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Home My Public Portal About5828 A & B RENO AVE_Building__ owl .! f 76A638ACE#8032-63 APPLICATION FOR BUILDING PE IT COUNTY OF LOS ANGELES BUILDING -.DEPARTMENT 'OF COUNTY ENGINEER ADDRESS -- BUILDING AND SAFETY DIVISION LOCALITY I JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN.SUPT OF BUILDING CROSS ST: DISTRICT N G�DLiP TYPE P E B� FOR APPLICANT TO FILL IN t• TIP CONST. BUILDING �(�''' STATISTICAL CLASSIFICATION ,SEWER MAP I ADDRES V "� r( BK PG CLASS.NO. DWELL.UNITS !� LOT NO. (t„�, BLOCK WATER .._ CERTIFICATE: NOT REQUIRED . RECEIVED TRACT.. 2-3MAP �`-� HIGHWAY STATE MAJOR SECON LOCAL • NO.OF BLDGS. NO. U •(CIRCLE) SIZE OF LOT NOW ON LOT USE ZONE, SPECIAL USE OF CONDITIONS EXISTING BLDG TE OWNE NO a BU DING EXIST. FRONT YARD HWSTREET NAME WIDTH ADDRES _ ^ � . ARCH ITEC O f TE I'• L• 0 ENGIN.EE ,•„h,�l r SIDE a P. L,. J1 i Q TEL. CONT 9*i J / O ADDRES A `OL- DESCRIPTION OF WORK " a F ,1 ,-z NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO.OF NO. OF r - :Sr, Y •� �• " .+0 SIZE F STOR_ IES FAMILIES ,rry� K. USE OF. J. ,3 fl .l s :� STRUCTURE SIGNATURE OF ig APPLICANT �^' Z VALUATION $ APPROVALS j DATE INSPECTO 'S SIGNATSUFJ P.C. ' PMT `j Q FOUNDATION: LOCATION C• �' •, FEE $ FEE'S FORMS, MATERIALS J I'?� '�+{y* f Jaz!-�i•�✓ .FRAME:: FIRE STOPS, % R .f•�R ' 1 _HEREBY ACKNOWLEDGE THAT I•HAVE READ THIS APPLICATION BRACING. BOLTS / r` /('��Y AND STATE THAT THE ABOVE ISCORRECT'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 �• i AUTHORIZED HEREBY 1'WILL NOT EMPLOY ANY PERSON IN VIOLA. LATH. INT. TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-' _ INC TO WORKMEN' MPENSATION I ANC er LATH, EXT. SIGNATURE 4119— HOUSE NUMBER COR- PERM OR- a r PERMITTEE ab—1A LAr RECT AND POSTED ADDRESS '•j,FINAL ,9. JOHN F. LEWIS:PWINCTPAL'ST r RAL P_NO NEER J�PLAN CHECK,VALIDATION cK: M.o. CASH _ PERMIT VALIDATION CK. M.O. CASH LriL0 3 8 6 4•Z3:::SEP1 6 .2 -3 "D 2 3.25A : G R4 f0 8 5-%-D SEP 2 2 1 -D . 4650, 76A638A CE#803 2-63APPLICATION FOR BUILDING PERMI/J COUNTY OF LOS ANGELES BUILDING ADDRESS DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY f �� JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN, SUP'T OF BUILDING CROSS ST. DIS_�ICTt O. U TYPE E 6D FOR APPLICANT TO FILL IN CONST. BUILDING STATISTICAL CLASSIFICATION ��EWER MAP ADDRESS �2� PC, ol CLASS. NO. DWELL.UNITS LOT NO. golyj= j( BLOCK WATER NOT REQUIRED ❑ RECEIVED CERTIFICATE: TRACT MAP HIGHWAY __2STATE MAJOR SECOND LOCAL NO.OF BLDGS. NO. (CIRCLE) SIZE OF LOT, C NOW ON LOT USE ZONE SPECIAL USE OF .) CONDITIONS EXISTING BLDG. 7 ,. OWN /L•YL TELNO -� BUILDING EXIST. JJ SETBACK YARD HWY STREET NAME WIDTH ADDRES 6 /2j i.4-L, FRONT -� �•--71 ARCHITECT OR TEL. P. L. V ENGINEER NO. SIDE P. L. - - .-. - t ADDRESS O TE +� V I+r+ yJGC Nt 1 ADDRESS,S Q ,,LLQ lt-4-A— 0 DESCRIPTION OF WORK a • N NEW ADD LTER, REPAIR DEMOLISH Z SQ.FT. NO.OF NO. OF •-- SIZE STORIES FAMILIES USE OF .�J Sjj*CTU8E SIGNATURE OF APPLICANT : VALUATION $ /T7/ APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE $ FEES FORMS. MATERIALS ' �t�'/r .r�iYrl�it�}•, FRAME: FIRE STOPS, r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING. BOLTS J� Y AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. / Z, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS ( }, BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK r 1 AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. J G TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- yy INC TO WORKMEN' MPENSATION URANCE. r 1 v LATH;EXT.SIGNATUF 1 PERMITTEE O LC / _"a,A_ A_ HOUSE NUMBER COR- RECT AND POSTED . ► -- ADDRESS FINAL JOHN F. LEWIS. PRI'NCI'PAL ST RAL NGI EER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH L&O 3 8 6 31 SEP 16 1 D 4.00- 4 APPLICATION PQR BUILDING PERMIT COUNTY OF LOS ANGELES i BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADR Sst.),�- ��.