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Home My Public Portal About5843 RENO AVE_Building__ APPLICATION FOR BUILDING PERMIT COUNTY'OF-LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR A-t PUOANT TO FILL IN BUILDI DDf SS [,� BUILDIN ADD E SCS 7 //. I hereby affirm that I have a certificate of consent to self insure, f� or a certificate of Workers'Compensation Insurance,o a certified copy there f(Sec 3800 Lab,C.) CI ZIP 02 y,&- 636 LOCALITY Policy ompany � SIZE OF L NO.OF BLDGS.NOW ON LOT 11 Certified copy is hereby furnished. NEAREST CROSS ST. IF ❑ Certified copy is filed with the co building inspection TRACT -V BLOCK LOT NQ depa ment.�j `Y, 2 Z -7 `0 6 USE ZONE MAP NO. Date �v�/�pplicanX SSOR MAP BqO -1 PAGE ® O PARCEL I-1—V16 /V16o �7C SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE OWNE TES ��'9�Ss0 WITHIN 1000 FT.OF SCHOOL? ves No �l (This section need not be completed if the permit is for one hundred AD RESS C� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) ZIP C /�� O I certify that the performance of the work for which this permit O ��O /L- x is issued, I shall not employ any person in any manner so as t0 ARCHITECT OR ENGINEER TEL NO. J '� become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CO ALTO TEL NO.. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /�a FRONT comply with such provisions or this permit shall be deemed revoked. ADDRE Jr� LIC.NO. pp P L LICENSED CONTRACTORS DECLARATIONa� X00 7-0 SIDE C LI LASS P L I hereby affirm that I am licensed underprovisions of Chapter 9 a SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO,OF STORIES NO,OF FAMILIES Professions Code,and license is in full force2,of ct. NEW ❑ BK PG , a my License N,upmber��y7a Lie..,Claass3 DESCRIPTIO F WORK ADD ❑ VALUATION Q Contract6ri• ' atm J ALTER ❑ $ C - rG�x ❑ I am exempt under Sec. REPAIR 11BAP.C.for this reason DEMOL LDMCA PSC# W cr Date: USE OF EXISTING BLDG. URM ❑ i LL T, Signature J O&� APPLICANT(PRINT) TEL NO. LDMA Perm# 1 in El I, as owner of the property, or my employees with wages as Z A00T°v their sole compensation, will do the work and the structure is ADDRESS O 188.10 not intended or offered for sale (Section 7044, Business and FINAL DA a 3303 Professions Code.) `r .� G 1 ITEMS WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL } /� •j� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE FINAL BY > TOTAL �L. 'P o -�•0 ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES Q licensed contractors to construct the project (Section 7044, YES❑ NO❑ 188.10 Business and Professions Code.) CHECK WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING � OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHANGECONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR u00 GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ CM the performance of the work for which this permit is issued(Sec. W 3097,CIV.C.) I HAVE READ THE HAZARDOUS TION GUIDE AND THE SCAOMD CHECKLIST UNDERSTAND MY REQUIREMENTS UN ER THE LOS ANGELES COUNTY PERM(TTING CODE, 0000-0001 9/11/95 N TITLE 2.CHAPTER 2 20 SECTIONS 2.20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS p Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. ry229 1 AM O:35 o Lender's Address LGL7 0 OWNER OR AGENT o I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE J/® d $ with all county ordinances and State laws relating to building /!v m construction, and hereby authorize representatives of this County ISSUANCE FEE �y O to an oIt above-menti ed property for ins ction purposes. / rc /\ / L�>� rLG INVESTIGATION FEE TOTAL FEE n 5 uro I pp'L-n aApa,l 0.:.oQ / O SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS"ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0107120008 PHONE: (626) 285-0488 EXT: LEGALD: 0. OF COS G S: TR: 3623 LT: 107 UN: .002 SQ. FT STORIES TYPE 5843 RENO AV STRUCTURE: 360 VN TEMP CA 917801828 ASSESSOR OR T 0 BER: NEAREST CROSS STREET: HERMOSA 5387-010-019 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY IS BLDG S : GA GE USE ZONE--.