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HomeMy Public PortalAbout6247 RENO AVE_Building__ APPLICAT'S®N FOR BUIL DING PERMIT FOR APPLICANT TO FILL I rint or type only) BUiLDING COUNTY OF LOS ANGELES ADDRESS 2� C _ vo ��P DEPARTMENT OF COUNTY ENGINEER CITY ZIP 061 BUILDING AND SAFETY DIVISION ,F + ' NO.OF BLDGS. BUILDING SIZE OF LOTZb 1Jy6 NOW ON LOT f ADDRESS t' d!!i r� TRACT 'jO BLOCK OT 1G0.Y/ 46r� P LOCALITY V�� S NOL COSS ST. OWNER �' JA R SSESSOR ADDRESS ''�//�yyT y�,�cF�/!J`+ 4 MAP BOOK PAGE PARCEL CITY L6�x�17 (,� (r// ZIP DISTRICT GRROOUP CONST. ZONE ITYPE FIREPROCESSED BY ARCHITECT OR TEL. �l ` ENGINEER c NO. STATISTICAL CLASSIFICATION SEWER MAP ADDRESS CLASS NO._g9j__DWELL.UNITS BK PG tONTRACTO { �EL. U Z NE MAP' 0. II11nn ! LIC. NO. V V ADDRES {� p S tee" NO. � SPECIAL i CONDITIONS Y � LIC. CITJ7 f' CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO CONSTRUCTION LENDER f NAME AND BRANCH BLDG.SETBACK FROM FRONT PROP.LINE OF (STREET) ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING C 6 SQ. FTS NO, OF NO. OF CHECK Y HI AY + YARD FRONT PROP. LINE HIGHWAY WIDTH C SIZE STORIES FAMILIES ONE C t DESCRIPTION OF WORK NEW 1:1 ADD SIDE CK FROMJ (STREET) c I �L SIDE PROP.L OF ALTER ❑ HIGHWAY + YA TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑. SIDE PROP. LINE HIGHWAY WIDTH USE OFt = EXISTING BLDG. vivo //Its DEMOL ❑� APPLICANT d d/ff�N01 � CORNER CUTOFF S ❑ NO ❑ (PRINT) /J D El BY (SIGNATURE)t,/ //J b/�.rj IN OPEN SPACE YESftsNO C cv /� K•/� IN COASTAL ZONE YES ❑ O El VALUATION•P CATEGORICAL EXEMPTION YES NO ❑ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION, I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE, SIGNATURE OF jyr PERMITTEE ADDRESS FINAL C I T Y �'—�'!" "Z C`'�I No. ('✓TE DATE B Y G'C� P.C. L/ / PMT. IlAK CHECKS PAYABLE TO: FEE � FEE HARVEY T. BRANDT. COUNTY ENGINEER 21f,". PLAN CHECK VALIDATION CK. M.O. CASH m PERMIT VALIDATION CK. M.O. CASH er1 3 2 zr i7^J SEP 1 7 1 D 3 5.2 5 7BA538A CE0803 12/72 WORKERS'COMPENSATION DECLARATION I I hereby affirm that I have certificate of consent self P P L I CAT I® K U I L®I N G PERMIT Ira insure, or,a certificate of Workers' Compensationr APPLICATION or a certifi d copy th reof(Sec. 3 b. C. *r...�v�// COUNTY OF LOS ANGELES �. BUILDING AND SAFETY Policy Company j Certified copy is hereby.furnished. FOR APPLICANT TO FILL IN BUILDING -y ADDRESS / Certified-copy is filed with the county building inspec- BUILDING .I f tion department. /1 ADDRESS '. �J O Date / `�Cpplicant �p CITY /G ZIP LOCALITY G CERTIFICATE OF EXEMPTI ROM W KERS' O.OF BLDGS. NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST. (This section need not be completed if the permit is for one ASSESSOR hundred dollars($100)or less.) TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL TEL. USE ZONE MAP I certify that'in the performance of the work for which this OWNER NO. NO. permit is issued, I shall not employ any person in any manner ADDRESS l /g� SPECIAL d t so as to become subject to the Workers'Compensation Laws. CONDITIONS O; Date Applicant CITY ZI � V+7J NOTICE TO APPLICANT: If, after making this Certificate of ARCHITECT OR TEL. DISTRICT GROUP TYPE JIRE PROCESSED BY O ENGINEER NO. CONST. ONE Exemption, you should become subject to the Workers' i, (j Compensation provisions of the Labor Code, you must forth- ADDRESS fe Y W with comply with such provisions or this permit shall beCU /_ J deemed revoked. CONTRACTOR G NO & L&/ ''STATISTICAL CLASSIFICATION APT. CONDO. Z LICENSED CONTRACTORS DECLARATION / IC,.• CLASS NO. DWELL. UNITS I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS / NO. 3qlSEWER MAP (commencing with Section 7000)of Division 3 of the Business and N LIC. Professions Code, and my license is in full force and effect. CITY // CLASS BK PGVALIDATION SQ.