The URL can be used to link to this page

Home My Public Portal About6243 RENO AVE_Building__ • Y ` APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ` BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN JE ADD ESS BUILDING ADDRESS � � 1 I hereby affirm that I have a certificate of consent to self insure, - 12 C--KJ U L— AI or a certificate of Workers'Compensation Insurance,or a certified a copy thereof(Sec.3800,Lab.C.) �. CITY �, ZIP `� / G,+ R �� OCALITY /f Policy No. 11 � � �S t Company � SIZE OF LOT NO.OF BUGS.NOW ON LOT Certified copy is hereby furnished. NEAREST CROSS ST. ❑ Certified copy is filed with the county building inspection TAT BLOCK LOT NO. department. � 4(0- r--T--7---7 �/c1 USE ZONE MAP NO. Date �Applicantfl � - /�% /Y//(� ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS /f �/ CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER r TEL NO �f YES NO COMPENSATION INSURANCE ��" % WITHIN 1000 FT.OF SCHOOL? ADDRESS (This section need not be completed if the permit is for one hundred :;' 3 P� �� tel. t L� DISTRICT GROUP TYPE CONST. FIRE ZONE PROCES BY dollars($100)or less.) � f'� I certify that in the performance of the work for which this permit CRS r e(—CS G ZIP! �" O 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 CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO.C— DWELL UNITS NOTICE TO APPLICANT• If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the WorkersCONTRACTOR � � TEL�NO.�I SET BACK YARD HWY PROP UNE WIDTH Compensation provisions of the Labor'Code, you must forthwith J�1 v c v/V ' Nf� 7 �f 7rJt3q,_ FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS r LIC.NO. PL SIDE LICENSED CONTRACTORS DECLARATION CITYLIC. LASS PL I hereby affirm that I am licensed underprovisions of Chapter 9 " i < < �� ^ ! SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.of STORIES I NO.OF FAMILIES Professions Code,and my license is in full force and effect. NEW ❑ BK PG d 61 DESCRIPTION OF WORK 26 L A00V " &>C/57--AVG ADD ❑ VALUATION 0 License Number ✓�� Lic.Class `' .�� Contractor ate �Z��<</' O I�� SrS� A!/V Fi ALTER ❑ $ A00 U u s!A-L u EW gnT qop C� oC ie 0 ❑ I am exempt under Sec. REPAIR p�buF— Acts//N E, ��N auks $ U B.&P.C.for this reason /AJS I v}LL 13 AJ� ctJ N bOu1-S DEMOL ❑ LDMA P/C# a D USE OF EXISTING BLDG. URM ❑ i //`�'® /� p s co Signatufe' L �— APPLICANT(PRINT) TEL NO. LDMA Perm# Z ❑ I, as owner of the property, or my employees with wages as Z t • d ti I.n= their sole compensation, will do the work and the structure is ADDRESS jy ii=,10�:l FINAL DATE �,_I not intended or offered for sale (Section 7044, Business and / ? 7 TILhj� Professions Code.) WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL a J + ❑ 1, 8S owner of the property, am exclusively contracting Wlttl OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE y Y 9 AMOUNTS SPECIFIED THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL Y > _ 11 �3_ �' licensed contractors to construct the project (Section 7044, YES❑ No� I 1 I r'_ -•-� �-- Business and Professions Code.) r.,I`r.. WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING 1.•I�II-ti'kk 105.3-1`I OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH F�i r CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR :_JF�TNGIE. v +: GUIDELINES I hereby affirm that there is a construction lending agency for YES❑ NO❑ a the performance of the work for Which this permit Is issued(Sec. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING W 3097,CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, 1,•j�•I —w;�I�i moi? ...-er'.'