HomeMy Public PortalAbout6116 RENO AVE_Building__ 76A636A CE=803 z-63 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST J
WILLIAM A. JENSEN, SUPT OF BUILDING CROSS ST. Lr C
DISTRI T NO, OUP TYPE P SED BY
FOR APPLICANT TO FILL IN CONSr.
BUILDINGSTATISTICAL CLASSIFICATION SE ER MAP
ADDRESS 6 .� o{ / BK �G
CLASS. NO. DWELL. UNITS /11
LOT NO. U� �c7 7Z BLOCK WATER
CERTIFICATE: NOT REQUIRED RECEIVED 11
TRACT C MAP HIGHWAY STATE MAJOR SECOND, OCAL
NO.OF BLDGS. NO. �J (CIRCLE)
SIZE OF LOT f NOW ON LOT USE ZONE SPECIAL
USE OF CONDITIONS
EXISTING BLDG.
�"� TEL. Rl
OWNER V{/ NO. BUILDI G EXIST.
.41 SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT �-
ARCHITECT OR TEL. P. L.
ENGINEER /' / NO. SIDE
ADDRESS dE V-7-e- C w P ` j CL
TEL �> �.- ;- C j - t� O
CONTRACTOR T Q NO.�CfO- U
ADDRESS � 3 C C b / C/ c"t,".,rr.�,,,.. De
O
DESCRIPTION OF WORK �� v
w
�_— CL
NEW ADD ALTER REPAIR DEMOLISH N
.Z
SO. FT. NO. OF NO. OF
SIZE {i t STORIES FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT -
VALUATION $ �./- c O ,
APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. ' PMT. �C1 FOUNDATION: LOCATION
FEE $ FEE $ 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 ANY PERSONA VIOLA- LATH. INT.
TION OF THE LABOR CODE OF THE ST E OF CALIFORNIA RELAT-
ING TO WORKMEN'S COMPE ION IN RANCE. 7 LATH. EXT.
SIGNATURE HOUSE NUMBER COR-
PERM ITTE — RECT AND POSTED
ADDRESS FINAL
JOHN F. LEWIS. PRINCIPAL STRUCTURAL ENGINEER
PLAN CHE K VA DATION CK. M.O. CASH _ PERMIT VALIDATION CK. M.U. CASH
7 7 2 APR 1 j 2 3
Vll;O
a_ 5
7 7 3 PR 1_ =
Lr,ran_L lvlzJN-1- Ur 15 u 1L1711V Lx Ana SAr-z 1 Y l'irrL lALpji 1 Awn r un rr nlm 1
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
/,�/ // DISTRICT NO. PLAN CK.NO. PERMIT NO.
ADDRESS ✓ / K /_l i� A 1J6 _00/�
l f I
LOCALITY ✓/ ,Yf)/i J�!. RECEIN�ED BY DATE OF AP L." DATE ISSUED
NEAREST r ✓JJ �
CROSS 5T. .�y'� 2 r,_
BUILD ING
OWNER 2 r fADDRESS 50
MAIL r�r� Jt ! LOCALITY
ADDRESS
/S 1 C NROSSST
_CITY NOL 7'S:� �'.J bJ O CROB9 9T.
FIRE NO.OF TYPE GROU
ARCHITECT OR TEL ZONE PLANS
ENGINEER NO.
BLDG. ORD. NO.
ADDRESS SETBACK LINE
APPROVED
TEL BY DATE
CONTRACTOR NO.
USE APPROVED
ADDRESS ZONE BY DATE
LEGAL y' ems — CORRECTIONS
DESCRIPTION/ O`5 LOT NO. 1 BLOCK
�1
TRACT q
NO. OF BLDGB.
