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HomeMy Public PortalAbout5725-5727 RENO AVE_Building__ DEPARTMENTCOUNTY OF LOS ANGE ESAFETY BUILDING WM. J. FOX, CHIEF ENGINEER APPLICATION FOR APPLICANT TO FILL IN _FOR OFFICE USE ONLY BUILDING / DISTRICT NO. PLAN CK.oR REC.No. j PERMIT NGL ADDRESS LOCALITY RECEIVED BYDATE FAPP_L� DAT389UE9� NEAREST 9A11 ��S po�l`� 1 CROBS ST. r ADDRESS (SS l`–`f,� // A, /cc/"z;// a OWNER MAIL LOCALITY t i ADDRESS NEAREST' TEL _ CROSS ST. CITY ''i No. i' / i!. FIRE NO.OFA` I TYPE-_7 I GROUPV�' ZONE PLANS ARCHITECT GR TEL ENGINEER NO. BLDG. L .�10•P,� SETBACK LINE ADDRESS �(J} � � � USE 17 APPROVED l9-A� L,-�f NO. ZONE �.BY DATE CONTRACTOR H2OU/5E NUMBERING ADDRESS MAP NUMBER 7 'fes NI. ABSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO. BLOCK TRACT NO. OF B. NOW ON LOT SIZE OF LOT 7 r_ y EX STIN BLDG. I FAMILIES USE OF' DIS JZ A � / Ur/JJM It�� f////7(/�',E�(/ /D DESCRIPTION OF WORK p NEW ALTERATION ADDITION d a /4 n D vi J6b ���1, / �v Z> REPAIR DEMOLITION �S /! �lV (�/r p N.FT. NO.OF Pur /�. 'FNl/N �/�R J�I�R�N11�'7rAl SIZE ROOMS STORIES gLn- . _rt9/D /A d 1/L 0 RCrale ✓ EXT.WALL I ROOF � COVERING COVERING (U m m n(,/–I#r- 1/,/4, –/-U I�L�A2 USE OF STRUCTURE _1r/» Deet-e/s,@ Al 3 '-2-lL' \'1 ,k�}�i J. �.S 'T.�;/S /.r /1l�Ci IV /3 INSPECTION FOR APPROVALS OCCUPANCYAB I INSPECTORIS SIGNATURE DATE FOUNDATION: LOCATION FORMS, MATERIALS ���I m I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- PLICATION AND STATE THAT THE IN GIVEN IS FRAME: FIRESTOPS, / q CORRECT. BRACING, BOLTSs>/'� f�� [S 7•�! I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE: LOCATION, AND STATE LAWS REGULATING BUILDING CONSTRUCTION. GAS VENT,DUCTS SIGNATURE OF 1 i / LATH, INT. PERMITTEE ADDRESS �i rI .7 1 - LATH, EXT. • PLASTER, INT. AUTHORIZED AOT. $ PLASTER, EXT. -�� FEE HOUSE NUMBER COR- RECT AND POSTED VALUATION FEE —��• FINAL X,v�gwz 76AWSA DBS 3 7-51 I DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES '25Le U I �1 ®I N WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY FAD..E.S G DISTRICT O. PLAN CK. NO. RMIT NO. e--1777 ` Y /t � RE ( 7D BY DATE OFADPL. DATE ISS(JED T -� / f� {�YJ�� ���Y /�T CROSS ST. BUILDING / / ADDRESS _ JIAl / OWNER 1 dF IV/1_11/ H 1�� is C_��/1�' LOCALITY ADDRESS rS CROSSEST ST. TEL CITY NO.09 ftJ 9(/J lkg- FIRE -NO. OF GROUP; I TYPE I GROUP;j: ARCHITECT OR TEL ZONE `-PLANS .. ENGINEER J �NO. BLDG. ", ORD NO f ADDRESS / SETBACK LINE � A h f ��� ��4 APPROVED TEL. BY DATE CONTRACTOR 1.4 IF— 2 NO. USE /, APPROVED `tZONE BY DATE ADDRESS HOUSE NUMBERING LEGAL DESCRIPTION I LOT N0.P 7,5'tf r OCK ®'�' MAP NUMBER e2 M FIELD CHECK BY TRACT 19 ' NO. ASSIGNED BY DATE NO. OF BLDGS. CORRECTIONS SIZE OF LOT fa S[ I NOW ON LOT Z USEOF NO. r EX STTING BLDG,�f�� ,E�[ /� I FAM:LEB 21 - f DESCRIPTION OF WORK NEW I .1,40ALTERATION I I ADDITION REPAIR I I DEMOLITION I I I A ;I sv. FT. d/ NO. ofly. SIZE ROOMS STORIES / Z EXT. WALL (+��^t O I ROOF r /�/ ^I 1' COVERING (� l COVERING (JSJ CS R USE OF STRUCTURE Y hingm v''C`lalf AR--./moo oil= IAI) jlh lh egiv1l r �D,=A2=hQ P,,D 1A170,0 7'D IT II M�: .5 ��d h � � APPROVALS INSPECTOR'S SIGNATURE DATE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- IFOUNDATION: LOCATION p p PLICATION AND STATE THAT THE INFORMATION GIVEN IS Y FORMS, MATERIALS U/ 7730o oj< .t CORRECT. 