HomeMy Public PortalAbout6024 RENO AVE_Building__ pp
'OMPENSMIT
ATION DECLARATION APPLICATIONJ/`� � }
r a cernrmtif carte of�Woent to self
rke s°certCompensation ificate of Insurance, w f F R BUILDING � "O
u certified copy thereof(Sec. 3800, Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
•4Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDED ~ G
Certified copy is filed with the county building inspec- BUILDING Av S7
tion department. ADDRESS t /�
Date Applicant CITY f�7'!7/�LL'� l ZIP Yl790JLOCALITY7�Ge
CERTIFICATE OF EXEMPTION FROM WORKERS' / O.OF BLDGS. NEAREST
COMPENSATION INSURANCE SIZE OF LOT (o NOW ON LOT CROSS ST. / /
(This section need not be completed if the permit is for one — ��/1t.� ASSESSOR
hundred dollars ($100)or less.) TRACT BLOCK LOT NO. vr/ MAP BOOK PAGE PARCEL
TEL. USE NE MAP
I certify that in the performance of the work for which this OWNER A7'M - No�D ZP NO. Sam
permit is issued, I shall not emp any person in any manner /�j ,i SPECIAL K
so as to become§ubject to the kers'Co a soli n aws ADDRESS (d(/ ^^�� CONDITIONS O
f CIT� PLN CG ZIP l/de U
Date v �S APPlicant
NOTICE O APPLICANT: If, after eking this ertificate of ARCHITECT OR TEL. / DISTRICT GROUP TYPE FIRE PROCESSED BY O
ENGINEER t1o• ' .r� q' CONST. ZONE
Exemption, you should become subject to the Workers' (�/t/qi GI !/�l /Jd w
Compensation provisions of the Lo or Code, you must forth- ADDRESS
with comply with such provisions or this permit shall be TEL. `STATISTICAL CLASSIFICTION APT. 1 ONDO. Cn
deemed revoked. CONTRACTOR NO. !,
LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. G' A DWELL. UNITS
—
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and LIC. A.
Professions Code,and my license is in full force and effect. CITY CLASS BK.114 M-1-0VALIDATION
SQ. FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE
� ,�,...�,, ey g VALUATION U
Contractor Date DESCRIPTION OF WORK L/ /u� NEW �' ; .—old ' ^
F1 I am exempt under Sec. /101 AD ER ❑` (f ® 6 1,G A
❑ # 0 0 0 0 0 1
B.BP.C. for this reason REPAIR $
USE OF O~ I - 2902.5
Date: EXISTING BLDG. DEMOL El
Signature APPLICANT TEL. FINAL a o L 9 0": 5
OWNER-BUILDER DECLARATION PRINT NO. DATE
I hereby affirm that I am exempt from the Contractor's License 1 2, 1 6—8 7
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL
Professions Code): RESENT By
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.
1,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).
CONSTRUCTION LENDING AGENCY SETT BACK YARD HWY TOTAL SETBACK
WIDTH
I hereby affirm that there is a construction lending agency for FRONT
the performance of the war for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name LDMA Ref. tY
m P.C. Fee$ Permit Fee
Lender's Address
I certify that I have read this application and state that the Issuance Fee LDMA P/C N lop
g above information is correct. I agree to comply with all County Investigation Fee
0 ordinances and State laws relating to building construction, Total Fee LDMA Perm. q
N and hereby authorize repress ativ of this County to enter
n the above- r�fPaned r erty ori spection purposes. .
a `// .
0 SEE REVERSE FOR EXPLANATORY LANGUAGE
r Signature o Applicant or Agent D e
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 0906040024
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 5904 LT: 143 UN: .002 SQ. FT STORIES TYPE 6024 RENO AV
STRUCTURE: 27 V-B TEMP CA 917801530 1
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: HERMOSA
15384-017-007 1 1 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
(TENANT: EXIST BLDG USE: RESID, USE ZONE: R-1 ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 106/04/09 SR
OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: FINAL E FINAL AY: CODE:
IARCHULETA ALLISON (626) 437-8826- I 15,000 2740
[
16024 RENO AV I Itf� `//''l1� 1
TEMP 917801530 FEES PAID IDESCAIPTION OF WORK
14 WINDOWS REPLACEMENT, 190 SQ.FT. STUCCO, ROOF REPLACEMENT
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:IW/TEAR OFF & RE-SHEATING 27 S.F.
APPLICANT: TEL. NO: I I I
ISTP ENTERPRISES INC. (626) 533-1324- AA BLDG PERMIT ISSUANCE 27.75 I
15454 TEMPLE CITY BLV IAB STATE GREEN BLDG FEE 15000.00 VAL 1.00 ISPECIAL CONDITIONS:
TEMPLE CITY CA 91780 AC STRONG MOTION RESID 15000.00 VAL 1.50
ID2 PERMIT W/O EN-HC 15000.00 VAL 300.60
TOTAL FEES 330.85
CONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE
STP ENTERPRISES, INC. (626) 287-7544- I
5454 TEMPLE CITY BLVD. LIC. NO (LOCATION AND SETBACKS
TEMPLE CITY, CA 91780 598157BC36
ISOILS ENGINEER APPROVAL
(ARCHITECT OR ENGINEER: TEL. NO: - 1 (FOUNDATION/TRENCH FORMS I I I
LIC. NO: I 1SLAB/UNDER FLOOR 1 I I
IRAISED FLOOR FRAMING
11MAP
PHNO:
SEWER MAP BOOK: PAGE: FIRE ZONE: CMPP:I (UNDERFLOOR INSULATION I I I
I I I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
NO 21 I [ROOF SHEATHING �I I
[ SCHOOL WITHIN HAZARDOUS [ ISHEAR PANELS [ I I
[AIR QUALITY: 1000 FEET MATERIALS I I I I [
1 NO NO NO 1 (FRAME INSPECTION 1 I
IREQUIRED TOTAL SETBACK FROM EXIST I IFIRE SPRINKLER HANGERS I
(SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- I IINSULATION/WEATHER STRIPI I
I SIDE PL- [ I 1-1 I
IINTERIOR LATH/DRYWALL
I I I
(EXTERIOR LATH I I I
l l I I
IRATED FLOOR/CELL ASSEM. I I I
IRATED WALL ASSEMBLIES I I
I I I I
IRATED SHAFTS/OPENINGS I I I
I
I IT-BAR CEILINGS I I I I I I
ILOT DRAINAGE I I I
I I I
(REPORT ID: DPR261 ROUTE TO: BS0508
I I I I I I