIDTH
DEKMPrK)N OF WORK AlumPatio Xver NEW
W Screen' & Glassene Enclosur ADD. CORNER CUTOFF YES' � NO
ALTER IN OPEN SPACE YES El NO EJ
USI=OF IN COASTAL PERMTT ZONE YES ❑ NO ❑
EXISTING BLDG. M o. DEMOL
A IPRINTI AI.Lffial.%SA o1. NO. 748-8241
BY LSIGNATURD
I HERESY AOOOOWLEDGE THAT I HAVE READ THIS APWTK)fi AND STATE
THAT TFff ABOVE IS 'AAlD AGRff TO WMPLY WfT}i ALL ORDWAl�3 .
AND LAMS REC>IA.ATR�G d.M LDPKi WfJSITd1CilON.I�fI1FY THAT W DO04G THE .
WORT(AUTHORIZID HE3iSY I WILL NOT EMPLOY ANY P65ON IN VKOLATKIN OF
THE LABOR QODE OF THE STATE OF G,L FORNI A N RELATING TO Y K)WA EN'S COh4 - -
P91SATKONPERMETEE
SI TlOf DA /� BY /
ADDRESS
1526 3. Mhfngtori Blvd.
Los Angeles Ta- 748-8241 P.G Fee$ Permit Fee
PTY No.
Issuance Fee
vALUAnoN$2.500.
Total Fee
PLAIN CCH�ECC,K�VAUDATION' Citi M.O. CrsH PERMIT VALIDATION. - cx :O. CATH
3 I CA L 9 - 1 o," 4 nL 4 .0 0
(s 7eA&MA Cl P803A em
COUNTY OF LOS ANGELES ELLE CITY 0508 BUILDING PERMIT _
WARTMENT,OF PLELIC WORKS _ 71 LAS TUNAS-. i ALTERATION/REPALR
BUILDING AND SAFETY./ LAND.DEVELOPMENT .- -TEMPLE CITY'CA SL 050a 9707030025
" .PHONE- .(818} 285-0488 QR-LEGAL-ID: OF CONST. ADDRESS:.:
TR- 13277 LT: 15 - SQ- FT STORIES TYPE.._. 9647 GARIBALDI AV
STRUCTURE: 0 VN EMP
G 917801738
r, -NEAREST.CROSS STREET: CAMELLIA
5385-017-021 _ - - - THOMA$ PAGE: 596_•-GRID: Jz- LOCALITY: W
LE CITY'
TENANT: 7' EXIST BLDG USE=R OV amt: ISSM PROCESSED BY:. EXPIRF;6 ON
- Ell ST OCC GRP• r 07/034197 : TC 07/ _
LAM tm TEL. NO: BLOW. NOW N LOT:-m VALUATION: FINAL DATE
. CAMDIOTTA-,NQS8PH•PHYI,LIS TRS (8t8). 285-7446- . 1 - 3.400
9647 W I BA1-D I A� 1 _ 31
TEMP 41780178 m FFES.PAID
T/G AND RECOVER PITH A Q1F]iS Q 30fYR..COMP
FEE DESCRIPTION: QLk NTdTY: UOM: : i4101a1T: SHINGLE - NO NEW SHEATHING
J,i M ROOFING (626) 960--IMAA BLDG PERMIT ISSUANCE 27.75.. -
AC STRONG MOTIbM RESID 3900 00•VAL 0.50
1_ D2 PERMIT W/O EN-Q9- � 1 00" .. '. '116.1U
L I §EE$ 44
1 .35
J i M ROOFING ���
1249 HINNEN AVE LIC. NO
HACIENDA HTS G.91745-.: 695367 C39Amm .
ENGINEER- �—
- LIC. N0:�.. �. � S=DER FEW - .
RAISED FLOOR FRAMING
1508269- FIPE3:1UMP.. WTION
0{ PU UG WO O K
q _ F155k,SHEAiHINGcok
RZF SHEATHING
No 21 dl
acr
R_ flIULITY: 1000 FEET,, MATERIALS
mm UEAR PANELS
AI -
_ �j d
NO NO NOTOTAL FM EX I ST
v-.. �1.
SET BACK YARD:` HWY:• .-PROP LINE: WIDTH:
FRONT PL-
SME PL- ��-
�+. . -
EXT61OR LATH
RATED WALL IM94BLIES
- - J
RATED 9HAFTVWOMM�
T-B�R CEILINGS
r.
REPORT ID- DPR261 ROUTE TO: BS0508 1
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