••r a TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNI HAZARDOUS Lender's Name MATERIALS G AND 5RIDPAINING A PERMIT F M THE SCAQ p Lender's Address OWNER OR Aerm 0 o I certify that I have read this application and state under penalty PO FEE PERMIT FEE 0 of perjury that the above information is correct.I agree to comply n with all county ordinances and State laws relating to building j �nn,and hereby auISSUANCE FEECO the ve na . INVESTIGATION FEE TOTAL FEE ? Q m J .J a Awn SEE REVERSE FOR EXPLANATORY LANGUAGE I APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN ADD ESS I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS F'n•ll or a certificate of Workers'Compensation Insurance,or a certifiedI2— 3 N• REND "%tlL=r copy thereof(Sec.3800,Lab.C.) r�PLE. G/71/ Z19/7&if) LOCALITY Policy NA SIZE��c nit/eA�G[[ v", � SIZE OF LOT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. NEAREST CROSS ST. 79 Certified copy is filed with the county building insp otion TRACT BLOCK LOT NO. de artm t. ( _ USE ZONE MAP NO. Date °� `��7Applicant (/� ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM ORKERS' jV D d /h�D�� TEL NO. gs_q�67 YES NO COMPENSATION INSURANCE WITHIN 1000 FT.OF scHOOL7 leted if the permit is for one hundred ADDRESS (This section need not-be com p 624-3 /Ir' R&_A.l0 6(!Es' DISTRICT GROUP TYPE CONST. FIRE ZONE PROCES BY dollars($100)or less.) R )�` ZIP I certify that in the performance of the work,for which this permit �Tz57Y7, L,& C/Ty '7/ 76 O O. -5,.08 '1. Fw�� is issued, I shall not employ any person in any manner so as to ARCHITECT O NGINE TEL O become subject to the Workers'Compensation Laws. -jC), �U /) /�52_Z9 Z STATISTICAL CLASSIFICATION APT COWO Date Applicant ADDRESS CJ CLASS NO. DWELL UNITS NOTICE TO APPLICANT: If, after making this Certificate Of 4-5-2-'741UG&-L-6S C,2&5'T H10 Y 7108 REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TELN9. SET BACK YARD HWY. PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith S57S G' Sf}Fa,- //Ve, R6 7`/ -Z 3 oo FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.MO. PL LICENSED CONTRACTORS DECLARATION M/O /V' 44&J� U6r 66 2,17Z6 SIDE CtPL I hereby affirm that I am licensed underprovisions of Chapter 9 T,1j� LIC.G PJ `� LASS SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE NO.OF STORIES I NO.OF FAMILIES Professions Code,and myIi e�nlse is in full force an ct. NEW ❑ BK PG d License Number `4dLic.Class DESCRIPTION OF WORK ADD ❑ VALUATION ® Q Contractor << Date L�^ Z F[J N O ALTER ❑ $ ❑ I am exempt under Sec. REPAIR ❑ B.&P.C.for this reason DEMOL ❑ LDMA P/C# W Date: USE OF EXISTING BLDG. �T URM ❑ s)3 � Signature APPLICANT(PRINT) LDMA Perm# ACCT.I g v ❑ I, as owner of the property, or my employees with wages as A CO 70V �� 9/ x Z �_,_.� their sole compensation, will do the work and the structure is ADDRESS C O 33033 50.50 not intended or offered for sale (Section 7044, Business and 1410 N• 1_4rk % FINAL DATE Q Professions Code.) VVILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL ❑ 1, as owner of the property, am exclusively contracting With OR A MIXTURE CONTNNING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE a A{-ti� A AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL B t'+.'7 licensed contractors to construct the project (Section 7044, 00 a.3 1pt,.90 Business and Professions Code.) VES 11 NO 11 WALL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH ') 'i"� �y� CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKLIST FOR GUIDELINES I hereby affirm that there is a construction lending agency for YES 11NO❑ TOTAL J-59- 40 a the performance of the work for which this permit is issued(Sec. I p, I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING CHECK 'i,r-LO N 3097,CIV.C.) CHECKLIST.I UNDERSTAND MV REQUIREMENTS UNDER THE LAS ANGELES COUNTY CODE, TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SSCCAOMD.ERNINHAZARDOUS CHANGE o 00 � CHANGE o Lender's Address 0 OWNER OR AGENT o I certify that I have read this application and state under penalty e of perjury that the above information is correct.I agree to comply P.C.FEE PERMIT FEE i I000-0001 7/18/95 x/95 a with all county ordinances and State laws relating to building SO SO . 