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Home My Public Portal About9817 GARIBALDI AVE_Building__ 178A83BACE#B03-8-57 APPLICATION FOR BUILDING PERMIT, 1 COUNTY OF LOS ANGELES BUILDING t2> s DEPARTMENT OF COUNTY ENGINEER ADDRESS / BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST O //) e CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. r- DISTRICT NO. G koUP TYPE SEWER MAP FOR APPLICANT TO FILL IN I CONST. BK P BUILDING ADDRESS i 1-2 Ww_&7 6� STATISTICAL CLASSIFICATION LOT NO. / BLOCK CLASS. NO. DWELL. UNITS �7 }- MAP - STATE YES NO TRACT- 4F -.-� NUMBER HWY. L USE SPECIAL NO.OF BLDGS. CONDITIONS t SIZE OF LOT 6� m-o I NOW ON LOT YY USE OF 321&) EXISTING BLDG. BUILDING YARD HWY .TREET NAME EXIST. SETBACK WIDTH OWNER FRONT AA MAILDD P.L. f ADDRESS O� SIDE TEL. /^7 P.L. CIT _ ARCHITECT OR TEL. f�/L. INSPECTION RECORD ENGINEER NO. ADDRESS TEL. CONTRACTOR NO. ADDRESS DESCRIPTION OF WORK NEW ADD ALTER EPA DEMOLISH SQ.FT. NO.OF NO.OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNAT RE OF APPROVALS APPLICANT DATE INSPECTOR'S SIGNATURE � ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS P.C. S FRAME: FIRE STOPS, FEE BRAC ING,BOLTS VALUATION S FURNACE: LOCATION, FEE GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOVE IS RRECT AND AGREE TOCOMPLY W H ALL COUNTY O 1 ANCES AND STATE LAWS REj6Uj6kTING BUILDIN C ST UCTION. LATH,EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN A. LAMBIE,COUNTY ENGINEER. CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL EN R PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. SH I_ , ? 1 O otcno MAR. 18 1 A 1.00 4 APPLICATION FOR.. BUILDING PERMIT i1 COUNTY OF LOS ANGELES BUILDING AND SAFELY WORKEITS COMPENSATION DECLARATION FOR APPLICANT TP WJ.tPj Bu 1 hereby affirm that I have a certMoats of current to self hmm.M or a certtflate of Workers'C.omperantlon Insurnnoe,or a corWad copy thered 3800. C) / SO LOGtiJTY Polloy No o ry OF LOT No of Bt DW NOW(ON LOT ❑ Certttied oopy b hereby fumished NEAREST CROW 87. Oerttfled copy Is filed wtth the couuntyy buWng trpeodon �T �� LOT NO. UW_ZONE Date App4orsf-](.C) Cxn A BOH MAP BOOK t�C�E SPECIAl-�um O 6 owNEfl TH._No CERTIFICATE OF EXEMPTION FROM WORK RV _ YES No COMPENSATION DISURANCE WfTHN toxo FT.OF ecr OOL? (Rib section need not be oompleted tt the permtt Is for one hundred DOTRICT GROUP FIRE ZONE PROCE98ED BY dotlare($100)or Mrs.) CITY ZIP I certify dud In the perforrnarrce work for which this pw rdt �Qf 3 M Issued, I W,^H not'emplay person In My rneram so as to ARCHITECT OR ENGINE TEL NO. become suboct to the C.ompensaii0n Lents. ST/UTBTICAL CLAMMATION APT CONDO D� ADDRESS CLA88 NO. DWS-1-LINIT8 NOT7GE TO If, after making this Certtflosie of TEL REQUIRED TMU,BEfBACK FROM DOST