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Home My Public Portal About6218 RENO AVE_Building__ I APPLICATION,-FORBUILDINGIRERMIT + COUNTY OF LOS ANGELES' BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILLA4i BUILDING DDRE � I hereby affirm that I have a certificate of consent to self insure, BUILDING AD KESS AVr or a certificate of Workers'Compensation Insurance,or a certified 2 6 �AJ copy thereof(Sec.3800,Lab.C.) CITY ZIP �AV" G T LA LOCALITY Policy No. Company SIZE OF LOT I NO.OF BLDG&NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. 6� USE ZONE MAP NO. Date Applicant ASSESSOR MAPA PAGE10� PA�L, J 49 d SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER e TEL NO. COMPENSATION INSURANCE Mom Lev eu 8/!0 O WITHIN 1000 FT.OF SCHOOL? YES NO (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) CITY ZI DISTRICT GROUP TYPE CONST. FIRE ZONE PROCZ.- pY L ) P S�O� ✓`M! I certify that in the performance of the work for which this permit � is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIF/KATION APT CONDO Date Applicant ADDRESS CLASS NO.—.9 DWELL UNITS A10710E 70 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 gooFRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS060 N LIC.NO. PL } SIDE0• LICENSED CONTRACTORS DECLARATION CITY LIC.CLASS PL 73 C I hereby affirm that I am licensed underprovisions of Chapter 9C (commencing with Section 7000)of Division 3 of the Business and SQ. IZE N . F STORIES NO. MIUES SEWER MAP a a O: Professions Code,and my license is in full force and effect. NEW ❑ BK PG 3303 50.50 FC - License Number Lic.Class DESCRIPTION OF WOR App ❑ VALUATIONLL C Contractor Date ALTER , $ 0- '�� L REPAIR ❑ 3303 212045 z ❑ 1 am exempt under Sec. $ J ITENS BAP.C.for this reason OMMIL ❑ LDMA P/C# TOTAL 262 -95 Date: U OF EXISTING BLD URM ❑ Ignature S11.tcnL-� t� L)�.JL& r :NECK ov 9_I APPLICANT(PAINT) TEL NO.. LDMA Perm# I, as owner of the property, or my employees with wages as ,qu �—� u D —16 2 z CHANGE .00 their sole compensation, will do the work and the structure is ADDRESS F not intended or, offered for sale (Section 7044, Business and S L� FINAL DATE/, 9 a • c Professions Code.) NALL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL V f�l�/ ✓/ *= � �Eif 1 B� �1" 6 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE 13 I, as owner of the property, am exclusively contracting with Q AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDES FINAL BY 0 820 1 Pi! 5:2V licensed contractors to construct the project (Section 7044, YES❑ No ElBusiness and Professions Code.) WILL THE INTENDED USE OF THE BUIDUNG 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 ISCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ the performance of the work for which this permit is Issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING 3097,CIV.C.) CHECKLIST I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20,140 CONCERNING HAZARDOUS Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. Lender's Address OWNER OR AGENT 3 I certify that I have read this application and state under penalty p of perjury that the above information is correct.I agree to comply P.C.FEE go Cys PERMIT FEE � Q with all county ordinances and State laws relating to building V �J m construction, and hereby authorize representatives of this County ISSUANCE FEE O to end r u�the abgve-menti ned property for inspection purposes' a INVESTIGATION FEE TOTAL FEE gwwa a AWp a m Dno vS CT SEE REVERSE FOR EXPLANATORY LANGUAGE APO- PLMAT N FOR BUILDING PERMIT �1 COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL ON BUILDING 4DDRESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS 6 or a certificate of Workers'Compensation Insurance,or a certified Ave. I 117 9 copy thereof(Sec.3800,Lab.C.) CITY I ZIP G Policy No. Company �0)0G/f LocALI SIZE OF L , NO.OF BLDGS.NOW ON LOOr ❑ Certified copy is hereby furnished. r,I U NEAREST CROSS 81 ❑ Certified copy is filed with the county building Inspection TRACT G( BLOCK LOT NO. d department. /n r USE ZONE NIAP NO. Date Applicant ASSESSOR MAP BOOK SRO/ SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER A914 � TEL No. YES NO COMPENSATION INSURANCE ou pt Cl WITHIN 1000 FT.OF SCHOOL? ES ADDRSI UI (This section need not be completed if the permit is for one hundred DISTRICT GROUP TYPE CONST.' FIRE ZONE PROCESSED BY dollars($100)or less.) CITY ZIP I certify that in the performance of the work for which this permit �j,Q(� -GEe Is Issued, I shall not employ any rson in any m nner as to ARCHITECT OR ENGINEER T O. ✓ become subject t0 the WOrke i La STATISTICAL CLASSIFICATION APT CONDO Data�Appil n ADDRESS 4P), CLASS NO. 921-1 DWELL UNITS NOTICE TO APPLICANT: If, after mak' g A Certificate ofL D 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 CITY LIC.CLASS SIDE }(.L•: u� O_ PL I hereby affirm that I am licensed under provisions of Chapter 9 SEWER MAP (commencing with Section 7000)of Division 3 of the Business end SO.FT.SIZE NO.OF ORES NO.OF FAMILIES S IVEW ❑ BK PG _ - Professions Code,and my license is in toll force and effect. ypLgpTION i_1 Fd _�_� Lcu� License Number LIC.Claw SCRIFTION OF WORK � OY v !