HomeMy Public PortalAbout9658 GARIBALDI AVE_Building__ T �
76A698A CE#809-7.56 APPLICATION FOR BUILDING PERMIT
1
BUILDING AND SAFETY DIVISION BUI L 0 INC
ADDRES§ 4(c7Ghl e07'
Department of County Engineer
County of Los Angeles LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST.
DISTRICT N GROUEI TYPE I SEWER MAP
FOR APPLICANT TO FILL IN `fj� B
CONST
BUILDING (: y t� I t
ADDRESS Q c� el..-�. �'���+ 1 �rYf �� STATISTICA�SSIFICATION
LOT NO. �, (p Q �I^� I��CS CLASS. NO. DWELL. UNITS
BLOCK MAP STATE
// NUMBER D HWY YES O
TRACT (p UyZO� E SPECIAL/
NO.OF BLDGS. ',! CONDITIONS
SIZE OF LOT �,�"> I NOW ON LOT 111
USE OF
EXISTING BLDG. BUILDING EXIST.
„ SETBACK YARD HWY STREET NAME WIDTH
OWNER FRONT
MAIL P. L.
ADDRESS7,1,e6lSIDE
t TEL. • P. L.
CITY NO.
f 3 goINSPECTION RECORD
ARCHITECT TEL. —
ENGINEER NO.
ADDRESS
TEL. I —
CONTRACTOR NO..y /
ADDRESS
DESCRIPTION OF WORK —
NEW A- ADD ALTER REPAIR DEMOLISH
SFT. i,3RaO. OF OF
SIZE
E TORIES FAMILIES
USE OFS CTURE � -�/.P1 `T
APPROVALS
SIGNATURE OF r
APPLICANT .I DATE INSPECTOR'S SIGNATURE
ADDRESS - FOUNDATION: LOCATION
LLJ
FORMS. MATERIALS 7, 11
$ j P. C. S FRAME: FIRE STOPS.
/ � FEE BRACING, BOLTS
LI/T', FURNACE: LOCATION.
VALUATION" $ � �� GAS VENT, DUCTS
FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH. INT.
PLICATION AND STATE'T AT THE ABOVE IS CORRECT AND _ •r
AGREE TO COMPLY WI ALL COUNTY ORDINANCES AND
STATE LAWS REG L TING BUILDING ;70bfSTRUCTION. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR- ')
PERMITTEE RECT AND POSTED
ADDRESS FINAL
JOHN A.LAMBIE, COUNTY ENGINEER, CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION CK. M.0. CASH
WORKERS'COM>iENS.4TlO17 DECtARATfbN
{ I� � �on,�4t � .�� AP�'LfC—T1 � -f0� ,�� ���N�-,'PER1111fT:. .
Insyro or a-er fTr�Wato'of Workers Compenlotloh Insurance,
br,b ci%&fied copy ftii�eof �Set.'3806 C ) _. . r,T
{ • „ COUNTY OF LOS ANGELES' b{11LD1NC�;,j4>rlA� #Y
Rollcy.No.. .-Company ^BUILDING -
;t CdrttfiaKfzopy-Irhereby furnisbed. V ,. - fQR APPLIS6NT TO FILL IN
ADDRESS
Certified Copy Ii filidlrvith the coanty b'u Ing Insp•c- BUILDING
Ilon'-deparltnent: ADDRESS 87 A' I _
pd(e ApplltQnt' CITY ZIP LOCALITY '
IFICR71 OF fROh1 R5 - fd0.{3F-MDGS. :- .- + NEAREST-Z
OOAAPENSA INSt�RAfJCE SIZE LOT NO'W ON ST.
