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HomeMy Public PortalAbout6116 RENO AVE_Building__ 76A636A CE=803 z-63 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ADDRESS J) 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