="'•-''" *-• 5� ADD �� ,,,,_ >r Contractor Date ALTER ❑ (_.HEi_r;. J-y: E ❑ I am exempt under SeREPAIR Ser. ❑ f�� yC v C-O ;;�jjgj ,_!. BARC.for this reason USE OF EXISTING BLDGDEMOL ElLDMIAAPP/C# BLDG. URM ❑ 1w,GG_ C,C 1 i2: 5.!`i`1 i Signature APPLICANT(PRIVY) TEL NO. r� LDMA Perm# z 4.~at� y Ara i 10 7- Al.AI,as owner of the property, or my employees with wages as their sole compensation,will do the work and the structure is ADDRESS not Intended or offered for sale (Section 7044, Business and FINAL DATE ®:i Professions Code.) WILLTHEAPPLICANT OR FUTURE BUILDING OCCUPANTHANDLEA HAZARDOUS MATERIAL ❑ I, a8 owner of the ro e y 9 OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN p p rty, am exclusively contracting with THE AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL By �y licensed contractors to construct the project (Section 7044, YES 11NqX Business and Professions Code.) WILL THE INTENDED USE OF THE BUILDING 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(SCAQMD)SEE PERMITTING CHECKLIST FOR GUIDELINES. I hereby affirm that there is a construction lending agency for YES❑ NOX ;,rl r_-1 r.: •--I the performance of the work for which this permit Is issued(Sec. ✓✓ ~CJ 'J -� � r� t,-1 T` I.•� r�.! a, I.� I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE W*QMd:.:' SP• f I —"I r.1 '-} !.+I r I. ! 3097,CIV.C.). PERMITTING CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANG6CE9�? ,e.": �+ i,';i r: r�y , COUNTY CODE,TITLE 2,CHAPTER 2.2o SECTIONS L20.10D THROUGH 210.140 CONCERNING {•'� t"-! .•.,;j Lender's Name HAZARDOUS MAT R NG AND FOR OBTAINING A PERMIT FROM THE SCAOMD.1_1rr1 "1 .- 1-1 rwr --1 �Iw a Lenders Address OWNMORAaoir 1 Fri of7 o• I certify that I have read this application and state that the above J information is correct. I agree to comply with all county P.C.FEE PERMIT FEE ordinances and State laws relating to building construction,and -3 '+ hereby authorize representatives of this County to enter upon ISSUANCE FEE t}1 me toned ropert for imspecti1 purposes. iQ INVESTIGATION FEE TOTAL FEE �'� ogo SEE REVERSE FOR EXPLANATORY LANGUAGE 1`a 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 0502110035 PHONE: (626) 285-0488 EXT: CONST BUILDING ADDRESS: TR: 5904 LT: 65 SQ. FT STORIES TYPE 6218 RENO AV STRUCTURE: VN TEMP CA 917801534 ASSESSOlU INFORMATIONR: NEAREST CROSS STREET: LONGDEN 5384-003-014 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C T: X S S ISSUED B P . EXIST OCC GRP:• 02/11/05 JK 02/06/06 OWNER: TE 0: BLDGS. NOW ON LOT: VALUATION: FINAL DAT BY: CODE: TSAI, JOHN (626) 292-1989- 1,300 Npnm 6218 RENO AV TEMP 917801534 FEES PAID DESCRIPTIONOF REPLACE 3 PICTURE WINDOW SASHES IN BUILT IN WOODEN BAY APPLICANT: T0• FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: WINDOW IN LIVING ROOM ADJ TO FRONT DOOR BEL-AIR EXTERIORS (818) 787-3200- AA BLDG PERMIT ISSUANCE 27.75 16555 GAULT ST AC STRONG MOTION RESID 1300.00 VAL 0.50 SPECIAL CONDITIONS: VAN NUYS CA 91406 D2 PERMIT W/O EN-HC 1300.00 VAL 82.20 FR INV WORK W/O PERMIT 257.00 DOL 257.00 TOTAL FEES 367.45 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR S AT RE BEL-AIR EXTERIORS (818) 787-3200- 16555 GAULT ST. LIC. NO LOCATION VAN NUYS, CA 91406 7507306 SOIL'S ENGINEER APPROVAL ARCHITECT OR ENGINEER: E O: 0 DA 0 FOR S LIC. NO: SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION XX 3 01 FLOORSHEATHING 0. OF FAMILIES: DWELLING U S: OD: STAT LS : NO 21 ROOF SHEATHING scffo—or-971MIff HAZARDOUS SHEAR PANEL AIR QUALITY: 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBAEK_FR S FIRE SPRINKLER HANGERS SET BACK YARD: HWY: PROP LINE: WIDTH: FRONT PL- INSULATION/WEATHER S IP SIDE PL- INTERIOR L- T R R LATH/DRYWALL EXTERIOR LATH RATEDC ASS RATED WALL ASSEMB IES D AF S -BAR CEILINGS LOT DRAINAGE REPORT ID: DPR261 ROUTE TO: BS0508