SIZE OF LOT ® 4./ NOW ON LOT �^
USEOF y1A%L- I NO.OF 1 I NO.OF
EXISTING BIDG.,/ CTa Od (,A FAMILIES I ROOMS 7-
DESCRIPTION OF WORK
NEW x ALTERATION ADDITION p
A
REPAIR MOVING DEMOLISH
Z
5q.FT. I � �J NO.OF
L-7 n
SIZE �, ✓� ROOMS /j STORIES ` r
WALL Roar
COVERING �V'e/) I COVERING tUSE Or NrQM J ,
BU LD NGEW , r.,,� /rf)A" INI
ffi
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION: LOCATION INSPECTOR DATE
AND STATE LAWB REGULATING BUILDING CONSTRUCTION. FORMS, MATERIALS
ri
FRAME: FIRE STOPS,
SIGNATURE OF // (� �/� '� , ,1 1„ ] BRACING,BOLTS
PERMITTEE
LATH, INT.
AUTHORIZED AOT.
LATH, EXT.
7GA63MA-3 Io-SO $ P.C.$ PLASTER, INT.
,/Z �e FEE PLASTER, EXT. {
VALUATION AA FEE $(p �9� FINALMAXIMUM ACCI.'J }I 1'31,17]
I
WMv _�
DEPARTMENT OF BUILDING AND SAFETY •APPLICATION FOR PERMIT
.COUNTY OF LOS ANGELES � B _
WM. J. FOX, CHIEF ENGINEER
FOR PLI FILL IN FOR OFFICE USE ONLY
BUILDING DISTRICT O. PLAN CK. NO. PERMIT NO.
ADDRESS / M I
LOCALITY 7P-07 RECE ED BY _ DATE OF ADPL. DATE ISSUED
NEAREST ' 3"
CROSS ST. UIL INd /'� ^�J
e ADDRESS 1a 6
OWNER ^'+ 'ZI
MAIL / LOCALITY r
ADDRESS !�/ NEAREST
TEL: CROSS ST..'
CITY NO. FIRE PL S L I GRQll�A l,
_ ZONE �•- I PLANS- �— y RArlr
ARCHITECT ORTEL. �/9-
ADDRESS
J
ENGINEER NO. SETS ACK LINE ,. /' -
ADDRESS APPROVED
TEL BY DATE
CONTRACTO NO. 7 USE APPROVED
ZONE I BY DATE
ADDRESS ` HOUSE NUMBERING
LEGAL ✓
DESCRIPTION I LOT NO. � BLOCK MAP NUMBER D J FIELD CHECK BY
f TRACT 2 , NO. ASSIGNED BY ATE
NO. OF BLDG CORRECTIONS
SIZE OF LOT NOW ON LOT ,
USE OF NO. OF
EXISTING BLDG, FAMILIES
DESCRIPTION OF WORK
NEW I I ALTERATION I I ADDITION
REPAIR I I DEMOLITIOPN
SQ. FT. NO. OF Q
SIZE ROOMS STORIES Z
D
EXT.WALL ROOF r
COVERING I COVERING
US STRUCT
APPROVALS
INSPECTOR'S SIGNATURE DATE
I HEREBY ACKNOWLEDGE 7fjAV
1 AVE READ THIS AP- . FOUNDATION:LOCATION
PLICATION AND STATE THAT HE INFORMATION GIVEN IS FORMS, MATERIALS
CORRECT.
I AGREE TO CO WITH THE CORRECTIONS LISTED, FRAME: FIRE STOPS,
HEREON AND WITH COUNTY ORDINANCE AND STATE .i BRACING,'BOLTS
LAWS REGULATIN B DING CONST C 1
FURNACE: LOCATION,
SIGNATURE GAS VENT, DUCTS
FERMI
LATH, INT.
}
ADDRESS
LATH, EXT.
AUTHORIZEED AGT.
PLASTER, INT.
76ASSSA•DBSS 10-80 .� P. C.
® FEE PLASTER, EXT. I
$ 'O l,
VALUATION FEE �/�� FINAL
I ' '
GA638A CIE x 410910-DB AY LL L4 CATION FOR BUILDING PER
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY r
JOHN A.LAMBIE,COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,MU 'T OF BUILDING CROSS ST.
DISTRICT NO. GR UP P SSED BY
FOR APPLICANT TO FILL IN TYPE
CONST.