Exemption, you hould become subJect to the Workers' CONTRACT , _ Q SETBACK �D Ff �� WIDTH Camperration d the Labor Code,you must torttnrfth FRONT con,#y with provielorr or thIs perm It Gird be deemed Tevokal D Oy PL SrDE LICENSED DECLARATION U(C�' PL I hereby afflma that I am 11ceneed under provisions d Chapter B ha OF W.OF FANL� ^ BEV1l�MAP (conwrierFeing wtth Section 7000)d DlvMlon 3 d the Business and NEW ❑ BK PG Prolessiorr Code,and my EcerFse Fa In full fora effect loop Nu Lla Gess DQIO BCRIPTN OF WORK ADD ElVALUATM P�0 ��I33 Date ALTER ❑ $ d 'r t ❑ I am exempt under 8m1111 REPAIR $ B.dP.a for this reason DEMOL ❑ UWA Pro s Deb. D39TPJG BI Ra URIs, Cl ftnah,rs APPLJCANT(PFWM No. LDYA Perm it 1 ❑ 1, as owner of the property,.or rry empkye with wages se RS T.T b'"r sob oomperratlon,wfIl do the work and the structure is g. So, 1Q n �L�� ` �� . not Intended or offered for sere (Seddon 7044, Business and Prole.sione Code) OR T,EXTUFN CON ora FLFTIIr eu ARDO OCCUF"ff FIA►DLQ A FwARooLIe uaTO OR OF19AM TH AL ❑ AN I, as owner d the property, am exd uaWy oonlradl ng wtth M AMOUNTS ON T}W FMS Z IX1e&LOUN VUA�M'OWN&UM QUIM MAL Ikxnsed contractors to oonstrud the projeot.(Saction 7044. ,s El No ElT�TpL � Business and Professions;Code.) /�}�(y/ 70.37 (y 7 wLL THE HT�DED Use OF THE ea�DHO 91 TFIR APPL".4T OR KnIFIR n n DM UECK f V.ti?f OCQ.FM.NT F{ml"A PaFVArr FOR OOMTRIOTION OR MCOM-AU ON FTpI THE SOUTH CONSTRUCTION LENDING AGENCY 0011Sr AH QUAL"LLW40 ENT DFeTFeor MGAC J em PrsarrM aAMLIST [f I hereby afNrm tad there b a corrtructlon Mndt,g�oy for FOR Elrao El –�1D1 10I �/5 the pwbmmnce of the work for which W penrdt M issued(0— I FLOWS MCAD TM FMZARDOLM WaMALA sroFawioN go"AND Tri e0 QW i L96 1 AM S.:' 3067,Chr.C). PsaarrM O�FQ..rst i U0430119TA D w REOUW95MD !UFDM THE Lee ANGELES OOUIPM OOrM.T1r4E R q-V.PT®a Lm aEOTIOFL UnIM TlROUa-I L.MW COgON 04M . Lender.N.L. I WARDOUe YQCfALS FAN-orrrm AND FOR oeTADAM A KFANT FROM THE e0AGIBI Lenders Address o�OR AeOrr o I owwy that I this application and state ttrt the above hTformatlon I agree to oomply with all ODLETty P.C.FEE PERMIT FEE A� O ordnarroes State laws relating to buIJdkVconi lnmft-,and j f hereby mpreserttaNm of this County to enter upon SBLUA14C,E FEE the for frlape0tbn pus Q,IVEST[GATION FEE TOTI,L FEE 2OPWR r RA^ 1� VM F&rvW=FOR I'PLANA 1 O t I../NG&L A.E r APPLICATION FOR BUILDING PERMIT COUNTY OP LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION -c FOR APPLICANT TO FILL IN MXDHG ADOR�SS I hereby affirm that I have a certtffcaYe of cortaerrt to eetf YTerue BULDM ADDFtE or a cerf kfl ate of VVorkars' Compensation I or a copy thereof Lab.C.) CITY z>P LOCALfTY �Ic� Comparry 69�— SIZE OF LOT Na of NOW ON LOT Cert}fied COpy is hereby fuminhed. NEAREST