(Tlils'slic'tlon-field ndt'bercom let ff the:�ermlt N�for grte -- TRACI - BLOOC.
hundr•d,dolltrrs($IM:or,lesi MAS�Oblc' AGE PARCH
r. ^ OWt�. . �*r N ZOPE AAAP
hCc�ffjr tVgt.In the`performancb' Qf.the worts for;which thl4_.
pefm711alawedr5?�alrlloTemploy4nY n In anX mgr�ner _... _ � ,Y ti� SPECIAL �• - - - - - ¢
�as)d Ejecomi;bbl t? ADDRESS
o_Yhb-Workers��onpeosatloh Ldwt.
�'., CTFY '•- - - - -'ZIP•._' c' ^- - - t-= -..':- �` 7'
D�e �•.. +•,. AppllcanT -„ . r : _
NOT1t T0'AtPPLICANT: ff, aftel�Niakln�'`thfi Cerflfitcrfe of nRC7IITiCT bR NEERNO `;'V. ,_DISTRLGr._ GROUF TYPE ��;.! 4 RRA_ .. BY
Ex•mpNon, .you`-should bbcdme•sublpct;tor'th"e' Wdrkeri OOt�ST'
Compensation.-prbVldons of.the.Eabor.Codd;,jrou must fdrth • -
with.,compjy,,ivith.,stich•proyJslorts or.,Thls,-permlt jbidll be _ _ - _ ,.T._ _ -
' STATISTICAL CIXSSIFIC�1110NIL9AJ'T.- 1
NO - J
LIC�NS�CONTRACTORS DECLARATION i - - - -LiC;;: ' --r-- IUA55 NO.
�� DWaL UNf �
I hereby pffirin th I FQm llcerised un5ler,pp��g.vblona.of Cihapler 9 6 NO. r o I
,(corrlmen>dng wl�Secltorl 700(3)of dlvbloh 3 of fhe BuslrTebtgnd Q
Pro esslQrrrii.�ode and-my llaensdli In`'ful�'forcg artd'bffe�.. C17�.. C1ASS' Bk 'PG.(1 - _r_. _.. 1.. - —VALIDATION
/� �,I� FT, T. NO. OFi Y
Llttidr>ferNljm /�3 r'./ / 0 Llc?CI - STOftfS�.. -._ �Q•` _ -1-'
.
caltrcrctor AL
6F: ;r r_ ��
n e _ ; SUUr
ADEWY
I am-exempt under Sec
B.RP.C_ fort-{Ifsreason T s_ REPAJR._.
OF -74
-. - DdTB: fXJSIItJG DEAhOL _l � i _- r
Slgrwtur�i -- �# b e •,'ye,3
DECLARATION 7DA
l aere affi dhgt Larti.exempt-fromth•Contractor's Uc•ns• i r
law for:the fgllowlh'q,t�dsort;.(Wlon 7031.5, BtAlness and ADDRESS �
. 'kr`�fb>fYr6ns-Codb): :.._ _r-'•- �--w:,:. .. - �6�- r- z`..- -
BUILDING
•`D'a:5 91'2.g
` Inas'owner of the propo", or my'employeea with - _ ADDRESS - - - - .. ,{
r- 1
waptao#theli sole compenaatlon will do cite wFork and LOCALITY, -` 'I ;r I l� Q d
r 2-,-
the structure is not IptorxJ d cr offered for isle{Section - "
70I4$uslne•f and Profeblorq Code). MOVIm - -T� -
y I,'as owner-of the property,.am exclusively coirritracTing OR NO_
with 114erued contractors TP-construct the pro]bct (Sec- -_. _ . . . i y , 1 , a -
tfon 7044,BUsln•ss arrd Professlona Coda} +
J-
CONSTRlJCT10N 7f1JDING AGElJCY' s YiRD IfVVY' -` PROP.u WIDTI�i Y
Thereby dfflrm that there Is a consttuctlon lending. for. �T 7
the`p•rformarKe-of the-work for-which this permit-Is laved - p _ _ _ �._ .. -. .Ir_ -- _ -.- -•-- .
