HomeMy Public PortalAbout9814 GARIBALDI AVE_Building__ TEMPLE CITY
76Ae3eA CX 603 1-G3 APPLICATION FOR BUILbING PERMIT," . lul
COUNTY OF LOS ANGELES BUILDING f
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
WIWAM A.JENSEN, SuF'T OF BUILDING CROSS ST.
DISTRICT NO. P TYPE SHED BY
FOR APPLICANT TO FILL IN oNsr. � 1
BUILDING BTATIBTICAL CLA IFICATION 8 ER MAP
D E
CLASS. NO. DWELL. UNITS BK
L Nalle9tq BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED
TRACT MAP HIGHWAY STATE MAJOR SECOND, OC4L
B NO. (CIRCLE)
SIZE OF LOT USEZONEI 46PECiAL
USE OF CONDITIONS
EXISTIN BLDG.
TEL
OWN NO. BU16DING EXIST.
t SETBACK YARD HWY EET N E WIDTH
AD S8 FRONT
JM9IT OR T P. L
SIDE
P. L. d
ADDRES
O
TEL (�
CONTRACTOR NO.
ADDRESS O
DESCRIPTION OF WORK u
NEIN A REPAIR DEMOLISH Z
SQ.PT. NO.OF NO. OF
SIZE STORIES FAMILIES
USE OF
STRUCTURE ivo 0 .411 11
SIGNATURE
APP L I CANT
VALUATION S
APPROVALS DATE INSPECTOR•■RIGNATURE
L/ FOUNDATION: LOCATIO
FEE FEE S0l� FrORM9 MATERIALS
FRAMEI FIRE STOPS,
I HIER"Y ACKNOWLEDGE THAT 1 HAV[ READ 'r If ATP LI CATION BRACINQI, BOLTS
' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE. LOCATION.
WITH ALL COU ORDINANCES A D STAT[ LAWS REGULATING GAS VENT, DUCTS
G C
BUILDINO ON. I CERT. THAT IN DOING 1-11 WORK
AUTHC"WZ[D H Y WILL NOT E LOY ANY P<) . IN VIOLA-
0
IOLA- LATH. INT.
N OF 7HE F LIF RN RILAT-
�jwx _ LATH. EXT.
NATURE f HOUSE NUMBER COR-
PERMITTEE • RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STIj URAL ENGINEER
PLAN CHECK VALIDATION cK- M.O. cAnrl PERMIT VALIDATION CK. M.O, cArtl
LAGa3 9.1 6Q� SEP 42 3 D 12,75A
I LACo4 6 4 4l�i SO21 1 D 2 55'_.50^' �
CANCELLED AT REQ0 OF ,4W!zTTE
DEPARTXMT OF BUILDING AND SAFETY APPLICATION FOR PE OUT
COUNTY OF LOS ANGELES
BUILDINGW
M. J. FOX. OHI[F [NOIN[[R
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
N DI/TSO. PLAN OKN . [RMIT NO.
ADDRMA�f1d � Zp-
2-13 I h)
LOCALITY D RED[IV[D MY DATZ OF APDL. DATE IMMUIED
N[AREST C" //- yA�-Owommi ET
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OWNQ AODR[ma
Q
MAIL
ADDIMM � � t 7+r LdOALTY I
NiAR[ST
/i!P 1'� aL -GROSS ST.
MCHIT[CTCR FIR I I-LAN TYP�� OROI�
[NOINEQ �' T� ZON[ PL1N■ /� �(
NO.
eLDO. ORD.MO.
D o[TSAOK LIN[ kePp
APTROH[D
CONTRAOTCR mrL ��
Uo[ /
ZO N SY DATE[/ -
L.E MAL Conn —n)om
DEMKIPTION LOT NO. ■L.00K
TRACT
NO.OF RL.DOR.
■IZ[OF LOT 'e NOW ON L.OT
USI OF y NC.OF RmOF
OOMS
N OF WORE
NEW ALTZRATION ADDITION C
REPAIR MOVING D[MOLTISH p
mm ff r
■IZI ROOM■ STDpi[t
WALL ROOF ,l' T F
OCVQIN■ �... OOV[7lINO � : N
US[OF N[W
RUILDINM "r" e Y
t- /;d �sr L
' /A G'
✓ L C
I H[R[SY ADKNOWLCDO[ THAT 1 HAVE READ THIS APPROVALS
APPU13ATION AND STATE THAT THE ABOVE IS DORR[OT pA7'[
F
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORM16 MAT[RIAIJ
LOCATION
AND STATE LAWS REMULATINO ■UILDINO CONSTRUCTION. FORMS,
(��• .Z,
FRAM[1 FIR[STDP%
NTR
■IOAU [OF ■RACING ■OLT7
PFRMITTi
LATH, INT. - �
AUTHDRI AST i I"' kL-4-
LATH, IDCr.
