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HomeMy Public PortalAbout9831 GARIBALDI AVE_Building__ T pp TE�� LCITY 7fAE9lA CE#8032/60 APPLICATION FOR BUILDING PERMIT, 1 COUNTY OF LOS ANGELES BUILDING - DEPARTMENT OF COUNTY ENGINEER ADDRESS `L'L •' BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN SUPT OF BUILDING CROSS ST. DIST ICT rJ,o� GROUP TYPE P C SED BY FOR APPLICANT TO FILL IN U 1s CONST. �. BUILDING STATISTICAL CLASSIFICATION —_ IgtVIER MA ADDRESS "* 'n �j}4 Q / CLASS.NO­('_:_ DWELL.yDWELL.UNITS LOT NO. -- BLOCK MAP NUMBER GiL;' z 7 yyATE YESY. O `.. TRACT vf 1 - USE ZONE SPECIAL NO.OF B DGS. 7 �` CONDITIONS SIZE OF LOT ��x q� I NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. YARD HWY ,STREET NAM TSETBACK WIDTH EL OWNER 2f_.�Ip)ZNCU�pp7 I/ n NOJ/� ,Ird'�.Z✓x FRONT ADDRESS 0,(3/ C,4 ja 67 i�FQ l ,SMO/ c SIDE f / ARCHITECT'OR TPE L. P.L. ENGINEER "Jv INSPECTION RECORD ADDRESS ',Y� TEL. a CONTRACTOR NO. O ADDRESS V DE CRIPTION OF WORK O H NEW ADD ALTER % REPAIR DEMOLISH W SQ.FT. NO.OF NO.OF % f a SIZE r STORIES FAMILIES USE OF STRUCTURE h0 T CX / ^ /i' SIGNATURE OF APPLICANT VALUATION.5 APPROVALS DATE INSPECTOR'S SIGNATURE FEE $ FEE $ ,� FOUNDATION: LOCATION �_7 �,.� FORMS,MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME: FIRE STOPS, BRACING BOLTS fC' PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE: LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED I LATH, INT. T 9 f WILL NOT EMPLOY ANY PE ON IN VIOLATION OF THE WORKMEN'S COMPE SATIO WS OF CALIFORNIA. LATH,EXT. ✓ w, Y SIGNATURE OHOUSE NUMBER COR- PERMIT PERMITTE RECT AND POSTED ' ADDRESS FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURAL EN PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH I DEPARTMENT COUNTY ENGINEER BUILDING DIVISION OF BUILDING AND SAFETY COUNTY OF LOS ANGELES y WILLIAM J. FOX, COUNTY ENGINEER APPLICATION CASSATT D. GRIFFIN, SUPT OF BUILDING FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING DISTRICT NO. PLAN CK.OR REc.No. P6R ADDRESS h ij Q / LOCALITY 4 ,�`�' RE IVED BY D/ATPOFOAP♦L. DAT ISS NEAREST CROSS ST14 j2 BUILDIN / 01 OWNER ADDRES /A MAIL ` LOCALITY V/' ADDRESS TEL. /J �^: NEAREST /) ___'r� Gp� CITY �,'.', .<i� %J v CROSS ST. rJj7 ARCHITECT O TEL. p FIRE NO. OF TYPE_!. GROUP ENGINEER �"00- � NO. ZONE PLANS GBLDG. �� � ADDRESS SET ACK LINE , N� TEL. USE r: APPROVED CONTRACTOR ZONE ;`j BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT NO. " ' "' ..- �-�'1 B //� I BLOCK MAP NUMBER NO. ASSIGNED BY �J TRACT CORRECTIONS �Q /j�/.� " ��r. SIZE OF LOT/.iX+ vQ W NOI NO. O ONN BLDGS LOT USE OF I NO. OF EXISTING BLDG. r'z/,c�/ FAMILIES DESCRIPTION OF WORK o — NEW ALTERATION ADDITION Q_ 2 REPAIR DEMOLITION D C' SQ. FT. 9f NO. OF �"" / :',:I A SIZE v ROOMS ✓ STORIES EXT. WALL rTGC`p- //f/Oap ROOF COVERING t/ I'v I COVERING USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION: LOCATION i FORMS, MATERIALS f. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME: FIRE STOPS, PLICATION AND STATE THAT THE IN GIVEN IS BRACING, BOLTS I CORRECT. FURNACE: LOCATION, I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES GAS VENT, DUCTS ' AND STATE LAWS REGULATING BUILDING CONSTRUCTION. SIGNATURE OF LATH, INT. PERMITTE ? LATH. EXT. ADDRESS � PLASTER, INT, AUTHORIZED AGT. PLASTER, EXT. $ eO©� FEE P. C' $ '0 HOUSE NUMBER COR- RECT AND POSTED / RA VALUATIO7 FEE $ ✓ FINAL '- ♦ `' ��- �~/ 76A688A DOS 3 9-52 - A ROAD DEPT. PERMIT VS REQUIRED FC�:< i-'NY ViATERI AL OR WORK y DONE IN THE ROAD RIGS i7 O 7GA888,1C'E*8098-69 APPLICATION FOR BUILDING PERMIT I COUNTY OF LOS ANGELES ADDRESS CZ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST CASSATT D. GRIFFIN, SUPT OF BUILDING CROSS ST. DISTRICT NO., GROUP TYPE PRO ED.BY FOR APPLICANT TO FILL IN I CONST. ADOREBUILD ISSI � (Cel f"j, yq'al �( STATISTICAL CLASSIFICATION I SKR MAP CLASS.NO.�DWELLU.UNITS 5? LOT NO. BLOCK MAPNUMBER ! H ATE YES O TRACT USE ZONE SPECIAL NO.OF BLDGS. CONDITIONS SIZE OF LOT NOW ON LOT USE OF EXISTING BLDG. BUILDING EXIST. r1 SETBACK YARD HWY STREET NAME OWNER . �� /F C FRONT WIDTH / r MAIL P.L. .!�.L''''Z+L_.-/_�L[ f.' J ADDRESS - le-;- z-S SIDE P.L. CITY == �' ` TEL. o' INSPECTION RECORD ARCH ECT OR TEL. ENGINEER NO. ADDRESS y� CONTRACTOR/�//'- ADDRESS DESCRIPTION OF WO v64? L --- NEW ADD ALTER REPAIR DEMOLISH SQ. FT. NO. OF NO. OF "r- SIZE STORIES FAMILIES USE OF STRUCTURE SIGNATURE OF L APPLICANT APPROVALS DATE INSPECTOR'S SIGNATURE ADDRESS FOUNDATION: LOCATION FORMS,MATERIALS VALUATION $ `}p ��(f I FRAME: FIRE STOPS, BRACING, BOLTS FURNACE: LOCATION, FEE $ I FEE $ I GAS VENT,DUCTS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LAT"ri, INT. PLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY DINANCES AND STATE LAWS RE G BUI - CONSTRUCTION. LATH, EXT. SIGNATUREOF HOUSE NUMBER COR - PERMITTE RECT AND POSTED ADDRESS -L FINAL CLYDE N. DIRLAM, PRINCIPAL STRUCTURALINE R MIT G PLAN CHECK VALIDATION CK. M.O. CASH PERVALIDATION CK. M.O. CASH ITOi, 1 1 ®F WORKERS'COMPENSATION DECLARATION g 3039�2 re affirm that I have a certlflcate of consent self APPLICATION FOR BUILDING P E RM I T Insure, or a certificate of Workers'Compenstlo'n Insur4nce,•or a certified pcopy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Nd'� - 676Company Fremont Indemnity Certlfled copy Is hereby furnished. BUILDttVG R APPLICANT TO FILL IN ADDRESS ® Certified copy Is filed with the county building Inspec- BUILDING tion department. ADDRESS 9831 Garibaldi LOCALITY NEAREST Date 814183 Applicant Virgin Ronf Co. 'CITY TMle City ZIP CROSS ST. ! CERTIFICATE OF EXEMPTION FROM WORKERS' NO. OF B1DGS• ASSESSOR COMPENSATION INSURANCE SIZE Of LOT NOW ON LOT MAP BOOK PAGE PARCJ7 (This section-feed not be completed if the permit Is for one 115E; hundred'dollars ($100)or leu.) TR°CT BIOOX LOT tJO. NO. } TEL G sPAL I certify that In the performance of the work for which this OWNER Pete Swancutt NO. CONDn-K)NS O permit Is Issued, I shall not employ any person In any manner 015 ISTR ICT GRC JP TYPE FIRE PROCESSED BY U so as to become subject to the Workers'Compensation