BUILDING /
ADDRESS Cn (��� ,yam �1�� STATISTICAL S ICATION R MAP
� / CLASS.NO. DWELL.UNITS � I K
LOT NO. `AU . J- .bLOCKMAP STATE
TRACT V d NUMBER a }I YES
USE ZONE SPECIAL
NO.OF SLOGS. r CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG. BUILDING YARD HWY STREET NAME EXIST. _
} SETBACK WIDTH
OWNER MAIL ` FRONT
J 110 P.L.
ADDRESS`-- f �
SIDE
CITY r C2.L NO. P.L.
ARCHITECT O TEL r INSPECTION RECORD
ENGINEER . - NOt'7AG', ,
t/-�z-� Avii'�iN rA-cF5 rir`�f -
ADDRESS q
TEL / •Tryc --l
CONTRACTOR/ N
ADDRESS !D O Yn/
DESCRIPTION bF 3RORK
NEW _ADD ALTER R PAI Q DEMOLISH
SQ.FT. �J NO.OF NO.OF
SIZE (J STORIES FAMILIES
USE OF ST11LICTURE
SIGNATURE OF APPROVALS
APPLICANT
DATE INSPECTOR'S SIGNATURE
ADDRESS � FOUNDATION: LOCATION
$ t FORMS,MATERIALS
P.C. S FRAME: FIRE STOPS.
v FEE BRACING,BOLTS S l2.n / Al--1
VALUATION s FURNACE: LOCATION,
FEE GAS VENT,DUCTS
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH,INT.
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINA OCE&AND
STATE LAWS ULATIN ILDI NSI[RUCTION. LATH,EXT.
SIGNATURE OF (�!/ HRECT AND POSTEDOUSE NUMBER /
PERMITTE
ADDRESS-4FINAL ]-.Sr/ • ��,v
CLYDE N.DIRLAM,PRINCIPAL STRUCTURAL EN
PLAN CHECK VALIDATION cK. M.O. CASH MOM VALIDATION cK. M.O. CASH
4 5 9 '7 AF!i 71 A 6.00 �.
MAMA CE#808,0-88 -APPLICATION- FOR .BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER. • ADDRESS .(
BUILDING AND'SAFETY DIVISION LOCALITY
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
CASSATT D.GRIFFIN,SUPT OF BUILDING CROSS ST. vt� ' 1 -
- _ - a• •, . �. DISTRICT NO. bM TYPEFOR APPLICANT TO FILL IN _ I CONS I
> BUILDING // / �� STATISTICAL,C IFICATION SEWER MAP -
r. ADDRESS 6116 le+ l ,/. K G
MAP
CLASS.NO. WELL.'UNITS I
LOT NO. /6 BLOCK INUMBER (JD� HWY. YESMAP STATE
i�
TRACT USE ZONE SPECIAL
/,'�I� CONDITIONS
..' NO.OF.BLDGS , ' S.
' SIZE OF LOT I NOW•ON LOT IS.®�
r USE OF m.
EXISTINGBLDG. (0 j/' BUILDING mYARD .HWY STRE6TNAME EXIST.
f- SETBACK WIDTH
OWNER ,. C FRONT
MAIL f P.L. "
ADDRESS SIDE
TEL P.L.
CITY is+ NO. INSPECTION RECORD
ARCHITE R TEL.
ENGINEER r✓ NO.
X
ADDRESS I O /_'D W ICs CS,
TEL.
CONTRACTOR r., NO. j J
ADDRESS /
DESCRIPTION OF WORK 5
r NEW// ADD ALTER k/ REPAIR DEMOLISH /�✓ / u CL
SQ.FT., NO.OF NO.OF Y 5''I 4
SIZE D STORIES FAMILIES I
USE OF /
STRUCTURE [I
SIGNATURE UF
's APPLICANT APPROVALS DATE INSPECTOR'S SIGNATU E'
ADDRESS F UNDATION:LOCATIONI.
` RIALS
VALUATION$ ��� FRAME:FIRE STOPS, V "
.a..- V. . BRACING:BOLTB
P.C. PMT. (J�43 FURNACE:LOCATION.
