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Home My Public Portal About9823 GARIBALDI AVE_Building__ All- - 70A638A CE#809-6-57 APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGELES BUILDING• ' i DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. "ST O. GR TY.TYPE �,�.• MAP FOR APPLICANT TO FILL IN � .J coN- Y� ISEWER B> BUILDING 3 ADDRESS y�tJ - STATISTICAL C LOT NO. L 3'O ��rO BLOC , CLASS.NO. DWELL.UNITS _ MAP STATE YES O TRACT .� � e� NUMBER OCA HWY. USE ZO E SPECIAL v NO.OF BLDGS. ONOITIONS SIZE OF LOT` I� �d'S NOW ON LOT pw USE OF EXISTING BLDG. B ILDING EXIST. YARD HWY STREET NAME �a�._. `LI t�v ' SETBACK WIDTH OWNER �LGU (/ FRONT �) � /O I MAIL5ad.r C2i4t:C:.�2GA.G P.L. (O ADDRESS SIDE EL. P. L. CITY el NT0.4z (c — INSPECTION RECORD ARCHITECT OR TEL. ENGINEER NO. ADDRESS !y. TEL. _ CONTRACTOR NO. ADDRESS R ' DESCRIPTION OF WORK ��T .' ,rr Ao6 `-- NEW' ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO.OF SIZE a STORIES FAMILIES USE OF STRUCTURE (/ L� Z ` SIGNATURE OF ) ` APPROVALS APPLICANT _ DATE INSPECTOR'S SIGNATURE ADDRESS '✓ FOUNDATION: LOCATION FORMS,MATERIALS $ L� P•C• S FRAME: FIRE STOPS, FEE BRACING,BOLTS VALUATION / S �^w FURNACE: LOCATION, FEEy GAS VENT,DUCTS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT. PLICATION AND STATE THAT THE ABOV S CORRECT AND AGREE TO COMPL TH ALL COUNT RDINANCES AND STATE LAWS R GG CONSTRUCTI LATH,EXT. SIGNATURE OFAU� HOUSE NUMBER COR- PERMITT RECT AND POSTED ADDRESS A FINAL JOHN A. LAMBIE.COUNTY E IV,NEER. CLYDE N.DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O�AS PERMIT VALIDATION CK. M.O. CAS �05 1 7 9s ME 17 2 8.50 o c WORKERS' COMPENSATION DECLARATION reby a cer that I havecertificate of consent to self APPLICATION FOR BUILDING PERMIT insure, or*a certificate of Workers' Compensation Insurance, or)p'certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APP (CANT TO FILL IN BUILDING G t ADDRESS D ❑ Certified copy is filed with the county building inspec- BUILDING I ` tion department. ADDRESS Date Applicant CITY &Z4 I ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars ($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP ). I certify that in the performance of the work for which this OWNER NO. NO. CL permit is issued, I shall not employ any person in any manner SPECIAL O so as to become subject to the Workers'Compensation Laws. ADDRESS CONDITIONS V W CITY ZIP Date Applicant W NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY ENGINEER NO. CONST. / E 0}L Exemption, you should become subject to the Workers' �j /� ,(// Q Compensation provisions of the Labor Code, you must forth- ADDRESS v iwP < with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFI ATION APT. . CONDO. deemed revoked. CONTRACTOR NO. CL LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS W I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code, and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. FT. NO. OF NO.OF / CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEWADD ❑ $ ❑ 1 am exempt under Sec. ❑ , f ALTER ❑ B.&P.C. for this reason ( — REPAIR ❑ $ Date: USE OF DEMOL ❑ EXISTING BLDG. APPLICANT TEL. Signature FINA OWNER-BUILDER DECLARATION (PRINT) NO. DAT I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FIN Professions Code): PRESENT BY ❑ BUILDING u I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY , r, 7044, Business and Professions Code). MOVING TEL. ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to construct the project (Sec- ADDRESS tion 7044, Business and Professions Code). REQUIRED CONSTRUCTION LENDING AGENCY SETT BACK YARD HW TOTAL ETBACK FROM XIST PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.I. Lender's Name LDMA Ref. # Lender's Address P.C. Fee$ Permit Fee w /l I certify that I have read this application and state that the Issuance Fee above information is correct. I agree to comply with all County Investigation Fee � m ordinances and State laws relating to building construction, Total Fee {l V LDMA Perm. # d and hereby authorize representatives of this County to enter m upon the above-mentioned property for inspection purposes. 0 a SEE REVERSE FOR EXPLANATORY LANGUAGE d Signature of Applicant or Agent Date 76A638A CE#803 9.67 APPLICATION FOR BUILDIN PERMIT COUNTY OF LOS ANGELES BUILDING - DEPARTMENT OF COUNTY ENGINEER ADDRESS Jo / BUILDING AND SAFETY DIVISION LOCALITY , JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. FOR APPLICANT TO FILL IN DISTRICT NO. GRQLJP TYP PRO Es D BY CONST. (Print or type only) �/ r (/ BUILDINGe STATISTICAL CLASSIFICATION SEWER MAP ADDRESS C 3 �l CLASS NO.--,/f—DWELL.UNITS BK PG LOT NO. BLOCK USE ZONE MAP /I NO. (J TRACT SPECIAL NO.OF SLOGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BLDG,SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) OWNER ,(,' "' TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL 63 ` - H WAY WIDTH FROM C.L. ADDRESS O A CITY BLDG,SETBACK FRO ARCHITECT O TEL. (STREET) SIDE PROP.LINE OF ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. �.,�'L, TEL. I i t – off.. CONTR /`�'Lw O. ./ J CD ADDRES312,/� NO CORNER CUTOFF YES ❑ NO ❑ CITY ?" c ASS C_' 3� SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK N z NEW ADD ALTER - _PARR DEMOLISH SQ. FT. NO. OF NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF APPLICANT VALUATION $ Q APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT, 9�y('� FOUNDATION: LOCATION FEE $ FEE $ / FORMS, MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- LATH, INT. ING TO WORKMEN'S COMPENSATION,aIN$U R�►ICE. LATH, EXT. SIGNATURE OFC vK•�/Gt'� HOUSE NUMBER COR- PERMITTEERECT AND POSTED ADDRESS 44 5"' FINAL !' JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH +d24 1 D 9.00 tKERS'yLOMPCNSNTOE"DECLARATION hereby affirm that,I have a certificate of consent to self APPLICATION FOR BUILDING P E RM I T Insure, or a certificate of WorWorkers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELFS BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN Bmom ❑ Certified copy Is filed with the county bullding.lnspec- BUILDING / Ilan department. ADDRESS Date Applicant C rry ZIP LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' f NO. OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT ST. (This section need not be completed If the permit Is for one hundred dollar ($100)or less-) BLOCK LOT NO. Z MAP BOOM PAGE PARCH TEL USE ZONE I certify thot.ln the performance of the work for which this NO. NO. permit Is Issued, I shall not employ any person In any manner. Q SPECIAL so as to ome subject to the Workers'Compensatl Laws. ADDRESS i , OONMONS Date App I I CITY ZIP CE NOTITO APPLICANT: If, aftr making this CertlfiEote of ARCHITECT OR TEL DISTRICT GROUP TYPE 11 BY Exemption, you should become subject to the Workers NEER �' ^ COST. ZONE Compensation provisions of the Labor Code, you must forth- ADt�53 �1 with comply with such provisions