1 AGREE TO COMPLY WITH THE CORRECTIONS LISTED FRAME:FIRE STOPS, HEREON AND WITH ALL COUNTY ORDINANCES AND STATE ' BRACING, BOLTS 3 LAWS REGULATING BUILD/DING CONSTRUCTION. FURNACE: LOCATION, SIGNATURE OF Itn:._ iC GAS VENT, DUCTS PERMITTE .4P_e� _Z� LATH, INT. 1 ADDRESS y V i V% LATH, EXT. AUTHORIZED AGT. ^w� PLASTER, INT. •; 7eAeseA• DBI/ 10-50LfF PLASTER, EXT. VALUATION iS� FiNAL DF.WARTMENT OF BUILDING AND SAFETY "FLLQAZLVB rVlt xraasilaa -= COUNTY OF LOS ANGELES C 27 �j � m0 1 ® I I� WM. J. FOX. CHIEF ENGINEER �� II_��i-d FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY �j /�/ QISTRIGT NO. PLAN CK. NO. PERMIT NO. BUILDING 1- 12 °� 9 FV2DATzla_r!Ap!L- DRESS ,/; a/�41 /� �/LOCALITY 2 l i✓/ yRECERYED 9Y QATE ISSUED NEAREST olloal fly. ADDRBUILDESS r NG OWNER rra�y / J�fi� s / AMAILDDRESS IDC.sas J/ �, �Y JtI LOCALITY NEAREST � �'"Cr�/b��7..� - C TY b , f1 TEL. a f GROSS ST. ! FIRE NO.OF TYPE+�'�''' GROUP ARCHITECT OR ,��yy TEL. /� ZONE ..�.. PLANS .. Y ENGINEER (/ NO. (/ ORD.NO- 13 ,/ D irJ G/ �If. BE BACK LINE `:a ` •/ /tel. i(10)L �+ [' APPROVED DATE l�� CONTRACTOR AJi F � C,NO. b3 lJ BY At // USE APPROV D ADDRES (rtt �= /s� '"'/ 6 e? f ZONE DATE LEGAL CORRECTIONS DESCRIPTION LO NO ,`� BLOOK �•�+» Q r TRACT I f' d^' �d ° 2r No.or SIZE OF LOT v �} X �+cJ NOW ON LOTS O USE OF ( NO.OF .OF H, f EXISTINBLDG, I FAMILIES 4 ROOMS F Na. a Elf a G NO DESCRIPTION OF WORK - NEW ALTERATION ADDITION I r0- n !"1` REPAIR MOVING DEMOLISH Q l� G 9Q.FT. NO.OF �y f '� tp ! r 312E / 74 & /ROOMS (i STORIES t1�/Jt s5 ��}I+`� �� �� f 1 "' WALL /� _rE I C ( ROOF J J(G�!!C Z C T COVERING COVERING USE OF NEW f R'� ROK 4A . �t BUILDING 71; � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION SP CTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS 1`I7 'r(9 AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ,.� FRAME: FIRE STOPS, , -La—"v BRACING,BOLTS SIGNATURE OF ) A r " w /" PERMITTE rrr I LATH, INT. AUTHORIZED AST LATH, EXT. ray � 01PLASTER,INT. 76AB3HA•3 7-49 $ „( j• P.a.III �y C J [O FEE lI► PLASTER.EXT. VALUATION i FEE G`°OY'iJ"99 __FINAL: r PEFAIRTMENT OF BUILDING AND SAFETY APPLICATION FOR PXnNLT R COUNTY OF LOS ANGELESD{ ; ® ' WM. J. FOX. CHIEF ENGINEER � .. . BUILDING . . B U FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING �y l,�rnJ�] DISTRICT NO. PLAN CK.NO. PERMIT NO. ADDRESS 7cr®"' I P-3 Al/Y 0?, OIC(/ �1 R.l.. n (a LOCALITY ` A m p LP—* r f? y RECEIVED BY DATE OF APPL. DATE ISSUED 12 t� ,f I r BUILDING OWNER RI Rte_ %VO��L.L,I I�°`J�l ADDRESS ,2 - - U ADDRESS �� .� h/�/ ` ��MAIL LOCALITY NEAREST � �- 7"U/✓ S �f TEL. CITY .D%4�Al, �/ y D. �' CROSS ST. FIRE NO.OF TYPE GROUP ARCHITECT OR � ZONE PLANS ENGINEER l �� ry/� NO sv � LDG. ORD,NO. ADDRESS r�JQdAr_� &d.pAs . SETBACK LINE 2,0 FT Pl IV'F P L f I [L TEL. APPROVED DATE(^�� CONTRACTOR ��.'/�aI R Np, BY USE (�2 APPROVE ADDRESS ZONE Z BY DATE LEGAL ��R Yeti•76 CORRECTIONS DESCRIPTION/ LOT NO. BLOCK r+ TRACT c dyt - BLDGS. SIZE DF LOT a/- NO.OF p �{ �,� If I NOW ON LOT L/ USE OF NO.OF NO.OF EXISTING BLDG. FAMILIES ROOMS DESCRIPTION OF WORK r NEW e-" ALTERATION ADDITION O A REPAIR MOVING DEMOLISH 47 Sq.FT. NO.OF / Z SIZE /.f d ROOMS 9TOR/IEB / D WALL ROOF _COVERING 7"1.70[Q I COVERINGUi//1NU-��" F USE NEW n �� '0=00BUILDIDI NG /'t C , I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT 9PECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATIO ` -d FORMS,MATERIALS AND STATE LAWS R OULATING BUILDING CONSTRUCTION. s s FRAME: FIRE STOPS, SIGNATURE OF o BRACING,BOLTS PERMITTE ` .