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HomeMy Public PortalAbout5924 RENO AVE_Building__ 76AG38A CE 9803 1/71 �� /v` APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DIVISION BUILDING G 2y Q ADDRESS ,/ IV- COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY T E 01 P FOR APPLICANT TO FILL IN NEAREST Print ort a onl CROSS ST. BUILDING ''r DISTRICT NO. GROUP TYPE P SSED BY ADDRESS L �i- / ) �I �,g vAq- CONST �lj w4v 4 STATISTICAL CLASSIFICATION SEWER MAP LOT NO / V-0 BLOCK ,_ CLASS NO.Ad DWELL,UNITS BK PG "RA USE ZONE MAP r ,A:-_— NO.OF BLDGS. ... NT �)G NOW ON LOT L SPECIAL _ _ 1 CONDITIONS EXISTING BLDG �• + OWNER , S f� I O_�G' +� BLDG,SETBACK FROM ADDRESSM1• •-� i r , FRONT PROP,LI NE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL CITY ) •1 V HIGHWAY WIDTH FROM C.L. ARCHITECT OR c TEL. L-0 C_ S�D ) 2Q = '2 ENGINEER NO, BLDG.SETBACK FROM ADDRESS SIDE PROP.LINE OF (STREET) TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL d CONTRACT R„ !? ���•� �� NO, HIGHWAY WIDTH FROM C.L. C LIC. _ C ADDRESS s !ter t�� .yam NO, + Ck C LIC. F CITY CLASS CORNER CUTOFF YES ❑ NO ❑ L CONSTRUCTION LENDER , a NAME AND BRANCH SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS 1 SQ. FT. NO. OF NO. OF NEW 7 SIZE USE OF / STORIES FAMILIES STRUCTURE 4� 1,1114 k C, ADD El, J ALTER ❑ �� �� x✓w� REPAIR❑ SIGNATURE OF APPLICANT DEMOL ❑ VALUATION S (.1 `� APPROVALS DATE INSP CTOq'S SIGNATURE P.C. PMT, — C7 O FOUNDATION: LOCATION q I FEE S FEE S j FORMS, MATERIALS L7 FRAME: FISTOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACIRE NG 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 ESTATE OF •CALIFQRNIA IN RELATING TO WORKMEN'S COMP 5 ION INSURAN E. LATH, EXT, SIGNATURE OF9/J _ i '/ �/ > > PERMITTEE. /L' 6..'C HOUSE NUMBER COR- RECT AND POSTED ADORES " I'z >- • FINAL PLAN CHECK VALIDATION CK. MJOHN F. LEWIS. PRINCIP L STRUCTU AL ENGINEER O. CASH PERMIT VALIDATIO CK. M O. CASH L&o 4 7 421 1 D 15.0 ON c DEPARTMENT OF BUILDING AND SAFETY r APPLICATION FOR PERMIT CO TY OF LOS ANGELES l.y J. FOX, CHIEF ENGINEER = ' FOR`'aPPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING 1v1 i\ �`p` r\ D18TRICT NO. PLAN CK.NO. c�PERMIT NO. ADDRESS �`CJ "/ (2�n� ) 1 '' �1 RECEIVE• BY DATE OF APPL. DATEISSUED NEAREST CROBS ST. � , - 4 � BUILDING OWNER ADDRESS f4`N MAIL G+, DDRESS LOCALITY A � �. (� �I�O 1; 1..�-..'4t1.+t1 � NEAREST /` C TECROSSST CITYse� � /Lf'r—i a�C�!! NOL FIRE NO.OF TYPE ria+ GROUP ARCHITECT OR TEL. ZONE PLANS ENGINEER NO. _ BLDG. o ADDRESS SETBACK LINE �/M L NO. � � [ ,xrr} / APPROVED CONTRACTOR ; �F�� 6 �-G NOLJ,'� tC'l BY DATE USE APPROVED ADDRE88r � /2i'uJ/(4�C1`iJvGZt t �J L•. ZONE N BY DATE LEG DESCRIPT/ON• LOT NO. / f I BLOCK _/� t� (� CORRECTIONS TRACT / y� / y� /�� !� !✓ , I NO.OF B. SIZE OF LOT,- NOW ON LOT USE OF I x O BLDG.� ktPI ROOMS / DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH - Sq.FT. J i/ h-/� NO.OF Z SIZE !1 JC l O ROOMS STORIES D WALL .G" �0 I ROOF ! r COVERING)) COVERING I� w BUSE OF NE U LDING W 1e1���'�2.hi'S �?A!l`�1(--t, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS f AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE O��I ,/p , BRACING,BOLTS ry 70 PER IF LATH,INT.: AUTHORIZED Ai% LATH,EXT.: V DBS-3 sone sETs 7-47 % P.C. PLASTER,INT. t FEE PLASTER,EXT. VALUATION FINAL I Cyr' 10�b ".(! FEE +' DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COtWTY OF.LOS ANGELES p )7 . J.