7 o IL construction, and hereby author representatives of this County ISSUANCE FEE ato er upon thea ve-m tione perty for insp1ection ur ose 2-7.30 CD �� ` l �� INVESTIGATION FEE TOTAL FEE D 0 ^ s aro W AaMMaga W AAgmt Dara SEE REVERSE FOR EXPLANATORY LANGUAGE ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT •D*PARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUIfDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1301220079 PHONE: (626) 285-0488 EXT: I ILEGAL ID: I NO. OF CONST NEW I BUILDING ADDRESS: JTR: 5904 IT: 56 I SQ. FT STORIES TYPE OCCUP GROUPI 6243 RENO AV I ISTR17CTURE: 499 1 V-B R-3 TEMP CA 917801535 1 (ASSESSOR INFORMATION NUMBER: I GARAGE: 496 1 V-B U I NEAREST CROSS STREET: LONGDEN 1 15384 -001-021 1 OTHER: 50 1 V-B U I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI ITENANT: (EXIST BLDG USE: USE ZONE: (ISSUED ON: PROCESSED BY: I (EXIST OCC GRP: 104/01/13 SR [OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: I FIIJAL D4LTE F AL Y: CODE: I [MEDINA ARMANDO;MARGARET M (626) 452-1807- 1 122,740 1 16243 RENO AV 1 I ITEMP 917801535 1 FEES PAID II519SCRIPTICN OF WORK 1 I [ADD 1 BEDROOM, 1 BATHROOM AND EXPAND (E) BEDROOM 499 SQ.FT. IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:JBUILD ATTACHED 2 CAR GARAGE WITH LAUNDRY 496 SQ.FT. AND APPLICANT: TEL. NO: I I COVERED PORCH 50 SQ.FT. DEMO (E) GARAGE+REROOF ENTIRE I ILUDWIG, KIRK W (626) 434-0362- IBI PLANCHECK W/ENERGY 97740.00 VAL 1,193.20 (STRUCTURE W/ROOF TRUSSES I 2615 BASHOR ST IAA BLDG PERMIT ISSUANCE 27.80 ISPECIAL CONDITIONS: 1 IDUARTE CA IAB STATE GREEN BLDG FEE 122740.00 VAL 5.00 I 1 IAC STRONG MOTION RESID 122740.00 VAL 12.30 1 J JB2 PERMIT W/ENERGY 122740.00 VAL 1,584.70 I I ICONTRACTOR: TEL. NO: 108 CERTIF OF OCCUPANCY 101.40 JAPPROVALS DATE INSPECTOR SIGNATURE I JACTIVE CONTRACTORS (626) 434-0362- 1 TOTAL FEES 2,924.40 1 I IPO BOX 692 LIC. NO I ILOCATION AND SETBACKS I IWILDOMAR CA 92595 932342 1 1 I I I ISOILS ENGINEER APPROVAL I IJ 1 (ARCHITECT OR ENGINEER: TEL. NO: - —I IFOUNDATION/TREN 1�1s/I 1 1 LIC. NO: 1 [SLAB/UNSER FLOUR I I I I ` I IRAISED FLOOR FRAMING [MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CA:P: JUNDERFLOOR INSULATION I I I 3 OOI (1ST LEVEL FLOOR SHEATH I 1 INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I 0 NO 21 1 12ND LEVEL FLOOR SHEATH I I I 1 SCHOOL WITHIN HAZARDOUS 1 IROOF SHEATHING 1 1AIR QUALITY: 1000 FEET MATERIALS 1 I I 1 NO NO NO I 1FIRE DEPT. FRAME INSPECT( LlI I I JBLDG DEPT. FRAME INSPECT I 1SHEAR PANELS 1 I I I JINSULATION/WEATHER STRIP J I I I INTERIOR LATH/DRYWALL I (EXTERIOR LATH 11 loq 1 I ILOT DRAINAGE u I ISMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVALI I I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I COUNTX 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 1209280019 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: ITR: 5904 LT: 56 I SQ. FT STORIES TYPE 1 6243 RENO AV I (STRUCTURE: 1300 V-B I TEMP CA 917801535 [ (ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: I 15384-001-021 1 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I I I I (TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY: 1 1 1EXIST OCC GRP: 