�. L��-r'I-/AlI�R I STH, INT. AUTHORIZED AOT M LATH, EXT. 76A63BA-3 7-45 $ P.p,8 PLASTER,INT. -le .. Am `EE /{ PLASTER,EXT. �� VALUATION O FEE d 9(�' FINAL _ G .L�s77 0�0� WORKERS'COMPENSATION DECLARATION hereby affirm that I have certificate of consent self APPLICATION FOR BUILDING P E RM I T insure, or a certificate of Workers'Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN +;BUILDING Elk;ADDRESS5725-27 Reno Strggs-r❑ Certified copy is filed with the county building inspec- BUILDING 1, tion department. ADDRESS 5725-27 Reno Street Date Applicant CITYTem le Cit zip 91780 LOCALITY Temple Cit NO.OF BLDGS. "NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT COMPENSATION INSURANCE CROs ST. EAvenue (This section need not be completed if the permit is for one TRACT 5387 BLOCK 11 LOT NO.I= I '°BOOR V PARCEL P V hundred dollars ($100)or less.) TEL MAP BOOK PAGE OWNER Temple t NO. — r USE ZONE MAP I certify that in the performance of the work for which this NO. permit is issued, I shall not employ any person in any manner ADDRESS 9701 Las Tunas Drive CONDITIONS 0_ SPEC AL so as to become subject to the Workers'Compensation Laws. O C1 n Temple City ZIP 91780 u Date Applicant ARCHITECT OR TEL. DISTRICT I GROUPTYPE FIRE PROCESSED BY O NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. Exemption, you should become subject to the Workers' 5.08 1 R-3 CONST. V ZONE b Compensation provisions of the Labor Code, you must forth- ADDRESS 3 a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO, to deemed revoked. CONTRACTOR Charlie Gann No.681-8831 Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO.. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 9879 Union St. NO. SEWER MAP (commencing with Section 7000)of Division 3 of the Business LIC. and Professions Code,and my license is in full force and effect. CITY CLASS _21 BK -4113G.�� VALIDATION SQ. FT. NO. OF NO. OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK }(;�j11V NEW ❑ $ ❑I am exempt under Sec. Duplex w 3 car detached ADD ❑ w receational area ALTER ❑ BAP.C. for this reason garage REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL p. OWNER-BUILDER DECLARATION (PRINT) NO DATE/�'��~v 7 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINA NO FEE Professions Code): PRESENT By .� BUILDINGEl I as owner of the property,Y� or my employees with ADDRESS 21 wages as their sole compensation,will do the work and the structure is not Intended or offered for sale(Section LOCALITY ® �I' i�.�'�h i)I r4 i 7044, Business and Professions Code.) MOVING TEL. r PM0�1 ❑ 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.) CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAPROPLINEFROM 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.). SIDE P.L. Lender's Name SESSION R Lender's Address P.C. Fee$ Permit Fee LDMA Ref. I certify that I have read this application and state that the Issuance Fee LDMA P/C# , above information is correct.I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee ', LDMA Perm. N and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. o SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date