Loading...
HomeMy Public PortalAbout6043 RENO AVE_Building__ ®S Z6A63SA.q' CE/8 0 3(F[c`:V'8/781 11 .0 LI IS APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADDRESS BUILDING '. ADDRESS &, Q LOCALITYNEAR /J IJ CITY hC �%/ ZIP I g CROSS ST. . , -}^ NO.OF BLDGS. ASSESSOR SIZE OF LOT /ry D I NOW ON LOT MAP BOOK. PAGE PARCEL .� DISTRICT P TYPE, FIRE 7RED BY TRACT BLOCK LO f D CONST. ZONEC �SOg TEG OWNER U Cx , N P6•" /I STATISTICALCLASSIFI TION SEWER)AF ADDRESS jYi CLASS NO. DWELL.UNITS---j BK PG CITY J ZIP z to ARCHITECT OR TEL. VALUATION ENGINEER NO. Q Lj (� ADDRESS BLDG.SETBACK FROM TEL. FRONT PROP.LINE OF (STREET) CONTRACTOR O uI NO. HIGHWAY. + YARD TOTAL SETBACK FROM TYPE OF EXISTING LIC. - FRONT PROP.LINE HIGHWAY WIDTH ADDRESS NO. -LIC. + CITY CLASS CONSTRUCTION LENDER BLDG.SETBACK FROM NAME AND BRANCH 6 a- SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SQ.FT. NO.OF NO.OF CHECK + = V SIZE liciSTORIES FAMILIES ONE 09 DESCRIPTION OF WORKAD;r16�1V OF NEW ❑ P.C.Fee$ Permit Fee c F/- rkf ADD Issuance Fee y�°p ALTER ❑ Z REPAIR ❑ Total Fee' USE OF /7 fJ p DEMOL EXISTING BLDG(/lgI G ❑ ZO APPLICANT TEL (PRINT) 6 NO --j-*e- 1, Q p BY(SIGNATURE) IHEREBY A NOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE' Y THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES bd AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE m WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF V THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM- Z ;2'4 0 3.6 A PENSATION INSURANCE. 5 d #.0 0 0 0 0 SIGNATUREOF PERMITTEE ` 2 0 o 3/j,0 0 (-a ADDRESS 0 0 0 3 4,0 OK TEL. � UITY- oz�fylv-�SE ZONE FMAPONO. Q U.2 7-•�9 ECIAL ONDITIONS FINABY /�) u+ DATE -. p r 1 m e_�Q e.� FGA999A ca#80.9 2/90 APPLICATION FOR BUILDING PERMIT • .•1. COUNTY OF .LOS ANGELES BUIL NG DEPARTMENT OF COUNTY ENGINEERADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST / ` WILLIAM. JENSEN Sup'T of Bu�kotNG CROSS ST. "' MAMERDISTRm3�0. I GROUP .TYPE P SED BY, FOR.APPLICANT TO FILL IN CONsr. BUILDING /S STATISTICAL CLASSIFICATION SE ER-MAP ADDRESS B Pa ' p�. CLASS.NO.22SWELL.UNITS P. LOT NO.' y- BLOCK MAP cy STATE, :YES NO NUMBER vw HWY. TRACT Q6171 USE•ZONE SPECIAL SIZE OF LOT Q1 y /6� 'I NO.OF BLDGS. j CONDITIONS j -kNOW.ON LotEOF fJ EXISTING BLDG.�w I BUILDINGEXIST. ' r TEL' SETBACK YARD HWY STREET NAME WIDTH . OWNERS ,SNL G••_/ JS+t/ Gi�1 L NO. FRROP.L T 64� A ADDRESS 4�/Lb4e SIDEfad �A) - ' ARCHITECT OR TEL. P.L. ENGINEER NO. INSPECTION RECORD ADDRESS TEL CONTRACTOR . �RStd NO a o ADDRESS 7/6 VK 1� 6J��J/6dL✓ Td 4-5` �.7 (7 DESCRIPTION OF WORK NEW ADD R ALTER REPAIR DEMOLISH G� SO S ZE 6 NO.OF NO'.OF l a STORIES FAMILIES y USE OF _ STRUCTURE SIGNATURE OF APPLICANT VALUATION-S48-00 , I y. APPROVALS DATE INS CTOR'S SIGNAZURE, FOUNDATION:LOCATION `FEE '$ ��' I FEE $ ,� FORMS,MATERIALSFIRE to-1 �y /i® ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- FRAME:BRACING,BOLTSS, -7 )nAA014i PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE:LOCATION, AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT,DUCTS l/ J/ STATE CRTIFY THAT REGULATING N N DNG THE WORK- AUTHORIZED