HomeMy Public PortalAbout9711 GARIBALDI AVE_Building__ , BUILDING
BUILDING'" 17 , f
DDRESS
APPLICATION LOCALITY
- NEAREST
DIVISION OF BUILDING AND SAFETY CROSS ST.
Department of County Engineer DISTRICT NO. RECEIPT NO. PERMIT NO.
County of Los Angeles Ir !!e
WM. J. FOX, COUNTY ENGINEER GROUP DATE RECEIVED DAT SSUED
CASSATT D. GRIFFIN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY IBSWtD BY
OWNERMAP
Y, ��/
AMAILDDRESS 23/ /y �/g NUMBER ` SHWYE NO
T/ USE ZONE SPECIAL
(5, 7- TEL. 7 "y :. !+ CONDITIONS
NO.
ARCHITECT OR TEL.
ENGINEER BUILDINGEXIST.
SETBACK YARD HWY STREET NAME EXIST.
ADDRESS
_ FRONT
TEL. P.L. •1
CONTRACTOR NO. SIDE
P.L.
ADDRESS
BUILDING'- ,�. DATE CORRECTIONS INSPECTOR
ADDRESS C fc:.° fJ' L..�✓�
LOT NO. BLOCK
_TRACT -.. 'rrT4 if!Yc1 ZRIU aNO.OF C 4
NOW ON LOT
SIZE OF LOT J i'� ' 'k
USE OF
EXISTING BLDG.
DESCRIPTION OF WORK 02
O
NEW ADD ALTER REPAIR DEMOLISH Z
Hq. FT.., '? D
. 1 NO. OF NO.OF r
SIZE :. v STORIES .✓ FAMILIES _
USE OF STRUCTURE
NO.OF
EMPLOYEES
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB AP-
PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DATE
CORRECT.
IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION
AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FORMS,MATERIALS
FRAME: FIRE STOPS,
SIGNATURE OFBRACING,BOLTS
PERMITTEE r �y-'
FURNACE: LOCATION.
G
ADDRESS_ f y `� `J GAS VENT,DUCTS
7
LATH, INT.
AUTHORIZED AOT. t.
'y LATH, EXT. !
$ y,�',/OO �"�" P.C•SHOUSE NUMBER COR-
//• 6" RECT AND POSTED
VALUATION sa 0-6 hi, FEE FINAL
76A63BA DBS 3 12-53
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (Print or type only)
COUNTY OF LOS ANGELES
ADDRESS L- r �'� DEPARTMENT OF COUNTY ENGINEER
CITY zIP BUILDING AND SAFETY DIVISION
NO.OF BLOGS. BUILDING
SIZE OF LOT NO ON LOT ADDRESS
TR BLOCK LOT NO. LOCALITY -
TELp NEAREST
OWNER - p CROSS ST,
ASSESSOR
ADDRESS MAP BOOK PAGE ARCEL
DISTRICT GROUP TYPE FIRE PRO SSED BY
CITY ZIP
CONST ZONE
G1 GO�
ARCHITECT OR TEL.
NO.
STATISTICAL CLASSIFICATION
ENGINEER SEWER M4
ADDRESS CLASS N _DWELL.UNITS L 811P3 PG
CONTRACTOR TE0L. U F-ZONE MAP
NO.
ADDRESS LIC.
NO. SPECIAL
LIC. CONDITIONS
CITY CLASS
ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BL G.SETBACK FROM
FPPNT PROP.LINE OF (STREET) V
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
SQ. FT. NO. OF NO. OF CHECK HI HWAY + YARD - HIGHWAY WIDTH CD
SIZE STORIES FAMILIES ONE FRONT PROP. LINE GO
DESC,4RIPTION OF WORK NEW ❑ + _ N
ADD ❑ BLDG,SET ROM Z
SIDE PROP.LINE (STREET)
ALTER ❑ HIGHWAY + YARD = TOTA TBACK FROM I TYPE OF EXISTING
REPAIR❑ SIDE PRO INE HIGHWAY WIDTH
USE OF wu + _
EXIST145K BLDG, "�J DEMOL ❑
APPLICANT TEL CORNER CUTOFF YES ❑ NO
(PRINT) NO.
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
Q, IN COASTAL ZONE YES ❑ NO ❑
VALUATIONW +� 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 1WILL 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
, F
TEL FINAL BY
CITY NO. t DATE
MAKE CHECKS PAYABLE T0: FEE $ FEE
HARVEY T. BRANDY, COUNTY ENGINEER f�
PLAN CHECK VALIDATION CK M O. CASH PE,f IT VALIDATION cK�.o. CASH
r
0 0 ��tiY 5 U
1 1
5.0 U
76A 638A CE4803 7/73 _.
