HomeMy Public PortalAbout4909-4911-4913 SERENO DR_Building__ 4 - TEMPLE CITY 33 x r v
TErE..I:ir ,II, APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPA$TbUM OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAM BIE. COUNTY ENGINEER NEAREST
WI IAM [N u BUILDING CROSS ST
FOR APPLICANT TO FLIT.IN DIST ICT NOQ GR TYPE BY
U Q CONST
BUILDING BTATI871CALCLA991FICATION 8 ER MAP
ADDRESS
CLASS NO DWELL UNITE B
LOT NO BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
TRACT MAP ��// n HIGHWAY
NO OF BLDG8 NO V 1 (CIRCLE)
6 ATE MAJOR 6ECON LOCAL
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
USE OFI CONDITIONS
EXISTING BLDG
TE
O O BUILDINGE%IST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS FRONT -�n
ARCHITECT O TE P L O'1/
ENGINEER N SIDE
P L.
ADDRESS INSPECTION SWORD 0
TE
CONTRACT NO
OE
ADDRESS Q
ON OF WORK �+
o_
H
NEW A ALTER REPAIR DEMOLISH Z
SO FT NO OF NO OF
IZE STORIES FAMILIES
USE OF
STRUCT E
SIGNATUREOF
APPLICANT
VALUATION S
,Q,/7 FOUNDATION
AT 14SPECTOR S SIGN TUNE
FPC PMTEE FEE LOCATION , 1, '�/-' /H11 1/JIfes.
FORMS MATERIALS i _LSI/�/1/ /
FRAME FIRE STOP' / 1. /n
I HEREBY ACKNOWLCOOK THAT I HAVE READ THIS APPLICATION BRAOING BOLT' A LT
AND STAT[THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION U ✓�
WITH ALL COUNTY ORDINANCU AND STAT[ LAWS REGULATING GA'VENT,DUCT'
BUILDING CONSTRUCTION I CERTIFY THAT IH DOING THE WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY AN PERSON IN VIOLA LATH INT
TION OP THE LABOR COD[OF THE STATE OF CALIFORNIA R[LAT
INO TO WORK SAT INSURA C[ LATH EXT n
61GNATUR HOUSE NUMBER COR-
PERIVIME RECT AND POSTED
ADDRESS FINAL
�yp�pgE
PLAN CHECK VALIDATION Ex ro cAsx CLYDENPERM VALIDATIOM 'PRINeIPALN«. ro �wK�
LPno7671 % JAN 31 1 0 5.00
.�.. .�. EGPPLIC TION FOR BUILDING P RMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUWING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGIN[[R NEAREST
WI IAM [ [ u TOP Bu LD RG CROSSST
DISTRICT NO GROUP TYPE P SED BY
FOR APPLICANT TO FILL RJ CONST RLI
BUI INO STAT STICALCLASSIFICATION SE ER MAP
ADD 88 A r07. 4913 Sereno. T.C. K
LOT H Fractional Sec. 18 TOwnejL4&l E' CLASS NO DWELL UNITS STATE YESO
e 11 West San Bern Meridian NUMBER HWY
TpA ) USE ZONfi SPECIAL
NO OF BLDGS CONDITIONS
SIZE OF LOT ��a� 'NOW ON LOT
USE OF
EXISTING BLDG Dwelling & Att Gara 8 BUILDING EXIST
to"I.hLlI• Oe�6rn�iI��eZ TELA.�ILL9ryD SETBACK YARD HWY REET NAME WIDTH
OWNER Velasquez NO W ! ] FRONT
Sereno, P L
ADDRESS O Sereno Te=le CitySIDE
ARCHITECTOR nO7je TEL P L
ENGINEER NO INSPECTION RECORD
N
ADDRESS E
CONTRACT�uO�/R�Santa Anita ConstxW T 797
ADDREse°PiT7 Las Tunas San Gabriel
O
DESCRIPTION OF WORK G
� w
N
NEW ADD ALTER
�.��•M REPAIR DEMOLISH Z
,:7ZE bTORI EB X 1 OF FAMINO O IES O
USE OF
STRUCTURE
81GNATUR I
APPLICANT
VALUATION$
APPROVALS DATE INSPECTOR SSIGNATURE
PC PMTFOUNDATION LOCATION
FEE FEE %1,2, FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
GUILDI NO CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED ISHALL NOT LATH INT
44
EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBUECT
TO THE WORKMEN 8 COMPENSATION LAWS OF CALIFORNIA
LATH EXT 5
SIGNATURE HOUSE NUMBER COR.