LATH,INT. 3- 'O I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN'S COMPENSATION LAWS F CALIFORNIA. LATH,EXT: SIGNATUPoR OF'� HOUSE NUMBER COR. PERMITTE RECT AND POSTED ADORES 4 FINAL CLYDE N. DIRLAM, PRINCIPAL STR)JCT14RAL ENGINEER PLANCHECK VALIDATION. CK. M.O. CASH PERMIT VALIDATION CK. M.O:' CASH i LuCO2 8 6 8 FEB 2 3 i t, • 1 2'.0.0 . ®; WORKERS' COMPENSATION DECLARATION hereby affirm that I have cemte of consent to self APPLICATION FOR B U I L®I N G P E RM I T insure, or a certificate of Workers' C Compensation Insurance, or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. 1110'75'0 Company -sS4-ZC-- ✓7 El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRENSSG 0 q3 Ref Certified copy is filed with the county building inspec- BUILDING O;F 3 /�L/v0 tion department. j ADDRESS -6 // y Date '2G Applicant �` CITY ( (.fkm 0 LE `1 t-( zip 9/7G O LOCALITY ' \ NO.OF BLDGS. NEAREST C /� CERTIFICATE OF EXEMPTION WO RS' SIZE OF LOT NOW ON LOT CROSS ST. (' S C$ COMPENSATION INSURANCE ASSESSOR ((This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. OWNER /J�CUCG �dJf2lsn•✓ NO. USE ZONE NOO P 9 I certify that in the performance of the work for which this SPECIAL UC permit is issued,I shall not employ any person in any manner ADDRESS le)OL1.3 12e7,10 CONDITIONS o_ so as to become subject to the Workers'Compensation Laws. O CITY l�+'t/'�( C,-r ZIP Date Applicant ARCHITECT OR ix TEL. DI TRICT GROUP TYPE FIRE PROCESSED BY V NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CONST. ONE Exemption, you should become subject to the Workers' P Y I Compensation provisions of the Labor Code, you must forth- ADDRESS , b4 P-31 a with comply with such provisions or this permit shall be TEL']/4/ STATISTICAL CLASSIFICATION APT. CONDO, to deemed revoked. CONTRACTOR ItiE2 r�r�nf=.�G- NO. 6'J_7-735 7 Z LICENSED CONTRACTORS DECLARATION ''// LIC. CLASS NO. DWELL. UNITS - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS "l 7� S 7/4 7t NO. y�f /��- LIC. SEWER MAP (commencing with Section 7000)of Division 3 of the Business CIN Qil/7/fi2.!d CLASS G- j and Professions Code,and my license is in full force and effect. 3 BK.tJ PGR VALIDATION SQ. FT. J NO. OF NO.OF CHECK License Number_ `A/Y /8 )' Lic. Class a-3 SIZE I STORIES FAMILIES ONE VALUATION Contractorfd'-wt. 7 24 DESCRIPTION OF WORK P,C/LOAC ,(E NEW ❑ El I am exempt under Sec. 9 D .9A421,4-0 C--. rC, o,y &-K/.J f. ADD ❑ $ ya did ALTER B.&P.C. for this reason 9C--fMF&7' 't,-1Lo,3C &iTiJ '7,0,,y EPAIR ❑ $ USE OF Date: EXISTING BLDG. DEMOL ❑ Signature APPLICANT TEL. FINAL OWNER-BUILDER DECLARATION (PRINT) 4567wex-✓rev.*d6 NO. L7-7 l'T DATE I hereby affirm that I am exempt from the Contractor's License X176/ SZh7E ©/V lstf[r Law for the following reason (Section 7031.5, Business and ADDRESS FINA Professions Code): PRESENT By BUILDING a I, as owner of the property, or my employees with ADDRESS AtCTo4 wages as their sole compensation,will do the work and LOCALITY ® ^�7 ei� ''y� the structure is not intended or offered for sale(Section °i 7044, Business and Professions Code.) MOVING TEL. i ITE M'❑ I,as owner