Laws. ADDRESS 9831 Garibaldi CONST. z OC Date Appllcant CITY T 1@ Ci ZIP STATISTIC!,!,CLASSIFICAT}ON U NOTICE TO APPLICANT: ff, after making this Certificate of ENGINEERH ITECT OR TEL. a Exemption, you should bbcome subject to the Workers! NO. DWELL UNITS to Compensation provisions of the Labor Code, you must forth- MAP with comply with such provisions or this permit shall be ADDRESS — deemed revoked. CONTRACTOR Virgin Roof Co. t o. 287-0507 M YAUDATION LICENSED CONTRACTORS DECLARATION LIC I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P 0NO. 160650 VALUATION (commencing with Section 7000)of Division 3 of the Business and C Prof ea'ions Code, and my license Is In full force and effect. CITY $wSBII Gabriel 91778nnss .X39 ; 3598.00 160650 C39 4Z FFoR1EE5 FNOAMILIES ONE License Number ,. ass Contractor Virgin Roof Co Bate 8/4/83 DESCRIPTION OF WORK Re—roof with 2201 ❑ = L C� — I am exempt from the licensing requirements as I am a Cl "A^ Merglms shingles, ADD Ellicensed architect or a registered professional engineer ALTER FINAL acting In my professional capacity (Section 7051, DATE D REPAIR Business and Professions Code). USE OF - EXISTING BLDG. Dwellipar - ❑ FINAL 9 C..r 1 Llc.or Reg.No. Date APPU CANT TEL r OWNER-BUILDER DECLARATION PRINT NO. I hereby affirm that I am exempt from the Contractor's License [ ;44'k 4 A Low for the following reason (Section 7031.5, Business and P• 0• Boz J San Gabriel 91778 {�. # o a'o'o'o1 Professions Code): BUILDING 2 o �. 6 8 6 3 I, as owner of the'property, or my gmployees with t4DDRES-S o o 0 db3 wages as their sole compensation, will do the work and rInvesilgaflon Y .0 rai 1 �•_a,3 the structure Is not Intended or offered for sale (Section 7044, Business and Professions Code). TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO. with licensed contractors to constryct the project (Sec- tion 7044, Business and Professions Code). S 'CONSTRUCTION LENDING AGENCY RED YARD HWY TOTAL SETBACK FROM EXIST. BACK PROP-UNE WIDTH I hereby affirm that there Is a construction lending agency for T the performance of the w-ork for which this permit Is Issued P.I. (Sec. 3097, Clv. C.). Lender's Name $ Lenders Address S Permit Fee 58.13 I certify that I have read this application and state that the IsuanceFee. 10.50 above Informatlor Is correct. I agree to comply with all County n Fee ordihances and State'lows relating to buildingconstruction, Total Fee Aignature eby authorize representatives of this County to enter e abov"o-mentlo ZJ�r Inspection purposes. , SEE RWEIM FOR EXPLANATORY LANGUAGE atms nt or Agent Date WORKERS' COMPET SATIQN DEQARATFdNhove i Insure, or certificate of W a Come nsatlo fnsurorlceif �Pi'- �, ATiON FOR.. BUILDING .PERM I:T or a Carl 6d copy there.6 Sec 3800, Lab;� ) - i COUNTY OF.LOS ANGELES 'b1 UNNG AND SAFETY '.Pbllcy,No:. mparty ,].7�i��ttt-,.-dJ r 1 Certified copy Is hereby fumisbed. . ' FOR 4IaT A$KiCTO FILL-1N A IDS Cectlfled copy Is filed wtth the countylqulldlp�InmpeS-.ppBUrLDING• 8.3 t, } - tiop dertmenf. ADDRESS O Date ' :Applicant CfIY' , ZIP LOCALITY CQ�T FICATE QF IDEWMN FROM . SiZE OF LOT NOW ON LOT NEAREST CSS ST:' CO3MPE14SAT1 ON I NSU RA NCC (This sedion need not be'c9mple�ed.