HomeMy Public PortalAbout6253 RENO AVE_Building__ ,APPLI•CATION• FOR BUILDING PERMIT �
FOR.,APPLI,P.AN;T TO FILL'IIV (Print or type only)
BUILyr1..1NG` 3 COUNTY OF LOS'ANGELES
ADDRESS DEPARTMENT OF COUNTY-ENGINEER
CITY P, ZIP / 9 go ( BUILDING•AND SAFETY DIVISION'
OF BLDGS. BUILDING
SIZE OF LOT NOW ON LOT ADDRESSy/�.
L dT
TRACT Ca BLOCK LOT NOD rr LOCALITY '7-e AM4 Cj 14/ '
TEL.nn f� NEAREST P /
OWNER No.�C�GCROSS ST. 4' V'NG
ASSESSOR -
ADDRESS MAP BOOK PAGE ]PARCEL
DISTRICT GROUP TYPEFIRE PROCESSED BY
CITY ZIP CONST ZON
ARCHITECT OR. TEL. �!) a --r— _ � �3 (
ENGINEER NO.
STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS N0,21 DWELL,UNITSBK PG-
T
G•
TEL.
CONTRACTOR NO USE Z NE MAP
-LIC: r /� NO.'
ADDRESS NO. (r" CONDITIONS
SPECIAL
-
CITY. _ LIC.CLASS ROAD DEPARTMENT ARPROVAL REQUIRED YES NO❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDrq,.SETBACK FROM
C
FRO„N PROP.LINE OF —(STREET) c
ADDRESS CITY ` TOTAL SETBACK FROM TYPE OF EXISTING C
HIGHWAY YARD
SQ. FT. NO. OF' NO' OF CHECK FRONT PROP. LINE HIGHWAY WIDTH
SIZE Q STORIES FAMILIES ONE -
+ _ c
DESCRIPTION OF WORK NEW
y� ADD�,�� BLDG,SETBACK FROM
s fh+
SIDE PROP.LINE OF (STREET)
ALTERI ❑ __•TOT S` ACK FROM TYPE OF EXISTING
IS
HIGHWAY •F YARD
TEPAIRSIDE LINE HIGHWAY WIDTH
USE OI- EMOL ❑ +
EXISTING BLDG. '
APPLICANT - TEL CORNER CUTOFF' YES ❑ NO ❑
(PRINT) NO. ,
BY (SIGNATURE) IN OPEN SPACE YES ❑ ❑
Q IN COASTAL ZONE "' YES.[] NO
VALUATION•Y �aG O� CATEGORICAL EXEMPTION '• - YES❑ O ❑
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—
WITH
IGNED WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- I
STRUCTION. I CERTIFY THAT• IN.DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED i (DATE)
-HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE -
•LABOR CODE OF .THE STATE OF CALIFORNIA IN RELATING TO 7 / '
WORKMEN'S COMPENSATION INSURANCE. -� R / .:r /`:•�• p0�''•..u`''�"'�'d].�'l C Q !.•/':'.h'
SIGNATURE OF I �.i�%t��c%CLe'a a
PERMITTEE' /
ADDRESS d
FINAL
TE
CITY ��. V� NOLJ( DATE �DjBY
MAKE CHECKS PAYABLE TO: FEE $ !� FEE
HARVEY T. BRANDT, COUNTY ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH m PERMIT'VALIDATIO• CK. M.O: CASH
6 s:o: tB 1 0 -'2 8.5'0 e�k
76A638A CE9803 7/73 _ -
TEMPLE CITY
76A638A CE 0803 4,7APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING 5 V
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ((/�`:�
. Zee
COLEMAN W. JENKINS, SUPLOCALITY
T OF BUILDING � "
�
FOR APPLICANT TO FILL INI
ST.
NEAREST
Print ort a onl
BUILDING ICT NO. GROU TYPE ESSED BY
ADDRESS 6253 Reno Avenue 0S-' - CONST,
L
ISTICAL CLASSIFICATION SEWER MAP
LOT NO. �7 7 BLOCKSS NO.�DWELL.UNITS BK/ PG?
TRACT ONE MAP - .
