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