of the property,am exclusively contracting CONTRACTOR NO. 1 1 GI t� with licensed contractors to construct the project (Sec- ADDRESS TOTAL t5-9 .25 tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. t•[] 1rf\ 57.25 CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH I hereby affirm that there is a construction lending agency for FRONT CHANGE ,GO the performance of the work for which this permit is issued P.L. (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name [M—GMI 7/26/89 P.C. Fee$ Permit Fee . 73 LDMA Ref. # Lender's Address yA� , 4480 1 An 9033 0 1 certify that I have read this application and state that the Issuance Fee 15, LDMA 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 (?.Or) LDMA Perm. # and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. 7-?-L P j SEE REVERSE FOR EXPLANATORY LANGUAGE Si not a of Appli& or Agent Date CORKERS'COMPENSATION DECLARATION e f j su r affcer that I have r certificate of consent to self L APPLICATION F®� 13U I L D I N G P E RM I T insure,•dr a certificate of Workers' Compensation Insurance, ••�.�P or a certified copy thereof(Sec. 3800, Lab. C:) o f SP S nd . (��. 1 �3 1 , -( O COUNTY. OF LOS.ANGELES1. BUILDING AND SAFETY Policy No. Company I - .. . Certified copy is hereby furnished.. FOR APPLICANT TO FILL IN BUILDING ❑ Certified copy is filed with the county building inspec- FA,DDRE.. LDING r ` ;. :,`•:,, .• tion department. �'. i Q� _ Date —Vo f Applicant 4 zIP LOCALITY 0 CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT ' p• NOW ON LOTS NEAREST 50..E ��' �� n G® -4w., � ' CROSS ST. /T COMPENSATION INSURANCE ASSESSOR (This section need not be completed ifthe permit is for one ;, TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less..) TEL• OWNER �' NO• USE ZONE MAP —i •1 certify that in the performance of the work for which this f NO. �d permit is issued, I shall not employ any person in any manner ADDRESS / SPECIAL a CONDITIONS so as to become subject to the Workers'Compensation Laws. O CITY ZIP U Date Applicant. ARCHITECT'OR TEL DISTRICT GROUP TYPE FIRE PROCESSED BY Q NOTICE TO APPLICANT: If, :after making this Certificate of ENGINEER I gL NO.-&JOA CONST. ZONE Exemption, 'you should become subject to the' Workers' 4 � Cjg,&-3S /Compensation provisions of the Labor Code, you must forth- ADDRESS �/ a with comply with such.provisions or this permit shall be . a � STATISTICAL CLASSIFICATION APT. CONDO. N deemed revoked. CONTRACTOR NO. Z LICENSED CONTRACTORS DECLARATION t7ir�LIC. : CLASS NODWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business LIC. SEWER MAP and Professions Code�,'Lanndlomfy/license is in full force and effect. CITY CLASS. i BK. PG. VALIDATION SQ.License Number �7-7/L//Q� 401r,� . Class �_� SIIZE�152. 