NO.OF BLDGS. NO. Q-Z 0
SIZE OF LOT NOW ON LOT SPECIAL -
USE OF O CONDITIONS
EXISTING BLDG. TEL.OWNER - NO. - .SETBACK FROMADDRESS T PROP.LINE OF (STREET)
F EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITY Tem le Ci[t Y WIDTH FROM C.L.
ARCHITECT OR TEL. } pZ.O =
ENGINEER NO, SETBACKFROM
ADDRESS ROP.LINE OF (STREET)
TEL TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL
CONTRACTOR NO. _40 4n HIGHWAY WIDTH FROM C.L.
ADDRESS 529 E Valle rLio' 8341 + = c
CITY San G a 6 r t e 1 CLASS C 3 9 CORNER CUTOFF YES ❑ NO ❑LIC. C
CONSTRUCTION LENDER u
NAME AND BRANCH S B 1 SEE REVERSE SIDE FOR SPECIAL APPROVALS n
ADDRESS Z
SQ. FT. NO. OF NO. OF NEW ❑
SIZE STORIES FAMILIES El
OF ADD
STRUCTURE Rerocif
w/ USG 150 shingles
ALTER ❑•
SIGNATURE OF f // REPAL
• APPLICANT C��•!�.•`�� t DEMOL ❑
VALUATION S 700 . 00 APPROVALS DATE I.1P1.TO.'.,7;rA.ATURE
//��
FOUNDATION: LOCATION •
FEE 5 FEES
12. 00 FORMS, MATERIALS 73
FRAME: FIRE STOPS,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE' LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT, DUCTS
STRUCTION. IC
THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE STATE OF •CALIFORNIA IN RELATING TO
WORKMEN'S COMPENSATION INSU)ANCE. LATH, EXT.
SIGNATURE OF ` Q�� r/; A HOUSE NUMBER COR-
PERMITTEE wv' RECT AND POSTED
ADDRESS 529 E Valley ,San FINAL
JOHN F. LEWIS. PRINCyFL STRU TU RAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH _ PERMIT VALIDA�'rON aK.) M.O. CASH
n 6 6 6 J JI'll c 1D 12..CON
l�
� lz'F
COU YOFLOSANGELES
APPLICATIOV#ORDEPART NT OF COUNTY ENGINEER
BUILDING PEFIMIT BUILDING AND SAFETY D ISION
FOR APPLICANjf2 FILL N ADIDRESS
BUILDING 02
ADDRESS iZ) )-:J !, 3 �('�C3 LOCALITYNEAREST
P�-rj'►'� /� �(
CITY_r F C ZIP CROSS ST.
�- NO.OF BLDGS. ASSESSOR
SIZE OF LOi `�b � NOW ON LOT MAP BOOK PAGE PARCEL
DISTRICT G OUP TYPE kFIREffCSED ey
D ��
TRACT BLOCK LOT NO. �� C CONST.
--� � TEL. _
OWNER t[`5' c <<. ( � 0• �� STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS CLASS NO. DWELL.UNITS BK M PGJ
CITY ZIP USE ZO E NOP 62 OO d.
ARCHITECT OR TEL. SPECIAL
ENGINEER NO. CONDITIONS
ADDRESS -T� '
/- ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
CONTRACTOR (7'Zl - l [( NO. qgs�J C. BLDG.SETBACK FROM
C. FRONT PROP.LINE OF (STREET)
ADDRESS LJ 1 J NO. 33 6-7�s� TOTAL SETBACK FROM TYPE OF EXISTING
t, [� LIC. '/ HIGHWAY + YARD = FONT PROP.LINE HIGHWAY WIDTH
CITY Artcet [c (�` `�/' CLASS � Lr• _
+
CONSTRUCTION LENDER _ }
NAME AND BRANCH -- IJ
BLDG.SETBACK FROM
ADDRESS CITY SIDE PROP.LINE OF ISTREETI �
O
SQ.FT. / NO.OF NO.OF CHECK HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING U
SIZE k7 STORIES— FAMILIES ONE SIDE PROP.LINE HIGHWAY WIDTH a
N
`� + = Z
DESCRIPTION OF WORK CZ. \ ZC +L &{2 NEW
ADD ❑ CORNER CUTOFF YES ElNO ❑
-e ALTER ❑
REPAIR ❑ IN OPEN SPACE YES ❑ NO ❑
USE TI _� DEMOL ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑
EXISTING BLDg-, ��"''���• `�-� +!�/ �f --7: e- -a0
/�
APPLICANT
h ��{�I=l \Ft NO. IVY./S L .� C... 0
D
BY(SIGNATURE)
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES
AND LAWS REGULATING BUILDING CONSTRUCTION.I CERTIFY THAT IN DOING THE
WORK AUTHORIZED�i BY I WILL NOT EMPLOY ANY PE ON IN VIOLATION OF
THE LABOR CODE OF THE TATE OF CALIFORNIA IN RELATI TO WORKMEN'S COM.