•FOX, CHIEF ENGINEER del FOR.APPLICANT TO FILL IN FOR OFFICE USE ONLY , BUILbINGMe VL`llv%� DISTRICT NO. PAN CK.NO. PERMIT NO. ADDRESS Vti f LOCALITY RECEIVED BY DATE OF APPL. DATE 11 UED NEAREST �a c� --I ` CROSS ST. BUILDING OWNER �r ADDRESS CD �o YYYY MAIL � � �� J ��� LOCALITY ADDRE98 ]off,4r�� NEAREST CITiLi�NL /r!It P TEL. CROSS ST. NO. FIRE No.or ARCHITECTOR TEL. ZONE PLANS TYPE GR � ENGINEER (J. -No. BLDG. gg''�� /,'f' L/fR O. ADDRESS SETBACK LINE C9- 19 ' I RI— `� qq qq / Q APPROVED. �. NOI.'R��i,��% BY DATE CONTRACTOR /.fUSE �,{(] 1 ADDRESS V V � '�sR ��� ri�►�` /ef>!1"!J / \ I PROVED ZONE BY DATE LEGAL - �[Q CORRECTIONS DESCRIPTION#�{ LOT NO. /T 0 I BLOCK. TRACT /,4{I y� l r SIZE OF LOT,//JO i1 db I NOW ON LOTS D USE TI 71. _-_/i_• NO.OF / NO.OF EXISTING BLDG FAMILIES ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR MOVING DEMOLISH 0 5q.FT. // NO.OF / Z 91ZE / T✓° ROOM8 ! STORIES D_ WALLROOF COVERING (s(il.�� II COVERINGS . r USE or ME BUILDING W tl��/ft N°';'c1• `� W►(J.C��� I '/ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION 1' 9PECTOR DATE AND AGREE TO'COMPLY WITH ALL'COUNTY ORDINANCES FORMS,MATERIALS i l�" (/ AND STATE AWS REGULATING BUILDING CONSTRUCTION. r/moi rr FRAME: FIRESTOPS, Alyk/ - 3' '/ SIGNATURE OF BRACING,BOLTS /��? PERMITTEE meq'//�� LATH,INT. f 9 7 AUTHORIZED AGT • � "��`f ATH,EXT.: / '1��yf' D85-3 5oM sETs 7-a fir,-n' � O P.C.6 PASTER,INT. / Q t�/J /dam m® i FEE PASTER,EXT. a ^ (� VALUATION , a FEE FINAL FINAL I WORKERS'COMPENSATION DECLARATIOt hereby affirm that I have certificate of consent to self A P P L I CAT I O �U I L D I N G PERMIT 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 I Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING �y L ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING IC ���/ '7!� tion department.' I ADDRESS Al. c�fY LOCALITY L / ' NEAREST Date Applicant CITY �kAF G2 ZIP q I-35 O CROSS ST. c CERTIFICATE OF EXEMPTION FROM WORKERS' NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT O NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be;completed if the permit is for one ' �9 USE ZONE MAP001-1 hundred dollars($100)or less.) (I TRACT. �� BLOCK LOT NO. f NO. �� ��/ TEL. a[ SPECIAL I certify that in the performance of the work for which this i OWNERB2111/ G�/�- S NO. v� CONDITIONS IL permit is issued,I shall not employ any"son in any manner DISTRICT GROUP TYPE FIRE PROCESSED BY U ADDRESS Il� so as to become subject to the Worke omp ation Laws. t� CON Z IONE jig `G. Dat _I Applicant CITY ZIP STATISTICAL CLASSIFICATION APT. CONDO. Q ARCHITECT OR TEL. �— u NOTICE TO APPLICANT: If, after �ma6kllnggs Certificate of ENGINEER NO. a CLASS NO. � DWELL.UNITS LU U Exemption, you should become subject to the Workers' CL Compensation provisions of the Labor Code, you must forth- ADDRESSSEWER MAP with comply with such provisions or this permit.shall be deemed revoked. I CONTRACTOR NO. BK. �PG, 9F 4 VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 I ADDRESS NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and I ;.ri LIC, Professions Code,and my license is in full force and effect. CITY CLASS $ , SQ.FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES I FAMILIES ONE Contractor Date. DESCRIPTION OF WORK NEW ❑ $ 0 5 4 A I am exempt under Sec. I �� N 75 ALTER —VP'ElFINAL ^ �9 ' I 0. 0.a'a. B.&P.C. for this reason REPAIR 7 ` (� S ❑'. DATE �� CSL. t7 r.. :;9l, L � "E Date: USE OF OL FINAL. ! L u 5 O EXISTING BLDG. ❑. By 2 Signature ° APPLICANT L. OWNER-BUILDER DECLARATION PRINT ) 10, 1 7- I-hereby affirm that I am exempt from the Contractor's License I Law for the following reason (Section 7031.5, Business and ADDRESS Poo Professions Code): PRESENT BUILDING I, as owner of the property, or my employees with ADDRESS / wages as their sole compensation,will do"the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. 