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Home My Public Portal About9916 GARIBALDI AVE_Building__ 76A638A CE x:8032-63 APPLICATION FOR BUILDING PERM T COUNTY OF LOS ANGELES BUILDING i DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCAL IT JOHN A. LAMBIE. COUNTY ENGINEER NEAREST WILLIAM A. JENSEN. SUPT OF BUILDING CROSS ST. D ?CT 9FROUP I TYPE PROCE D BY FOR APPLICANT TO FILL IN Z CONS BUILDING STATISTICAL CLAZSIFICATION SEWER MAP ADDRESS 16 Garibaldi CLASS. NO. DWELL. UNITS 4B P LOT NO. ' 54 C,6, (00 BLOCK WATER CERTIFICATE: NOT REQUIRED ® RECEIVED ❑ TRACT 6561 MAP HIGHWAY NO.OF BLDGS. NO. (CIRCLE) STATE MAJOR SECOND OCAL SIZE OF LOT 6OX112 NOW ON LOT USE ZONE SPECIAL USE EX STO NG BLDG. dwelling ',nd 6:,ara a R Ut• SCONDITIONS OWNER o kc`�. NE T 662 BUILDING EXIST. 1 YARD HWY STREET NAME Garibaldi SETBACK WIDTH ADDRESS FRONT ARCHITECT OR TEL. P. L. ENGINEER NO. SIDE P. L. �. ADDRESS Uhl-7 E{,7� pp O CONTRACTOR A. .�4. :a l tt l NO'I" — V - U /' 'p 0 ADDRESS `+707 TV �_dra Ave . B•Pk• O DESCRIPTION OF WORK v W NEW ADD ALTER REPAIR DEMOLISH _ N SQ. FT. NO. OF NO. OF SIZE 399 STORIES FAMILIES + USE OF _ STRUCTURE bedroom hall SIGNATURE OF APPLICANT us VALUATION $ S WFU��RlNjACE: LOCAT LS GATE. INSPECTOR'S SIGNATURE P.C. PMT. Q'�C,'� LOCATION FEE FEE $ �J MATERIALS ~1: STOPS. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONOLTS AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLYCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS BUILDING CONSTRUCTION. 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH, INT, TION OF THE LAB O ODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S PENSATION I RANCOJ� ) LATH, EXT. rT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL S 6 JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.G. CASH Li tLj 4 1 4 3: GST _ D 1 8.50 APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING 1/916 E. Gari-oaldi COUNTY OF LOS ANGELES ADDRESS DEPARTMENT OF COUNTY ENGINEER CITY Temple Citv Ca ZIP BUILDING AND SAFETY DIVISION NO.OF BLOGS. BUILDING ` SIZE OF LOT NOW ON LOT ADDRESS (f^�R c TRACT BLOCK LOT NO7LOCALITY TEL. NEAREST OWNER li. Cameron NO. CROSS ST. 4916 Garibaldi AssessoR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P ESSED BY CITY Temple City ZIP CONS T.�/ ZpNE ARCHITECT OR TEL. ENGINEER NO. �(JJ' STATISTICAL CLASSIFICATION SEWE MAP ADDRESS CLASS NO.�_OWELL,UNITS BK PG CONTRACTOR Virgin ROOF Co. Np 287^0.507 7- 1 ONE MAP ADDRESS 600 S. San Gab. Jltg:' 160650 SPECIAL !!.. LIC. n CONDITIONS CITY San Gabriel, CA CLASS C-39 ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBA K FROM FRONT PROP.LINE OF (STREET) >- ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING O SQ, FT. NO. OF NO. OF CHECK HIGHWAY + YARD - HIGHWAY WIDTH FRONT PROP. LINE SIZE STORIES FAMILIES ONE + O DESCRIPTION OF WORK NEW ❑ I j ADD BLDG,SETBAC ROM a SIDE PROP,LINE eroofin using U.S.G Corn (STREET) z , L, C ALTER HIGHWAY + YARD = L B`A FR M TYPE OF TING ingles, trim, statter, nails SI ROP. LINE HIGHWAY WI TH REPAIR❑ USE OF + _ EXISTING BLDG, 17TT1 DEMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) NO. BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION$1335 00 V CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE TATE OF CALIFORNIA IN RELATING TO �� WORKMEN'S COMPENSA INSURANCE. SIGNATURE OF u�_ _ /�/S��G -r O G. Lr✓V PERMITTEE ADDRESS CA !L L-S-7-r /`'l A,/ CITY Sar. Gabriel, Ca ) TEL FINAL 7LNO. 287--05C DATE tj I' /Q Y 11.1ti1= (.11f_(JK� I':1):1131.E 10: P•C. $ PMT.