?4 AmA-a 2-90 f� '.C'S PL.ASTtR.IMT.
3 F[[ PL ANT[R.XCT.
6 v
VALUATION Ft[ / �� FINAL
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES B U I L ® 1 N G
WM. J. FOX, CHIEF ENGINEER ill
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO. PLAN CK. NO. PERMIT NO.
BUILDING
ADDRESS
LOCALITY ` RECEIVED BY DATE OFAPPL. DATE ISSUED
NEAREST
CROSS ST. .-7 /''
BUILD
NG
OWNER ADDREISS Ai ( `s 4?1"!LZ2'
MAIL LOCALITY 7""E /OG E' � / Tom'
ADDRESS
TEL NEAREST
CITY NO CROSS ST.
FIRE NO.OF TYPE GROUP
ARCHITECT OR _ TEL. ZONEPLANS
ENGINEER f / NO. I
BLDG. ORD. NO.
ADDRESS SETBACK LINE
TEL APPROVED
CONTRACTOR NO. BY DATE
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO. BLOCK
TRACT
NO.OF SLOGS.
SIZE OF LOT NOW ON LOT
USE OF NO. OF
OF NO.
EXISTING BLDG. FAMILIES I ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION
O
REPAIR MOVING DEMOLISH
A
SIZE T. /i �/ / ROOMS STORIES Z
D
WALL ROOF
r
COVERING I COVERING
USE OF NEW L
BUILDING if., -� <i ; Al G („'
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS z.S s
AND STATE LAWS REGULATING BUILDING CONSTRUCTION.
FRAME: FIRE STOPS,
SIGNATURE OF BRACING,BOLTS
OWNER fq �►'�`jI�F LATH,INT.:
AUTHORIZED AGT. LATH,EXT.:
DBS-3 25M SETS 1-47 $ / P.C.6 PLASTER. INT.
FEE - PLASTER, EXT.
I VALUATION
FEE / FINAL
r�J�viJ
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76A638A CE#8036-62APPLICATION FOR BUILDING PERMIT IJ
COUNTY OF LOS ANGELES BUILDING to
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST.
DISTRICT NO G P TYPE E
FOR APPLICANT TO FILL IN 0 CONST.
BUILDING / J' `� STATISTICAL CL ICAT10N S ER MAP
ADDRESS (j lylff BK `j
1 CLASS. NO.,:C Lr
UNITS _J
LOT NOL- 7 LST ` EFLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE:
TRACT MAP HIGHWAY
NO.OF BLDGS. NO. 6)O / (CIRCLE) STATE MAJOR SECON LOCAL
SIZE OF LOT d OO NOW ON LOT USE ZONE SPECIAL
USE OF /C CONDITIONS
EXISTING BLDG. Q�X
TEL.
OWNER M '� NO �A BUILDING YARD HWY STREET NAME EXIST.
/ f SETBACK WIDTH
ADDRESS A/(F( FRONT O
ARCHITECT ,�I / TEL. q P. L
ENGINEER G 4fuj / D ^j NO.fI t/ SIDE
P. L.
ADDRESS4ft
____. O
TEL. V
CONTRACTOR I NO.
tn
ADDRESS
DESCRIPTION OF WORK 0
W
NEW ADD ALTER REPAIR DEMOLISH d
SQ. FT. NO. OF NO. OF Z
SIZE �� STORIES FAMILIES
SIGNATURE OF r.
r
APPLICANT .* ,{I v f ✓�' /� �.
VALUATION $ - -
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMTO FOUNDATION: LOCATION
FEE $` -, FEE $ �. -� FORMS, MATERIALS
FRAME: FIRE STOPS, I� /
I HEREBY ACKNOWLEDGE THAT I 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
BUILDNGCONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
INGTO WORKMEN'S CO#PENSATION INSURANCE. LATH, EXT, y /
SIGNATURE OF HOUSE NUMBER COR.
PERMITTEE .3, RECT AND POSTED
ADDRESS - :''�'"� `�� G FINAL
JOHN F. LEWIS, PRINCIPAL ST RAL ENGINEER
PLAN CHECK VALIDATION c1`c. M.O. CASH _ PERMIT VALIDATION (,:,K.,) M.U. CASH
c. . � .3
APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELS$ . BUILDING AND SAFETY
WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO MILL IN
I hereby affirm that I have a certificate of conserrt to setf IT&M /
br a certfflcate of Vkrkers;.Compersaflon Insurance,or a 4erttfled
copy thereof sec. 00,Lab..0 aTY zp
9��a LOGALJTI
POS NO COfi1�a"y saw OF Lor No.OF BLDGS.NOW ON LOT
❑ Cerffled copy Is hereby fumiehed. QST CF098 Or
UT"Certtfled copy Is filed with the county bulkitrlg Inspection TAT 5L— LCT Na
USE ZONE MAP Na
° "Icant
�� AssEssoR MAP Boort F'A4E PARCEL
sPEC7AL CONDMONS
CERTIFICATE OF EXEMPTION FROM WORKERS' R TEL No.
