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HomeMy Public PortalAbout5912 RENO AVE_Building__ nj 76A638A CE,#609 12/69s/ J �t✓ A ` APPLICATION FOR BUILDING PERMIT .COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING �--C- z JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY Q` 1 FOR APPLICANT TO FILL IN NEAREST - Print or tvDe onl CROSS ST. FADDRESS DISTRICT GR UP TYPE ISRO ESSED BY �� /(/n, 2GN0 � CONST STATISTICAL CLASSIFICATION SEWER MAP LOT NO. BLOCK CLASS NO. DWELL.UNITS BK PG TRACT USE ZONE MAP - SIZE OF LOT /0 4 x l Y NOW ON LOTNO.OF BS o� SPECIA Z c© USE OF G'ONDITIONS EXISTING BLDG. S/17 E/✓C Ir TEL ` OWNER 81r, sNO. e'L�S�d'7I�TI BLD"Y E,ZBACK FROM ADDRESS /-2 rJ e /�L�O FRONT' P.LINE OF CSTREET). TYPE OF EXISTI TBACKHIGHWAY } YARD = TOTAL CITY i d.C. �' / HIGHWAY WIDTH FR .L. ARCHITECT OR TEL. } _ ENGINEER NO. BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING!!T WAY } YA = TOTAL CONTRACTOR LA/Ajc NO, HIGHWAY WIDTH ADDRESS pLI 'O. + _ C LIC. C CITY CLASS CORNER CUTOFF YES ❑ NO ❑ CONSTRUCTION LENDER CF NAME AND BRANCH /t/bAr C SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS r C SIZE T IGd STORIES NO OF j NEW ❑ �_4 �� 6 USE OFA ZJ G STRUCTURE d _ •� ALTER ode"', REPAIR❑ .C` � " 1. �y 1.LJ.!fJF_ SIGNATURE OF APPLICANT - DEMOL ❑ i VALUATION 5 Esc 0••a ✓ �L�i f! �_/r ./_ E !.✓ii{,ri A<lJ �, Gf^vldL -� V AFfPROVALS ATE' INSPECT['O,RR'S SIGNATURE FEE S FEE$ /• 2 � FOUNDATION: MATERIIALSON FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING, BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- - GAS VENT, DUCTS STRUCTION. IC THAT IN DOING THE WORK AUTHORIZED , HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO WORKMEN'S COMPENSAT N 1 SUR'AN�CE. LATH, EXT. ..I�i/ SIGNATURE OF 1/R' HOUSE NUMBER COR- Lrs r vim.-: tom,_••: PERMITTEE RECT AND POSTED ADDRESS .�r/s • /•I.I1c� ..y�r. FINAL JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGI ER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.O. CASH �A�('�5. 22 .6cR AW 4 ;1- D 17.25 q ,. 76A63BA CE 0803 1/71 stzm�" , ' . APPLICATION FOR BUILDING iWRMIT *13CA'37Y OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING AA� ' ADDRESS , ��� /V. ,n/ COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST , Print or tvoe onl CROSS ST. BUILDING DISTF�JCT GR UP TYPE P ESSED_BY ADDRESS 7r,,-q17_' x C A149 > Q CONST: STATISTICAL CLASSIFICATION —�� SEWER MAP LOT NO. BLOCK CLASS NO.2ZI!!� DWELL.UNITS BK PG TRACT C� U ONE I MAP NO.OF BLDGS. NO. SIZE OF LOT NOW ON LOT 2- SPECIAL USE OF ` / CONDITIONS EXISTING BLDG. G S/ G-/VG V_ TEL pp p. OWNER Qb�'�+ eGG� NO.Zpr 6 BLDG.SETBACK FROM � ADDRESS ,.SG`A L Q�` 4 got/L FRONT PROP.LINE OF (STREET) /` TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY to A V�1� HIGHWAY WIDTH FROM C.L. ARCHITECT OR TEL. + � ENGINEER NO. BLDG,SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) } TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL a' CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. CJ LIC. ADDRESS NO. + – C LIC. CITY CLASS CORNER CUTOFF YES ❑ NO L CONSTRUCTION LENDER col NAME AND BRANCH .,, SEE REVERSE SIDE FOR SPECIAL APP OVAJS ADDRESS SQ. FT. NO. OF NO. OF NEW ❑ SIZE STORIES FAMILIES �r USE OF46 iy ADD 3 Z t STRUCTUR j _ ALTER • �� REPAIR❑ SIGNATURE OF APPLICANT IDEMOL ❑ VALUATION S /' APPROVALS DATE INs ECTOR'S SIGNATURE P.C. PMT. FOUNDATION: LOCATION FEE S FEES ,�'J� FORMS, MATERIALS FRAME: RE FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION, WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT. LABOR CODE OF THE STATE OF -CALIFORNIA IN RELATING TO _ WORKMEN'S OF INSURANCE. LATH, EXT. SIGNATURE OFpfHOUSE NUMBER COR- PERMITTEE -ECT AND POSTED ADDRESS 12– FINAL JOHN F. LEWIS. I CIPAL ST RAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VA Tt0 CK. M.O. to CASH Limo.7. 3 .9 7 .AUG 17 2 1.7 5N J � WORKERS' COMPENSATION DECLARATION i r AF PLICATION FOR BUILDING PERMIT I f ereby affirm that I have a certificate of consent to self ens re, or a certificate of Workers' Compensation Insurance, f Ap or Jertified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ElBUILDING Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING ,._ tion department. ADDRESS Date Applicant CITY /"/ 4.