-XXE ON: PROCESSED BY: EXPIRES EXIST OCC GRP: 07/12/01 • UT 01/08/02 . OWNER: TEL. NO: BLDGS. NOW ON LOT: VALLTATION: I AL DATE FINAL BY: CODE: KAISER, MICHAEL (909) 393-8727- 1,000 15847 OLD HIKARY LN �icr�/ CHINO HILLS CA 91709 FEES PAIU-- OR 0 F IRK INSTALL 1 WINDOW IN GARAGE APPLICANT: EL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESI.D_ 1000.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0,EN=HC- ----!77�-1000.00 VAL 65.40 — TOTAL---FEES 93.65 �� _I I CONTRACTOR: TEL. NO: - / ' ��rfiaj;`� �� S �� d ' �� SAME AS OWNER ' y APPROVALS �. r�R1��R SIGNATURE LIC. NO LOCATION AN SETBACKS � SOILS E".,INFER APPROVAL ARCHITECT OR ENGINEER: E . NO: �4'rI 1 �� — �`IIrlL, FOUN&ATIONTR CH FORMS LIC. NO;,. IL_ a i j i_ I --ti�- --'� 'a, SLAB UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP,: 1; � I' �" �' UNDERFLOOR INSULATION XX 3 11 01,' ;1 I' ;', I ,r �;�\r, , _ �.; 1 - - '�' � ` - FLOOR SHEATHING 0. OF FAMILIES: W S: AP CO : STAT C ASS: - _- - - -- - - - - --NO 2100SHEATHING - J F ��SC RDOUS \ � - 'fr SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS �` NO NO NO FRAME INSPECTION EQUIRED TOTAL-SETBA R X SFrRE-STR-MLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: 6�a•``� -- !` %•• s' FRONT PL- O -- °f INSULATION/WEATHER STRIP �— SIDE PL- E R DR EXTERIOR LATH All �.� RA ED F OOR TED WALL ASSE B ES RATED SA SO G -BAR C LI GS DR G REPORT ID: DPR261 ROUTE TO: BS0508 LOT i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0110010039 PHONE: (626) 285-0488 EXT: LEGAL ID: 0. OF COS BUILDING - TR: 3623 LT: 107 UN: .002 SQ. FT STORIES TYPE 5843 RENO AV STRUCTURE: 360 VN TEMP CA 917801828 ASSESSOR ON R: NEAREST CROSS STREET: HERMOSA 5387-010-019 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY -EUS-T-110-USE: GARGE USE ZONE: ON: PROCESSED BY: EXPIRES EXIST OCC GRP: 10/01/01 JK 03/30/02 . OWNER: TEL. N0: B DGS. NOW ON LOT: VA TIO : FINAI, DATE FINAL BY: CODE: KAISER, MICHAEL (909) 393-8727- 1,000 15847 OLD HIKARY LN CHINO HILLS CA 91709 FEES PAID DESCRIPTION OF WORK DRYWALL AND INSULATE GARAGE - DRYWALLING/INSULATION SHALL FEE DESCRIPTION: QUANTITY: LION: AMOUNT: NOT INTERFER WITH INTENDED USE AS GARAGE SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID___ 1000.00 VAL 0.50 SPECIAL CONDI ION : AX BUILDING REVIEW-FEE=_=- --"�.,_ 54.70 D2 PERM ITdW%0-.EN-HCS�_tR-;1000NOVAL 65.40 -----TO.TALt_EEe` 148.35 CONTRACTOR: TEL. 0: f ✓/� ll��\; APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - �j w� LIC. NO �`�' �? "• :,.� OCA 0 SETBACKS i SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. N0: FOUNDATION/TRENCH_ , FO S . ' I i _ LIC. N0: SLAB/UNDER FLOOR I - I RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: �, ; �; UNDERFLOOR INSULATION XX 3 .-__ _ �_ L° 00 SH G 0. OF FAMILIES: DWELLING S: APT/CO : STAT CLASS: - —— -- NO 21 ': \ - -- �1 I -- -- - q ROOF SHEAT ING SCHOOL WITHIN AIR QUALITY: 1000 FEET MATERIALS ``�•��: _� ! ��'}I NO NO NO 'o,,* ''i .', FRAME INSPECTION REQUIRED SETBACK IST4�C�i-`i `, �j� ii ," IR S ER G S SET BACK YARD: HWY: PROP LINE: WIDTH: 'S!�'o�n - ` --------- FRONT PL- ! 'w�-� --- SIDE PL- INSULATION/WEATHER STRIP mss" INTERIOR LATH/DRYWALL EXTERIOR LATH RATED FLOORME717AP-S-SER7. RATED WALL ASSEMBLIES RATED S SOP GS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508