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Home My Public Portal About6252 RENO AVE_Building__ 76A698A C6}r666 ,-e, APPLICATION FOR •BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS r BUILDING AND SAFETY DIVISION LOCALITY JOHN A. LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST. DISTRICT NO. GJJOUP TW PROCESSED BY FOR APPLICANT TO FILL IN C15NST. BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS ��- B P CLASS.NO.J_DWELL.UNITS LOT NO. rp / BLOCK WATER 'REQUIRED RECEIVED CERTIFICATE: TRACT D MAP HIGHWAY STATE MAJOR SECOND, CAL c NO.OF BLDGS. q NO. (q (CIRCLE) SIZE OF LOT.:5-d I NOW ON LOT OL. USE ZONE SPECIAL ' USE Al� / CONDITIONS EXISTING BLDG. OWNER {/ qoII I /J .y�i NO. -f0 SETBASETBACK YARD HWY STREET NAME WIDTH ADDRESS rD,✓_S /C G /I G FRONT ARCHITECT OR yy�� TEL. P.L. ENGINEER lJ IU`fi IP IC, NO. 'SIDE P.L. ADDRESS INSPECTION RECORD O CONTRACTOR D �'�. P_ NO. ADDRESS Q DESCRIPTION OF WORK W N NEW ADD ALTER REPAIR DEMOLISH a SQ.FT. NO.OF NO.OF J IZE STORIES FAMILIES / USE OF STRUCTURE a ' r SIGNATURE OF APPLICANT VALUATION$ G APPROVALS DATE INSRECTOR'S SIGNATURE FEE $ FEE $ O FOUNDATION:LOCATION r/ji �5 / FORMS,MATERIALS 33 FRAME:FIRESTOPS. �- ��b�t 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS .7 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK n AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH,INT. / J/ TION.OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT- ING TO WORKMEN'S COMPENSATION INSURANCE. - LATH,EXT. i J - SIGNATURE OFLa )4 } HOUSE COR PERMITTEE dd �av, - RECT AND POSTED ADDRESS n pp FINALr '�O.r /I/).r�l'�� CLYDE N. DIRLAM, PRINCIPAL ST UCURAL ENGINEER PLAN CHECK VALIDATION CK. M.O. `CASH PERMIT VALIDATION M.c. CASH LAW 2 9 4 6 APR 4 1 A 18.50- , I +All APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ` BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN [IBUILDI�2:y,RESIIBUIZNG ADDRESS �a I hereby affirm that I have a certificate of consent to self insure, > �s� or a certificate of Workers'Compensation Insurance,or a certified f�+ copy thereof(Sec.3800,Lab.C.) CITY�r ZIP LOCALITY Policy No. Company SIZE/OGGF OT NO.OF BLDGS.NOW ON LOT ❑ Certified copy is hereby furnished. IL /�g „Z NEAREST CROSS Tr. ❑ Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. a`ZD Q USE ZONE MAP NO. Date Applicant ASSESSOR MAP BOOK PAGE PARCEL 003 Q0 '7 SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE IC41 —1,1FEAd 4 glibEg sivat 7-300 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.) 6a: L/L�G� DISTRICT GROUP XTYPONST. FIRE ZONE PROCESSED BY CITY I certify that in-the performance of the work for which this permit ZIP E 7, is issued, I shall not employ any person in any manner so as to ARCHITECT OR ENGINEER ZIP917NOO� �3 become subject to the Workers'Compensation Laws. 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 DECLARATIONSIDE CITY LIC.CLASS PL I hereby affirm that I am licensed underprovisions of Chapter.9SEWER MAP } (commencing with Section 7000)of Division 3 of the Business and so.Fr.SIZE N0.OF STORIES NO.OF FAMILIES a Professions Code,and my license is in full force and effect. NEW BK PG , C License Number LIC.Clava DE IPTION OF WORK ADD ❑ VALUATION Contractor Date ALTER ❑ o�"DO� Ix ElI am exempt under Sec. REPAIR ❑ $ H B,BP.C.for this reason DEMOL ❑ LL LDMA P/C CL Date: USE OF IW LD . URM ❑ v Signature ? • APPLICANT(PRIN TEL NO. LDMA Perm� owner of the property, or my employees with wages as Z Pa{-C'T o m r their sole compensation, will do the work and the structure is ADDRESS O '70.7 . not intended or offered for sale (Section 7044, Business and FINAL DATE /Q ,.Tr} 1r Professions Code.) WILL THE APPUCANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL S 1 TTE S OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE ❑ I, 8S owner of the property, am exclusively contracting With AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY i licensed contractors to construct the project (Section 7044, YES❑ No❑ TOTAL 12-_'35 Business and Professions Code.) �C 7r WILL THE INTENDED USE OF THE BUIDU ,l�L NG BY THE APPLICANT OR FUTURE,BUILDING , CHECK K ��1p�:�! OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAOMD)SEE PERMITTING CHECKUST FOR ��s�3 r41-Ir7T i p �T I hereby affirm that there is a construction lending agency for YES❑ NO❑ CM the performance Of the WOTk for which this permit IS ISSUBd(SBC. I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAOMD PERMITTING +lf{A//,/,n` _ a 3097,.CIV.C.) CHECKUSL I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE. e •' W i'� .Pi,/ b`7�.�. 1 { 3 7'�'i N TITLE 2,CHAPTER 2.20 SECTIONS 2.20.100 THROUGH 2.20.140 CONCERNING HAZARDOUS 00013-01301 10 2 i f F+-' i. Lender's Name MATERIALS REPORTING AND FOR OBTAINING A PERMIT FROM THE SCAOMD. o Lender's Address 2312 1 AM110.05 C OWNER OR AGENT c I 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 N with all county ordinances and State laws relating to building construction,and hereby authorize representatives of this County ISSUANCE FEE � 1 ' CO to enter upon the above-mentioned property for inspection purposes. �Q Z�.L,1g INVESTIGATION FEE TOTAL FEE b Gquwre M AppSmM a Agent OW i SEE REVERSE FOR EXPLANATORY LANGUAGE