PERMITTE RECT ANO POSTED
ADDRESS FINAL
CLYDE N DIRLAM INCIPAL STRye-URAL ENGINEER
PLAN CHECK VALIDATION O r o GEH PERMIT VALIDATION cgJ r o cAeR 11
L 8z�; ;dIv 5 2 5 D 600
1
1"o 7, 1 0 6 "Iy15 1 D 1 2 00 I>
I-
I I
TEMPLE CITY
••.....��.� � APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES ADDRESS
�+
DEPARTMENT OF COUNTY ENGII1n= gESS
B=ING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE, COUNTY ENGIN[[R NEAREST
A
JENGICN. SUPT OF BUILDING CROSS ST
FOR APPLICANT TO FILL IN DICT N TYPE Y
CONST
BUILDING STATISTICAL IWELL UNITS
FICATION 6 MAP
ADDRESS Q NO [�
CLASS
LOT NO BLOCK WATER
CERTIFICATE NOT REgU1RED RECEIVED
TRACT MAPNIOHWAY
STATE MAJOR SECOND LOCAL
NO OF BLpGg NO /CIRCLE/
SIZE OF LOT NOW ON LK USE ZONE SPECIAL
U6EOF /I CONDITIONS
EXE OF BLDG
TEL
OWNER NO BUIL ICG YARD HWY STREET NAMEEXIST
a SETBACK WIDTDT
H
ADDRESS FRONTn
ARCHITECTOR TEL P L
ENGINEER NO SIDE
L r
ADDRESS TEL /INSPECTION RECORD O
CONTRACTOR NO /r ^ K
ADDRESS
ESCRIPTION OF WORK , �p� _
,I t7G U P✓/bl l IF /�f/coL 7e, T
NEW ADD ER EPAIR DEMO /` ,G�j� / Z
O
Sq FT O OF OFF I �(� 7
IZE STORIES AIILIEB
OF
UCT [ V
SIGNATURE OP
APPLICANT
VALUATION S
APPROVALS OATH INSPECTOR 9lISMANRE
PC FOUNDATION LOCATION
FEE S FEE i FORMS MATERIALS L
PRAM! FIRE STOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GRADING BOLTS
AND [TATE THAT THE A.OV[ 1[CORRECT AND AGREE TO COMPLY FURNACE LOCATION
RO /
WITH ALL COUNTY OINANC[D AND STAT[ LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING TH[ WORK
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT Y
TION OF THE SAVOR COOK OF THE STATE OF CALIFORNIA RELAT `/ 7
INO TO WORKMEN B COMPS ION INS LATH ERT/V� J V
SIGNATURE OF HOUSENUMBERCOR-{r /
PERMITTEEd'��. RECT AND POST D
ADDRESS FINAL
CLYDE N DIRLAM, PRINCIPAL STRUCTURAL
PLAN CHECK VALIDATION m MID cAnl PERNIIT VALIDATION N. r o wax
I
[j .72363 �— 7A! o g D 400 M
c
TEMPLE CITY
T..RY C[AOL I-.I APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DrMON LOCA12
JOHN A LAMBIE, COUNTY ENGINEER NEAREST
WIL MA JENSEN. Sup TOP'ulLo CR0986T
FOR APPLICANT TO FILL IN DISTRI N GROUP Typ! ED BY
CONS� dy71m
BUILDING / / STATISTICAL CLASSIFICATION
A 'Er6 !R MAP
DDCLA
8 /
88 NO DWlLL UNITE /O
LOT NO - BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE ly
TRACT MAP Iq HIGHWAY STATE MAJOR SECOND LldCAl.
