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Home My Public Portal About6029 RENO AVE_Building__ CE .Ey.6/781 3, i {F� AF:PPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDREss �(t BUILDING ,r ADDRESS �C - LOCALITY NEAREST CITY"Iplp Ct4y ZIP CROSS ST. �- NO.OF BLDGS. ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE P OCE56EDBY TRACT„ (� ' BLOCK LOT NO. _ J CON T.� Z4NE t I TEL. 0 � •�� -Y _ OWNER • ND 7 STATISTICAL CLASSIFICATION ER�{MAP ADDRESS �y�CLASS NO. �7 DWELL.UNITS � �/BK /.�G CITY 14 ZIP $ / �� j ARCHITECT OR TEL. VALUATION ENGINEER NO. ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR 1,VVA V3 NO. Q 1 HIGHWAY + YARDTOTAL SETBACK FROM TYPE OF EXISTING LIC. G - FRONT PROP.LINE HIGHWAY WIDTH ADDRESS 1 L0 N . I I �~ IIC. + CITY CLASS BLDG.SETBACK FROM CONSTRUCTION LENDER ee �l NAME AND BRANCH e—Al, q SIDE PROP.LINE OF (STREET( HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING 0 ADDRESS �� CITY SIDE PROP.LINE _ IHIGHWAYI WIDTH SQ.FT. ,( NO.OF NO.OF CHECK + = V SIZE 6 3STORIES FAMILIES ONE >> ! // O DESCRIPTI N OF WORK NEW P.C. Fee$ ,3 `L L t' Permit Fee I ADD Issuance Fee y ALTER Z REPAIR ❑ Total Fee USE OF DEMOL EXISTING BLD ( K/ 7/ �'� ZO APPLICANT TEL _ IF INT) NO.6 BY(SIGNATURE) O p > IHEREBY ACK WLEDGE THAT I HAVE READ THIS APPLICATION AND STATE / -•,Z(� 7 ua THAT THE ABOVE S CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE U WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN REL ATI G TO WORKMEN'S COM- Z PENSATION INSURANC (SIGNATURE OF (PERMITTEE } • s > a n ADDRESS 1 Z / TEL. O CITY v�/ ��r�Ch NO. 'G � C SE ZONE NOP > S0CIAL ►- NDITIONS :E FINAL BY DATE ! L� ./ '/�/�vC��-. APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APP ANT TO FILL IN BUILDING ADDRESS '71 �� I hereby affirm that I have a certificate of consent to self insure, TLD G ADD or a certificate of Workers'Compensation Insurance,or a certified ' copy thereof(Sec.3800,Lab.C.) _It... ZIPa -/CFO Policy No. Company I 1 / / t�C/ LOCALIT v SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. ---- r NEAREST CROSSSlf ❑ Certified copy is filed with the county building inspection TRACT LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' E �1 TEL N COMPENSATION INSURANCE ALJ WITHIN 1000 FT OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred A ORES/S dollars($100)or less.) leU 6% �• DISTRICT GROUP TY CONST. FIRE DONE PROCESSED BY CITY ZIP I certify that in the performance of the work for which this permit • O Q /� is issued, I shall not employ any person in any manner so as to ARCHITECT O ENGINEER TEL NO. Q ✓ become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. 52;2-1 DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CON7RACT0 � � )) TEL NO. SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith L�i�/t/ FRONT 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 LDE � NEW BK PG IZE NO.OF STORIES NO.OF FAMILIES SEWER MAP Professions Code,and my license is in full force and effect. License Number Lic.Class CRIPT F WORK ADD ❑ VALUAT10NN Q Contractor Date ALTER ❑ $ ❑ I am exempt under Sec. REPAIR ❑ $ O BAP.C.for this reason q7t. DEMOL ❑ LDMA P/C# W Date: USE OF&XISTING BLDG. URM ❑ IL 3303 in�ap en CO Signature APPLICANT(PRINT) TEL NO. LDMA Perm# aVvogV Z lel, as owner of the property, or my employees with wages as Z 1 Z / their sole compensation, will do the work and the structure is ADDRESS O T(aTIR 1 not intended or offered for sale (Section 7044, Business and FINAL DATE G Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL Z /��[�/.�/ {(�O Q�'� OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE '" J 4ITL4n 1Li0o 71,1 ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to-construct the project (Section 7044, YES❑ NO❑ CME M Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MOD.FICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST Fob � a /2 ��5 GUIDELINES a 1 hereby affirm that there is a construction lending agency for YES❑ No❑ 0 W the performance Of the Work for which this permit IS ISSUed(SBC. 1HAVEREAD THE HAZARDOUS MATERIALS INFORMAT10NGUIDE AND THE SCAQMDPERVITTING �� on 26 1 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, a TITLE 2,CHAPTER 2 20 SECTIONS 2.20 100 THROUGH 2 20.140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAIN:NG A PERMIT FROM THE SCAOMD. o Lender's Address � IXANER OR AGENT c I certify