The URL can be used to link to this page

Home My Public Portal About5947 RENO AVE_Building__ 78A888A CE#808 8-68 A.PPLICATIO FOR BU DING PERMIT COUNTY OF. LOS ANGELES BUILDING ; DEPARTMENT OF COUNTY ENGINEER ADDRESS - ? BUILDING AND SAFETY DIVISION LOCALITY �, JOHN A. LAMBIE; COUNTY ENGINEER NEAREST LL�-,p WILLIAM A.JENSEN, SUPT OF BUILDING CROSS ST. //77'A ,J DIST CT G^OUP TYPE P C ED BY FO LICANT TO FILL IN 07 CONST. BUILDING STATISTICAL CLASSIFICATION SEWER M ADDRESS ffm _ CLASS. NO. DWELL.UNITS T LOT'NO. IL�EL BLOCK WATER NOT REQUIRED RECEIVED 1:1 CERTIFICATE. (/ MAP HIGHWAY STATE MAJOR SECOND, CA NO.OF SLOGS. NO. (CIRCLE) SIZE OF LOT ,S NOW ON LOT USE ZONE SPECIAL y Is USE OF CONDITIONS �!/^I/ EXISTING BLDG. r L / led/.V JTgV/ '�G OWNER O. BUILDING YARDHWY STREET NAME EXIST. �y t SETBACK WIDTH ADDRESSARCHITECT OR ! V TEL. �G w FP. LT Q ENGINEER NO. SIDE P. L. ADDRESS CURB, UKIVtWAyd T o CONTRACTOR V ADDRESS 46 V DESCRIPTION OF WORK Note:•Permits for eurb,-gu++er, sidevr - � ra 0- I , j D I:o Dept.. Altade a se Office, or T. C. Co. Engineers G+lice imr�cc:aia'•i in order to are d11111 E ADD ALTER REPAIR DEMOLISHft- a lengthy delay. Survey & Design WCr, Takes Ime W Q.FT. NO.OF NO.OFlcwa free per=* 4&T- Z SIZE ' STORIES FAMILIES. USE OF City Hall. STRUCTURE - IGNATUR F 69, APPLICANT A VALUATIONS L APPROVALS DATE INSPECT R'.*SIGNATURE s'7 FOUNDATION: LOCATION F E - /S FEE'S FORMS, MATERIALS FRAME: FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING. BOLTS / AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY_ FURNACE: LOCATION. y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA. TION OF THE LABOR CE OF STATE OF CAL( ORNIA RELAT- ODF T �!� `'•-� INC TO WORKMEN'S ENINSURE CE. LATH. INT. LATH.EXT. SIG ATURE HOUSE NUMBER COR- r�,P.ERMITTE RECT AND POSTED ADDRESS FINAL -� JOHN F. LEWI PRINCIPAL STR L ENGINEER (CKj.PLAN CHECK VALIDATIONM.O. CASH. PERMIT VALIDATION CK: M.O. CASH L 50:8 .5 3 61 HAY15 2'3 D' 23 "1 ' 0:.8 8 .3 Jai � 23 D � 8 3 5.o. JUN 2 1 D .10 1.2 5- R V APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES a = 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, BUI1:ZC1 14 LDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified CITY ramia �. ZIP copy thereof(Sec.3800,Lab.C.) t ® LOCALITY Policy No. Company SIZE Cf LOT NO.OF BLDGJ.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROiST ❑ Certified copy is filed with the County building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP PAGEv I PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' R ,�, `Flasecki' i0' _��' YES NO COMPENSATION INSURANCE Eg 'Z WITHIN 1000 Fr OF SCHOOLS (This section need not be completed if the permit is for one hundred A. ��S '1 DISTRICT GROUP TYPE CONST. FlRE ZONE PROCESSED BY dollars($100)or less.) 14 CIT ^i ZIP �8 O I certify that in the performance of the work for which this permit ` _ is issued, I shall not employ any person in any manner so as t0 ARCHITECTIOR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLA SIF CATION 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' CONTRACTOR TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION CITY 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. IZE NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG ® a License Number Lic.Class DESCRIPTION KPORK ADD ❑ VALU N C Contractor Date ALTER El&m no -500 —� C D ❑ I am exempt under Sec. REPAIR ,� $ H �. B.BP.C.for this reason / DEMOL ❑ LDIv1A Pic# I`J Date: USE OF EXISTING BLD F f URM ❑ n U. Signature APfLI NT(PRI E O. LDMA Perm# ❑ 1, as owner of the property, or my employees with wages as Z Ye g DD S ` O �L=•{o S their sole compensation, will do the work and the structure is r not intended or offered for sale (Section 7044, Business and - FILL�+- �' ;,J- 149.85 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT&DLE A HAZAFIJOUS MATERIAL ❑ 1, as owner of the property, am exclusive) contracting With OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE Q 1 ITEM_, Y Y g AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY 9 licensed contractors to construct the project (Section 7044, YES❑ NO❑ TOTAL 1.49 e 85 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHECK 147.85 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO CHANGE °1 W the performance Of the work for which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 1 3097,Civ.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE,CM TITLE t 7/21/93 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THCHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2.20.140 E SCAOMD.G HAZARDOUS 000 1-100111 00 Lender's Address �01324 J� / �J -� O OWNER OR AGENT LE�,�'r n Y�• c 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 //S N with all county ordinances and State laws relating to building /�( m construction, and hereby authorize representatives of this County ISSUANCE FEE -�0 CO to pr upon the -mention property for ins a tion purpos s. < 7— INVESTIGATION FEE TOTAL FEE Q SEE REVERSE FOR EXPLANATORY LANGUAGE