HomeMy Public PortalAbout9951 GARIBALDI AVE_Building__ WORkORY COMB' T]O. '1 DECLARATJON a
i sur;,by aqffitm
qwr that c 'I t;qre a rfia of coruent to self. APPLICATION .O.R- l�I L D I N Com_ 'ERMIT.
Insure, or a �rtlftcate of Work fs'•to'mpenpWIon Insurance,
ora flad.cgPY thereof(Sec .3800, Lab. )
{OU[1M QF LGL ANGELES- MkDING AND SAFETY :
Po�-f•�lcy No. Company BURRING
LJ ,.Certified copy as her>�y f;UM[shed FOR,i4PpL(G4N� TO FILL IN ADthRl35 9
Q Certtfipd topy is filed with the.county budding lnspec- BUILDI44G
-tion clePortrrient., rrf� O
T CIfY'! ZIP a OGUJTy
Dtrt'e—T�Applicant`- NO. OF
CERTIFICATE OF bMMFPON__ROM WORKERS, SIZE-OF L NOW ON tOT: - NEAREST �. .
CROSS ST.
CONMPENSAnQN-INSURAN( A
((TShhu mctfon fated not be-corupleted'tf the-pirmtt Is,for one BL LOT µpp g • p,� V�' PARCEL r
hundts�d dollars (;100) of le7i.) • .
.:- TEL OWNER-' LESFR4
L ceFTify-thatJn-.the.pbrfovmaake_`f tha,,wbrk fof.whlrh'this
permit Ir Igued, I shall not emploxgny.per�on In arty manner _ _ OONDmbt�5
io,o`s,o become subject fo the worker,CorPpgnsatlon laws Q
ZIP
DarttiPECT OR -Ta- RA i,
NOTICE TO AJPM I Y- If, af1er,`.rhb p w
this CaVifiteof ARCHr P TYPE ZOtJ> :PROCESSED BY �O
�cemptlon„ you should b4c9rltie'}ubjed to ,t11e ,Work rs p ?
Cor�pensatlon provisions{rf.the Labor (;_ode,, you must forth. Alm RtZ
wish comply .with 3.00 pro3islpns._or'ibis permit,lfipll be ]� STATIST1 CLASSIFICATIO►`f
deerihed revbked. .' WNTRACTOR YJO. z
UQNSEb EONTRl1CTORSPM ARATION : : -- ADo sS. CLASS NO.,a p+UAL 1JNQ$,"
I hereby affirm tfiat I am 116wned urKkk provblons of Chapter 9 SEWER,MAP
(c,ommenclSig with Spctlo..n 7000}ofDlvWon 3 of The"'&slness ", lit.
and profeaslortf Code,aril my,llCerise is In full fwcp ar;J efftci. _ CITY.
!EY �`� BK-
PG. VALJDATFONt
NO, OF OF a1�
Wcense Nuriiber. �_ I IG Claas�_ SI STORM FAMIUES? ONE
y npN,
Contractor Dime' t NEW []
❑lam•exempt'undei Sec L ,Q-
JER �
BAP.(-'.for this,recon^� REPAIR ; i
DxU:MA t ITl -- -
;Slpngture CANT 1� FIRM
OWNER-RUILbER DECLA� ATION NO' " IDATE
I hereby affirm that Lam exempf from the Conttacto�s LlcerNe 1 =.
Law-for The f8119wfrig 'reason (Settlors 7031:$, 8u lnens ar d FINAL
.>: BUILDItIG r ► .1T
owner of the property, pr;my employees with qp4 �,
wages as their isle comper;satlon,will do thv.work and �� J' 1�:90.
the structUre is nbt lntendpd or offeFed foLidle(Sectlbr), LCK:41fTY r,,'
70+14, Bwlnese and Pr'fewlons"•C�o¢ ,} MbVING TEL. _ . ..•..' . _ ' .. �-3
El' L.as o'vvnet of the prop", atn excl�stlVely controding tRACTOR tJO. µ' r ,r ACCT,.
with Iltenbd tbntrador� to cbrtistrud the projsKt f$ec- l-
tion 7044, Bwl_nsus and'Professlons Code ft .
1 FRAM
CONSTRUCTION I�JDING:AGEi�Y `
- YARD" HWY
I hereby affirm that there I■QQ oonstructlgn.lendINa' for FRONT
the perfomnaiSce.gf,thle,wgrk'fos whlch'thit permit Is lstued R.t`
i'
(Sec, 9097,•Ov. G). T�l�' k' ` 2 . 6u�.
Lenders Name r
Lender s Address' P. FM Perm It Fee
A certify that I have read thri app1ItW-1on.ond•;tate that the Isuanos Fee LDet4 P%c f
o above InfamwtIpm.Is.co :I agree to oornply with a11.opunty J.n0@egdtldn FeeI
S Q1_ ': 18fq2
ordinances artd State laWs relating to building construdlan, Trnal Fed u�/ . LAMA Perm:
and,f,ereby,authoilze representatives'-of this County.to inter Am 8t 16
.0 n tfie m o property fwI ion.pu -
-7� SU!!VR'fE NOR 1)(PLAMATOWY LANGf
' I Iran «AQent .. ..� . . . UAGE
1
7BA"BA CKCB03 B-BB APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER A D D R E"
BUILDING AND SAFETY DIVISION LOCALITY C
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS.BUP•T OF BUILDING CROSS 8T.