PENSATION INSURA CE.
SIGNATURE OF . T f FINAL BY
PERMITTEE �tt`L L DATE
ADDRES5
C
ITYXI 2C 6��CL Np ) �, l; P•C.Fee$' ���✓ Permit Fee
Issuance Fee
9 Total Fee 00
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
6 2 9�c..iB J. 3 •D
722 .0 ,&`
.�u -
®S 76A636A GE/e03A 6/76
WORKERS'COMPENSATION DECLARATION
D U
i-Fiareby-affirm that I have a certificate of consent to self L I��� ® FOR I L®I N G PERMIT
inside, or a certificate of Workers'Compensation Insurance,
or a certified copy thereof(Sec. 3800, Lob. C.) �• COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Company
❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN BUILDING
ADDRESS
❑ Certified copy is filed with the county building inspec- BUILDING/a�
tion department. ADDRESS I/ i
Axe. 11
Date Applicant CITY ! ZIP ® LOCALITY A/A
CERTIFICATE OF EXEMPTION FROM WORKERS' X ��QNO.OF BLDGS NEAREST
COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT CROSS ST.
OR
(This section need not be completed if the permit is for one TRACT V BLOCK LOT NO. , MAP BOOK PAGE PARCEL
hundred dollars ($100)or less.)
USE ZONE MAP �J
I certify that in the performance of the work for which this OWNER OS I�� NO. '80? v�:� Q . NO. S.3" Zs
permit is issued, I shall not employ any person in any manner SPECIAL 8
so as to become subject to the Workers' pensation Laws. ADDRESS /V AV l CONDITIONS O
CITY /� ZIP V
Date Ap lic ARCHITECT OR' TEL. 1 / DISTRICT GR UP TYPE FIRE PROLE ED BY O
NOTI TO APPLI NT: I fter aking this Ce=orkers!' CONST ENGINEER NO. i
Exemption, you shoul ecome subject to the . ZOAJE U
Compensation provisions of the Labor Code, you must forth- ADDRESSW
with comply with such provisions or this permit shall be n IL
deemed revoked.
"TEL. STATISTICAL CLASSIFICATION APT. C NDO. N
CONTRACTOR NO. Z
LICENSED CONTRACTORS DECLARATION LIC, CLASS NO. �If DWELL. UNITS
I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO. SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and / LIC.
Professions Code, and my license is in full force and effect. CITY / CLASS BK PG VALIDATION
SQ. FT. NO.OF NO.OF CHECK
License Number Lic.Class SIZE STORIES FAMILIES ONE VALUATION
DESCRIPTION OF WORK : (iP!/ S NEW ❑
Contractor Date ADD $
❑ 1 am exempt under Sec. ❑
®� ALTER ❑: c
G
B.BP.C. for this reason 00NE 0
REPAIR $ 8 3 5 01
USE OF # 0 0 0 0
Date: EXISTING BLDG. Ol91� DEMOL ❑
Signature APPLICANT(PRINT) � S//f- v $ NOM��G .4y FINAL I ° - 40.50
OWNER-BUILDER DECLARATION //aJ'�3� �� p DATE
I hereby affirm that I am exempt from the Contractor's License ADDRESS!/ /i`1•!u'/y4 j.� FIN o o o 4 Q 5 05
Law for the following reason (Section 7031.5, Business and
r�
Professions Code): PRESENT By „1 2 -87
❑ I, as owner of the property, or my employees with ADDRESS
wages as their sole compensation,will do the work and
the structure is not intended or offered for sale(Section LOCALITY
7044, Business and Professions Code). MOVING TEL.
I, as owner of the property,am exclusively contracting CONTRACTOR NO.
with licensed contractors to construct the project (Sec- ADDRESS
tion 7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAPROP.AL LINE WIDTH
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.