or'thls permit shall be deemed revoked. CONTRACTOR STATISTICAL CLASSIFK:4TION ^PT.NCO '.z LICENSED CONTRACTORS bECIARATFON LIC. CLASS NO. DWELL UNITS I hereby affirm that I am Ilcersed under provisions of Chapter 9 ADDRESS NO. (commencing with Section 7000)of Division 3 of the Buslrtess and LIC SEWER MAP Professlons Code, and my license h In full force and effect. CrTY - CLAM VAUMT60M Sp. FT. NO. OF NO.OF C}#OC PG. License Number Llc.Class SIZE STORIES F IUES ONE VALUATFON DESCRIPTION OF WORK NEW El Contractor Date _ ADD ❑ 1 am exempt under Sec. ALTER , 0 74„1 A B.RP..C. for this reason REPAIR Date: USE� - # 0,0 0,0 0 1 EXISTING BLDG. �A� APPLICJ�NT TEL I .--- 4(15 0 Signature _ PRI FINAL _ OWNER BUILDER DECLARATION DATj ( 0 0 - 40.506 I hereby afflrrni that I am exempt from the Contractor's License Low for the following reasons-(Section 7031.-5, Business and ADDRESS �G 1 R 0 9,22,-88 Profenlpns Code): PRESENT BUILDING I,•as owner of the property, or my employees with- ADDRESS wages as their sole compensation,will do the work and the structure Is notlntended or offered for sale(Section LO AUTY , 7044, Business and Professions Code}. MOVING . TEL ❑ I, as owner of the property, am exclusively contracting QDNTRACTORNO. } with Licensed contractors to construct the protect (Sec- ADDRESS - - tign 7044, Business and Professlons Code}. CONSTRUCTION LENDING AGENCY YARD- HW I hereby affirm that there Is a construction♦ending agency for FRONT PROP. UNIE WIDTH the performance of the work for which thls permit Is Issued P. (Sec. 3097, Civ. C- RL Lender's Name LDMA Ref. f $ P.G Fee$ Perm it Fee Lender's Address I certify that I have rood this-applicatlon and state that the Isuance Fee O� LDAAA P/C f above Inforrtwtlbn Is correct. I agred to comply with all County Invealtgation Fee ordinances and State laws relating to building construction, Total Fee LDMA Penn. f and hereby authorize representatives of this County to enter upon the above-m pro for Inspection purposes- W R!<1/ POR UQLIINATOLY LANGUA041 Signature of M or Agent Date , `W4bRKIRS:COMPINSATION'DECLARATION lnsurebor-bcetiflatteofWorkers' Comhave a te of pensationent to Insurane, APPLICATION FOR BUILDING PERMIT or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND 51FM Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILpING F-1 ❑ ti / ADof�ss Certified copy Is filed with the county building Inspec- tion nspec- BUILDING 9 .3 /1 on department. ADDRESS Date Applicant TTY ZIP '11ro LOCALTY CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF BLDGS_ NEAREST COMPENSATION INSURANCE 54OF LOT NOW ON LOT ST. (This section need not be completed if the permit Is for one TRACT BLOCK t L / LOT NO. SSES p p [PARCEL hundred dollars ($100)or,less.) TEL. USE ZONE I certify that In the performance of the work for which this OWNER �' NO. NO. permit 1s Issued, I shall not employ any person In any manner r SPECIAL r so as to me subJect to the Workers'Compensationws. 