� I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified [ w copy thereof(Se c8Q0 b.C.) 1 ( C ZIP `i` ll(l 1 LOCALITY y Policy No. Company SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ertified copy is filed with the county building inspect' TRACT BLOCK LOT NO. dep rt a USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL N0. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADD �� dollars($100)Or less.) DISTRICT GROUP TYPE CO FI ZONE PROCESSED BY CITY ZIP I certify that in the rformance of the work for which this permit is issued, I shall not mploy any person in any manner so as to become subject to th Workers'Compensation LAWS. ARCHIT CT OR ENGINEER TEL NO. STATISTICAL CLASSIFICATIO APT CONDO Date Ap icant ADDRESS CLASS NO. DWELL UNITS NOTICE 7O APPLICAN If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions the Labor Code, you must forthwith FRONT, comply with such provisions or this permit shall be deemed revoked. ADDRESS PL LICENSED CONTRACTORS DECLARATION — SIDE CI LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and of ct. NEW 11 BK PG , a License Number &2f)2 Lic.Class — DESCRIPTION OF WORK w n ADD ❑ VALUATION Q Contractor Ae&Datel! _, ALTER ❑ $ V ❑ 1 am exempt under Sec. REPAIR $ Q B.BP.C.for this reason DEMOL ❑ TDMA P/C# Date: USE OF E ING BLDG. URM ❑ D. CD Signature APPLICANT JJi(W / T N �� ^ LDMA Perm# z El 1, as owner of the property, or my employees with wages as �A� CJ Z their sole compensation, will do the work and the structure is A S O Fel CT■T not intended or offered for sale (Section 7044, Business and C- U 4L^ J f FINAL DATE Q Professions Code. '? i.j ) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL �� 7lt1(�J 1I7■S0 OR A MIXTURE CONTAINW A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ 1, as owner of the property, am exclusively contracting with FINAL BY > 1 ITEMS licensed contractors to construct the AMOUNTS SPECIFIE E HAZARDOUS MATERIALS INFORMATION GUIDE? project (Section 7044, YES❑ Business and Professions Code.) TOTAL 11�r"�90 WILL THE INTENDED USE OFT UIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PER OR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY GCOAST AIR UIDELINES QUALITY MA MENTI DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR A'y� �� Ok CHECK�I, i i ■�^I1 I hereby affirm that there is a construction lending agency for YES 11 No +++��'��DD��,11{i��V 11 r J is e workissued the performance Of the for Which this permit is (Sec. IHAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING ■ ► 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2.CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. j 6/14/93 /14/9j o Lender's Address 1 p OWNER OR AGENT G243 1 M 10■#f I certify that I have read this application and state under penalty ■ g of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE N with all county ordinances and State laws relating to building O( AD construction, and hereby authorize representatives of is FCnty ISSUANCE FEE to enter`up__on/the atw -mylp enti property for insr ti es. �p o AWA app■■M T�I r ll it.f�dr1� INVESTIGATION FEE TOTAL FEE //� .r ft Aa A■e 1 � SEE REVERSE FOR EXPLANATORY LANGUAGE