$ HARVEY T. BRANDY, COUNTY ENGINEER FEE /o. FEE 21.75 PLAN CHECK VALIDATION CK M 0 CASH _ PERMIT VALIDATION < CK M O. CASH 76A638A CE#803 12/72 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY . WORKER'S COMPENSATION DECLARATION "'F:m APPUCANf TO FLILL INBURase I hereby etflrm that I hese a certiM1cete of consent m welt tresura SS 9!9 /4, /3 L Or a certificate of Mckers' Compensation Inaaance,Or a ceruw es copy d (Sea 3800,Lab.a) T/=-M/oz -,F- G POfky,��/r-�� co rySTflrF_ cc,.vp `/_�N�i� - r �q 7F�d Low t c'q` 9i �D SLM OF Lor Na of BLDCiB_NOW ON LOT ❑ CertfM1ed copy Is hereby fumlehed. NEAREST CROSS ST. Ceub'W copy is filed with the county bullding tmpectbn TRACT BLOCK LOT NO. dop�e _ _ J7- COMPENSATION ZONE MAP NO Data sglnppibarrt e-DA/.II7a4G✓� R F 4 ASSES90R MAP BOOK R"E nknca SPECIAL COt•DITgNB ,. CERTIFICATE OF EXEMPTION FROM WORKERS' ��/ GAM RDS Ta NO' WITHIN 1000 FT.OF SUF? YES NO INSURANCE ,�pp�gg (Tlnfed a eton need not be cor p{et0d R the permit is Tor One hundred ryp J� /6 � t / OISTIRC7 GROUP TYPE COW FRE DJNE PRODESSFD BY dollars (3,00)or leas_) q_Ti��/ I certfly that in the per faT„e„oe of the wait for witch thleer pmR / /N /0c� Is IBaDed, I shall not erripby arty person In arty manner so as t0 oR � TEL No bOCOM aLth)eot m the Workers'COnlperleatlon Lawn / 8ur18Tr-AL CONDO Date Appilcwn ,ADDRESS CLASS NO. a DVJE11 UNT8 APT NOTICE TO APRJCAlwf.• If, after making thle Cwtfflcate of REQUIRED TOIL SETBACK FROM EDQBT r Exemption, you shale become aubje& to the Mckers' CONTRACTOR TEL NO. SET BACK )AM HYvY PROP UNE vY�ni Compeneatlon provtamre of the Labor Code, you meet forthwfth COMNAJ,qc l..r /1.tL. .f YJ P'I:,a $=9�z d FRONT corr;*wtth such provIsio m or tib permit shell be deemed rewked. /'D /QO 1r /319 LIC.NO. 2,w- Sm L LICENSED CONTRACTORS DECLARATION Sm I hereby affirm that I em xW lbwood wprovlebrta of Chapter 8 /- �L I= d!T Da P L SEWER AARP (oommenOh-Q with Section 7000)of DMebn 3 of the Businam and Sa FT.8CE NO.OF STORE9 TNa OF FAMLES Profeeabrm Go*and my license 1,s s In hill force,and effect. /-70 d / NEW BK Pia IJme cerWrnbas �Z Lfc.Clave C- 3 9' DESCRIPTION OF ViOFnc ADD ❑ WILUICH , O ccior G v.•t.a d.Qc. 6 z o- Y ti $ p-f D• (� ALTER ❑ R Inds- yST� G O.tI !'! 1y/b6�.tarr REPAIR ❑ El am exempt under Seo. $ BhP.C.for bile reason DEMOL ❑ o�1 LDMA P/C# IJI r+ Deter USE of /C BLD% U R M s ❑ a fPFNVT) TEL Na LIMA Perm t 1 ❑ I, as owner of the property, or rry enpbyw A wRh w'agea ac G!y their Soie compensation,pention, wfll do the work and the stTUDture le O AGCT.i not Intended or offered for eale (Section 7044,-Businese and 5:/`fA.4 ic7J /•Ae e / f FDL&L DATE � 33G3 107.10 Rofeeabne Code.) Y L THE APPLICANT OR FUTURE HUR-D G OCQ",WT FW40LF A HAZARD"Maw ❑ 4 as owner of the property, am exckmfvey oxtracUng wkh OR A 1DCFURE CON-P&040 A HAZARDOUS MaRRML 033 TO OR GRE4 TW.THE. 1 ITC k7 A1rOLWB 8P�ON THE HAZARDOUS YA EMLS lJFaF44IDN GLIDE? FDML BY