'SSS f CctDMcm �. CITY L P Date Appllm NOTICE TO APPLICANT: If, makingig—ft this Certlflcate of ARCH RE RTaR :° DISTRICT GROUP I TYPE FIRE BY Exemption, you should become subject, to the Worker' ZONIE r' __.J- Compensation provisions of the Labou r Code, yomust forth- �i v wltfi comply with such provisions or this permit shall be ADDRESS deemed revoked. CONTRACTOR STATISTICAL CLASSIF TION APT. Z LICENSED CONTRACTORS DECLARATION uu��. CLASS NO. DWHL. UNrrs I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS Nb. (commendng with Section 70DO)of Division 3 of the Buslnes and LIC. SEI�R Professions Code, and my license Is in full force and effect. CITY CLASS VALIDATION SQ. FT. NO. OF NO. OF CHECK � PG. V License Number Llc.Class SIZE STORIES FAMILIES ONE VAL ATION h Contractor Date DESCRIPTION OF WORK NEIN ; /I do D ❑ I am exempt under Sec. ADD 6 ALTER pool. B.BP.C, for this reason J REPAIREl _ Date: USE OF EXISTING BLDG. �J`�a Signature APPUCANT t 0 /lo-L_ erg I NT) OrOf7 FIS � 1 0 2 2 3 A OWNER-BUILDER DECLARATION I heby afflrnt that I am exempt from the Contractor's License �' DATE #.0,0,0 0 Oil Law for the following reason (Section 7031.5, Business and ADDRESS / '�� R Professions Code): ip 14 .0 ? 96,75 El BUILDING I, as owner of the_property, or my employees with ADDRESS a,e a 9 &7 5 F. wages as their sole compensation,will do the work and the structure Is not Intended or offered for sale(Section LOCALITY 7044, Business and Professions Coded MOVING Ta 7 T9 j`8 8 I, as owner of the property, am exclusively controc inn OR NO. wlth licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code). ADDRESS ' ADD CONSTRUCTION LENDING AGENCY POO YARD HWY T AL SETBACK PROP. LINE DTI I .I hereby affirm that there is a construction lending agency for FST the performahte of the work for whrch this permit Is Issued P L (Sic. 3097, CIv. C.} S4DE P.L. Lender's Name ELDMA Ref. Lenders Address_ PC Fee f Perms Fee r I certify that I have read this application and state that the lasuance Fee O. LDMA P/C/ ' P above Information Is correct. I agree to comply with all County nvestigation Fee ordinances and State laws relating to building construction, Tom Fee LDMA perm, artd.hereby authorize representatives of this County to enter upon the above- tlonq pr for Inspectlon purposes.. o fH Rrvuw FOR 0I7VV4AT01rY LAN UAGR w _ 54gnarun of leant or Agent Date APPLICATION FOR COUNTY OF LOS ANGELES IB U I L D I N G PERMIT DEPARTMENT ENGINEER BUILDING AND SAFETY DIVISION BUILDING qf3 Z Gari lq � FOR APPLICANT TO FILL IN ADDRESS / C.J It BUILDINGqqa �- .� ADDRESS I LOCALITY Q o'k 4 CITYTe.% �+ ZIP NEAREST no CROSS ST. o[ v NO.OF BLOGS. ASSESSOR SIZE OF LOT P NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT IGROUP TYPE FIRE PROCESSED Y sa^ , LOT NO. TRACTLgN Co 1 BLOCK �m I CONST., ZONE TEL. `7 OWNER A L, NO. STATISTICAL CLASSIFICATION W SEER MAP ADDRESS q2a3 �� \ CLASS NO.�''��'' DWELL,UNITS-�1 BK PG CITY ZIP �� USE ZONE MAP -z-00 _ N0. ARCHITECT ORS TEL. 00 SPECIAL ENGINEER NO. 5 CONDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONTRACTOR TEL. BLDG.SETBACK FROM NO FRONT PROP.LINE OF (STREET) LIC. ADDRESS NO. HIGHWAY } YARD TOTAL S A FROM H G OF LIC. FR TYPE AY EW OTIHG PRO . LINE CITY CLASS _ CONSTRUCTION LENDER } NAME AND BRANCH BLDG.SETBACK FRO a ADDRESS CITY SIDE PROP.LINED (STREET) U SQ. FT. ISI 1 NO. OF NO. OF CHECK HIGHWAY } ARD = TO L TBACK FROM TYPE OF EXISTING O SIZE z STORIES FAMILIES ' ONE S E ROP. LINE HIGHWAY WIDTH v VIN L0 _ U DESCRIPTION OF WORK NEW ❑ N ADD ORNER CUTOF YES ❑ NO ❑ Z y ALTER ❑ REPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG. �(� ♦ r� DEMOL ❑ APPLICANT TEL ,, ��✓ ?,,y " a:,�.' (PRINT) NO. BY (SIGNATURE) I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA 1 RELATING TO WORKMEN'S COMPENSATION INSURANCE. I SIGNATURE OF FINAL BY [VALUATION ERMITTEE DATE DDRESS Gaa TEL. CITY NO. ( P.C. Fee$ Permit Fee Issuance Fee ±$ fjo O Total Fee �, _5 PLAN CHECK