COMPENSATION INSURANCE
wlT-l-m 1 000 FF.OF SCNOOL7 YES NO
(This escbn need not be conpieted if the permft Is for one hundredr�Uzl/ DISTRICT GROt1P CONST. FFE ZONE PROCES8ED BY
dollars (S 100) or lees.)
I certify that In the performance of the work tot which this permit ztP
b faeued, 1 shall not employ any Person In awry manner so as to • 7�0 r "� —�
become subject to the V orkefa'Compensation Lave Et R TEL NO.
cx APT CONDO
Date Applicant ADDRESS CLASS Na DWELL UNITS
NOTCE 10 APDL AST- ff, after making this' Certificate of TOpL 8ETBA(X FROM 71
)3ST
Fra COOn,• you silent become, su
becombject to the Workere' TEL NN1
O. SET BACK RD MY PROP LINE WqT�
Compensation provlslom of the Labor Code, you nxret fordwelth
compty with such provfalons or thb shall m
permlt all be deemed revolted. Aapq�gy 40 FRONTDE CONTRACTORS DECLARATION P L
1JC. P L
I hereby affirm diat I am Ilcensed uiwlerprovl&bns of Chapter B AEWER MAp
m
(comencIng with Section 7000)of DNialcn 3 of the Bu&trxlae and ,Ki Fr.svE Na OF STORES OF FAM1tES NEW PO
Professia*Code,and la In full force and ,
Number ' Claes DE Of VXW ADD ❑ wi-MMON
ALTER ❑ 4"- ~G
�> REPAIR ❑
EL I am exempt ender ser. $
BAP.C.for this reason DEMOL ❑ —=P/c F
Date: USE OF ExLTnNG BLDG URM ❑
1
APPUCANT(PFOVT) TEL No. LDMA Perm I ACCT.T —
❑ owner of as ownof the property, or mpi
y enoyees wrlh wagee as z
their &ole compensation, will do the work and the atr r re Is ADDRESS M 2D9.25
not Interded or offered for sale (section 7044, Bushiees and H)1AL DATE
Professkxla cote.) w<L'n-E APPUCAMT OR rLm RA-DM O=FWT FW4 LE A FAZAFooUS Wvr}w 1 ITC1 k7
❑ I, as owner of the property, am exdusl%Vy contracfing with OR A MDCTFE CDWP"#G A HAZAF[IOM u4a3iA1 EouAL TO OR G€A=THAN THE
keneed contracnore to construct the project (section 704-4, A►wurts e�GrM cw 1rE gV-Aaoous►wens NFORV MN of DE? f�BY
TOTAL 209 -25
Buslrom and Proreeabrm Code.) Yrs❑ No❑ CWCK M9.25
Y&L THE HrBOm u8E OF THE BurtW BY THE APFLK•.NT oR R ruFE a cDm
OCCLFANT R2011-E A PS:"T FOR 00NB1R1C1k7N ORFFK11A THE SOUTH r�
CONSTRUCTION LENDING AGENCY o� —L&Wka NT DrsrRtrT MCJ"nt�TTMe CHEaO W FOR
I hereby affirm that thefe Is a coneUuotlon lending agerxry for YES❑ No Q
the periorn-ance of the worm for wh lch this permit Is baled(Ser, READ T E FAZARooufs MA EFi�IA►Foe avio►r puoE MO T E scvn o ryy�
30e 7, Ctv.C) Creaa et uroE>Tswo My REouFE►or s Moes T E Log Z=
Kp coo 1.RrL11 11�15��
TILE Z GFVJ EA 220 SECTION&22a 100 TFFICL( 220.140 CCNC TP"FAZARCCUS - /�y�i�y t
Lerxiere Accuses M4ERVLa REPORTMO AW FOR CO W4W A PffUT MOM THE EGkDMa 3314 1 AI1L1:29
o CNOM on,err
I certify that I have read this application arld state under penalty
of perjury that the above Mormatlon b Correct I agree to conply PZ FEE PERIAT FEE
wfth all county ordtnanoes and State Iews reiatfng to bu6dng
melon, and hereby authorize represertatfves of Me Courtly tSSUANCE FEE 30
o �M�tt,e
Jy 1 � & mE-9T) "q FEE T0-01L FEE
c�
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