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). REQUIRED TOTAL SETBACK FROM EXIST. ' CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for Llne ! the performance of the work for which'this permit is issued tSec. 3097, Civ. C.). "o a Lender's Name a Permit Fee Lender's Address I certify that I have read this application and state that the I Issuance Fee above information is correct:I agree to comply.with.all County ee 3 o�her nd tote., aws'relatirig•to'bJilding construction j .author' `representatives of this County to enter Total.Fee.0v ' e ioned property for.inspection urpos s. ; f SEE REVERSE FOR EXPLANATORY LANGUAGE Signature IApplicant or Age4t D e Abs . - APPLICATION FOR BUILDING PERMIT �l COUNTY OF LOS ANGELES BUILDING AND SAFETY • : WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDS E,S�S� or a certificate of Workers'Compensation Insurance,or a certified 157 9�� "�' ��'c!d /ode 04 — copy thereof(Sec.3800,Lab.C.) ^_ n a//y ZIP 7�d LOCALITY­--rVf 1�� v j Policy No. Company SIZEOF}J-OT NO.OF El Certified copy is hereby furnished. /l®DDd BLDGS.NOW ON LOT NEAREST CROSS ST. ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO.! D department. USE ZONE MAP NO. ASSESSOR MAP BO yK PAGE PARCEL Date Applicant J 8� �� 045 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' NER /L No7B'.f 3•f/,yr WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE ADDRESS /I (This section need not be completed if the permit is for one hundred S a Sf.�0. E/Cf� %4d.L DISTRICT GROUP TYP��NST.' FIRE ZONE ROC ED BY dollars($100)or less.) CI _ ZIP I certify that in he performance of the work for which this permit /�Elyl�G� airy 9/7.fd _Y_ �3 Is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. ✓✓✓ become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 91%t DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of CONTRACTOR TEL.NO. REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith ADDRESS LIC.NO. FRONT comply with such provisions or this permit shall be deemed revoked. PL LICENSED CONTRACTORS DECLARATION CITY LIC,CLASS SILDE (commencinaffgrm withat I am Section17000of Division provisions under of the Business and SEWER MAP +'.v ter 9 SO.FT.SIZE NO. STORES NO. FAMILIES 3307 i I,j°1, Professions Code,and my license is in full force and effect. %��� NEW ❑ BK PG 0 License Number Lic.Class DESCRIPTION OF WORK ADD VALUATION ® _ 1 ITEMS bi Contractor Data La ALTER ❑ $ O� TOTAL 57 o _'2_V) ❑ I am exempt under Sec. A S7 p `E RPAIR ❑ $ lob 0 CHEF:K 5735°1�B.BP.C.for this reason 6f 0,sP xC ppm DE ❑ CHANGE °(ILA USE OF EXISTING BLDG. LDMA P/C# Date: [UEMOL RM ❑ 1I�m �1 f Signature APPLICANT(PRINT) TEL NO. 3000-�11]1 4/ 4/90 � LDMA Penn N ❑ I,as owner of the property, or my employees with wages as A R�LP/'A5/7• .e'JS 'JS/.� p Vf!O I AM 90-11 , heir sole compensation,will do the work and he structure is �— 0 not intended or offered for sale (Section 7044, Business and oZ �a, F_-c/D F11aO� T / p FINAL DATE �� / a Professions Code.) WILLTHEAPPLICANTORFUTURE BUILDING OCCUPANTHANDLEAHAZARDOUS MATERIAL / �'� � °4,L OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �y 1 1TEll'S licensed contractors to construct the project (Section 7044, Business and Professions Code.) WILL L 11 No TOTAL 4 WTHE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH ��J{ i t}i CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST CHECK 41°7 CONSTRUCTION GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NO 14 CHANGE .011 he performance of the work for which this permit Is Issued(See. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO 3097,Civ.C.). PERMITTING CHE�CCKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTYCOOfeYITLE 2,CHAPTER 2.20 SECTIONS02M THROUGH2.2M14000NCERNING �.+ � Lender's Name HAZARDOU IALSREPORTINGANDFORO ING ITFROMTHESCAQy10. Lenders Address ®��. (J��__.� • okt��•�I QI�01�-�� 1 11•�>r:J Asp 1305 1 AM 9°+t t 0 1 certify that I have read this application and state that the above P.C.FEE PERMIT FEE Information is correct. I agree to comply with all county e o ordinances and State laws relating to building construction,and hereby authorize representatives of his County to enter upon ISSUANCE F the above-mentioned property for Inspection purposes. �'t+ m INVESTIGATT , �� TOTALFEE I i r �[ °IM04a,naApmt Oro SEE REVERSE FOR EXPLANATORY LANGUAGE 9