(Sec. 3097, Civ. C.). SIDE
P.L.
Lender's Name
LDMA Ref. #
Do P.C.Fee$ Permit Fee 3 .019
Lender's Address
is
I certify that I have read this application and state that the Issuance Fee ! t+ r� It P/C#
above information is correct. I agree to comply with all County Investigation Fee
ordinances and State laws relating to building construction, Total Fee LDMA Perm. #
N and y authorize representatives of this County to enter
$ u nth _
bove-rrppioned property for' spection purposes.
$ / SEE REVERSE FOR EXPLANATORY LANGUAGE
m
Signature of Applicant or Ag M Date
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 0811250027
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
[TR: 5904 LT: 57 UN: .002 SQ. FT STORIES TYPE 6253 RENO AV
STRUCTURE: 191 V-B TEMP CA 917801535
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
15384-001-023 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: [
1EXIST OCC GRP: 101/05/09 SR
OWNER: TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IF NALTE FIN�}�BY: CODE: ]
- ���D i"
]GARCIA-NUNEZ JOSE;ELVIRA V;MANUEL;D (626) 286-2340- [ 21,000
6253 RENO AV I
TEMP 917801535 FEES PAID IDESCRIPTI N OF WORK
IICCER-2640P & ICBO ER-5888P 101X 71X 19' ALUMINUN PATIO
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:ICOVER & ENCLOSURE 1
APPLICANT: TEL. NO: I
IMCCANN (949) 933-5153- ID1 PLANCHECK W/O EN-HC 21000.00 VAL 341.19 1
12081 BUSINESS CENTER [AA BLDG PERMIT ISSUANCE 27.75 ISPECIAL CONDITIONS:
IRVINE, CA 92612 JAC STRONG MOTION RESID 21000.00 VAL 2.10 1
ID2 PERMIT W/O EN-HC 21000.00 VAL 401.40
TOTAL FEES 772.44 ]
CONTRACTOR: TEL. NO: • JAPPROVALS DATE INSPECTOR SIGNATURE
PATIO WAREHOUSE (949) 660-0660-
12081 BUSINESS CENTER DR. #165 LIC. NO [LOCATION AND SETBACKS
IRVINE, CA 92612 875966 B
1 SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: IFOUNDATION/TRENCH FORMS I I
[FOX, GREGORY G (562) 806-1337- [ I
8060 TELEGRAPH ROAD LIC. NO: SLAB/UNDER FLOOR
IDOWNEY, CA 90240 875966 B
I iRAISED FLOOR FRAMING 1 1 1
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( (UNDERFLOOR INSULATION I 1
I15OH265 3 001 I 1-1
I I IFLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS:-J I I I I
1 NO 21 1 IROOF SHEATHING I 1
SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I
]AIR QUALITY: 1000 FEET MATERIALS I I
] NO NO NO I IFRAME INSPECTION ] I I
IREQUIRED TOTAL SETBACK FROM EXIST ] IFIRE SPRINKLER HANGERS I I I
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I I I
IFRONT PL- I 11NSULATION/WEATHER STRIP( ]
SIDE PL- I I 1-1 ]
] 1 [INTERIOR LATH/DRYWALL I I ]
1 I 1 1EXTERIOR LATH 1 1 1
1 1RATED FLOOR/CEIL ASSEM. I [ [
[ I IRATED WALL ASSEMBLIES I [ I
1 1 1RATED SHAFTS/OPENINGS [ [
[ [* ADDITIONAL DATA ON FILE 1T 'B CEILINGS
1 I [
[ ILOT DRAINAGE [ [ 1
1REPORT ID: DPR261 ROUTE TO: BS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BULLD.I.NG-PERMI-T,—
rr�` " DEPARTMENT OF PUBLIC WORKS ! 9701 LAS TUNAS CALTERATION/REPAIR"
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780 BL 0508.9910250028
PHONE: (626) 285-0488 EXT:
LEGAL D: NO. OF CONST !BUILDING D SS:
TR: 5904 LT: 57 UN: .002 SQ. FT STORIES TYPE 6253-RENO-AV---
i STRUCTURE: 0 VN EMP-C"17801535
S SSO I 0 A ON UMBE NEAREST CROSS STREET: LOGNDEN
5384-001-023 ' THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
TEN NT: ST BLDG . S S ZONE: - WEEP ON: PROCESSED BY: EXPIRES .
