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Home My Public Portal About6018 RENO AVE_Building__ o � WORKERS'COMPENSATION DECLARATION e, o affirm fthntica I haW r certificate of consent to self • ■ L I CAT ' F� 01 ' ®I risuse, ,I f certificate of Workers'Compensation Insurance, kT or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILD u Q Al RQno Ave Certified copy is filed with the county building inspec- BUILDING p /� tion department. ADDRESS b1 d d 4 1/t Date Applicant '.CITY fZ _i ZIP Q O LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS' " NO.OF SIZE OF LOT NOW ON OTS i'ROSSS COMPENSATION INSURANCE ST. 14-armLn 4- Q 1'i bt I Ci tf (This section need not be completed if the permit is for one ASSESSOR / hundred dollars ($100)or less.) TRACT BLOCK LOT NO. "MAP BOOK PAGE PARCEL TEL. �/ ".USE ONE FSP—E P /•� / I certify that in the performance of the work for which this OWNER 1Vl NO.309'07 6P .,� . v oZ fO permit is issued, I shall not employ any person in any manner /p ,� - �� CIALso as to become subbrjeect to the Workers'Compensation Laws. ADDRESS 0!Q /i U t• NDITIONS U Date 21(" 'F Applicant CITY Cl ZIP �O r „ NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. a DISTRICT GRggqUP TYPE FIRE PROCE4SSED BY O Exemption, you should become subject to the Workers' ENGINEER n/ NO. ') CONST,/ ZO�NjE V Compensation provisions of the Labor Code, you must forth- ADDRESS L U a with comply with such provisions or this permit shall be TEL. ,STATISTICAL CLASSI IC TION APT. ONDO. N deemed revoked. CONTRACTOR NO. T 1 Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS &Ra- NO. (commencing with Section 7000)of Division 3 of the Business and LIC. SEWER MAP Professions Code,and my license is in full force and effect. CITY �G Cr y CLASS BK. PG. VALT9 A SQ. FT, NO.OF NO.OF CHECK License Number Lic.Class SIZE 6 IN FAMILIES ONE # 0 0 0 0 -3 VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑' $ 3,9, 3 / ) - 27285 F1 am exempt under Sec. ) ADD ` ( ® 0 0 2 7 2 2 5 5 pfN•ri L�C�leLO¢d ALTER ❑., B.&P.C. forrthis reason '+•v_ -, Lde-A 9 REPAIR ❑ $ 1• 1 7`-8G•7�5,Ci Pa USE OF BLDG. DEMOL Date: EXISTING ❑ �7 ` Signature APPLICANT TEL. r FINA / 0 0 0 0 0 1 OWNER-BUILDER DECLARATION PRINT i NIL�ZCA)o -NO.3U%0117 DAT !J�! 1 hereby affirm that I am exempt from the Contractor's License ADDRESS FIN Law for the following reason (Section 7031.5, Business and _ Professions Code): PRESENT u B f r ,. 7 BUILDING ® I, as owner of the property, or my employees with ADDRESS () I.L 6— 8 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section kADDRE Y 7044, Business and Professions Code). TEL. I, as owner of the property,am exclusively contracting CTOR NO. with licensed contractors to construct the project (Sec- S tion 7044, Business and Professions Code). CK FROM CONSTRUCTION LENDING AGENCY CK YARD HWY TOTAPROPLIINE WIDTH % I hereby affirm that there is a construction lending agency for T the performance of the work for which this permit is issued(Sec. 3097, Civ. C.).Lender's Name LDMA Ref.#Lender's Address $ 00 / o�. Q Permit Fee (. Q 1 certify that I have read this application and state that the Issuance Fee LA P/C# above information is correct. I agree to comply with all County Investigation Fee ordinances and State laws relating to building construction, Total Fee '3 LDMA Perm.# and hereby,authorize representatives of this County to'enter $ upon the above-mentioned property for inspection purposes. n °a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date T 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 0508180027 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: TR: 5904 LT: 144 SQ. FT STORIES TYPE 6018 RENO AV STRUCTURE: 182 VN TEMP CA 917801530 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA 5384-017-008 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON: EXIST OCC GRP: 08/18/05 JK 08/13/06 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL T FIN BY: CODE: MERCADO BENITO;DELIA (626) 309-0478- 1,500 e,- 6018 RENO AV 119 TEMP 917801530 FEES PAID S ION OF WORK ADD ST RAGE ATTACHED GARAGE 182 SQ. FT. COVENANT WAS FEE DESCRIPTION: QUANTITY. DOM: AMOUNT: RECORDED APPLICANT: TEL. NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION REBID 1500.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/O EN-HC 1500.00 VAL 82.20 FR INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 367.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAM3 INSPECTION i REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR CEIL ASSEM. RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508 COUNTY OF LOS.ANGELES TEMPLE CITY # 0508 rBU1LDING PERMIT , • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS t RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '-BL-0508-9910140009 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST NEW ER11DING ADDRESS: TR: 5904 LT: 144 SQ. FT STORIES TYPE OCCUP GROUP GG018 RENO AV . STRUCTURE: 496 1 VN R3 tEMP_CA-91-7801530 ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: 5384-017-008 OTHER: THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TENANT: EXISTBLG S USE OE: ISSUEDON: - —PROCESSED B : EXPIJtES0 : EXIST OCC GRP: 10/14/99 UT 0 1/00 OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY• CODE: MERCADO BENITO;DELIA (626) 962-6341- 1 36,000 6018 RENO AV TEMP 917801530 FEES PAIDDESCRIPTIONI-OF:WORR ADDITION OF MASTER, BEDROOM/BATH,, NDRY ROOM AND 48 SQ. FT. FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TO-EXISTING-BEDR06M APPLICANT: TE . SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RES 36000.00 VAL 3.60 SPECIAL CONDITIONS: AX BUILDING-REV•L-—9:E 54.70 B2 PERMI Vt'E � -ELES0 :,QO VAL 676.50 CONTACTOR : TEL. NO: - SOC, OTd1LLF�E 762.55 APPROVALS DATE INSPECTOR SIGNATURE SAMELIC. NO (f LOCATION AND SETBACKS ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH/ FORMS LIC. N0� 1111111 SLAB/UNDER FLOOR RAISED L R G P 0: SEWER MAP BOOK: PAGE: FIRE 20N3: NNN�---M'0---1=�� D �� O �S UNDERFLOOR INSULATION rn�HS L R SHEATH 0. F FA I I LING ITS: PT/CO D: S C ASS. LJ 11 NO 21v` O 0 D LEVEL FLOOR SHEATH �E� SCHOOL WIT HAZARDOUS �,,1.' t1* 00 SHEATHING AIR QUALITY: 1000 FEET MATERIALS Q ❑ 4-1?r'r,-- NO NO NO A ®ju, - FIRE DEPT. FRAME INSPECT REQUIRED TOTAL SETBACK ST 46 Ll B DG DEPT. FROE-ISTEff SET FRONTAPL- YARD: HWY: PROP LINE: WIDTH: ��c Service•�hat� SHEAR PANELS SIDE PL- T IER RIP INTERIOR LATH/ YWA !I l q EXTERIOR LOT DRAINAGE SMOKE TECTIO DEVICE FIRE DEPARTMENT APPROVAL REPORT ID: DPR261 ROUTE TO: BS0508