•If the permlt Is'RX ion* TitACL BL0C7C LOT,-NO..' PAC PARCH. hur;dred dollars ($100�'or 4e�c). Oyl,t nnAA I certify that In the'pdrformdnce.of the woek,for which this perrntt s iswed,-I lklallt{tot employ� Qpny perwn In arty mdnner ADDRESS SPEUK po.as td become wbl To She Workbrs,{ompensatlpa taws f110N5 O CFrx:... ZIP i D/ U Date AppUcpnT Y ARC71fTECiOR , T� N0710E TO APPLICANT:-.If y,.after n-a,a thy CwIlficgte of tit NO.- � P TYPE FRE J3Y O Exerpptlon,, you:should become subject,"ib the •1Wo&acs` _ ZOW ESS •Cpmperoatioo-provlslorti of*6 Lgb±or Lode, ltou',must.fool-},- ADDRESS '/ rn with cohiply'wlth such Prgvlsl6ns.or•.this,permlt shaH be TEL S7AT15T1G�L QA551 APT. COfDO„ - LO .,deemed revoked'. OR ,���-N1 a. QASS NO. nwFtl UNITS — UCE14I ED CONTWAL70RS DECL,14RAT'IOM_ ADDRESS « �`ANO., ty l I hereby afftrrtrtc} I gm:Ilcerned under provfslons4oCChaphr 9 . SEWER M#F (commenting wit Section 7000)of Division 3 of the Business L and ftfesslons.Code,pnd my lice }s In full force and effect. ' O°` �: �" BK . vAL DATFON ��o'�S` G 3g* sl sro� e / ONE . License Nuhiber' LJc ,Class �' , - NEW .� MALVAT ON ConTTacior Datr� _1rY DESO21P710N OF 1MOR1C _ _ SQ•_ IL ;. ADD Lam exempt under Sec _�} B•.&P"G.for,thrs r09so 6_111— 4Z REPAIR # - 7. SOF-.t4pBLD( - DEYoDL Signature gpp,�CANr TEL l�lA1 T OVyPER-BU I LDER DECLARATFON, l NO. o I hereby Irm that.tam exempt from the Contractor's License DAA `� Law for q'folllWlnp reasory (Sgctlon .70�1.5r;"fn'ess and ADDRESS FFNA1''.' 1 Prafessl.4ru Code): ACCT .i L.. BUILDING Ay , •r El 1, as owner'of the property; Or•rdy employees'.with r V 92-T5 wages as their sole com�nstrtlom,;wlll do theworkand rare the s"cture Isnot Intended or offered for sale(Sectroa LOCALITY pill" 1.ITEMS 704 Businew and Profepmlon}'Code.) MO�hNG T _ I,as owner of the property,-am exclusively Contractlnp '• No.. TOTAL 9-2.�'fir_. with Ilrensed corttrectaijc. Sor} rvd the proleCt (Sec- ' - ADDRESS tion 7044, Business qnd Profs 10na'�ode.).- r �� ?2."7 29, WNS1'RUCTIONLF�IDINGAGENCY rn �n Y1lRJicwkff .[�1 hbreby affirrrr that there is q oonstructlonaending aoency for'the perfo nce of the-workr.fbr whrrrh tl l4,permlt is Issued(Sec 3097, Ctv. C.): �yyy� �yy -7ry/pLr .. - 000i0�0001 !/- Lf 7QLenders Name tbMA Ref:r 7229 1 AM 9 10 9. Lenders Addroqs Ioerttfy that I haw read this appilCatlori and state thQt the rasa,anta PlCabove lnformotlon If correct:'I agree td cortlply with all County «r _ Or&nanfes.and Stpte-taws relating* to-bullding conmtructlon, Total Fee mMA Perm t _ and hereby authorize representatives of this.County tp enter (`upon the above- ti ed property.fcr,Anipectlonpurpoiea. 