(Ser-,3D97, Cly.C-} SIDE
Lender's Name T
- LDMA Rif:• - ,i,l,: Y_
Th0nders-Address. _ "-
this a II otIon-a +Pat.the - t _ - - - -
I.c•rt�_tbatl have.r•od pp hd.statq. tsuarrcerow 11 7[)h147?/cam - -�
above Ihforawtton is correct. I agree to comply with all County
ordinances and State laws relating To_building cgnliructlon,
•and h 'orize repl•esentatives of this Irounty,to enter -z Total F•a -CDMA Pearl:-/•-- •, I ,
upo a antloried_Prop"for Inspectioh purpgsea. _•
Q }1 T M R1Nlf✓1 MOR DPLANATORY LAJOGUAGi
- -SFQrwtur•of APP kaM or AQ•nt- -•- - pa►• _` - - -- --- ._-. -- - r - - _--z --'r,•-- J. .T�_. _ --�._ - _ -�I.
:.woRJ�as'�oanPv�sa,�rbr�DEciARy�loN _- '' .
he I(
a firm tthaf a�,e a certtEltate of consent.to self : AP P LI CATION 'F O f t BUILDING PERMIT
�Ir ure, or.a certtficate of Workers'Gompensatlon,Iniurance, y
or a terttfied copy thereof(S�c 3800, Ld6..G ) OOl1NTY OF`LOS ANgW BUILDING ANQ SAFETY .
Polley No. Cbmparry RLDI)NG Cgrtlfted copy is I,srpby furrif,hed. FOR APDL T rI IN ADDRESSCertified copy is filed withhe cautrty building Jrnpectiondepartmbnt.Applrcgnt r MZIPCEIMFICA7E OF IDf%kFhON'fROM WOf21C1`RS' T
NOW Qr'f LOT _ ��COAAPENSAT1.gKINSLIRANC�Ion need riot be cohtpleted ASSESSOR
ff the f�rmlt I,for ono- BJ:OCK. LOT NO. BOOK- PAGE' PARCEL
dollart'(;1(l0) oz^Idu�' �=I cgrtlfTl That Ih the performance of fhpniork for.whlc�, thT,p4tmlt h hurod,.l shal6ngt,emplgybny pKson In.aay � '
s so as fp subfett to the,wgf-k nsatl
- may. r 7JP:. _, .� -
:Date APP llaant: AR(}iITECF OR TEL DC
NO rt Af'PL1CAlyTc,Jf,. dffef.ma In{� ih rt
ENG INEt - NO- D GROUP TYPE ZONE6
Bl O
FYM(hptlon, you..,:�lioold:beagnq•snblIs,ct'to thew,w ri
Com�njollon provlsldns of dhe Labor Code-,you must
with comply. with such.provisions or.this. shall be TEL STATISTK:AL,CIf�SSIF}GTION
deemed rsvoked" C0 TRACTOR —
UCEN$E�C QN`IRACTQR&OK ARA•T1QN JJC C1ASS'NQ 11NtT5 '
NO
. 1 hereby affirm that I am IJ'Genied oPd4r provL{'ornof(meter 9'. �.... .
- LIC• SEWER MAP
:(commencing v�tth Sectlon 70WQ of Division, 'Of,the'BusThess' VALIDATION
and Firofeislons andclp' Ilgerse Is-In full force.. off&&. .. BK" - pO � N . .
SQ, FT. NO-OF. NO.OF Q ECK
UQg-me N'um -UE. Cldas RJES FAMJUES O J
�-i� VALUATION
00
co ,'p�eL DESCit1FT10N . 1 Q' NEW W. f `
Abb
I larn exempt undetr'Sec.' Poo-
+ a'
A1TH2
&,&P..�, for this recpoR L Rf3'Alk ❑
^'DGte: USE Op_ : v. _ r
EX15T1NG BLDG DEMOL ❑
5)6nature FRiAI -
OWN02 BUILDER DEClt4RADON
I hereby affirm fhat I am exempt from the Confrptor'S-Ll �`
Law for the fbllowing reason {Settlon 7031.5 "Wenand ADDS FINAL,
Profecilor5s Code): J :}. - _ - - �" -• A. ,
NG A T:T
❑ . I, as owner of the property, br My employee, with" App h ..•r:6.3.T'
wbfjes as their solo compen#atlon',wJII&the.WOCk ad - _
the stractur4ls not Intended or off eredforiafe'(Secflon LOCisAL.ITY
t�I
)U44, Bus iness-aad?rofesslohs Code.) MCMI (3. �7g m i y�
LI I, as owner of-the property,or);q.xciu,ively tpntrpgtlPp �NTG4e7OR NO. r, { - TML. 63
with licensed-ootroctom Td cbnstruct tho prb'(er3lW ADDRESS .-- i. ! { " —_ _
tion 7044, Duslnen and Profeisloos..Code.}.