ST. ❑ Cec f ied copy is fried with the omrrty buL TRACT $LOCK LOT ria USE ZONE AIAP ra. I DateApplbemtMT257 — ASSESSOR MAP BOOK PAGE R4ACa SPECIAL COf DfTlOr78 CERTIFWATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE WTKN 1000 Fr•OF SCHOOL? YES NO (This aecbon need not be completed H the permit Is for one hundred Dt8TPoC1 OROiJP COk3T. FFE ZONE PROCESSED BY doifare (E 100) Or Vena) I Certify that fn the perfomiaroe d the or which this permR CITYrT aP b faared, I shell not empty arty fn arty manner so a@ to ARCHr=OR a43*QMR Ta W. become subJect to the V tion Laws. 8TAlT8„G,L a..A.SsFIavtoN APT CarDO Date ADORE8S CLASS Na L D'wu MM NO7iCF 7O H, after makVQ thin Certfkst6 of RIEWRED TOTAL SETBACI(FROM EXIST Exemption, shard become suboct to the Vlbrkers' � a —1 L- L 1 ETiSET�X Ia,FD I h Y PROP UNE WUM provisions of the Labor Code, you must forttnvtth OW comply each provblons or this permit shall be deemed revoked. lF, LIa pIQ._� P L LICENSED CONTRACTORS DECLARATIONL sDE CfTY U P L I hereby afflrm that I am Ibensed underprovVelorTs Of Chapter 9 SEWER MAP h (dip with seotlon 7000)of f M&;on 3 of the 13uelneaa and Sa FT.Sag No.OF STORES No.of ES NEW ❑ Btc Po , Profe@alons Code, my b In full force end Lfcenee Number Lb Cfeas ' ADD ❑ Con Dem ALTER ❑ $ ❑ I am exempt under Seo. REPAIR $ BAP.C.for thls reason DEMOL ❑ LDMA PSC Data: USE OF oasnN°13613d URM ❑ APPLIC(F'�j{j TEL NO. LDMA Pemn r Z 1'i44T.T N&Latl d the property, or rry eap"see with wage@ as _J Ujoowwmtion, win do the work and rhe atlUOtlue is ADDRESS F 1D$.90 or offered for sale (Sectlon 7044, 13rrsfneaa and RNA1 DAMY&L THE A�rr OR PUTTEE aid ocaF►wr H N)LE A HAZAFUCM Z qpop. 1 ITEMS owner the property, am wrkm►vely contracting wfth oR Aescape! A HAZAHnoue r,lv�Ea�AL TO oR cFea�r 1rw1 need ro corntuct the pro}ect (section 70", MI(x1rB�'0„c HAZAFoab w�.pORwaloH oLOC7 PwA1 aY TOTAL 10 eee errd COda) YES❑ HO /�/�{r (}� p�7YA L TFE MTEHD®USC OF THE BLIELM BY TFE APPLC OR R-rrUW B■f1.Ya �.iECK 1001.7UOCC FNrr REalF�A PBVAT FOR C016TRUC M OR AIOOPICArON FFCY THE SCUTH CON CTION LENDING AGENCY �T 'A QTY► +T�T MCACW&M�Tp T� .00 ,,uby affirm that 1q a conatic6on lendfng egancy for YEe❑ HOerformance of wok for whSch thie peimft is lamed(Seo.,Civ.C.) cHEcK i u►a FE<kw�rra u DERTHEHEa Loos maELEs bourrrY yy� �}rs Name ��FRou THEE S lit +MyprutJV1 1 f r��10:2.ra Addre@aAPEST J017 AI 11� }anrw on err&Lathat I have read la appibstton and state urdw penalty of per0y that the above tnformaticn Ie correct.I agree to 0w0y P.C.FEE PERMT FEF "0 with all co,-l ordnanoee acrd State lags rsfating to bLIling and authorize repreeentailves of thin tSBUANCE FEE A b the property br Inepectlon 7 ✓ tJ 0 MESTKIAMN FEF TOTAL FEE O p b SEE REVERSE FOR EXPLjJ xr RY LANGUAGE