� �C ZIP v LOCALITY NO.OF BLD NEAREST ij Q� CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOTT dSs ST. VO-,, COMPENSATION INSURANCEJ (This section need not be completed if the permit is for one TRACE � BLOCK LOT NO. / Mqp g PAG PARCELe/ hundred dollars ($100)or less.) ,y 7EL, OWNER /yam N I — SE ZONE MAP .30 I certify that in the performance of the work for which this �'` NO. permit is issued, I shall not employ any person in any manner ADDRESS .J SPECIAL >_ CONDITIONS I- so so as to become subject to the Workers'Compensation Laws. q/ O CITY +/% ZIP Date Applicant ARCHITECT OR TEL. 0 NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER _ NO. �° DISTRICT GROUP CONST ZONE P CESSED BY Q Exemption, you should become subject to the Workers' 0 Compensation provisions of the Labor Code, you must forth- ADDRESS$ � Lia ._ - rL a with comply with such provisions or this permit shall be TEL. STATISTICAL CLASSIFICATION APT. C NDO. N _ deemed revoked. CONTRACTOR LIC. CLASS NO. DWELL. UNITS Z LICENSED CONTRACTORS DECLARATION ADDRESS NO I hereby affirm that I am licensed under provisions of Chapter 9 . 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 BK PGVALIDATION SQ. FT. NO. OF N-0.0 F CHECK License Number Lic. Class SIZE STORIES IFAMILIES ONE VALUATION 06 Contractor Date DESCRIPTION OF WORK NEW ❑ $ 7 �yDO El am exempt under Sec. ADD ❑ Off,(/ ► ALTER B.&P.C. for this reason AIR ❑ $ Date: USE OF , EXISTING BLDG. D.EMOL ❑ Signature APPLICANT TEL. FINAL ` OWNER-BUILDER DECLARATION (PRINT) NO. DATE 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS if FINAL ACCI.t / Ffessions Code): PRESENT y, By �_ f 1, as owner of theproperty, or m em to employees with BUILDING A. -7 0 Y P Y ADDRESS wages as their solecompensation,will do the work and l the structure is not intended or offered for sale(Section LOCALITY Poo r} 7044, Business and Professions Code. MOVING TEL. ) �.4 1 tl I' CONTRACTOR NO. , 0 I,as owner of the property,am exclusively contracting -, with licensed contractors to construct the project (Sec- w4vl�f 'i 4..' si tion 7044, Business and Professions Code.) ADDRESS _ REQUIRED TOTAL SETBACK FROM EXIST.. = = -y CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT I1.I I � J.�i- �m �� the performance of the work for which this permit is issued P.L. +; 147.31- Lender's -r -i (Sec. 3097, Civ. C.). SIDE. *rht sl w �4;.31- Lender's Name O (1+H�•INCE .130 df! � (fO LDMA Ref. # P.C. Fee$ o Permit Fee > Lender's Address .L` I certify that I have read this application and state that the Issuance Fee C* , LDMA P/C# , 'ILIf i—(!yip;, ?�;,/ `f' '_� above information is correct.I agree to comply with all County Investigation Fee / ,:� ( y a i� V I ordinance n tate laws relating to building construction, Total Fee � 6—4 LDMA Perm. # `�' ' ri and her y orize presentatives of this County to enter upon t e ve-WeDnoned property for inspection urposes. o " SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applican or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0411160010 PHONE: (626) 285-0488 EXT: L LEGAL ID: NO. 0 CONST NEW BUILDING ADDRESS: TR: 5904 LT: 149 UN: .003 SQ. FT STORIES TYPE OCCUP GROUP 59a'9'RENO AV STRUCTURE: 1067 1 VN R3 TEMP CA 917801528 ASSESSOR INFORMATION NUMBER: GARAGE: 487 1 VN U1 NEAREST CROSS STREET: GARIBALDI 5384-017-016 OTHER: 156 1 VN R3 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: USE ZONE: ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 12/07/04 JK 12/02/05 THONG: NHI TEL. NO: - BLDGS. NOW ON—LOT------ VALUATION: FINA DATE FINA CODE: 5912-RENO AV 2 109,000 TEMP 917801528 FEES PAID DESCRIPTIO OF-WORK- - ADD F ORADD NEW MASTER BEDROOM, BATH, DINING ROOM & KITCHEN APPLICANT: TEL. 0: FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1067 SF. REMODEL FRONT PORCH, (E) 2 CAR GARAGE & STORAGE SAME AS OWNER - B1 PLANCHECK W/ENERGY 109000.00 VAL 1,260.57 AA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITIONS: AC STRONG MOTION RESID 109000.00 VAL 10.90 B2 PERMIT W/ENERGY 109000.00 VAL TOTAL FEES 2,1,782.24483.02 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: T . NO: - FOU DAT ON/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING /t2 S� MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION 3 01 1ST LEVEL FLOOR SHEAT 0. OF FA ILIES: DWELLING UNITS: APT COND: STAT CLASS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHI G AIR QUALITY: 1000 FEET MATERIALS NO NO NO FIRE DEPT. FRAME INSPECT REQUIRED 0 A SET BAC FROM EXIST BLDG DEPT. —FRAME INSPECT- SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSULATION/WEATHER L- INS LA 0 /WEA R S RI INTERIOR LATH/DRYWALL EXTERIOR LATH— LOT DRAINAGE SMOKE DETECTION DEVICES F * ADDITIONAL DATA ON FILE IRE DEPARTMENT APP OVA REPORT ID: DPR261 ROUTE TO: BS05O8