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Home My Public Portal About5948 RENO AVE_Building__ i APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING DDRE S I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDS J-/ or a certificate of Workers'Compensation Insurance,or a certified Ave- copy thereof(Sec.3800,Lab.C.) CIT 1P Q C zIP m A• LOCALITY Policy No. Company SIZE OF LOT V NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER frt� ��r TEL NO. COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS J 3� � e-1--t' ^ f DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) � I' CITY ZIP I certify that in the performance of the work for which this permit `j(;4yl 9/ is issued, I shall not employ any person in any anner so as to ARC ITECT OR ENGIN ER , TEL NO. bAe ecome s bj t ttt a Workers'Compensation La TAA A 1 ot e- STATISTICAL CLASSIFICATION APT CONDO Date Applicant ' ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLIGINT.• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject t0 the Workers' CONTRACTOR ,A TEL NO. SET BACK YARD HWY PROP LINE WIDTH Y1 Compensation provisions of the Labor Code, you must forthwith OEV l-e Y/ FROM comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. PL LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES SEWER MAP Professions Code,and my license is in full force and effect. NEW BK PG ® }D_ DESCRIPTION OF WORK VALUATION O License Number Lic.Class ADD ❑ Contractor Date De 0ic baa ALTER ❑ $ U ❑ I am exempt under Sec. REPAIR 11 0 DEMOL ❑ W BAP .C.for this reason L LDMA P/C# USE OF XISTING BDG. Date: _ __ URM ❑ � Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 1 Z ❑ I, as owner of the property, or my employees with wages as Z ACCT.v their sole compensation, will do the work and the structure is ADDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE Q 3303 10 10 Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL — 1 ITEMS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY > TOTAL r o �.� licensed contractors to construct the project (Section 7044, Business and Professions Code.) YEs❑ NO❑ WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING CHECK 1880.10 OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR ((� 1 GUIDELINES .v ` ) CHANGE eOO I hereby affirm that there is a construction lending agency for YEs❑ No❑ iA the performance Of the Work for Which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING (�� 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a MO-0001 11I 3/95pC7• 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 SCAQMD 0 Lender's Address 313 1 Afl 10 3°u OWNER OR AGENT O 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 /�D, �}� N with all county ordinances and State laws relating to building G construction, and reb a thorize representatives of this County ISSUANCE FEE toe u on the ve- a tioned propergy for inspectifonpurpo�es� -14.50 �T� INVESTIGATION FEE TOTAL FEE IX m BQNWn1 RW4C:n1 m 1 D:AY SEE REVERSE FOR EXPLANATORY LANGUAGE - APPLICATION FOR-BUILDING PERMIT . COUNTY OF L0"NbE&ES7 e' BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN I hereby affirm that I have a certificate of consent to self insure, BUILDIN AD Ems' or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) CITY ZIP LOCALITY Policy No. Company SIZE OF LOT JOF NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR BQOK i PAGE PARCEjQ`J/� � D/ (f'!f Q� SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDR� dollars($1'00)or less.) 42,277DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY CI ZIP 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 to HITECT TEL NO. become subject to the Workers'Compensation Laws. ,r,.,g4 r ,r STATISTICAL CL/AS9SI/FJCATION APT CONDO Date Applicant DRESS✓ , � CLASS NO. DWELL UNITS NOTICE TO APPLICANT If, after making this Certificate of `091vew V 1��"�T"' REQUIRED TOTAL SETBACK FROM EXIST .400i/if Exemption, you should become subject to the Workers'JCOtF R,r, _�E�yG _ SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith /1/`� �J Z`� � FRONT 23 comply with such provisions