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HomeMy Public PortalAbout6146 RENO AVE_Building__ ... . . - • . -Teaple City 7.6A638A CE0803 B-64A® :CATxON F®R' Bpp . pNG.PERM I COUNTY OF LOS ANGELES BUILDING ' DEPARTMENT OF COUNTY ENGINEER ADDRESS. ,:61 6 No. Reno v' BUILDING .AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE. COUNTY ENGINEER NEAREST COLEMAN W. JENKIN§SUP•T.OF BUILDING CROSS ST. DIST T O. G.R TYPE.. T P 8 FOR APPLICANT O-FILL IN � coNSr. BUILDING STATISTICAL ASSIFICATION PEW9R MAP ADDRESS 61&6. "No• Reno AVe CLASS NO. DWELL �UINITS B-K. PG LOT NO. BLOCK USE ZONE MAP ! , A7 NO. l/ (% TRACT'e D �. / SPECIAL N0. OF BL'D08.. CONDITIONS SIZE OF LOT NOW ON LOT USE OF E G - BLDG. SETBACK FROM - - TEL FRONT PROP. LINE OF (STREET) OWNER a NO. -281-?.2,17TYPE OF EXISTING' SETBACK HIGHWAY YARD- _ -TOTAL' I' ADDRESS HIGH AY M C.L. CITY ARCHITECT TEL. BLDG. S TBACK'-FROM'---- " ENGINEER NO. SIDE PROP. LINE OF (STREET) TYPE OF EXISTIN0SETBACK HIGHWAY + YARD = TOTAL ADDRESS - HIGHWAY WIDTH 'FROM C.L. d CON TRA CrO NOL _ + u LIC. CORNER CUTOFF YES NO 139'ADDRESS NO. O O CITY cic - ; 'SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION OF WORK Z NEW ADD ALTER REPA.IRY' DEMOLISH SQ.FT. NO. OF' NO. OF ✓f �5`+ �� F� .x .i �lL_ SIZE STORIES FAMILIES USE OR STRUCTURE - 6 Re-poofi4d-) SIGNATURE O APPLIC, VALUATION$428G. APPROVALS DATE .INSPECTOR'9SIGNATURE P.C. PMT. FOUNDATION,.LOCATION FEE$ FEE$ Q . FORMS,_MA_TERIALS.__ - 'FRAME, FIRE STOPS, 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ'THI5 APPLICATION L BRACING BOT AND STATE THAT THE ABOVE-IS CORRECT AND AGREE TO COMPLY :FURNACE: LOCATION WITH ALL COUNTY-ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 9UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK ' AUTHORIZED HEREBY I.WILL NOT EMPLOY A PERSON IN VIOLA- LATH. INT. /• TION OF THE LABOR COO; F THE ATE F ALIFORNIA RELAT- ING TO WORKMEN• E ATIO I U N ,LATH. EX'S. - [. SIGNATUR „HOUSE NUMBER COR- PERMIT OR- PERMITTEE A 7RE T AND POSTED hT ADDRESS 52;I 'gB V$i,�Q�Bi7Vd._=_S, G FI NAL y�' ACA JOHN•F. LEWIS. PRINCIPAL STRUCTU AL ENGINEER .PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDATION CK.'' M.O. CASH -:0 9 4 6E. SEP 2 9 :�`1 D_f 9.00 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRES I hereby affirm that I have a certificate of consent to self insure, BUILDI G ADD S C or a certificate of Workers'Compensation Insurance,or a certified CITYIP copy thereof(Sec.3800,Lab.C.) �L 41117 LOCALITY Policy No. Company SIZE OF LOT NO.OF BLDG&NOW ON LOT -� ❑ Certified copy is hereby fumished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. USE ZONE MAP NO. Date Applicant ASSESSOR BPAG PARCEL Gto SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER • TEL NO._ � C� COMPENSATION INSURANCE ' c1J' WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred DDR SS C DISTRICT GROUP TYP ONST. FIRE ZONE PROCESSED BY dollars($100)or less.) �� 4 ZIP I certify that h the performance of the work for which this permit -77 j �.12f is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT ENGINEER TEL NO. p STATISTICAL CLASSIFICATION APT CONDO 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 LICENSED CONTRACTORS DECLARATION SIDE CITY LIC.CLASS L I hereby affirm that I am licensed underprovisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF STORIES NO.OF FAMILIES >_Professions Code,and my license is in full force and effect. NEW BK PG d License Number Lic.Class DESCRIPTION OF WORK ADD ❑ VALUATION Pilo. V Contractor DateALTER ❑ $ a PeaElI am exempt under Sec. /��� REPAIR ❑ $ ��C 13rWA_� U BAP.C.for this reason /j�!/�i DEMOL • W Date: SE OF EXISTING BLDG. URM 11cc `1 Signature APPLICANT(PRINT J TEL NO. LDMA Perm# ��, 1�&u Or r.• I, as owner of the property, or my employees with wages as Z Cr 7U their sole compensation, will do the work and the structure is ADDRESS ° 1 ITEMS not intended or offered for sale (Section 7044, Business and FINAL DATE Q Professions Code.) WALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL TOTAL �" o � OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE J ❑ 1, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY �y >4 CASH 108.90 licensed contractors to construct the project (Section 7044, YES❑ NO❑ (/Jf Business and Professions Code.) WILL .00 LL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR GUIDELINES .f.