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HomeMy Public PortalAbout6142 RENO AVE_Building__ TIRMLE CITY {� 76A638A CE#6031-67 APPLICATION FOR BUILDING PERMIT u COUNTY OF LOS ANGELES BUILDING / DEPARTMENT OF COUNTY ENGINEER ADDRESS 4 / BUILDING AND SAFETY DMSION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. DIST-WT N OR TYPE D BY FOR APPLICANT TO FILL IN CONST. P BUILDING STATISTICALSIFICATION SEWER MAP ADDRESSeao a G. CLASS NO. DWELL UNITS BK PG LOT NO. J D BLOCK USE ZONEMAP © NO. _ZD •. TRACT � SPECIAL f vi NO. OF SLIGO. CONDITIONS SIZE OF LOT NOW ON LOT USE OF BLD:. SETBACK FROM TEL. FRONT PROP. LINE OR (STREET) OWNER ry jja8 NO. v TYPE OF EXISTING SETBACK HIGHWAY YARD = TOTAL ` ADDRESS 6142 No Reno HIGHWAY WIRTH FROM C.L. CITY OR BLDG. SETBACK FROM RCHITEC ATEL. SIDE PROP. LINE OF (STREET) ENGINEER NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS II,,�� HIGHWAY WIDTH FROM C.L. CONTRACTOR NO( 8_ 0 LIC 0 + ADDRESS S29 EaValley NO 7.86086 CORNER CUTOFF YES E] NO ❑ c Tr LQLASq IC — SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK NEW ADD ALTER REPAIR DEMOLISH SQ.FT. NO. OF NO. OF SIZE STORIES FAMILIES USEOF77,92 STRUCTURE jE SIGNATURE OF v, APPLICANT VALUATION$ 338, •00 APPROVALS DATE INSPECTOR'S SIGNATURE P.C. PMT. FOUNDA IMATERIALS_TON PEE$ FE E$ 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 FURNA CEI LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS SUILOING CONSTRUCTION. I CERTIFY THAT GING THE WORK AUTHORIZED HEREBY I WILL NOT E OY Y ERSON IN VIOLA- LATH. INT. TION OF THE LABOR CO E O TH 8 ATE OF LIFORNIA RELAT- ING TO WORKMEN'S Cif EN TI SU NC LATH. EXT. SIGNATURE OF HOUSE NUMBER COR- PERMITTE n REC AND POSTED ADDRESS 529 Eo VA l.ey� B7.vd. 5:46 FI NAL JOHN F. LEWIS. PRII ICIPAI STRUCTURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH _ PERMCK.IT VALIDATION M.O CASH Lka 5 41.6 m JUL 11 1 D 9.0 ON W-1-6 WORKERS'•COMPENSATION DECLARATION- , 1-thereby o Ca certificate chat I have f certificate of tion Int to self APPLICATION FOR BUILDING PERMIT ° :inure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY f Policy►No. Company tS BUILDING ❑ Certified copy is•hereby furnished. . FOR APPLICANT TO FILL IN ADDRESS ❑ Certified copy is filed with the county building inspec- BUILDING / yt tion department. ADDRESS /, Date Applicant r':CIN C� ZIP J LOCALITY a NO.OF BLDGS. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT J� .�. NOW ON LOT CROSS ST. COMPENSATION INSURANCE p ASSESSOR (This section need not be completed if the permit is for one „TRACT 9�y BLOCK LOT NO. I MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. USE ZONE MAP Jr"Q OWNER -e (fy NO. NO. I certify that in the performance-of the work for which this permit is issued, I shall not employ any person in any manner ADDRESS Z �Jqp �- CONDITIONS O so as to become subject to the Workers'.Compensation Laws. / ��� U -E CIN e6+4 Z (� ZIP Date Applicant ARCHITECT OR TEL. DISTRICT GROUP TYPE FIRE PROCESSED BY NOTIC TO APPLICANT: If, m ing t Certificate of ENGINEER NO, O Exemption, you,should be a subject to the.Workers' p CONST. ZONE w Compensation provisions of the Labor Code, you must.forth- ADDRESS J'1P - 3 V 3 a with comply with such provisions or-this permit shall be TEL. STATISTICAL CLASSIFICATION APT. CONDO: N O. Z deemed revoked. CONTRACTOR N . LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. �9' DWELL. UNITS '— I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS " NO. SEWER MAP 71 LIC (commencing with Section 7000)of Division 3 of the Business , and Professions Code,and my license is in full force and effect. . CITY. CLASS BK PG VALIDATION SQ. FT.. NO. OF NO.OF CHECK License Number Lic. Class SIZE I STORIES FAMILIES ONE VALUATION Contractor Date DESCRIPTION OF WORK NEW ❑ $ ' , . ❑I am exempt under Sec. ADD ❑ ► V ALTER ❑ B.