NO OF BLDGS NO (CIRCLET
SIZE OF LOT NOW ON LOT USE ZONE SPECIAL
Ole
USE OF CONDITIONS
EXISTING BLDG
TEL
OWNER NO BUILD NG YARD NWY BEET NAM! ST
r SETBACK W pTH
ADDRESS FRONT
ARCHITECT TEL P L
ENGINEER NO SIDE
P
Y
1
ADDRESS TEL INSPECTION RECORD p
CONTRACTOR NO V
ADDRESS K
DESCRIPTION OF WORK
NEW ADO ALTER REPAIR DEMOLISH
SQ PT NO OF NO OF ?
IZE STORIES FAMILIES
USE OF
STRUCTUR
SIGNATURE OF
APPLICANT
VALUATION S yBei
APPROVALS DATE INSPECTOR 3 SIGNATURE
P CPMT // FOUNDATION LOCATION
FEE � F!! 5G9' — FORMS MATERIALS /
FRAMINE FRE
STOP&
1 HEREBY ACK N OWLWOE THAT 1 HAVE READ THIS APPLICATION 'RAGG BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION. '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
i BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK
AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON 1! A LATH INT
TION OF THE LAso E OF TH TE OF A RELAT
ING TO WORKMEN A NSURANCE
LAIN EXT
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE-4 RECT AND POSTED //��
ADDRESS INA 11(/
CLYDE N DIRLAM IDAINCIPAL STRUCTURAL ENGIN ER
PLAN CHECK VALIDATION u r a PERM VALIDATION GK. mo cAsll
V D1 2 9 21G FEB 25 1 D 6 00-
TSASSSA CC 006110] APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY re- Ao
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENBFN SUP T OF BUILDING CROSS ST In I
DISTRICT O GRO TYPE PROCESSED BY
FRCHITE
OR APPLICANT TO FILL IN 3- 6 CONST
H
ING C STATISTICAL CLASSIFICATION EWERMAP
S9 / // P CLASS NO DWELL UNITS
BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE
SPECIAL
F LOT NOW ONIND 01 5 LOT6 �/ NOP .� / HcaHwe) STATE MAJOR SECON LOCAL
F USE ZONE COND T ONS
NG BLDG /
TEL 1
R NO - BUILDING YARD HWY STREET NAME EXIST
SETBACK WIDTH
SS FRONT
` TECT OR I TEL I P L Q If EER NO I SIDE
SS F L 7
TELT J' J i/J u
CONTRACTOR NO TEL
NO
vl/ .LtG 1/ r11 C f/lG�c!rSS
ADDRESS
�O
DESCRIPTION OF WORK r,
.11 CL
NEW ADD✓ ALTER REPAIR DEMOLISH �(( r
SO FT NO OF NO OF /�7/—fir �i•%pL'1%1— �fi`�C. i/^ G�
SIZE STORIES FAMILIES ll _ /
USE OF �.S G Gjr �-
STRUCTURE
A �
SIGNATURE OF
APPLICANT
VALUATION E 00
APPROVALS DATE INSPECTOR 6 DI ONATUBE
PC PMT FOUNDATION LOCATION
FEE Y FEES , � FORMS MATERIALS
FRAME FIRE STOPS
I HEREBY ACKNOWLIEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT9
AND STATE THAT THE ABOVE IS CORR[CT AND AOR" TO COMPLY FURNACE LOCATION /J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONCTTUCTION I CERTIFY THAT IN DOING THE MORK
E
AUTHORIZD HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAY
INC TO WORKMEN S COMPEN INSURANCE
LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
ADDRESS-9",oFINAL ,- 43 L(
JOHN F LEWIS PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK MO CASH
LlL_3 1 7 9 0 M, '28 1 D 4 0Q
f
ITY OF Mau City
�APPLICATIIwOenN FOR BUILDING P RMIT
COUNTY OF LOS ANGELES BUILDING '
