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HomeMy Public PortalAbout9935 GARIBALDI AVE_Building__ 76AaaeA CEreDa 9-07 �" APPLICATION FOR BUILDING P RMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS F&J - A.R / L d I BUILDING AND SAFE'T'Y DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, &UP'T OF ]BUILDING NEAREST /� CROSS ST. /V PRE OR APPLICANT T FILL IN DISTRICT NO. GROUP TYPE O PROC D BY O Q -t CONST. (Print or • only) p 1- ,qf m STATISTICAL��CL//A��SSIFICATION S ER MAP r CLASS No._L�DWELL-UNITS r/ BK` PG 8Z BLOCK USE ZOITE MAP NO. SPECI SF 7ZCONDIT ONS AL O.OF BLDGS•T v NOW ON LOT LDG. BLDG.SETBACK FROM TE FRONT PROP.LINE OF (STREET) NO. TYPE OF ISTI SETBACK HIGHWAY + YARD = TOTAL HIGHWA WIDTH FROMC.L. !L4L G m - + L O = Z b CITY ARCHIT C OR L. BLDG.SETBM SIDE PROP.LINEACK LINE OFOF (STREET) ENGINEER NO. TYPE OF EXISTING BETUCK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. + _ CONTRACTOR NO. o ADDRESS NO. CORNER CUTOFF YES ❑ NO ❑ O CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK 0- z NEW ADD ALTER REPAIR EMOLI SQ. FT. NO. OF N SIZE STORIES Q FAMILIES USE OF /SIVdAli /l E STRUCTURE SIGNATURE OF APPLICANT VALUATION S O - APPROVALS DATE IMSP[CTOR•• eloNAruRE P.C. PMT. FOUNDATION: LOCATION FEES FEE S 4:5;) 0 FORMS MATERIALS FRAME. FIRE STOPS, I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ASOVE 10 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS SUILDI Na CONSTRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORrZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- TION OF THE LASOR CODE OF THE SA TATE OF CLIFORNIA RELAT- LATH, INT. INE TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT, SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL STpbllTlURAL ENGINEER PLAN CHECK VALIDATION CK_ M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH 2772 7S M22 i D6 -00 q WORKERS' COMPENSATION DECLARATION ua, a{irm ' certificate elfliureorcertificcate of WorkerCompensatonn Insurance, APPLICATION FOR BUILDING PERMIT or a certlfied copy thereof (Sec. 3600, Lab. C.) / %L& COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NoA r r Com15any ❑ Certified copy'is hereby furnished. FOR APPLI TO FILL IN BUILDING ADO RBS Certified copy Is filed wit ou building Inapec- BUILDING tion department. ADDRESS r a Date Applica CITY / ZIP LOCALITY CERT CATE'OF EXEMPM WORKERS' NO. OF BLS• 7 COMPENSATlOANCE SIZE OF LOT NOW ON LOT ST. {This.section need not be completed.lf the permit Is for one ASSESSOR .hundred dollart< ($100)or leu.) TRACT BLOCK LOT tJO. MAP BOOK PAGE PARIS TEL LISE Z I certify that In the performance of the work.for which this O1�R,ER NO. I NO. permit Is Issued, I shall.npt employ any person.In any manner SAEC�AL so as to become sub[oo to the Workers.'Compensation Laws. arY'a`� r 1' COrDMOtZ CITY ZIP Date Applicant' NOTICE TO APPLICANT: If, after making this Certtflcate of ARCHTIER OR TEL D6TRICT P TYPE FRE BY Exemption, you should become subject to the Workers' �7/ z Compensation provisions of the Labor Code, you must forth- ADDRESS c v with tompty with such provlslons or this 'permit shall be TEL STAT1571CA1 CLASSIFICATION AFT deemed revoked. Co, T tfp LICENSED CONTRACTORS DECLARATION LIC.Or CLAS.NO. `L DWELL UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 4 NO. a (commendng with Section 7000)of Div41an 3 of the Business and LIC. S AAAP Professloaaffect.s Code, and my license Is In full force and eect. CITY LASS -3 BK. PG VA DATION SO. FT. NO. NO. OF CHECY Llcense - r Number "Z,31 Z Llc.CIC 3Y SIZE STORIES I FAIAIUES ONE VALUATION DESMPT10N OF WORK NEW Contract e ADO _ � �� I am exbmpt under Sec! B.BP.