1 ��G ,r- Ar+�1:0qy + Sl Qrwture of Applkant cr Agt Dais : WORKERS'COMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self:' APPLICATION FOR BUILDING PERMIT ori insure, or a certificate of Workers'Compenstion Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NJi!T$A!44bJ Compony ]PEO Mt 1`etd"nj,t Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING ADDRESS Certified copy is filed with the county building inspec- BUILDING "-� tion department. ADDRESS 98,31 LOCALITY 4} NEAREST Date A14,,83 Applicant + CITY `'. NO. OF BLDGS. CROSS ESS T. a CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PA GE PARCEL (This section need not be completed if the permit is for one USE ZONE MAP ` +i hundred dollars ($100)or less.) TRACT BLOCK LOT NO. NO. WJ TEL. SPECIAL I certify that in the performance of the work for which this OWNER ty NO. CONDITIONS LL DISTRICT GROUP TYPE FIRE PROCESSED BY permit is issued, I shall not employ any person in any manner r ADDRESS 983 R, CONST I ZONE so as to become subject to the Workers'Compensation Laws. Date Applicant CITY LE City ZIP STATISTICAL CLASSIFICATION APT. Y~CONDO O NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. -7 CL Exemption, you should become subject to the Workers' ENGINEER NO. CLASS NO DWELL. UNITS Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP t" with comply with such provisions or this permit shall be deemed revoked. + TEL' ,t ? BK. - I PG, '-~w� VALIDATION CONTRACTOR V i NO. ) f LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm.that I am licensed under provisions of Chapter 9 ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. Professions Code, and my license is in full force and effect. CITY ImmiSlan . LASS $ xcr, ., r1t1 SQ. FT. NO. OF NO. OF CHECK License Number 160 650 Lic.Class In g SIZE STORIES FAMILIES ONE ������ ��'��� �tDate ��'���� DESCRIPTION OF WORK n... r �" n� NEW E] S Contractor 1:1ADD I am exempt from the licensing requirements as I am a c+ tt tt 14 licensed architect or a registered professional engineer ALTER ❑ FINAL acting in my professional capacity (Section 7051, E3 DATE REPAIR LJ Business and Professions Code). USE OF DEMOL FINAL EXISTING BLDG. ❑nji B tic.or Reg.No. Date APPLICANT TEL. y :OWNER-BUILDER DECLARATION PRINT NO. 87.1;Nc ` t, I hereby affirm that I am exempt from the Contractor's Licens4 Law for the following reason (Section 7031.5, Business and ADDRESS 9177A •. `, N b W K M Professions Code): PRESENT BUILDING r. I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and , LOCALITY m e Y the structure is not intended or offered for sale(Section t :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 TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. UNE 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.). rInvestigation Lender's Name Lender's Address Permit Fee I certify that I have read this application and state that theIssuance Fee 1G) 0 cabove information is correct. 1 agree to comply with all County $ oryfinances and State laws relating to building construction, oral Fee ry -.and hereby authorize representatives of this County to enter a upon the abov8-mentioned property for inspection purposes. a SEE REVERSE FOR EXPLANATORY LANGUAGE o `: ©s Signature of Applicant or Agent Dote