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HomeMy Public PortalAbout6042 RENO AVE_Building__ or F6A538A CE0809 8-83 APPLICATION FOR BUILDING PERMIT - COUNTY OF LOS ANGELES BUILDING O� , �. DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY ' JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN,SUPT OF BUILDING CROSS ST. DISTRICT NO. GROUP TYPE ROCESSE Y FOR APPLICANT TO FILL IN SD CONST. BUILDING STATISTICAL CLASSIFICATION WER MA ADDRESS 6042 No. Reno T.C. K Pcq CLASS. NO. DWELL.UNITS LOT NO.S420 O )4_1 BLOCK WATER NOT REQUIRED RECEIVED �J CERTIFICATE: TRACT v. `� MAP /� HIGHWAY STATE MAJOR SECO LOCAL NO.OF BLDGS. NO. pC,©Q (CIRCLE) SIZE OF LOT NOW ON LOT USEZONE SPECIAL USE OF CONDITIONS EXISTING BLDG. Residence OWNER%//aa . R. Birkemeier NO. �r BUILDING EXIST. ADDRESS m " SETBACK YARD HWY STREET NAME WIDTH 6042 No. Reno T. FRONT ARCHITECT OR TEL. - � P. L. ENGINEER NO. SIDE P. L. ADDRESS CONTRACTOR Vir gi n Ro of C OTo AT70507 ADDRESS 600 S. San Gabriel Blvd. DESCRIPTION OF WORK San Gab ` . o. NEW ADD ALTER EPAIR DEMOLISH U10 SQ.FT. NO. NO. OF SIZE STORIES FAMILIES USE OF STRUCTURE Re-roof house & garage. SIGNATURE OF APPLICANT VALUATION $ 954.00 APPROVALS DATE INSPECTOR'S SIGNATURE. o FOUNDATION: LOCATION FEE $Y FEE $ S o 00 FORMS. MATERIALS FRAME: FIRE STOPS, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION' BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT, DUCTS ' BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY NY PERSON IN VIOLA- LATH. INT. TION OF THE LASaF OF THE STA F C*FORNIA RE AT- ING TO WORKMEN'S C TI IN C LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTEE AL RECT AND POSTED ADDRESS FINAL JOHN F. LEWIS. PRINCIPAL ST T RAL ENGINEER PLAN C CK VALIDATION CK. M.O. CASH PERM •'IT VALIDATION 'CKM.O. CASH nuo5 0-2 1� OCT 9 ' 1 D 8.00- a ,' i \{► 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 0205220005 PHONE: (626) 285-0488 EXT: LE L ID: NO. OF CONST SUlILDtWG ADDRESS: TR: 5904 LT: 141 S0. FT STORIES TYPE 6042 RENO AV STRUCTURE: VN TEMP CA 917801530 ASSESSOR OR NUMBER: NEAREST CROSS STREET: GARIBALDI 5384-017-003 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY TEA BDG : RSD USE 0 : - ISSUED ON: PROCESSED EXPIRES N: EXIST OCC GRP: 05/22/02 JK 11/18/02 OWNER: TEL. 0: LDGS. NOW 0 TI LOT: VALUAON: FIN&� •� FI BY: CODE: INIGUEZ JOHN;MARIA (626) 309-9514- 3,600 6042 RENO AV TEMP 917801530 FEES PAID NOR MEN OF WORK FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: T/0 HOUSE & GARAGE; INSTALL SHEATING & 30YR ASPHALT SHINGLES APPLICANT: . NO: SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 AC STRONG MOTION RESID 3600.00 VAL 0.50 SPECIAL CONDITIONS: D2 PERMIT W/0 EN-HC 3600.00 VAL 115.80 TOTAL FEES 144.05 CONTRACTOR: TE N0: APPROVALS DATE INSPECTOR SIG AT RE SAME AS OWNER - LIC. NO LOCATION AND SETBACKS SOILS E G! ER APPROVAL ARCHITECT G — FOUNDAT 10 RE C OR S LIC. NO: S ABJUNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: •FIRE ZONE: CMP:' UNDERFLOOR INSULATION 150H265 3 01 FLOOR SHgATHING 0. 0 I S: D G UNITS: P OND: STAT CLA997 NO 21 ROOF SHEATHING �O b SCHOOL H Z D SHMkR PANELS / AIR QUALITY: 1000 FEET MATERIALS NO NO FRAME -INSPECTION REQUIRED TOTAL SETBAC-K'-FRGM,!.'