-C. for this r REPAIR : USE OF Date: EXISTING BLDG. z Signature APPLK',4NT TEL 19 NE -BUILDER DECLARATION PRINT NO. DAT[ I hereby aff that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, -Business and ADDRESS F i Profeulons Code): w ,y� �r A ElJ, 'as owner of the-property, or my employees with �IADDRESS FTI. t .T wages as their sole compertiatlon,will clothe work and LOCALITY ' M7 1? .w the structure Is not Intended or offered for sale(Section T 70", Business and Profenlorts Code). MOVING TE1_ 1 I 1, w owner of fhe property, am exclusively cantracting OR NO. TOTAL 1 � with licensed contractors tq construct the project (Sec- tion 70", Business and Professions Code). ADDRESS �� ��j.w .CONSTRUCTION LENDING AGENCY MORN YARD F[WY PROP. UtX WIDTH 00 I hereby,afflrm that there Is a construction lending agency fqr 7DE WOE. ' the pwfonhonce of the work for which thls.permlt Is Issued (Sec. 3097,CIv. C,.). lR>•J�J 't 1 AM 10. v 7 Lenders Name— LDMA W. I 1 AM10.W $ Lenders Addren P.G Fee$ Permit Fee ' I certify that I have rood this application and state that the tawarxe FM J V LDMA P/C 1 move Information b correct. f agree to comply with all County Investigation Fee ordinances and State laws relating to building,construction,: Total Foe r LDMA Penn. R an es reby.authorize reprentatives of this County to enter U the abov tlonid property for Inspection purposes. o tib RIINIf✓<KM E ANATCWY LANOUAGN of Applkant or Agent 78, a8A GE4803 9-67 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS c�1J S BUILDING AND SAFETY DIVISION LOCALITY T I JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST CROSS ST. [/ FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE PR SSED BY (Print or type only) 57 0 Z CONST. FL BUILDING ADDRESS /1 STATISTICAL CLASSIFICATION SEWER MAP (� ( CLASS NO.--/-DWELL,U NITS BK/_ PG,:q!I? LOT NO. BLOCK USE ZONE MAP O 3 R- / NO. TRACT ' 2.210 SPECIAL NO.OF SLOGS. CONDITIONS SIZE OF LOT d_eel NOW ON LOT USE OF EXISTING BLDG, BLDG.SETBACK FROM TEL. _ FRONT PROP.LI NE OF (STREET) OWNER NO. _ TYPE OF EXISTING SETBACK HIGHWAY + YARD — TOTAL ADDRESS >— HIGHWAY WIDTH FROM C.L. 1(9ckc (�0 " I --- + CITY 44 EILDG.SETBACK FROM ARCHITECT OR TEL. SIDE PROP.LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. TEL. _ CONTRACTOR NO. + O LIC. CORNER CUTOFF YES ❑ NO �� U ADDRESS NO. � CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS U DESCRIPTION OF WORK a f/J rZ ADD ALTER REPAIR DEMOLISH ^ SQ. FT. i ` NO. OF NO. OF SIZE G-� STORIES FAMILIES USE OF STRUCTURE i SIGNATURE OF APPLICANT VALUATION $� /� C1 APPROVALS DATE INSPECTORS SIGNATURE P.C. °^"/ $ PMT. FOUNDATION: ION FEE $ (.o � FEE $ �. FORMS, MATERIALS FRAME: FIRE STOPS, 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 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. p' ING TO WORKMEN'S COMPENSATION INSURANCE. LATH, EXT. SIGNATURE OF / HOUSE NUMBER COR- PERMITTEE '�� ` - RECT AND POSTED 4b L ADDRESS FINAL /T -1/4- JOHN OJOHN F. LEWIS, PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION r.K, M.o. CASH _ PERMIT VALIDATION CK. MO. CASH 2725 , N22266.38- 2 7 2 s�S JAM22 1 D 13 2.7 5- 4 r 4 COUNTY OF LOS ANGELES TE}FPLE' CITY NR 0508 w— + it BUILDING PERMIT -DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEKELOPMEN'T TEMPLE CITY CA 91780 BL 0508 0012050018 PHONE; (626) 285-0488 EXT: LEGAL ID: NO. OF CONST WILDINQ ADDRESS: TR: 32644 LT: 7 SQ. FT STORIES TYPE 9935 GARIBALDI AV STRUCTURE: 0 VN TEMP CA 917801716 NEAREST CROSS STREET: BALDWIN 5385-024-048 THOMAS PAGE: 597 GRID: A2 LOCALIFY: TEMPLE CITY TENANT: NIST BLDG L)SE: RESID USE ZONE: 1 ISSUED ON: PROCESSED MYT­ EYPIRES ON: EXIST OCC GRP: - 12/05100 UT 06/04/01 OWNER: TEL. NO: RLDGS. NOW ON LOT: VAI LIAT I ON: FINAL DATE BY: CODE: ANDREW GBIRGE;BETTY TRS ANDREWS TR (618) 285-69¢3- 1 2,00.0r�� 9935 GARIBALDI AV ( _ TEMP 917801716 REROOF NORTH EAST SIDE F HCUSE, REMOVE THE EXISTING ROOF FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: AND APPLY FIREFREE 20 YR. COMP. SHINGLES APPLICANT: TEL. NO: YEATHERITE ROOFING (626) 287-0669- AA BLDG PERMLT ISSUANCE 27.75 4016 TEMPLE CITY AC STRONG MOTION 2000.00 VAL 0.50 . ROSEME D, CA D2 PERMIT Y/ 00 VAL 82.20 NC,ELE 110.45 CONTRACTOR: TEL. WEATHERITE ROOFING (626) 287-0669: �O5 �Ty 4016 TEMPLE CITY BLVD LIC. NO LOCAT�CN AND SETBACKS ROSE3MEAD CA 91770 HIC SOILS ENG I N ARCHITECT . - (1 SLAB/�NDER FLOOR LIC. k0MAP NO: SEWER E ZONE: Dff=OOR INSUILATION 111111 RAISED FLOOR FRAMING 153H269 3 U BCDLC. WNO. OF FAMILIES: DWELLING UNITS: APT/MND: $TAT C NO 21 ROOF SHEATHING SC L WITHINQ AIR QUALITY: 1000 FEET MATERIALS ❑ NO NO NO El REQUIRED TOTAL SETBACK FROM EXISTFIRE SPRI SETFRONT - grV BACKYARD: HWY: PROP LIME: WIDTH: 46//C aS' �6INSUlLATION/WEATHER STRIP at��i SIDE PL- INTERIOR LATH75ff7QAlU_ r * ADDITIONAL DATA ON FILE LOT DRAINAGF_ REPORT ID: DPR261 ROUTE Tb: B30508 j