&P.C. for this reason REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL g APPLICANT ? i FINAL �l • Signature TEL. ✓ OWNER-BUILDER DECLARATION (PRINT) - NO 6_2^ dt I hereby affirm that I am exempt from the Contractor's License DATE F7 6 L4aw for the following reason (Section 7.031.$, Business and ADDRESS Jr! FINAL Prof_ essions Code): PRESENT By fLdJ/ BUILDING I, as owner of the property, or my employees with ADDRESS 'y' ' "' wages as their sole compeniation,-will do the work and the structure is not intended or offered for sale(Section LOCALITY ='=L 1, .c ''- 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property,-am exclusively contracting CONTRACTOR NO. w =P.C.'- with licensed contractors to construct the project (Sec- :1.'•! f{_ j' T F= ADDRESS = r' ' tion 7044, Business and Professions Code.) REQUIRED TOTAL SETBACK FROM EXIST, CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH. -� - I hereby affirm that there is a construction.lending agency for FRONT 1 i�lf ;_: -i'• the performance of the work for which this permit.is issued P.L. - (Sec. 3097, Civ. C.). SIDE . P.L. _ Lender's Name 8 LDMA Ref. # P.C. Fee$ Permit Fee , 4� 1_;s; _ ry � Lender's Address I certify that I have read this application and state that the Issuance Fee LDMA P/C# 3 above information is correct..)agree to comply with all County E.' Investigation'Fee jJ ordinances and State laws relating to building construction, Total Fee LDMA Perm. # t and hereby authorize representatives of this.County to enter on the above-ment(oged roperty for'inspection purposes. 1 o b L SEE REVERSE FOR EXPLANATORY LANGUAGE Jr finatur;_Vpplitant or Agent Date I WORKERS' COMPENSATION DECLARATION } insure bor as certif carte of Workers' CompensaI have a certificate of tion ansInsurance, APPLICATION -F Ori BUILDING PERMIT R` or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES y BUILDING AND SAFETY Polic*No. Company r. ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �✓ %-�- Z- � ❑ Certified copy is filed with the county building inspec- BUILDING tion department. ADDRESS tl U ep - 7 CITY ) 0 7 ZIP /{ Q LOCALITY %mom C- G Date Applicant NO. OF BLDGS. NEAREST _ CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT q U X NOW ON LOT Z CROSS ST. COMPENSATION INSURANCE ASSESSOR �G �L (This section need not be completed if the permit is for one TRACT 0 BLOCK LOT NO. MAP BOOK7 PAGt^n/ PARCEL`rf hundred dollars ($100)or less.) v OWNER Q r I �O J�321�T USE ZONE NO. 1 certify that in the performance of the work for which this _ permit is issued, I shall not employ an person in an manner ADDRESS 4y7� �7 3 SPECIAL } P P Y Y P Y � /A ���D �-� CONDITIONS a so as to become subject to the Workers'Compensation Laws. -/- O a!—17—42 CITY I eA17 le r zip 9/ ?WO Date Applicant �_ V ARCHITECT O TEL. NOTICE TO APPLICANT: If, of m ing t Certificate of V ENGINEER 1 NO. �� DISTRICT GROUP TYPE FIRE PROCESSED BY O CONST. ZONE _ t— Exemption, you should bec a subject o the Workers' \1 ) / ` )p w Compensation provisions of the Labor Code, you must forth- F) ADDRESS /Q/ f' a with comply with such provisions or this permit shall be U TEL. deemed revoked. CONTRACTOR NO. STATISTICAL CLASSIFICATION APT. CONDO. N � 1 �) Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. c--;2 / DWELL. 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,and my license is in full force and effect. CITY CLASS BK PG VALIDATION SQ. fT. NO. OF NO. OF CHECK License Number Lic. Class SIZE STORIES FAMILIES ONE VALUATION Oy DESCRIPTION OF WORK NEW El - Contractor Dote ADD ; ❑I am exempt under Sec. ALTER ❑ /�Q QD B.BP.C. for this reason ".