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HomeMy Public PortalAbout5827 RENO AVE_Building__ APPLICATION FOR BUILDING PERMIT' - FOR APPLICANT TO FILL IN (Print or type only) BUILDING IN 82 N0. RENO COUNTY OF LOS ANGELES ADD DEPARTMENT OF COUNTY ENGINEER CITY TEMPLE CITY ZIP I BO BUILDING AND SAFETY DIVISION NO OF SLOGS. BUILDING SIZE OF LOT_1A-X NOW ON LOT I ADDRESS K BLOCK LOT NO. LOCA LI TRACT NEAREST OWNER ANTON 10 LUCCHESE No.L'282-0 6 CROSS ST. Q ASSESSOR ADDRESS 82 NO. RENO MAP BOOK PAGE EL CITY TEMPLE CITY Zlp 1 80 DISTRICT GROUP C ST.TYPE FIRE PROC SSED Y ZONE ARCHITECT OR TEL. ENGINEER SELFNO. STATISTICAL CLASSIFICATION SEWER NrAP ADDRESS CLASS N0.;Z_­dDWELL.UNITS BK P E . CONTRACTOR SELF NOLUSE ZONE MAP LIC. 2_��,JMCIALTIONS ADDRESS NO• CITY LIC. CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP LINE OF (STREET) C E . HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING C- S T. NO. OF NO. OF CHECK FRONT PROP. LINE HIGHWAY WIDTH p SIZE STORIES FAMILIES ONE F it + = C DESCRIPTION OF WORK NEW G BLDG.SETBACK FROM MAKE v ADD SIDE PROP.LINE OF (STREET[ ALTER ❑ HIGHWAY + YARD = TOTAL SETBACK FROM TYPE brF,1EXISTING REPAIR❑ SIDE PROP. LINE HIGHWAY1. WIDTH USE OF EXISTING BLDG. DEMOL ❑ + APPLICANT TE CORNER CUTOFF YES ❑ NO ❑ (PRINT) A. LUCCHESE NO'282-0562 BY (SIGNATURE) t 311L- !"' LL IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION�2 .00 CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL ' AMC) STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF TME STATE OF CALIFORNIA IN RELATING TO J WORKMEN'S COMPENSA ON 1 SURANCE. � V f /A 2"02X Ov SIGNATURE OF a 4f 4 PERMITTEE " 2:t Wkaeae-41- ADDRESS NO, RENO T • 3)) FINAL CITY TEMPLE CITY N82.0 62 DATE . �s' . Ba � . .� MAKE CHECKS PAYABLE 7'O: FEE $ / 4 FEE HARVEY T. BRANDT, COUNTY ENGINEER �• 40 L PLAN CHECK VALIDATION CK. M.O. CASH I) PERMIT VALIDATION CK. M.O. CASH <� r� 7 473 MAY 2 3 1 o 9.0 o- Vl 76A638A CE x1803 12/72 APPLICATION FOR BUILDING PERMI - FOR„WPLIC'ANT TO FILL IN (Print or type only) � �� L ` BOI'LDING CO TY OF LOS ANGELES' ADDRESSAW9If NO DEPARTMENT OF COUNTY ENGINEER CITY — , (j BUILDING AND SAFETY'DIVISION O.O SLOGS. BUILDING SIZE OF LOT47 OW ON LOT ADDRESS 4vc- TRACT, , BLOCKLOT NO. LOCALITY /�T 1 © E S OWNER !' ST. ' ASSESSOR ADDRESS V QJ?C O MAP BOOK PAGE PARCEL y� DISTRICT GROUP TYPE - FIRE PRO ESSED BY CITY ZIP L % CONST. 1-9ZON r ARCHITECT OR TEL. fj ENGINEER NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO. DWELL.UNITS BK PG TEL. CONTRACTORSELF , NO USE ZONE MA NOP )� ADDRESS LIC. NO. SPECIAL LIC. CONDITIONS CITY v 3 CLASS ROAD DEPARTMENT APPROVAL.REQUIRED YES❑ NO CONSTRUCTION LENDER NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY" HIGHWAY } YARD TOTAL SETBACK FROM TYPE OF EXISTING C SQ. FT yq� O. OF NO.