FEE I.FEE `�" I GAS VENT,DUCTS f ,
I HEREBY ACKNOWLEE THAT I HAVE READ THIS AP-
PLICATION AND STATE T AT THE ABOVE IS CORRECT AND . LATH.INT.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES.AND
STATE LAWS REILA-TING BUILD NG CONSTRUCTION. LATH,EXT.
SIGNATURE OF l f J r HOUSE NUMBER COR-
PERMITTE W �✓ RECTAND POSTED
'ADDRESS FINAL
-CLYDE N. DIRLAM,PRINCIPAL S RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PFRM T VALIDATION CK. M.O. CASH
". X 8 1 5 0 ROV 2 5 1 A 9.0. 0 .
•'`A P PL I CATION FOR COUNTY OF LOS ANGELE
DEPARTMENT OF COUNTY ENGINEER
BUILDING PERMIT BUILDING AND SAFETY DIVISION,
BUILDING
FOR APPLICANT TO FILL IN ADDRESS
BUILDING � ^
ADDRESS LOCALITY
NEAREST
CITY��/'Y% �J�L �.%'�' ZIP C~ --d.L, CROSS ST. ,
J
40.OF BLDGS. ASSESSOR
SIZE OF LOT C l % (-' NOW ON LOT :3 MAP BOOK PAGE PARCE
DISTRICT GROUP CONST• Z IRE PROCE SD BY
TRACT Q BLOCK LOT NO. ve✓D C2 i a� ..•c�ytJ'
7 TSF L. _
OWNER f/�[7 �LC. C a�G �(f 0. " 5 STATISTICAL CLASSEWER MAP
ADDRESS �/�� �40'0. 4.0
0. / 111'C) JAZ CLASS NO. ,�J)SIFICATION DWELL,UNITS BK9.3G
USE ZONE MAP
CITY %Vl/J[•L ���� ZIP 7r L' NO. c�•OO
ARCHITECT OR TEL, C i /l. SPECIAL
ENGINEER (Jl�++/V�=�%,��1 NO. CONDITIONS
ADDRESS �/.���/�. `:� ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR v �I lr TEL. BLDG.SETBACK FROM
NO 59/!�L- FRONT PROP.LINE OF (STREET)
LIC•
ADDRESS a///I L NO. HIGHWAY + YARD _ TOTAL SETBACK FROMHTYPEOF-EXISTING
-
LIC. FRONT PROP, LINE/
IGHWAY WIDTH
CITY � GLASS �
CONS
NAMEANDBIRANCHON N DER �/�/� +
BLDG.SETBACK FROM {
ADDRESS CITY —' SIDE PROP.LINE OF (STREET)
SQ, FT. NO. OF NO. OF CHECK HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING d
SIZE �q STORIES FAMILIES ONE S16 PROP. LINE HIGHWAY WIDTH C
' DESCRIPTION OF WORK NEW ❑ + to
���, ,tif Da ADD ®: CORNER CUTOFF YES NO ❑
a P?7� ALTER F-1.
3``� REPAIR❑� IN OPEN SPACE ,ES ❑ NO ❑
USE OF r IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDG. P -S( (�L/v(,L- DEMOL ❑
APPLIC NT yam/ �J TEL-28'6'sl_+(I
CPR: {iG•Z/� 4e AAr L NO. /l� � v ! !% f�i/ 'f� �1�5 t�i i• `-_
r I�
BY (SIGNATURE) `•�/ �`-�Y, �,'T '7�9 Gdj• 1.�. LC/`..% r•-ff�! !e��r`•r'?E�rt:.
I HEREBY ACKNOWLED THAT I HAVE READ T eS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND REE TO COMPLY , J� I •-�
WITH ALL ORDINANCES AND LAWS REGULATIN BUILDING CON- -�
STRUCTION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED / (� �ls�G.tJ�y'�j- f/1S✓LP.7-lo l .�.'j< "�-
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE ESTATE OF CALIFORNIA IN RELATING TO }�
WORKMEN'S COMPENS ION INSURANCE.