.:EXfSr-- LElrTA-ffGTlf§­ SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- I SULA ION/WEAT ER STRIP SIDE PL- INTERIOR L H/DR LL EXTERIOR LATH RJkT5D 0 E L SS M. AT D WALL ASSEMBLIES RATW S A S 0 GS T-RAR CEILINGS LOT-WINAG5 REPORT ID: DPR261 ROUTE TO: BS0508 f �APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUI D0 G A�R 1 hereby affirm that I have a certificate of consent to self Insure, BUILDING ADD S _ or a certificate of Workers'Compensation Insurance,or a certified 60,q �0 U� copy thereof(Sec.3800,Lab.C.) CITY ZIP T� C C Policy No. Coma f 9S LOCALITY p Company SIZE OF LOT NO.OF BLDG .NOW ON LOT ❑ Certified copy is hereby furnished. 60 )<16 d NEAREST CRO ST. ❑ Certified copy is filed with the countybuilding inspection TRACT, BLOCK LOT NO. USE ZONE MAP NO. department. OR MAP BOOK PAGE PARCEL Date Applicant / o ' r)i SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNEE-- � TEL NO. ���j` WITHIN 1000 FT OF SCHOOL? YES NO COMPENSATION INSURANCE ADOR c3 (This section need not be completed if the permit is for one hundred (P E7-2 e'ilt7 i;7 DISTRICT GROUP TYPE CONST. FIRE ZONE CESS D BY dollars($hat or less.) CITY ` ZIP sJ �' —✓ I certify that In the performance of the work for which this permit .czryl / d j ���-C?' � is issued, I shall not employ any person in any manner so as to ARCHIT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. ATISTICAL C I CATION /1 ONDO 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 CI LIC.CLASS P L C C.'> I hereby affirm that I am licensed under provisions of Chapter.9 ASEWER MAP (commencing with Section 7000)of Division 3 of the Business and S .SIZE NO.OF STORES NO.OF FAMILIES � Professions Code,and my license is in full force and effect. NEW ❑ BK PG v. DESCRIPTION OF WORK ADD VALVA O W License Number LIC.Class 4Jv , �Qmpq T� , + ®� CO) Contractor Date 3+x ALTER ❑ 1 am exempt under Sec. • REPAIR ❑ B.BP.C.for this reason DEMOL ❑ LDMA P/C M Date: I BLDG. URM ❑ Signature APPLICANT(PRINT) TEL NO. LDMA Peon H ❑ I, as owner of the property, or my employees with wages as O ACCT. their sole compensation,will do the work and the structure is ADDRESS F a 33137 58.75 not Intended or offered for sale (Section 7044, Business and FINAL DA � Professions Code.) WILLTHEAPPLICANTOR FUTURE BUILDING OCCUPANT HANDLEA HAZARDOUS MATERIAL J OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 ITEMS ❑ 1, as owner of the property, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL 11BY TOTAL AL licensed contractors to construct the project (Section 7044, YES NO 1:111.11 518' m 75 Business and Professions Code.) WILL THE INTENDED USE OF THE [[�� NG OCCUPANT EOUIREAPERMIT ORCONSITRUCTIONO MODIFNG BY THE FIICATIIONFROMTHET OR FUTURE SOIUTH CHECK 3.75 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. TW CHANGE ANGE s 130 1 hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD 3097,CIV.C.). PERMITTING CHECKLIST.1 UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES 0000-01001 yy-�r�rr'' (�yy{{-r�}} // �t•i Lender's Name CHAZARDO SOUNTY DMATERIALLSREPORTINGANE TITLE 2.CHAPTER ZM DFOROBTAINNGAPERMITFROMIONS 220.100THROUGH 220.140 THESCAOMD. LeI'I CI�LFLI43�{ �! C[f?y�! L Lender's OMERORalwr 1695 1 Alt 8:1 i1J o I certify that I have read this application and state that the above P.C.FEE PERMIT FEE4,5, ;,5 information is correct. I agree to comply with all county ordinances gpd State laws relating to building construction,and hereby aut o iJrqedp resentatives of this County to enter upon ISSUANCE FEE th bove- to property for inspection purposes. a _�►/7_6 9� INVESTIGATION FEE TOTAL FEE 1` S"-d -A- Qom APPLICATION F®R BUILDING PERMIT � • COUNTY OF LOS ANGELES BUILDI AND SAFETY WORKER'S COMPENSATION DECLARATION r FOR APP ICANT TO FILL