VGOi +&� COMPENSATI ON DELL ,TION i. ,A sy-11..t
1. "ro y Oi I have,p certtflcatp•of cgrrien to self , I�PPL�C�#'fIO�V ...FC fit: PUILDING-PEMIT
Irisuf4, or a certiflcit6 of W ers'Compensatlon Insurance,
• oip'cbe'tFFled c'Opy thereaf'(Jdt-'3800,�aFi:�) •,, •�� r. - -' - -" ,•, - _ -- --
,k.:;. ... COUNTY OF ANGLES', BUILbIN41ANS
poll _ - r `
'+Certlfled'fgoy Js,hereby fumtshed.'r. -. .r FOR APPLICANT TO FILL IN: BUILDRJG _
':� : ('ctsp� Ind wlthl the"6oanty bulldlhg lrlspec BIJILDI
f dh'dKpbitmeBY.+�, 'I- '•'.
Date. •'c, : ,,•-. A�pilcbnT &YP V Z1P 917M LOCAUTY
i 1 C T2Y1 SKATE OF DEMPTi ON.'F ROM WORKERS' ` NO.OF BLDGS
""QOMPENSAtiON ANSURA,'CE'.. 1 SIZE OF LOT MOW ON L ST 1
�CN$bze2fion geecKno�be com letecl If,the'permit.is for one -- ''�� -
. hd ¢gllart(SloO�or Jesi.�, r,. Tkr,6-- `� Btoa( T rlo.' MAP BOOK E I PARCEL h
l�cetttfy-th iri tfie pefformaricd o'f,�he'work for wrW ch-'thfi 01ATER' ZONE
- J NO L' _4
pqr{ It is Issu&d, I W�dll Opt emhloy'ghy f}er}pnin'any maoner h{J/ - - -"_ _ SPECLAL
•sorbs 9,become.subl6dto the Workert'C'bmpeiisaiibfr'taws. MOW
dat Applfgahf U � �lr� UfX LP.
NOME-TO` IUKNS: If„'dffba hbklrig-'thl� Cdrtlflcate of .~ ARCHIfECTOR - D�qDUCT_ CROUP �� . . RRE_ Y ._
IE�emptlbrf"-tyeu•sktould• becorria subject"to-4he-'Workers' /J T. Z
CompenicrHbb prb4lslomofthe.kabgr Cbde,.jowmustforth- �J�''� � - ' '- -
w]fh-eorhpfy w1tTi�:supb .paovislon! -,this psrfhlt shall be -- _ .-- -- _ YT - - - - �- _
4vemed_rp,r6kgdi.:. w'.• ' .. . s 1c y' +. r-•.r u.•' CONTRACTOR T. y• STATUIG1L OA,5SI�T10N :1_, APT '
L1�E13SED CONTRACTOR$QECJ ARAT}ONt,.a'?; =1,• _ _.. - _ . . f -- LIC - - _ �A55 NO. :DWELL UNITS
I here¢y�1fflrm#hat I arj IIcgnsecl.ui>*provl orfs of CAQPtw 9 ADDRESS - r NO.^ I
P(� MAP
--M-tn9 wtth.Se lon 7000)c 4D Isle�, 4.4�I rm w and _-_ . . _. _. ... -, --- - --'- g R r
jo�Fewl .Code„'a`iid my llc”ll in`#isll fdrcp, {. CfrY CLASS _ _ _ _-- .t r VACATION'
- 'v•s . .•r. T'_t.' _A'A , < BK_ -PG. �T
, .;,
F SQ. NO. OF NO. C7IEQ('
iJ`cense Dumber L Lrc"C } S17E` STOk1ES Ll� OhJ�- • Vµ � ) t �Tr -, ,; i r
,}' nr.r. '. "_. 1 tis - " DESCRIPTKW OF WORK. - NEW-
tractor
n ctor _ (J C�
- ADD,
❑ I am ezpmpt:uitddr Sbc Olt1
'�, r: _ « .t..y.�. . r; � ALTER s �rc4
8.&P.C. for tltlareasdh y iz REPAIR.. -.