SIGNATURE OF f/ FINAL / BY - L
PERMITTEE ' + DATE Lf'�
ADDRESS
TEL. P.C. Fee$ Permit Fees
CITY NO. ;
Issuance Fee c
VALUATION Total Fee _ S =.2 rJ
PLAN CHECK VALIDATION CK. M.O. CASH m PERMIT VALIDATION CK. M.O. CASH
8 4 7�AUG 23 1 ��•'�/ 3 52 5 ,�8
76AG36A C9080313 12/73
WORKERS'COMPENSATION DECLARATION
hereby affirm that I have certificate of consent self APPLICATION F®R WILDING P E RM I T
insure, or a certificate of Workers' Compensation Insurance,
or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company S 1747 Fc,-I?
BUILDING
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING G/�� F_/UU J+ yG
tion department. ADDRESS
Date 2 fL''_2a Applicant 1l /I,rf CITY ��` ��L(f• ZIP 1 y1' LOCALITY
c NO.OF BLDGS. NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT CROSS ST.
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.) r STEL. USE ZONE MAP
OWNER ����jL I,y NO. "6� NO.
I certify that in the performance of the work for which this
SPECIAL >_
permit is issued, I shall not employ any person in any manner ADDRESS ���/ri ESO L� CONDITIONS O
so as to become subject to the Workers'Compensation Laws. ? U
CITY //�T�'!f'L ' �tT zip
Date Applicant s;'ARCHITECT OR I TEL.
,. DISTRICT GROUP TYPE FIRE PROCESSED BY O
NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. CON ZONE R
Exemption, you should become subject to the Workers' ^. /` _ " �� U
Compensation provisions of the Labor Code, you must forth- ADDRESS �' �� 3 �Lv„_.��G
LU
with comply with such provisions or this permit shall beTEL (� ' STATISTICAL CLASSIFICATION APT. CONDO. Z
deemed revoked, r CONTRACTOR /� O f"G NO. J-62" _
LICENSED CONTRACTORS DECLARATIONLIC. CLASS NO. DWELL.UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS G 3oZ7 -•L I Y//', NO. $5 �j
SEWER MAP
(commencing with Section 7000)of Division 3 of the Business CITY G i�v��:` e [% CLASS G�� VALIDATION
and Professions Code,and my license is in full force and effect. BK PG
Ca SQ. FT. NO.OF NO.OF CHECK
License Number &/ 5Y'Z1 Lic. Class G3 SIZE STORIES FAMILIES ONE VALUATION o
Contractor /c)�s - / �f°t Dale '� f�� �% DESCRIPTION OF WORK t�`T')OV't: �"71t.1):✓ NEW ❑ _�
I am exempt under Sec. S0-r'?- j�L,r-�e.1�tSfJ ADD Li $
Elc ,
B.BP.C. for this reason (ZG v 32 V .SII ALTER ❑ $
REPAIR ❑
Date: USE OF
EXISTING BLDG. DEMOL ❑
Signature APPLICANT TEL. FINAL
OWNER-BUILDER DECLARATION (PRINT) NO.
I hereby affirm that I am exempt from the Contractor's License ' DATE -
Law for the following reason (Section 7031.5, Business and ADDRESS FINAL 1
Professions Code): PRESENT By
❑ I, as owner of the property, or my employees with v BUILDING ADDRESS ACCT°a
wages as their sole compensation,will do the work and LOCALITY ® 30 161°
the structure is not intended or offered for sale(Section
55
7044, Business and Professions Code.) MOVING TEL. 1 ITEMS
❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS TOTAL 16:. o-0 u
tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST. CHECK
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 161°`?
I hereby affirm that there is a construction lending agency for FRONT CHANGE .00
the performance of the work for which this permit is issued P.L.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name 0000-0001 7/10/96
f7v. LDMA Ref. # 7334 i
1
P.C. Fee$ Permit Fee O . AM 10 16
Lender's Address
I certify that I have read this application and state that the Issuance Fee C> 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 2" LDMA Perm. #
and h reby authorize representatives of this County to enter
upon h�e/aoy�'-mentioned property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
ignatu of Applicant or Agent Date