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