S
i EXIST OCC GRP: 10/25/99 UT 04/22/00 .
OWNER: TEL. N0: 7 BLDGS. NOW ON LOT: VALUATION: FINAL!DATE FINAL BY: CODE:
GARCIA-NUNEZ JOSE;ELVIRA V;MANUEL;D - 1 5,100 40T tt-2
6253 RENO AV , tmp
TEMP 917801535 FEES PAID DESURUMON OF WORK
T/0 ROOFING, APPLY 1/2" CDX, INSTALL ASS A COMP SHINGLE
APPLICAN FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: GAF-HiOUSE ONLY
CHAMPION ROOFING (909) 629-4421- AA BLDG PERMIT ISSUANCE 27.75
3257 VERDUGO AC STRONG MOTION RE�§_Ip 5100.00 VAL 0.51 SPECIAL CONDITIONS:
LOS ANGELES, CA D2 PERMIT W/0 EN='fl-- �5 00.00 VAL 149.40
P��yIELES ��fL� E 177.66 '
CONTRACTOR: TEL. N0: �O�j APPR . ALS DATE INSPECTOR SIGNATURE
CHAMPION ROOF (213) 259-0417-
3257 VERDUCO RD LIC. NO LOCATION AND SETBACKS
LOS ANGELES, CA 90065 429481 C39
SOILS ENGINEER APPROVAL
ARCHITECT OR NGINEER: —TE—.R0: - �/ FOUNDATION/TRE C FORMS
LIC. N SLAB/UNDER FLOOR
RAISED00
1253H265SEWER MAP BOOK: PAGE: FIRE ZONE: M n (� D ��G W O n/� S NDERFLOOR INSULATIO I
U lu^Su lu�wFLOORSHEATHING
0. OF MUMS-- WETEING UNITS: AP COND: STAT CL 5S;
NO 21 \ O 0 ROOF SHEATHING
i
SCHOOL WITHIN HAZARDOUS \\ El
�I�. SHEAR
AIR QUALITY: 1000 FEET MATERIALS e Q ❑ W1
I./J
NO NO NO El
yRAM INSPECTION
REQUIRED TOTAL SETBACK FRO IS 4� Q� SPRINKLERHANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- C aS'@p-ylce'6bai INSULATION/WEATHER STRIP
SIDE PL-
TROR A
EXTERIOR LATH f
RATED 00 /CEIL SSE .
RATED WALL ASSEMBLIES I
i RAE SHA SOP INGS
T-BAR CEILINGS
LOT DR INAG
REPORT ID: DPR261 ROUTE TO: BS0508
p c 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 0512010008
PHONE: (626) 285-0488 ERT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 5904 IT: 57 UN: .002 SQ. FT STORIES TYPE 6253 RENO AV
STRUCTURE: VN TEMP CA 917801535
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-001-023 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ISSUED ON: PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 12/07/05 JK 12/02/06
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FIN L DA FINAL BY: CODE:
GARCIA-NUNEZ JOS8;8LVIRA V;MANUBL;D (626) 286-2340- 7,550 ;
6253 RENO AV
TEMP 917601535 FEES PAID DBSC.IPT W
CONVERT EXISTING CLO38T INT KITCHEN SPACE, AND CONSTRUCT
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: NEW BEDROOM CLOSET
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION REBID 7550.00 VAL 0.76 SPECIAL CONDITIONS:
AX BUILDING REVIEW FEE 54.70
S2 PERMIT W/ENERGY 7550.00 VAL 201.30
TOTAL FEES 284.51
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FOUNDATION/TRENCH FORMS
LIC. NO: SLAB UNDER FLOOR
RAISED FLOOR FRAMING
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
153H265 3 01
FLOOR SHEATHING
NO. OF FAMILIES: DWELLING UNITS: APT COND: STAT CLASS:
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHDP4 PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION WBATHER STRIP
SIDE PL- _
INTERIOR LATH/DRYWALL
EXTERIOR LATH ) -
RATED FLOOR CBIL ASSEM.
RATED WALL ASSEMBLIES
RATED SHAFTS OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508