VALIDATION CK. M O. CASH _ PERMIT VALIDATION C M.O. CASH - ,9 4 3,:�l1:�� tLU 76A638A CE*803B 12/75 I 76A898A CE#80811-57 APPLICATION FOR BUILDING PERMIT t COUNTY OF LOS ANGELES BUILDI s DEPARTMENT OF COUNTY ENGINEER ADDR BUILDING AND SAFETY DIVISION LOCALITY JOHN A.LAMBIE,COUNTY ENGINEER NEAREST CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP I TYPE SEWER MAP FOR APPLICANT TO FILL IN BK PG CONST. s BUILDING I ADDRESS "v'•� t. c:.:t�'Yt /( '. _ STATISTICAL CLASSIFICATION LOT NO. �� % CLASS.NO. i DWELL.UNI75 ! .�r-"' BLOCK MAP STATE NUMBER HWY. YES -NO TRACT USE ZONE SPECIAL r S NO.OF BLDGS. , CONDITIONS SIZE OF LOT /f NOW ON LOT USE OF EXISTING BLDG. BUILDINGEXIST. YARTJ HWY STREET NAME ...,...— _ SETBACK WIDTH OWNER - - :.! lci.---/ •7� FRONT ' MAIL l / C1 P.L. _ ADDRESS - 4F:r"c-! -t SIDE P.L. CITY TEL%l INSPECTION RECORD ARCHITECT OR -- TEL. ENGINEER NO. ADDRESS CONTRACTORi1Qlr!- '" '�'/�-' /c� C ADDRESS DESCRIPTION OF WORK NEW �✓ ADD ALTER REPAIR DEMOLIS14 SQ.FT. NO.OF NO.OF SIZE (1-2 STORIES FAMILIES USE OF STRUCTURE f f SIGNATUREOF/' � APPROVALS APPLICANT 1 DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS.MATERIALS s P.C. $ ! �_ FRAME: FIRE STOPS. ' { ''t FEE BRACING.BOLTS VALUATION $_ ,(/ (,/ FURNACE: LOCATION. FEE _.. :I GAS VENT.DUCTS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH,INT. PLICATION AND STATE TI4AT THE ABOVE IS'CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. LATH,EXT. - i SIGNATURE OF / HOUSE NUMBER COR- _ ! PERMITTE RECT AND POSTED f ADDRESS - ' INAL —Z -a q �Nl,`G i;l CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION ' CK.' M.O. CASH PERMIT VALIDATION 'CK. M.O. CASH 19.2 51 o 1, COUNTY OF LOS ANGEL—S TE26PLE CITY 0508 BUILDING PERMIT DEPARTNEN'T OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIIR BUILDING AND SAFETY / LAND DEVELOPMENT TMGuLg CITY CA 91780 BL 0508 1101270049 PHONE: (626) 285-0488 EXT; LEGAL ID: NO. OF CONST BUILDING ADDRFi99: ON FILE SQ. FT STORIES TYPE 9823 GARIBALlI AV STRUCTURE: 1600 V-B TEMP CA 917801713 A39F9.90R It�'ORMATION NUMBER: NEAR&ST CROSS STREET: GOLDEN FIF64T 5385-026-012 T8CHAS PAGE: 597 OLID: A2 LOCALITY: TEMPLE CITY, C TEN?Q?r: EXIST BLDG USE: REBID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EZIST OCC GRP: 01/27/11 SR OWNER: TEL. NO: BLDG9. NOW ON LOT: VALUATION: F 'DATE Fraw CODE: HEALD DANIEL A;CAROLE M (626) 286-2265- 3,000 �.-11r 9823 GARU3ALDI AV TEMP 917801713 FEES PAID DESCRIPTION OF WORK RE-ROOF HOUSE WITH COMPOSITION SH-INGLFB OVER EKISTING CoMp FEE DESCRIPTION: QUAN7 T'Y: UOM: AMOUNT: ROOF APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.80 AB STATE GREEN BLDG FEF 3000.00 VAL 1.00 SPECIAL CONDITIONS: AC STRONG MOTION REBID 3000.00 VAL 0.50- D2 PERMIT W/O HN-HC 3000.00 VAL 99.10 TOTAL FEFS 128.40 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER _ LSC. NO LOCATION AND 93`I r SOILS ENGINEER APPROVAL ARCHITECT OR ENGINHER: TEL. NO: FOMMATION TR-ENCH FORMS LIC. NO: SLABIINDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: 150H269 3 00 IIHIJJER.FLOOR IDTSIILATION FLOOR 9HEATTEING 1O. OF FAMTfIM: DWEZ_TN`G UNITS: APT GOND: STAT CLASS: NO 21 ROO� SHEATHING SCHOOL WITHIN HAZARDOUS 9H&r PANES AIR QUALITY: 1000 FEET M TSLZIA�4 f NO. NO NO F 4C INSPECTION FIRE SPRINKLER HANGERS INSULATION/WEATHER STRIP INTERIOR aTHDRYW�.LL EXTERIOR LATH RATED FLOOR CELL A89EM. RAVED WALE, ASSEMBLIES RATED SHAFT_ OPENINGS T-$AR CEILINGS LOT DRA 2D GF REPORT ID: DPP-261 RD= TO: DS0508