OOtJSTRUCTTON UiNDINCS * YARD It♦Ni FROlv1 C'; !!l 1� AKE
I hereby affiIN
rm that therp;is a construction Jer�ing ogsncy fbr ' cxrT >t' _� .}' : � L s 1 E
the p�rformahce of the vvark for"Whf6 this permit Ir Issy>.d• P u �h `i; {• , 3 y J
( . 3097, GLV. C): - RI _ ' : ? H4 T/� ,S/�I
Lenders Name �/�. 2 LDMA Rsf. # , 1 AM 76ref
P.L Fee - - - - Psrrn It Fes 50 f - rf t i� -
24 Lender's Add raw
o -1 certify that J-have reod.thls appIICatfan and state Thdi ti» Isuanos 3 LDMA P/C t T ► 1
above information is cornett. l hgree to 7np 'with alt County Iny�,t4patlori Fw _ 2 _
ordinances and State. g to bulidlrg crorbdructton, Totol Foe �.3 LDMA Perm. 0,
and au re ve,bf thli County ttr ter
4 " 1 Ion "
Sfa_ .role EM
^NATM L"#W�
5Jq of Appi1=1 coAgW ~r
COUNTY OF LOS TEMPLE CITY 0 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC }ORIS 9701 LAS TUNAS ALTERATION/REPAIR
BU=ING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0805090030
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BU=ING ADDRESS:
TR: 6561 LT: 156 UN: .003 SQ. FT STORIES TYPE 9658 GARIBALDI AV
STRUCTURE: V-B TEMP CA 917801737
ASSESSOR INFORMATION NUMBER: Nl'.ARSL4T CROSS STREET: TEMPLE CITY .
5385-018-026 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
TENANT: EKIST BLDG USE: RESID USE ZONE: R-3 ISSUED ON: PROCESSED BY: EaPIRRA ON:
EXIT OCC GRP: 05/09/08 SR 11/05/08
OWNER: TEL. NO: BLSJGS. NOW ON LAT: VALUATION: F Y: COD$:
HUANG VICTORIA L (626) 2B6-9586- 8,000
9658 GARIBAr DI AV
TEMP 917801737 FEES PAID DJLSCRIPTION OF WORT
FRONT HOUSE STUCCO AND REPLACaCKNT 12 WINDOWS
FEE DF9CRIPTIO7: QUANTITY: UOM: At33UNT:
APPLICANT: TEL. N0:
168 CONSTRUCTION 4 REMODELING (626) 284-6682- AA BLDG PERMIT ISSUANCE 27.75
821 S. 4TH ST. #17 AC STRONG MOTION RRSID 8000.00 VAL 0.80 SPECIAL CONDITIONS:
ALHAMBRA, CA 41801 D2 PERMIT K/O ENT-HC 8000.00 VAL 183.00
TOTAL FEES 211.55
CONTRACTOR: TEL. NO: APPROVALS DATE IM PECTOR SIGNATURE ,
168 CONSTRUCTION 4 RE)IODELINO (626) 284-6682-
821 S. 4TH STREET #17 LIC. NO LOCATION AND SETBACKS
AIS-AMBRA, CA 91801 899733 B
SOr ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FQ ON TRENCH FORMS
LIC. NO: gLAB ER FLOOR
RAISED FLOOR FRAMING
MAP NO: SENSR MAP BOOK: PAGE: FIRE ZONE: O4P: UNDERFLOOR INSULATION
15011269 3 01
FLOOR SHEATHIIR3
HO. OF : DWELLING UNITS: APT GOND: STAT CLASS:
NO 21 ROOF SI-IE7aT'[-TING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QC LIT'Y: 1000 FEET MATERIALS
NO NO NO F1 FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM RSIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH: .