109/28/12 SR 1 [OWNER: TEL. NO: IBLDGS. NOW ON LOT: VALUATION: 1F AL TE IN Y: CODE: 1 IMEDINA, RICHARD - 1 1 4,500 16243 RENO AVE [ I I ITEMPLE CITY CA 91780 [ FEES PAID ID CR ON OF WORK 1 [ [ (INSTALL A COOL ROOF SYSTEM - HOUSE [ IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( [ [APPLICANT: TEL. NO: I I I IBARRETTO, DAVID (661) 264-3876- IAA BLDG PERMIT ISSUANCE 27.80 1 I 16550 STAGECOACH AVE IAB STATE GREEN BLDG FEE 4500.00 VAL 1.00 SPECIAL CONDITIONS: 1 PALMDA .E CA AC STRONG MOTION RESID 4500.00 VAL 0.50 1 1D2 PERMIT W/O EN-HC 4500.00 VAL 132.60 1 I I TOTAL FEES 161.90 1 I 1CONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE 1 ID & L ROOF SYSTEMS* (661) 264-3876- 1 1 I 116550 STAGECOACH AVE LIC. NO 1 [LOCATION AND SETBACKS I I I I PALMDA E CA 93591 795542 [ 1 [ I I I I ISOILS ENGINEER APPROVAL [ 1 [ 1ARCHITECT OR ENGINEER: TEL. NO: - 1 1FOUNDATION/TRENCH FORMS 1 [ LIC. NO: 1 (SLAB/UNDER FLOOR I I [ 1 I IRAISED FLOOR FRAMING 1 1 I [MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( 1UNDERFLOOR INSULATION I I I 153H265 3 00 [1-1 1 I I IFLOOR SHEATHING I I I [NO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I 1 0 NO 21 I IROOF SHEATHING 1 [ SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 I (AIR QUALITY: 1000 FEET MATERIALS [ I [ I [ NO NO NO 1 IFRAME INSPECTION I I [ I IFIRE SPRINKLER HANGERS I 1 I I I (INSULATION/WEATHER STRIPI I 1 1 1 11NTERIOR LATH/DRYWALL 1 I I [ [EXTERIOR LATH I I I IRATED FLOOR/CEIL ASSEM. 1 I I IRATED WALL ASSEMBLIES I I I 1 1 RATED SHAFTS/OPENINGS I 1T-BAR CEILINGS 1 ILOT DRAINAGE I I I 1 (REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I ` 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 1209280020 PHONE: (626) 285-0488 EXT: ILEGAL ID: I NO. OF CONST I BUILDING ADDRESS: I ITR: 5904 LT: 56 I SQ. FT STORIES TYPE I 6243 RENO AV I ISTRUCTURE: 200 V-B I TEMP CA 917801535 1 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I 15384-001-021 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI I I L I ITENANT: IEXIST BLDG USE: RESID USE ZONE: R-1 11SSUED ON: PROCESSED BY: I (EXIST OCC GRP: 109/28/12 SR (OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: F14AL DATP CODE: I IMEDINA, RICHARD - 1 1,000 [ 16243 RENO AVE 1TEMPLE CITY CA 91780 FEES PAID DN$CRTPTIbg OF WORK [ I I (INSTALL A COOL ROOF SYSTEM - GARAGE I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 I [APPLICANT: TEL. NO: I I I 1BARRETTO, DAVID (661) 264-3876- [AA BLDG PERMIT ISSUANCE 27.80 1 116550 STAGECOACHIAVE IAB STATE GREEN BLDG FEE 1000.00 VAL 1.00 SPECIAL CONDITIONS: IPALMDALE CA 1AC STRONG MOTION RESID 1000.00 VAL 0.50 I ID2 PERMIT W/O EN-HC 1000.00 VAL 65.40 [ 1 I TOTAL FEES 94.70 I [ ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE ID & L ROOF SYSTEMS* (661) 264-3876- 1 1 116550 STAGECOACH AVE LIC. NO I ILOCATION AND SETBACKS 1PALMDALE CA 93591 795542 1 I 1 I ISOILS ENGINEER APPROVAL I I 1 (ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I I LIC. NO: I ISLAB/UNDER FLOOR I I RAISED FLOOR FRAMING MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 UNDERFLOOR INSULATION I I I 1153H265 3 001 1 I I I I (FLOOR SHEATHING I I I INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I 0 NO 21 1 (ROOF SHEATHING 1 1 1 SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS [ AIR QUALITY: 1000 FEET MATERIALS NO NO NO 1 (FRAME INSPECTION I I FIRE SPRINKLER HANGERS I I I I 11NSULATION/WEATHER STRIP( I I I 1 11NTERIOR LATH/DRYWALL 1 I I I I I (EXTERIOR LATH 1 1 1 1 IRATED FLOOR/CEIL ASSEM. I I 1 I 1 IRATED WALL ASSEMBLIES I I I RATED SHAFTS/OPENINGS I I IT-BAR CEILINGS 1 I 1LOT DRAINAGE I I I I I IREPORT ID: DPR261 ROUTE TO: BS0508 I I I I I I I I