that I have read this application and state under penalty 0 of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE ` a with all county ordinances and State laws relating to building 6 co con ction, and hereb uthonze re resentatives of this Count ISSUANCE FEE t e r u on the abo ntione ert for inspe tion ur ose. . a �� /�.i�L�� o,u y INVESTIGATION FEE TOTAL FEE /D • �� SEE REVERSE FOR EXPLANATORY LANGUAGE _ A PPLI TION FOR BUILDING PERMIT � COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILQING ADDR I hereby affirm that I have a certificate of consent to self Insure, BUILDING ADDRESS or a certificate of Workers'Compensation Insurance,or a certified (00;L ()• copy thereof(Sec.3800,Lab.C. " CITYC ZIP LOCALITY Policy No.I D /2 Company Cu ww SIZE OF wr NO.OF SLOGS.NOW ON LOT ❑ Certified copy is hereby furnished. e,&e. IE6.Nn SQL Yo /4 1 NEAREST CRO ❑ Certified copy is filed with the county building Inspection TRACT BLOCK LOT NO. USE ZONE MAP NO. department. r� Date 5-I S'�L�+Applicant� •\ �� ASSESSOR MAP BOOK PAGE PARCEL 9 C.1t:J,��{ L414` `^'� — SPECIAL CONDITIONS CERTIFICATE OF EXEMPTIOWFROM WORKERS' OW R IC18�✓� dEJ,No. 5,�3 WITHIN 1000 Fr.OF SCHOOL? COMPENSATION INSURANCE F!G�j YES NO ADDRESS (This section need not be completed if the permit is for one hundred U0.% Q dt DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($ or less.) CITY ZIP I certify thathat in the performance of the work for which this permit C y!// Is Issued, I shall not employ any person In any manner so as to ARCHITECT R ENGINEER TEL.NO. become subject to the Workers'Compensation Laws. - STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.pe? DWELL UNITS NOTICE TO APPLICANT. If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' NTRACTC�R L LL TEL NO. SETBACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code,you must forthwith STv", 7 1 1 t7 °-114,6-?9�`� comply with such provisions or this permit shall be deemed revoked. FRONT ADDRESS ��Ip O. P P I ``f40'a--A.O PL LICENSED CONTRACTORS DECLARATION 'C00 S �Z CLASS SIDE a �t2 C o�v�l K I'S/ '-2� P L Ca I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP o (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORES NO.OF FAMILIES NEW OC Professions Code,and e my license is in full force and effect. BK PG �' �; O 3ZD DESCRIPTION F WORK VALUATION a License Number 1 Ll,.Cl.. U�-/�� T � ADD ❑ COrltractorAttC Po."�t O Data 5- 11""1 V ALTER ❑ � �d ❑ I am exempt under Sec. Ona. Y7 ~° REPAIR ❑ B.&RC.for this reasonDEMOL ❑ LOMA P/C# Data: USE OF EXISTING BLDG. URM ❑ SignatureAPPLICANT(PRIMn TEL NO. LOMA Penn# ❑ I,as owner of the property, or my employ es with wages as O a their sole compensation,will do the work and the structure is ADDRESS 0- ACCT.v not intended or offered for sale (Section 7044, Business and FINAL DATE v ® ��7 151.95 Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEAHAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN jT � ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS IFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? T�I 1 i'�. licensed contractors to construct the project (Section 7044, YES❑ NO151.95 Business and Professions Code.) TOTAL WILL THE INTENDED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING [� q �k OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH CHECK 151.75 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES CHANGE n('0 I hereby affirm that there is a construction lending agency for YES❑ No CHANGE V J the performance of the Work for which this permit IS Issued(Sec. 1 HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,Civ.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES /20 ry _ COUNTY CODE.TITLE RAFTER 220 SECT10NS210.100THROUGH 220.140 CONCERNING C V {l_t'If'YfYi5/18/90 9v,ifl�l Lender's Name US MATERI REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAQMD. tl L9- L.l�SJ 2 1 Lender's Address OWNER qAGENT 0759 1 Aft 7:34 0 1 certify that I have read this application and state that the above C information Is correct. I agree to comply with all county RFEE PERMIT FEE ordinances and State laws relating to building construction,and J hereby authorize representatives of this County to enter upon ISSUANCE FEE t/-b ve-mentio ed property for Inspection pusasG m 0 G INVESTIGATION FEE TOTAL FEE �/ 921r ApplYxn e,rt Dab SEE REVERSE FOR EXPLANATORY LANGUAGE