+T. NO.OF NO.OF CHECK License IS Lic.Classy SIZE STORIES FAMILIES ONE T ? DESCRIPTION OF.WOR ( � ANEDWD ❑i V ALUATION ContDate • _ ❑ $ S1I am exempt under Sec. ALTER ❑. i B.BP.C. for this reason An REPAIR ❑. $ US O Date: EXISTING BLDG . DEMOL ❑ Signature APPLICANTTEL. �/� FINAL OWNER-BUILDER DECLARATION PRINT NO. DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and ADDRESS a� ��/Z FINAL 1111 J Professions Code): PRESENT BY BUILDING 1, as owner of the property, or my employees with ADDRESS =Ji i wages as their sole compensation,will do the work and s, LOCALITY the structure is not intended or offered for sale(Section L�_i 7044, Business and Professions Code). ; MOVING TEL. I, as owner of the property, am exclusively contracting CONTRACTOR NO. t with licensed contractors to construct the project (Sec- , - • tion 7044, Business and Professions Code). ADDRESS TOTAI f•t! ,_31 u, REQUIRED TOTAL S'ETBACK.FRO CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHECK n 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. CHANGE (Sec. 3097, Civ. C.). SIDE P.L. Lender's Name L i L ;1— y = F CDMA Ref. q t_I•I: -ItIL.y L�,' �s�94- PC 4. a P.C.Fee$ Permit Fee d Lender's Address �1"34 I certify that I have read this application and state that the Issuance Fee cz� CDMA P/C N y o above information is correct. I agree to comply with all County Investigation Fee 0 ordinances and State laws relating to building construction, Total Fee O LDMA Perm. N N and hereby authorize representatives of this County to enter I upon a.bove-mentionedptoerty for inspection purposes. J i SEE REVERSE FOR EXPLANATORY LANGUAGE "�:Si ature of AP .cant or Agent Date cz,ua •r o -.OS ANGELES TEMPLE CITY # 0508 -r Gi;JG PERMIT DEPARTMEWT OF PUBLIC WORKS 9701 LAS TUNAS -•...'IDER71AL ADD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DL 05G$ 0309170049 PHONE: (626) 215-0=188 EXT: 6AL D: _ NO. CONS HEU— B LD JG A C: . TR: 5904 LT: 56 UN: .002 I SQ. FT STORIES TYPE OCCUP GROUP 6247 RENO AV STRUCTURE: 1849 2 VN R3 TEMP CA 917v^1435 AS ESSOR 'N•0`,MA7 ON '.'17A." GARAGE: 588 1 VN U1 NEAREST CROSS STREET: LONGDEN 5334-001-022 OTHER: 71 1 VN U1 I THOMAS PACs. 3S6 GRID: H2 LOCAL!-,Y: TEMPLE CITY, C ITEW N , EXIST BDG E: US 0 E: _ ISSUED N: ^l7Ct- BY: EXPIRES ON: EXIST CCC GRP: 09/30/04 JK 09/?1;/05 (OWNER: TEL. N0: —'tBLUGS. NOW ON LOT: VALUATION• -'F L D TE F.-NAL BY: CODE: KWAN iAK F;YU SU HAO - 171,x00 6247 RENO AV TEMP 117801535 I FEES PAID +IDES RIPTION OF WORK 2ND FLR: ADD MSTR 6DRM/CATH, 2 BDRMS & 1 BATH, IST FI-R: _ APPLICANT: TEL. N �iFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ADD FMLY RM, DINING RM, 1 SDRM, 2 BATHS, STORAGE & PORCH - � I EVERSTRONG CONSTRUCTIrN (626) 281-9613- 101 PLANCHECK W/ENERGY 171500.00 VAL 1-t.y9.34 1033 *iESTMINISTERR IAA BLDG PERMIT ISSUANCE 27.75 SPECIAL CONDITJuxE: — ALHAMBRA iAC STRONG MOTION P.ESID 171500.00 VAL '+7.15 182 PERMIT W/ENERGY 171500.00 VAL r — :I T W AL FEES �CONTR;C70R: —'! - - TEL. NO: I (APPROVALS DATE INSPLL:a;: SIGNATURE EVERSiRONG CONSTRUCTICiJ (626) 2E1 ;523- I 1033 WESTMINSTER AVE LIC. NO - VOCATION AND SEiDAU's ; ALHAMBRA CA 91803 721681 3 SOILS ENGINEER i ARCHI!ECT OR ENGINEER: - --�0:-- FU J:?6,% Diu 114C ZHAO, :EfJGUAN (323) %9b-1F'2 I -l0 1111 CORPORATE CENTER DR #305A LIC, V0: MONTEREY PARK CA 9"• MO:7^ RAISCL' LOOR FJ:^: � , MAP NO: SEWER MAP BOOK- ;5AG J.S� ..•ir.I IU;UEI;F LOOK INSIi_rr r.ti ��� S Oil i�SI VEL OO^n:.'!•icA1I: O. OF FAMILIES: DWELLING LING S l- : APT/COND: STAT CLASS: I ! NO 21 iTOT LEVEL FLOOR SHE"' SCHOCL WI IPJ HAZARDOUS I IlZUO�SH AT IMG AIR QUALITY: 'iuuU FEET MATERIALS �— I NO mu NO I ;FIRE DEPT. FRAME iP:S?F4TI I REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT. FRAME !REPS:Tom/J(o/ SET BACK YARD: HWY: PROP LINE: WIDTH: 41�� FRONT PL- SHEAR PANELS SIDE PL- I N SULAT IO /WFJiT lk ST-I 'P- — INTERIOR LATH/DRYIiALL EXTERIOR LAT LOT DRAINAGE SMOKE DETECTION !?Ev.CES r FIRE DEPARTMENT APP O—IAL� REPORT ID: DPR261 ROUTE TO: BS0508