- /®! ' eMREPAIR ol $ / ❑ .Date: USE OF �� EXISTING BLDG. t DEMOL ❑ Signature APPLICANTT11 (PRINT) NO ��3Z Z FINAL OWNER-BUILDER DECLARATION DAT I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS FINA Prof sions Code): PRESENT By LJ BUILDING ' I, as owner of theproperty, or m em to employees with Y P Y ADDRESS - - wages as their sole compensation,will do the work anda3 the structure is not intended or offered for sale(Section LOCALITY _�� 7044, Business and Professions Code.) MOVING TEL. ❑ I, 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.) REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH 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 1- LDMA Ref. p P.C. Fee$ Q/ 4401Permit Fee I Lender's Address �i I certify that I have read this application and state that the cJ �!/ Issuance Fee �T LDMA P/C N above information is correct. I agree to comply with all County Investigation Fee Q ordinances and State laws relating to building construction, Total Fee O LDMA Perm. q and hereby authorize representatives of this County to enter i on the above-mentioned property for inspection purposes. ~L{j / 7-12 SEE REVERSE FOR EXPLANATORY LANGUAGE ?6Vignnotur. Applicant or Agent Date WORKERS'COMPENSATION DECLARATION I 6re6'y affirm that I have a certificate of consent to self insure, or a certificate of Workers'Compensation Insurance, A P P L I T 1®tV G R I L I N G PERMIT or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILDING Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN ADDRESS �Z Certified copy is filed with the county building inspec- BUILDINGr� tion department. ADDRESS i• .2 Y:CIVO S7 LOCALITY Date Applicant CITYCI'rI �C NEAREST ZIP I�� 7 CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' ,s NO.OF BLDGS. ASSESSOR COMPENSATION INSURANCE SIZE OF LOT (J B y( SO NOW ON LOT ��' MAP BOOK PGE PARCEL (This section need not be completed if the permit is for one US Z E MAP hundred dollars($100)or less.) TRACT BLOCK LOT NO. � NO. TEL. / SPECIAL I certify that in the performance of the work for which this OWNER L- i NO. Z p�� CONDITIONS Q- permit is issued,I shall not employ any person in any manner _ DIST CT GROUP TYPE FIRE PR ESSED BY U so as to become subject to the Workers'Compensati a ADDRESS ) Z 2066 S7- �� CONST. Z E el I CITY ZIP A10 7 r �4J O OW_l W- Dote Applicant STATISTICAL CLASSIFICATION APT. JCONDJ. l-NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR �_ TEL. u ENGINEER NO. CLASS No. DWELL. UNITS M Exemption, you should become subject to the Workers' ts, Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such provisions or this permit shall be TEL deemed revoked. CONTRACTOR NO, BK. PG, VALIDATION LICENSED CONTRACTORS DECLARATION LIC. I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS �— NO. VALUATION (commencing with Section 7000)of Division 3 of the Business and LIC. CJ-0 Professions Code, and my license is in full force and effect. '-CITY --- CLASS gGJ . $ O SQ. FT. NO.OF NO.OF CHECK License Number Lic.Class SIZE STORIES FAMILIES ONE ;21 0 8 2 A Contractor r Date DESCRIPTION OF WORK Q NEW ❑ # 0 0 0 0 0 I am exempt under Sec. ADD ❑ ALTER ❑ FINAL B.BP.C. for this reason ❑ DAT ` ( o 0 2 8 5 0 REPAIR USE OF Dat DEMOL EXISTING BLDG. ❑ FIN Signature PRINT APPLICANT TEL. 2 a 500' WNER-BUILDER DECLARATION NO. 0 0 0 I hereby affirm that I am exempt from the Contr 's License ) 1. 16—84 Law for the following reason (Section 7031.5, Business and ADDRESS Professions Code): PRE ENT BUILDING I, as owner of the property, or my employees with ADDRESS wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 7044, Business and Professions Code). MOVING TEL. I,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). REQUIRED TOTAL SETBACK FROM EXIST. CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP.LIN WIDTH 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. JSec. 3097, Civ. C.). SIDE P.L. Lender's Name Lender's Address �'} P.C.Fee$ Permit' /��/ Fee • L V I certify that I have read this application and state that the Issuance Fee U �v above information is correct. I agree to comply with all County Investigation Fee D ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter upon th bove-men' e p operty for inspection purposes. rle SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Age DcP6 ®s