-OF CHECK FRONT PROP. LINE HIGHWAY WIDTH SIZE 9_0)( J STORIES FAMILIES ONE DESCRIPTION OF WORK NEW C ADD BLDG.SETBACK FROM A' IDSIDE PROP.LINE OF (STREET) ALTER ❑ HIGHWAY } YARD - TOTAL SETBACK FROM TYPE OF EXISTING , - REPAIR❑ SIDE PROP. LINE HIGHWAY WIDTH USE OF } EXISTING BLDG. . DEMOL APPLICANT e e N _ L /• CORNER CUTOFF YES ❑ NO ❑ (PRINT) BY (SIGNATURE) ` - IN OPEN SPACE YES ❑ NO ❑ Q IN COASTAL ZONE YES ❑ NO ❑ VALUATION•Y CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACK LEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY SHAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSO)11N VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO _7 �> [z y /.•n WORKMEN'S COMPENSATION INSUR'ANC E. ,..9''✓�!- J 61 �r71�/�•�'!/I�:/Y I..�e� %�✓�/ S.1'G SIGNATURE OF • 4.AV-' V f� PERMITTEE �qqq �y /i �y/� ADDRESS ,7F=/m G Z/ / GGLJ �IUr'� A /N/S gvGco 'renw:f DATE / It • TEL. FINALBY _ .'CITY NO. MAKE CHECKS PAYABLE TO: FEE $ ,' FEE•$ HARVEY T. BRANDT. COUNTY ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK.' M.O: CASH B.o 0 2 8.5 0-,&98 76A636A CE4803 7/73 1. - APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (Print or type only) BUILDING ��� �r. COUNTY OF LOS ANGELES ADDREss . DEPARTMENT OF COUNTY ENGINEER CITY Tom' /�Lf_— C,17_51 ZIP / 7f 0 BUILDING AND SAFETY DIVISION NO,OF BLDGS. /2 BUILDING SIZE OF LOT O ,d NOW ON LOT cr/`�/y ADDRES$r�49'V G ,V, TRACT 36ZBLOCK LOT NO. /OQ LOCALITY ZEL.ry01e_ — NEAREST OWNER rj•7�Q/Y w�i�� O. CROSS ST. � itOr• ASSESSOR ADDRESS BC �.ai�� v: MAP BOOK PAGE PARCE DISTRICT GROUP TYPE FIRE. PROC SED BY CITY / �� /r+� C_� ZIP �U X08 a' CONST. — ZONE ARCHITECT O TEL. ✓ ENGINEER ®����L/ NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESSCLASS NO.�DWELL,UNITS BTE K PG CONTRA C v A—M-tV NOL USE ZONE MA NOP OrpC. ADDRE LIC. SPECIAL �'� NO. �..� LIC. CONDITtIONS CITY CCASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑ CONSCTION LENDER NAM E Amn BRANCH Y s BLDG.SETBACK FROM C FRONT PROP.LINE OF (STREET) ADDRESS f CITY _ TOTAL SETBACK FROM TYPE OF EXISTING ` SQ. FT. NO. OF NO. OF CHECK HIGHWAY + YARD - HIGHWAY WIDTH c SIZE STORIES FAMILIES ONE FRONT PROP. LINE F DESCRIPTION OF WORK NEW ❑ + C ❑ BLDG,SETBACK FROM (iV _ / ©d ADD SIDE PROP.LINE OF (STREET) �L� �/� ALTER El—REPAIR +� YARD TOTAL SETBACK FROM TYPE OF EXISTING REPAIR SIDE PROP. LINE HIGHWAY WIDTH USE OF t EXISTING BLDG, DEMOL ❑ APPLICANT. J,F�_ NEOL��J D�l� CORNER CUTOFF YES ❑ NO E] I (PRINT) �f 0 V G 'n IN OPEN SPACE YES ❑ NO BY (SIGNATURE) ❑ Q, )s Y/ .IN COASTAL ZONEI YES ❑ NO ❑ VALUATION$ e/N 9t O O � CATEGORICAL EXEMPTION YES❑ , NO ❑ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LA SO CODE OF THE STATE OF CALIFORNIA IN RELATIN TO WORKMEN'S COMPENSATION 1 SURANCE. SIGNATURE OF V PERMITTEE ADDRESS 6 .� FINAL BY v TEL. CITY r/gr � �y .NO. DATE Q MAKE_ CHECKS PAYABLE TO:' FEE F FEE HARVEY T. BRANDT, COUNTY ENGINEER 0 U PLAN CHECK VALIDATION CK. M.O. CASH _ I PERMIT VALIDATION CK. M.O. LASH 9 2 S ti JUL 9 1 0 9.0 0 a=te 76A638A CE#803 7/73 .