HomeMy Public PortalAbout9716 GARIBALDI AVE_Building__ T
t?iF BUII.DING AND SAFE'L'Y APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ®I
VVV. J. FOX, LI-IIE! ENGINEER
FOR lLPFLICAN! t0 FILL71N
FOR OFFICE II8E ONLY
DIET NO. w-AN�CK. NO. PERMIT NO.
ADDRESS
ED BY DATE OF APrL DATE ISSUED
LOCALITYNEAREST
CROSS ST. B ILDINGADDRESS
OWN Gt J L �i
' LOCALITY
MAIL
ADDRESS O L h� �r� U L• NEAREST
,KL CROSS ST.
CITY NO. -+ FIRE NO. OFTY G UP
ARCHITECT Td ZONE PLANE
ENGINEER NO. BLDG. 'J
■ETDACK LINE vf/
ADDRESS APPROVED
BY DATE
T
CONTRALTO 7'd NEOL. 77VUSE AFFROVED
. ZONE DY DATE
ADDRESS u ,V HOUR¢ NUMBERING
i
D[S RGIFTIONAL N�� BLOCK MAr NUM06 161D CHECK BY
NO. ASSIGNt. Ol' AT
TRACT65-61 _.y,
NO. OF ELDGS. COHHE=ON�
SIZE OF LOT 6 d /OO I Now ON LOT
USE OF NO. OF
EXISTING CLDG, FAMIIJLS
DESCRIPTION OF WOEX
NEW I I ALTERATION I I ADDITION
sJ 1$ t 0
REPAIR DEMOLITION
0
SQ. FT. NO. OF __ Z
SIZE ROOMS STORIES
EXT, yyAJ1 ROOF
COVERING (( COVERING eo'-A u +�
USE OF STRUCTURE
P S Baic Z GA/4 Z `
MPHOVAU
INSPECTOR'S SIGNATURE DATE
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS AP- FOUNDATIONS LOCATION
PIJCATION AND STATE THAT THE INFORMATION GIVEN IS FORMS, MATTRIAL.A
CORRECT.
1 AGREETO COMPLY WITH THE CORRECTIONS LJSTED FRAMES FIRE STOPS,
I-ILFtEON AND WITH ALL COUNTY ORDINANCES AND STATE BRACING, DOLTS
LAWS REGULATING BUILDING CONSTRUCTION. FURNACES LOCATION,
GAS VENT, DUCTS
SIGNATURE
P RMITT
or ;P=t.ASTKR,
H, INT, f.
ADD
H, N T. �-
AUTHORIZED AGT.
INT.
7 SIA 63AA• DMAS 10-90 ; P. C. f - ,
® 00 FRI �'r--- ER, EXT.
VALUATION V 67 `� FEE f FINAL �,,...i^,�/»-:C,%t�- •n, ?,
VRS' COMPENSATION DECLARATION
Insures a certlflmfe.pf Weorkeerr}}� (Come n:arlon°�ro� .. APPLICATION FOR BUILDING PERMIT
or p ceriffied copy ther$of(Sec F3800; Lpb,C) ,
COUNTY OF-LOS ANGELES JULDING AND SAFETY
Polity No. Company au
❑,/ iflsd 4gpy Is heroby.tumished FOR APPLICANT TO FILL IN
Cert %G
❑. C901fiedcopy Is filed with the county building Inspec-
ING1ation department'. ADDRa9 �/ ,// �1
Date- Appllcant �' . �` = QA44-F I O LO(ALrY
NO. OF
CERTIFICATE OF D(EMPTION f ROM WORK S&- OF LOT T I�D NOW ON LOT NEAREST
CROSS ST
COMPENSATON INSURANCE =
(Thi{-section need not be completed if the-permlf Is for one BLOCK LOT ASSESSOR
AMP gOO1C PAGE01q PARCH D
hundred dollars(;100}'0r.'fess,). � USE Mt�E AAAP
OWNER vtb
•1 certify that In the.performance of the'.work for which thjs
COt4Dr
per-mit Is Issued,,]shall rat employ any�Q��9n In any manner ADDRESS'• �.
SPECIAL
so as to become'wbjeci to the'Work�rs•Cbmpiimzlop laws, n
CFfY C.�Z`'t ZJP- 7 4D
Date 0 Applicant ARCHITECT TEL I D - P TYPE ME P BY
NOTKF•TO.APPLI�A :" If, after making this Certificate of ENGIN NO. . 01
Exemption,-you- sbguld become sublact..to the Workers'. - Q �{ CONST:
r _Compen}3tlor>prox(slops.pf.the Tabor.Code,,you roust-forth-- `_ ADDS_�.1 _ - ,Dd -
.aa..�.- y ' -
With Comply,Wlth #Uch proVlllOro or this pwmlt shall' be TEL STA
deemed [evoked. NO. ? TKAL c1ASSIAUTIQ�I, APT.. CONDO. .
UC�1SF�,CONTRAC JoRB:bECIA TION LLC CLASS No. �o[nwai UNITS
I hereby afflnn That I am Ilcer�sed under provislorn of 9 ADDi2f55 NO.'
(commencing,with Section 70QO}of DlvWon 3 of+m Business LIC. A AARP
and Professiops,Cq ,and my Ilcetbe is In full force cod effect. CITY CLASS BK PG. VALDATION
License Number LIc:ans � SJZZESQ. FT. 'L NO NO. OF
sTbRIES AMLIES ONE
OF
VALUATION
Contractor _ Dune DESMPTION OF WORK S NEW = O `�
-ADO ❑ V
t ElI am exempt under Sec: - v1M.
-ALTER ❑
B.BP.c. for this reason V4kR ❑Dote: USE OF
;
EXISTING BLDG. _ DEh10l ❑
Signature " APPUCANT- TEL _ ��
OWNER-BUILDER DECLAILAT1r)N NO'
I hereby affirm that I am exempt fi'om the Contractor$License .PATk .
Law the following reasori.(Sectlon'703i.5, Business and ADDS FINAL S
' Prof Ions Code): r _ yr .
I, as.owner of the prop"; or riry employees with BUILDING.
` wager as their sore compensation;will db the work and - _ T.i _ 5
~ ~� l
LOCALITY
��•
the slructLro Is not Intended ar offeredforsale(Section y t
7044, Business and Professions Cdde.) NG- TEL , '' '1. A.`- 1
t I
❑ 1, as owner of the property}`am exduslv*ly contracting CONTR4CTOR NO. r.a 1, .4 X.
with licensed contractors to constnxt:the project (Sec- ADDRESS
tion 7644, Business pnd Professions Code.)
38.
CONSTRUCTION LENDING AGENCY YAlfD' Ih�41 FRCih1 tyUbl
I.hereby affirm that there Is a cconstruction lending agency for FRONT
2,ITEMS
the4 perfomwnce of'the work for which this permit Is Idued. P.L
(Sac 3097, Clv. c>. -siDE TOTAL 268_ 1:3
lenders Nam'r - �/ t 268..11
L 3 tDNA
R` 1 L-}'r'u j1ff
Lenders Addrpss P.C. Fee Per.,Fre
I O&gffy that I have read•thls application and state that the l>wmce Fre LDMA P/C
O above Information 1s correct. I agree to comply-with all County Irntistlyatlon Foe
F4d ordinances and State laws relating-to.building construction,. Total Foe LDMA Pum 0
and authorize repr tat ver of thij County.to enter _ J 1 AM v:24
upo a abQv. e n fbr ihapedfon purposes.
Slgnatwe of ApQltcant or Agent Date
�POR c&LANATO[Y LANGuAOti .