USE OFD(IST1tJG13LDG. / C:�i - -
`_siLjrSatbroTa-
- 32 6 A
OWNER 1WER•DECIARATION ;, _ ,. _ td0 _ DATE +r �$ s. e_♦_ e. O �.___-1
-4 hereby�f#1 m theta am exempt#com,thb Co iroctou iJ Ice
nle Q s q
Law for the folloytlri� rRasdrY'{Sbatlort 1b31 S; Buslneis,and AbDit65-!.OIG/ - }� r.i s ? I o 0
..�"-""Pfbfgwlohs-C6dr�:-"?•''*^'....,-.+r .. 7 ." "bp` - �...•-.•« �,:. .. _
e tk1ILDING '
I, 'cis wrier of tftie �or rti em I with o oR'a 6.a 6i��•
P. pr°P'rrY, y payees._ _ ADORES$,.. -
YJo4es as}hefr.,lolccomperlsatlo"h,wllRib thq work and
' the structure Is not Intbnded or offered for saln�5ectloh �. LOCpIITI ". {': I } 0']-F&5 M1
Buslneln and`Professloris Code): - MOS+ItJ6
-
I, as rry of the property, gm 0ScSluslvely cgntractlnp
-wlth=llcensed contractors to-construct-thp prola&(Seo-
;- -- -
floe 7044, Bujlf>ew-.gnd Profsms o'hs Code) REQ(JIRM •,
� UC�TIOIf1B1D1NG'�lC1CY- TAL
SETBACK- YARD +[WY STM,'
PROP. ❑tE
I herebq affirm that there fs o cortsiructloh Iending agericy for FRONT
fho-perforinbncerof the'wor•k-for which dhlt'permli Is issued ---
{Sec.'3097, Qv. C ) SIDE.
LerKWs NgtneMIN
LDMA Ref. -
�._- P.C' Fee - Permit Fee
Lenders AddTew, _
- - /1 - - - -
-L Gertlfy-that)have read fhR_4pplJcatlgq nnd-itvfe:lhat the lauance Kee o - • V= IDMA-P/� .-
dbov*lnfonTpatlon 14 correct. 1 agree to comply with oil County Inwatpvnon Fee
prdingftces_and Slate-[pw� relating 10 bultdlnp tong r gl4n, -
and hereby quthgrfze representatives of this County to enter'- .r `- LCTARA
Upon the above-n»ntloned prop"for Ir4pectfop pur'Posea
rIlly ~� SM WV11 It t*M]MAKATORY IAl1OU/td1
nature of kmt 8r AQent _ Dab - -
COUNTY OF LOS ANGELES TEMPLE CITY n J.0508. . BUILDr" PERMIT
x DEPARTMENT OF PUBLIC -WORKS .9071 LAS TUNAS 'RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LANp DEVELOPMENT TEMPLE CITY CA BL 03015 9706260030
PHONE: (818) 285-0488 EXT:
LEGAL ID: NO. OF CONST NEW BUILDIN
ON FILE SG. FT STORIES TYPE OCCUP GROUP 9711 GAR LBALDI AV
STRUCTURE: 748 1 VK R3 TE14P CA 917801740
GARAGE; NEAREST CROSS STREET: GOLDEN WEST
5385-0�0-017 OTHER:. THOku PAGE: 597 GRID: A2 LOCALI TEMPLE CITY
TOW.- EXIST BLM US-E- USE ZONE: PROCESSED BY: IRES ON:
EXIST OCC GRP-• 08/1 TC /12/98 .
OWN TEL. NO: BLDGS. NOW .ON LOT: VALOATIOFA- F I NAL DOE FINAL OWE:
CWJ RU CHENO V;CECILIA Y - 55,35.0
9711 GA8IBALDI AV
TEMP 917801740 FEES PAIDIt OF WURK
ADDITION OF DINING ROOM, LAUNDRY, TYO MASTER BEDROOMS WITH
PEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANTHOILYEVER•CONS. CO. (818) 968-1056- B1 PLANCHECK Y/ENER0 55350.00 VAL 803.48
82 PERMIT L/ENERGY 55350.00 VAL 945.29 SPBC14 CONDITIONS:
LEFOES 1,7415.77 `
HOLLYEVER CONSTRUCTION (818) 968-1056-
9000,
HACIENDA
S. RIO LEMPAHEIGHTS,
DR. LIQ. NO
cx LOCATION AND SETBACK$
HACIENDA HEIGHTS, CA 911745 637952B Cb
ARCHITECT OR ENGINEER: TEL- Tff--
FOUNDATION/TRENCH FOM
HDLLYEVER CONSTRUCTION .(818) 968-1056
_ ® /
2771 S. RIO LEMPA DR. LIC. *0:
HACIENDA HEIGHTS, CA 91745 637952E
MAP WO-. M10 MAP DOOK: PAIGE: FIRE ZONE- CMP: UNDERF�ODR INSVTION
3• 01 a u SL C Woff I KS
No. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS; ?ND LEVEL FEMWTRUTF--
No 21 �,� �� .� F� �! co -
AIR QUALITY: t000 FEET MATERIALS /'_ �� r N [JREOUMED TOTAL Suva FROM EXISTTT
BLDG MT. FORrTUn
10 - FIRE DEPT
SET BACK YARD: HWy- PROP LINE: WIDTH: Y
FRONT PL- . SHEAR PANELS
SIDE PL- ��cINSULATION/WEATHER STRIP
+ ,
INTERIOR LATH/DRYWALL
LOT DRAIN
SMOKE DETWffffl-ffEVr=-
�EPORT ID: DPR261 ROUTE TO: BS050a