or this permit shall be deemed revokADDRESS LIC.NO. p'L LICENSED CONTRACTORS DECLARATION SIDE' Aeff oDCITY LIC.CLASS PL -� O �� I hereby affirm that I am licensed underprovisions of Chapter SEWER MAP(commencing with Section 7000)of Division 3 of the Business andT I NO.OF RIES NO.OF FAMILIES 1 ITEMS Professions Code,and my license is in full force and effect. NEW W BK PG ® TOTAL 1890.57 iLO License Number Lic.Class DE RIPTION OF RK ADD [3 VALUATION Contractor Date �r/�i ALTER ❑ $�17 �'0-6 � 1890,5 530 cc ❑ 1 am exempt under Sec. REPAIR ❑ $ Q BAP.C.for this reason DEMOL ❑ LDMA P/C# nnn n V Date: USE OF EXISTING BLDG. URM ❑ 0000-0001 69/20/95,5 Signature APPLICANT(PRINT) TEL NO. LDMA Perm# 2394 1 PH 4'-43'0'0 ❑ 1, as owner of the property, or my employees with wages as Z ACCT R v their sole compensation, will do the work and the structure is kJIDDRESS O not intended or offered for sale (Section 7044, Business and FINAL DATE R 3,503 2284.05 Professions Code.) WILL THE APPLICANT OR FUTURE BUILD.NG OCCUPANT HANDLE A HAZARDOUS MATERIAL 1 ITEMS OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 1.1 , as owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GU DEI? FINAL 5 J Ilcensed contractors to construct the project (Section 7044, YES❑ No❑ CHECK 22(8y(400.1 Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OHEOK 2284.05 CUR4NT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTINOCHECKLIST FOR CHANGE ((yy GUIDELINES \ CHANGE .00 I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance Of the work for which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING G)CM 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, �/ / 0000-0001 11/15/95 TITLE 2,CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20.140 CONCERNING HAZARDOUS r 6:09; Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. d 3324 1 PM l O:09 OLender's Address OWNER OR AGENT +• f 7 0 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 /� O 9 �� PERMIT F N with all county ordi c s and State laws relating to building (D construction,an ere uthorize repre"ntatives of this Co my ISSUANCE FEE CO to a eX pon t o nt' ne pro rty for inspecti n purp es. 4-• ,7� m e� 1` INVESTIGATION FEE TOTAL FE n® �IVZ`" 81gralLn11�n Onto SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9610220016 PHONE: (818) 285-0488 EXT: LEGAL ID: NO. OF CONST W B I ING DDRESS: BK: 230 PG: 1001 PC: SQ. FT STORIES TYPE OCCUP GROUP 5948 RENO AV 'STRUCTURE: 0 2 V R3 TEMP CA 91780 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: OTHER: 216 1 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY TENANT: EXIST BLDG USE: USE ONE: ISSUED ON: PROCESSED BY: EXPIRES ON- EXIST : ` EXIST OCC GRP: 10/22/96 TC 10/22/97 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: E: QIAN - 1 1,600 _ 5948 RENO 91780 FEES PAID ESCTI—PT I Off OF 0 �� SOLID ROOF PATIO COVER 216 SQ. FT. FEE DESCRIPTION: QUANTEI�j7z�,UOI�I; B AMOUNT: APPLICANT: EL. 0: o , &� WOOD BUILDERS CONST. (909) 735-7617— AA BLDG PERMIT ISSUn ANC& `� 27.75 7191 SARSAPRILLA AC STRONG MOTION -RESID /1G�0.00—VA aU)50 SPECIAL CONDITIONS: CORONA, CA 91719 D2 PERMIT W/O E (!`� X1600 OO—VA 82.:'a �� TOTAL FEES /I 110sr4 , CONTRACTOR: TEL. N0: ;�jn !/ •APPROVALS DATE INSPE R SIGNATURE WOOD BUILDERS CONSTRUCTION (909) 735-7617— ,: n &a 7191 SARSAPRILLA DRIVE LIC. NO co 0 � _ � `.'0 T 0 A SETBACKS CORONA, CA 91719 376902 B1 1 —=--�-- _ ARCHITECT ORENGINEER: TE N0: !�u- )gym o QS.(�j SOILS ENGINEER APPROVAL ��+ II lL-�J II li FOUNDATION/TRENCHORS i I LIC. NO: 1 I SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: EMP01' UNDERFLOOR INSULATION ST L� E OOR 0.NOF DWELLING UNITS: AS � SHEATH AT CS: NO 21 2ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS ROOF SHEATHING AIR QUALITY: 1000 FEET MATERIALS NO NO NO0 � � IRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME INSPECT SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- SHEAR PANELS SIDE PL- INSQCATIO /WEATHER STR P INTERIOR LATH/DRYWALL EXTER-IOR LATH LOT DRAINAGE SMOKE DETECTION DEVICES FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508