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
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