DIS��.e ICT ORO TYPE PROCESSED BY
FOR APPLICANT TO FILL IN yd coNS-T �__
BUI LDI NO ll STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS J CLASS NO..�DWELL UNITS BK PO
LOT NO '6/ OCK USE ZONE I MAP 061', �
NO. `�v(1
TRACT .gp ECIAL
XO. Tj
2!1 a4l df4 CONDITIONS
OF ■LDGS.
SIZE OF LOT NOW ON
LOT
USE OF
EXISTING BLDG, :Z.--1 BLDG. SETBACK FROM •�' _� / f
TEL FRONT PROP. LINE OF (STREET)
OWNER NO. TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL
ADDRESS 1,1 O HIGHWAY
WIDTH/ F M C.L
CITY 4* 6 f>'Q � � +
BLDG. SETBACK FROM -
ARCH E T�OR TEL.
E NO NEER NO. SIDE PROP. LINE OF STREET
TYPE OF [XI/TING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L.
/ TEL. +
CON TRA CTO-R /�-� NO ^
LIC
ADDRESS NO CORNER CUTOFF YES NO }V•�
CITY C LIc SEE REVERSE SIDE FOR SPECIAL APPROVALS
DESCRIPTION OF WORK
a
NEW ADD ALTER REPAIR DEMOLISH
SQ.FT. NO. OF NO. OF
SIZE STORIES FAMILIES
USE OF
BTRUCTUR
SIGNATURE OF � ZO
APPLICANT ro
VALUATIONS
vv APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. PMT• NDATION, LOCATION
FEE$ FEE$ FORMS MATERIA L9
FRAME, FIRE STOPS,
1 HERESY ACKNOWLEDGE THAT I HAVE NIAD THIS APPLICATION B@ACINO DOLT Q
AND STATE THAT THE ABOVE IB CORRECT AHO AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY OROINANC LS AND STATE LAWS REGULATING OAS VENT. DUCTS
7UILDI NO CONSTRUCTION. I CQRTIFY THAT. IN DOING THE WORK ,
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT.
TION OF THE LASOR COD[ OF THE BTA F CALIFORNIA RELAT.
ING TO WORK 9N'S COM B.ATION IHSU E. LATH. EXT.
SIGNATURE OP' HOUSE NUMBER COR- f`
PERMITTEE RE T AN P
ADDRESS FINAL
JOHN F. LEWIS. PRI CIP L STRUCTURAL ENR
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. w.o Alsa{CJ/,
� 2 7 9 8� JtN14 1 D 1 1.50- v
DMSION OF BUIISAND SAFETY
Deparmnent County er
County of Los Angeles BUILDING
'
WM. J. FOX, COUNTY ENGINEER APPLICATION
LD NG
FOR APPLICANT TO FILL IN IDDREEIS
BUILDING LOCALITY.-�1
ADDRESS
NEAREST
LOCALITY CROSS ST.
NEAREST DISTRICT NO. PU////...N���CK.oR RED. No. E MIT NO.
CROSS ST. / 0�= /D —i.~
/ IIGG�i
OWNER R CEIVED BY DATE 0,9 APPJ-. 36
ADD
�.
MAIL -✓ a (.,J 36 3
ADDRESS
USE ZONE NO. OF I TY I GR FIRE ZONE
TEL. - — �j `�j PLANS
CITY NO.
ARCHITECT OR TEL. ZONING A
ENGINEER NO. APPROVED BY-
ADDRESS BUILDING dt RD.
/} SETBACK LINE:
TEL 4 ' APPROVED D TE
CONTRACTO NOA BY:
_ Q G�HO UMB RING
ADDRESS ,.� MAP NUMBER rel D
LEGAL Q NO. ASSIGNED BY
DESCR ION LOT NO. BLOCK
DATE CORRECTIONS I INSPECTOR
TRACT NO. OF11
SIZE OF LOT O D V I NOW ON LOTS
USE OF NO. OF I
EXISTING BLDG. - I FAMILIES ? - '-s`� �l. / /[°� f QQ� O
DESCRIPTION OF WORK
NEW ALTERATION ADDITION r
REPAIR H
DEMOLITION
SO. FT. NO. OF
SIZE ROOMS STORIES 1
EXT. WALL ROOF '
COVERING COVERING
USE OF STRUCTURE
APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION: LOCATION
FORMS, MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE_,READ THIS AP- FRAME: FIRE STOPS,
PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING, BOLTS
CORRECT. _
1 AGREE T C MPLY WIT ALL OUNTY ORDINANCES FURNACE: LOCATION,
AND STATE LnkvB EGWLATIFlp BU L ING CONSTRUCTION. GAS VENT, DUCTS -
SIGNATURE OF LATH, INT.
PERMIT"E -
ADDRELATH, EXT.
SS
PLASTER, INT.
AUTHORIZED AGT.
$ d Q P. C.$ (j Q PLASTER, EXT.
FEE HOUSE NUMBER COR-
RECT AND POSTED
VALUATION FEE FINAL
76A698A DBS 3 2-53 - -