•►/i I hereby affirm that there is a construction lending agency for YES 11 NO 13 �—LIUV1 12 1V/8/95 \ the performance of the work for which this permit is issued(Sec. S�i AM��a O� W I HAVE READ THE 3097,CIV.C.) CHECKLIST UNDDE STAND MY REQUIREMENS MATERIALS TSUNDERINFORMATION GTHE LOS ANGELEESUIDE AND THE OCOUNTY CODE, MD PERMITTING CM TITLE 2,CHAPTER 2 20 SECTIONS 2 20 100 THROUGH 2 20 140 CONCERNING HAZARDOUS 3 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Q. Lender's Address C OWNER OR AGENT c I certify that I have read this application and state under penalty of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE 4.0 N with all county ordinances and State laws relating to building ' construction, and hereby authorize representatives of this County ISSUANCE FEE , 00 m er upon the above- tinned proper for nspection purposes. m o rr�r? _/J./ INVESTIGATION FEE TOTAL FEE O y D SgR:20ro of Apg'Cnl--A011 C7 0.:.a SEE REVERSE FOR EXPLANATORY LANGUAGE APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN SUILDIN s I hereby affirm that I have a certificate of consent to self insure, BUILDIy f p- or y thereof of Workers Compensation Insurance,or a certified CITY ®� zIP/�/y copy thereof 8 b.C.) 7 LOCALITY Policy No. Compa SIZE OF LOT NO.OF BLD .NOW ON LOT El Certified copy is hereby furnished. NEAREST CROSS ST. V<ertified copy is filed with the county building inspection TRACT BLOCK LOT NO. Dlk; tmen USE ZONE MAP NO. �Applicant ASSESSOR MAP BOOK PAGE PARCEL T� SPECIAL CONDITIONS CERTIFICATE OF E MPTION FROM WORKERS' OWNER T Q2 COMPENSATION INSURANCE �"� /J WITHIN 1000 FT.OF SCHOOL? YES No (This section need not be completed if the permit is for one hundred ADDRESS DISTRICT GROUP TYPE CONST. FIRE ZONE PROCESSED BY dollars($100)or less.) CITY `� ZIP /J D I certify that in the performance of the work for which this permit ! /e is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. ARCHITECT OR LINGINEER TEL NO. STATISTICAL CLASSIFICATION APT CONDO 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 t0 the Workers' CON /��/� TF�.,ry9®/ SET BACK YARD HWY PROP LINE WIDTH TR Compensation provisions of the Labor Code, you must forthwith o!3 FRONT comply with such provisions or this permit shall be deemed revoked. ADDR t16� P L LICENSED CONTRACTORS DECLARATION �C/ SIDE CITY;pr LIC. S P L I hereby affirm that I am licensed underprovisions of Chapter 8 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SQ.FT.SIZE NO.OF SID AS NO.OFiFAMILIES Professions Code a e is in full force and act. r NEW ❑ BK PG a License Nu ber L. Class DESCRIPTION OF WORK ADD ❑ VALUATI�/N ® O Contractor ate ALTER El �/ ' U 0 ❑ I am exempt under Sec. REPAIR $ F- BAP.C.for this reason DEMOL ❑ U LDMA P/C# Date: USE OF EXISTING BLDG. URM ❑ 1 D_ w � Signatu APP ( Jj LDMA Perm# ly{,t T o a Z ❑ I, as owner o e property, or my employees with wages as / v � � Z their sole compensation, will do the work and the structure is ADDQQ -� /p O 3303 209.25 not intended or offered for sale (Section 7044, Business and SC, FINAL DATE o_ 1 ITEMS Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDEE A HAZARDOUS T IAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THE "'I ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY > TOTAL 209 .25 licensed contractors to construct the project (Section 7044, Business and Professions Code.) YES 11 No L� CHECK 209.25 WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CHANGE .00 CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR CCi GUIDELINES. / I hereby affirm that there is a construction lending agency for YES❑ NO[7� rn the performance Of the work for Which this permit IS issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING �ryn�y (y�y�y 0) 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. 0000-0001 4/16/96 TITLE N CHAPTER 2 20 SECTIONS 2 20.100 THROUGH 2 20 140 Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THCONCE SC ER 'NG HAZARDOUS 50898 1 AM 80-39 C3 Lender's Address C' ER OR AGENT 61 certify that I have read this application and state under penalty C of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE /.fj N with all county ordinances and State laws relating to building m construction,and hereby authorize representatives of this County ISSUANCE FEE y�� to enter upon the above-mentioned property for in tion pur s / � INVESTIGATION FEE TOTAL FEE O�� n cm a Aim D:Jo SEE REVERSE FOR EXPLANATORY LANGUAGE