FRONT PL- TION STRIP
SIDE PL-
r r4rOR LATE/DRYWALL
EXTERIOR LATH
RATED FLOOR CZIL ASSEM.
RATED ?ALL ASSEMBLIES
RATED SHAFT'S OPENI?Aw
T-BAR CEILINQS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: M0508
J
COSY OF 'LOS ANGELES TEMPLE CITY 0508 BUILDING PERMIT
DEPART?EM OF PUBLIC WORKS 9701 LAS TUNAS - ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVh'L RP NT TEMPLE CITY CA 91780 BL 0508 1206250072
PHONE: (626) 285-0488 SIT:
LEGAL ID: NO. OF CONST BU=IFG ADER&S-8
TR: 6561 LT: 156 UN: .003 SQ. FT STORIE.9 TYPE 9658 GARIBALDI AV
STRUCTURE: 22 V-B. TEMP CA 917801737
ASSESSOR INFORMATION NUMBER: - , NEAR&ST CROSS STREET: TEMPLE CITY
5385-018-026 THOM9k.9 PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG OSS: RFAID USE PANE: Rr3' I9,9= ON: PROCESSED BY:
El= OCC GRP: 06/25/12 SR
OWER: TEL. NO: BLDG9. NOW ON LOT: VALUATION: F F CODE:
HUANG VICTORIA. L (626) 286-9586- 3,000
9658 GARIBALDI AV
TEMP-917001737 FEES PAID DEMCRIPTION OF SARK
REPLACE ROOF ON ROUSE 22 SF W/30 YR COMP 9HINGL&S AND 30 LB
FEfi D&SCRIPTION: QUA.NT'ITY: UOM: A4DONT: FEST PAPER
APPLICANT: TEL. NO:
CABRERA, CALEB (626) 378-2393- AA BLDG PERMIT ISSUANCE 27.80
1167 &_ BROOT,PORT ST AS STAT& GREEN BIDE FEE 3000.00 VAL 1.00 SPECIAL CONDITIONS:
COVI2A., CA 91724 AC STRONG MOTION R&SID 3000.00 VAL 0.50
D2 PERMIT W/O EN-HC 3000.00 VAL 99.00
TOTAL FEFi9 128.30 _
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ELITE CONSTRUCTION (626) 378-2393-
1167 U. BROOKPORT STREET LIC. NO LOCATION AND 9ETBACIS
COVINA, CA 91724 841257 B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: F0I3NDATIOa TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMI19G
1
MAP NO: SEWER MAP IC: PAGE: FIRE ZONE: CM£P: ERFLOOR INSULATION
150H269 3 00
FLOOR SHF.XT rTNG
NO. OF FAMILIMS: DHER i nal UNITS: APT/GOND: STAT C.KSS:
0 NO 21 ROOF SHEATHING
A 11 10W
SCHOOL WITHIN HAZARDOUS SRF.AR PANELS
AIR QUALSTY: 1000 FEET _ bU TERIA S
NO NO NO 17RAME INSPECTION
FIRE SVRINTLER HANGERS
. INSUYATION WEATHER STRIP
OR LATH/DRYWALL
EXTERIOR LATE
RATED FLOOR/CE= ASSEN.
R?Xp WALL ASHEMBI,
RATftD SHAFTS OPENINGS
T-BAR CFJ2INGS
LOT DRAINAGE
REPORT ID: DPP-261 ROTE TO: B90508
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