IN BUILDI A BUILDI �rlUQN I hereby affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insura ,ora rtified CITY ZIP copy thereof ec /Lab.C.) t� LOCALITY Policy No. Compan SIZE OF LOT OF BLDGS.NOW ON LOT KP4 Certified copy is hereby furnished. NEAREST CROSS ST rtified copy is filed with the county building inspection TRACT BLOCK LOT No. USE ZONE MAP NO. de artment. o i ASSESSOR MAP BOOK PAGE PARCEL pate Applicant � SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' � ���q� / YES No COMPENSATION INSURANCE OVIINER1 � WITHIN'1000 FT.OF SCHOOL? ADDRESS / (This section need not be completed if the permit is for one hundred V 5` DISTRICT GROUP TYPE CONST.' FIRE ZONE I PR&CESSED BY dollars($100)or less.) CITY ZIP � P 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 ARCH.qqJ OR ENGINEER TEL No. 4V become subject to the Workers'Compensation Laws. STATISTICAL IFICATION APT CONDO Date Applicant ADDRESS CLASS NO. DWELL UNITS NOTICE TO APPLICANT., If, after making this Certificate of 6 REQUIRED TOTAL SETBACK FROM EXIST Exemption, you ShOUId become Subject t0 the Workers' C ACTOR TO. SETBACK 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. AD LIC. o. P L SIDE } )e LJ LICENSED CONTRACTORS DECLARATION CITY 0- LIC.CLASS P L o C.2 1 hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (Commencing with Section 7000)of Division 3 of the Business and S NO.OF SjORES NO.OFFAM IES Professions Code a my license' In full force effect. NEW ❑ BK PG License Num Lic.CI D C ION OF WORK 1.� C%� ADD �;IpN��� ® y Contractor Date ALTER ❑ `4 ❑ REPAIR 11i am exempt under Sec. B.&P.C.for this reason DEMOL ❑ LDMA P/C# Date: EXISTING BLDG. URM ❑ t Signature A CANT(PRINT) �M TEL NO. LDMA Perm# y ❑ I, as owner Of the property, or my employees with wages as ( �S p E their sole compensation,will do the work and the structure is ADD 0 A=C'T°'I' not intended or offered for sale (Section 7044, Business and FINAL DATE G 3307 105.25 Professions Code.) WILL THEAPPLICANTORFUTURE BUILDING d6CUPANT HANDLE AHAZARDOUS MATERIAL El I, as owner Of the property, am exclusively contracting with OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN 1 ITEMS THE AMOUNTS S 1 ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY licensed contractors to construct the project (Section 7044, YES❑ No� 5 o 25 Business and Professions Code.) TOTAL �.� WILLTHE INTEN ED USE OF THE BUILDING BY THE APPLICANT OR FUTURE BUILDING ryL{E (4 iLl=10�C OCCUPANTREQ IREA PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THESOUTH �� /� CHECK L CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. CHANGE .013 I hereby affirm that there is a construction lending agency for YES❑ No94 the performance of the work for which this permit is issued(Sec. I HAVE READ RDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMO / 3097,CIV.C.). PERMITTING I UNDERSTAND MY REQUIREMENTS UNDER THE OS ANGELES LSU — tJ �� 1/ j �J 1 Qpq�� COUNTY COD TI CH ER 220SECTION3220.100THROUG 220.140 NCERNING +i Lenders Name •■ HAZARDOUS R AN TAININGAP ESCAOMD. Lenders Address owu�+«„bFxr 1203 1 AM 8017 Q I certify that I have read this application and state that the above Information I correct. I agree to comply with all County RC.FEE PERMIT FE ordinanc n State laws relating to building construction,and hereby aufhptfze representatives of this County#o enter upon ISSUANCE FEE thea" antic, s on pur os� . E t L� - INVESTIGATION FEE TOTAL FEE BpmWm0IAPpO WAgW Delo SEE REVERSE FOR EXPLANATORY LAN AGE