1 STORIESOF f FAMILIESONEK 5 L VALUATION 1DESCRIPTION OF WORK43 NEWContractor ADD $ 000 `^ r ❑I am exempt under Sec. ALTER polo . BAP.C. for this reason f $ ate: ACM dell USE OF REPAIR ❑ .x EXISTING BLDG. DEMOL ❑ Signature n I Ar t APPLICANT TEL. L n. g OWNER-B ILDER DELLA TION - (PRINT). NO• s DAFINTEL '�i I hereby affirm that I am exempt from the Contractor's License ) Law for the following reason (Section 7031.5, Business and ADDRESS - L FINA Professions Code): PRESENT By ❑ I, as owner of theproperty' or m employees with BUILDING , Ys ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered LOCALITY for sale(Section ••- • ---- - 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.) Y. _ CONSTRUCTION'LENDING AGENCY SETT BACK 'YARD HWY TOTAPROP LINEFROM EXIST. I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P.L. - (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name P.C. Fee$ 9. / lY LDMA Ref..N :„h.• _n L Permit Fee Lender's Address I certify that I have read this application and state that the Issuance Fee .� LDMA P/C# above information is correct.I agree to comply with all County Investigation.Fee ordinances and State laws relating to building construction, I Total Fee / cl / LDMA Perm. # = and hereby authorize representatives of this County to enter upon the above-mentioned prqpqrty for inspection purposes. 0 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Appli n or A e t I Date • 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 1105260025 PHONE: (626) 285-0488 EXT: [LEGAL ID: I NO. OF CONST I BUILDING ADDRESS: ITR: 5904 IT: 140 BL: .001 [ SQ. FT STORIES TYPE [ 6043 RENO AV I [STRUCTURE: 2400 V-B [ TEMP CA 917801531 [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI 15384-018-042 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY CA I ITENANT: (EXIST BLDG USE: REBID USE ZONE: R-1 [ISSUED ON: PROCESSED BY: ICARSON BRUCE EXIST OCC GRP: 105/26/11 SR I I I (OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IF AL DATE FINAL BY: CODE: ICARSON BRUCE A;LORRAINE B (626) 286-9119- 1 7,000 11 I 16043 RENO AV I I `\\\ I ITEMP 917801531 1 FEES PAID IDESCRIPTION bF WORK 1 I IROOF COMPOSITION OVERLAY (2ND LAYER) 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ I [APPLICANT: TEL. NO: I I I ISAME AS OWNER (626) 286-9119- IAA BLDG PERMIT ISSUANCE 27.80 I_ I I IAB STATE GREEN BLDG FEE 7000.00 VAL 1.00 ISPECIAL CONDITIONS: I TEMPLE CITY CA 91780 AC STRONG MOTION RESID 7000.00 VAL 0.70 [ ID2 PERMIT W/O EN-HC 7000.00 VAL 166.60 1 ] TOTAL FEES 196.10 I- I ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - I I I I LIC. NO ILOCATION AND SETBACKS [ I I I [SOILS ENGINEER APPROVAL [ I I [ARCHITECT OR ENGINEER: TEL. NO: I IFOUNDATION/TRENCH FORMS I [ 1 LIC. NO: I JSLAB/UNDER FLOOR I I I [ � [RAISED FLOOR FRAMING I I I I I I ]MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ [UNDERFLOOR INSULATION I 115OH265 3 001 1_ I I ] I I IFLOOR SHEATHING [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I [ [ I 0 NO 21 I (ROOF SHEATHING SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I [AIR QUALITY: 1000 FEET MATERIALS I_ I I I 1 NO NO NO ] IFRAME INSPECTION I I I I I I I I I I I [FIRE SPRINKLER HANGERS I [INSULATION/WEATHER STRIP[ I I I I [INTERIOR LATH/DRYWALL I I [ I [EXTERIOR LATH I [ I [ [ IRATED FLOOR/CEIL ASSEM. [ I I I I IRATED WALL ASSEMBLIES [ I I [ IRATED SHAFTS/OPENINGS [ ] I IT-BAR CEILINGS I I I I [ [ ILOT DRAINAGE I [ 1 IREPORT ID: DPR261 ROUTE TO: BS0508