Didroes Q and Rd e o coocle.)t the pro}eat (recti«, 7oaa, YEs❑ No 1:1 TOTAL �E} _ 1 Q BLahDesa erd Proreesbne Code.) W1 THE INTEND®USE OP THE 8LVXM BY THE APPL� OR FUTURE eLLDNG ocaRrxT REaRE A PEFUT FOR cosmrRIUCT"OR MOOFICJTM FROM THE Sam{ CHEC11, 107.10 CONSTRUCTION LENDING AGENCY COAST AS QUAY"MW40ADrr DWTRICT(ecrnol SEEPr�Tf?JG a-Ea W FOR NE8. I herebyth afflrTn at there IS a coristnx m lording agency for YEs El No ElC.1-"E .00 a the pwbrrnence of the work for which tt ils permft to leaned(Seo. 3087,CW.C. I H M READ THE FW ARDOUS WrEFULS WOFOLAT"OLDC AND THE SCA=PEFNJTFNG [� n ) TM-E 9CHECK.QL I Uro Z20 SE Ary REQu—xre UNDEROUGH Tl-!Loe AN CE COUNTY CODE, — 1 fi/iO/7_R Tm_E z,aiARraa aao secnorra 22-0.100 THraouGH 2.so.i+o ca+caTla�G IiAZARDas Lerxiera Name bkUVVL8 FEPCFrrM AND FOR COW443 A PERYT FROM TFE BCAna Lendera Pddreaa o a..m a+.err 1 Am 9;,-�1 I certffy that I her@ read tib application and state Lader penalty of per}ury Thai the above Mormatl n la Dor DclL I agree to om y P.C.FEE PERIAT FEF wfth all County ordharxcee and State Iewm relating to burking conch xbccn and hereby a of tie County BSLNJJCE FEF � 1 m PUPS :J o 6 0- NVESTX ATION FEF T011L FEE tJ 8EE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANISE .RA TEMFLE CITY 0508 BUILDING PERMIT I DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR - BUILDING AND SAFETY / LAND DE{/ELOPMM TEMPLE CITY CA 91780 BL 0508 1302210087 PHONE. (626) 285-0488 ETT: - LEGAL ID: 190. OF CONST BUILDING ADDRESS: TR: 6561 LTi 54 UN: .003 SQ. FT STORIES TYPE 9916 GARIBALDI AV STRUCTURE: 2200 V-B TEMP CA 917801714 ASSES80R INFORMATION NUMBER: NEAREST CROSS STREET: 5385-028-024 ,TON S PAGE: 597 GRID: A2 LODCALSTY: TEMPLE CITY CA T120kNT: EXIST BLDG USE: RE9ID USE ZONE: R-1 ISSUED ONz PROCESSED BY: . EXIST OCC GRP: 02/21/13 SR 01EgER: TSL: NO: BLD0.9. NOW ON LOT: VALUATION: F F7iAL BY: CODE: CAMERON HELD? H - 1 14,790io 9916 GARIBALDI AV - TEMP 917801714 _ FEES PAID D99tR PTtON OF WORK REMOVE THREE LAYERS OF OLD ROOFING, INSTALL N9W RADIANT FEE DESCRIPTION: QU]AhTI.Z'i'Y: DOM: AMOUNT: AJ1RRrRR 1/2.OSD SBRATUING. INSTALL GAF 30 YRDEMENSIONAL APPLICANTi TEL. NO: SHINGLES OVER ONE LASER A TM 30# CABE, MARK (951) 288-6196- AA BLDG PERMIT ISSUANCE 27.80 9599 ALTA LOMA DR AB SATE GREEN BLDG FSE 14790.00 VAL 1.00 SPECIAL CUi®ITIONS: RANCHO CUCAMONGA AC STRONG MOTION RES ID 14790.00 VAL 1.50 D2 PERMIT W/O RN-HC 14790.00 VAL 300.60 TOTAL FEES 330.90 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MD ROOFING, INC. (909) 549-3363- 9599 ALTA LOMA DRIVE LIC. NO LOCATI08 AND SETBACXS ALTA LOMA, CA 91737 435779 C39 _ SOBS, ENUINRER APPROVAL - ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNIDRR FLOOR RAISED FLOOR FRAACn9G MAP NO: SERER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 15OH269 3 00 FLOOR'SHEATH]293 NO. OF FAMILIES: DWEIJANG UNITS: APT COND: STA± CLASS: . . 0 NO 21 ROOF SHEANHING SC1ML WITHIN HAZARDOUS SHEAR PANELS 10 - - AIR QUALITY: 1000 FRET MATERIALS - . NO NO NO FRAME I7SPECTION FIRE SPRT30= BANGERS . INSULATION STRIP .. INTERIOR LATH DRYNALL ETTER'(OR LATH RATED FLOORCII, ASSEM. RATED fOALL ASSENDT, RAnM SHAFTS OPENINGS T-BAR CEILINGS LAT DRAINAGE REPORT ID: DPP-261 ROUTE TO: BS0508 . i