EPARTMENi OF COUNTY ENGIIYEER ADDRES9
BUIIDING AND SAFETY DIVLSION LOCALITY
JOHN A LAM SIE, COUNTY ENGINEER NEAREST • A
WILLI M J¢NBEN B or Bu LOINS CROSS ST -
DISTRICT G TYPE CESSED BY
FOR APPLICANT TO FILL IN p Jf CONST
BUIL N APP rOX
ADDR .4913 sereno T.C. STATISTICAL CLASS IFICATION 7R MAP
CLASS NO WELL UNITS
LOT N O BC. OYTn$ P S n MAP STATE yE8 O
NUMBER HWY
TRACT USEZONE SPECIAL
NO OF BLDGB / CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDGWelling tt a e BUILDING EXIST
TEL SETBACK YARD HWY STREET NAME WIDTH
OWNER Arthur Velasquez nNO AT66 FRONT A
ADDRESS SeTen Tem 1e Vit SIDE !S�(/ I�
ARCHITECTOR TEL P L
ENGINEER none NO INSPECTION RECORD
}
ADDRESS pry a
CONTRACTOR `Santa Anita Const AT 77( r, ~�' OV
1
ADDRES9 E. Las Tunas San Gabriel m0
DESCRIPTION OF WORK
a
N
NEVIIXX ADO ALTER REPAIR DEMOLISH _ Z
SO FT 906 NO OF NO OF
SIZE 7� STORIES 1 FAMILIES 1
USE OF
STRUCTURE Di
SIGNATU
APPLICA
VALUATION S
ell-6 U le APPROVALS I DATE INSPECTJDRSSI NATURE
PCV PMT FOUNDATION LOCATION
FEE $ FEE O FORMS MATERIALS ✓�
FRAME FIRESTOPS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS
ANO STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS yFNT DUCT$
BUILDING CONSTRUCTION 1 CERTIFY THAT IN THE PERFORMANCE
OF
THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT
HMPLOY ANY PER6ON IN ANY MANNER 80 AS TO BECOME SUBJECT
TO THE WORKMEN 8 COMPENSATION LAWS OF CALIFORNIA
LATH EXT
SIGNATURE HOUSE NUMBER COR-
PER MITTE
RECT ANO POSTED
ADDRESS FINA
CLYDE N DIRLAM PRINCIPAL STR RAL ENGINEER
PLAN CHECK VALIDATION M o CASH PERMIT VALIDATION cK no wN
I • „a487 � I ,tI 5 J✓✓✓✓j 0 15C) 0
L 'U7 1 0 5 I,.,i 15 1 0 3000 4
APPLICATION FOR. BUILDING PERMIT
COUNTY OF LOS-ANGELES BUILDING AND SAFETY
WORKERS COMPENSATION DECLARATION FOR APPLICANT TO FILL IN Bull,
RE
I hereby affirm that I have a certificate of consent to sell InsureD ,
or a Certificate of Workers Compensalgn Insurance or a certified 'n
copy thereof (Sec 3500 Lab C) c ZIP
14 OCA ITV
Policy No ComParry SIZE OF WTI NO OF BLOCS NM ON LOT
❑ Certified copy is hereby furnished NEAREST CROSS ST
❑ Certified Copy B filed with the County bulldog Inspection TRAGT BLOCK LOT NO
department , _ USE ZONE IAAP NO
Date Applicant ASSESSOR MAP BOOK PAGE PARCEL..
O/� 7 SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERS O'^s'IE TE _ /y
COMPENSATION INSURANCE 1 I v IN 1000 FT OF SCHOOL? YIEs NO
(This section need not be Completed If the permit Is for one hundred �- DISTRICT GROUP TYPE COIJST FIRE ZONEF
ESSED BY
dollars ($100) or less) ("AL
I certify that In the performance of the work for which this permit zm moi 'is issued I shall rot employ, any person In arty, manner so as to ��` ✓ J�
become Subject to the Workers Compensation_Laws M ENGINEEB- r TEL
NQ STATISnCA-CV$$IFiCAT1pN APT CONDO
Date Appbcant ESS CLASS NO 1/Lys DWELL UNfTs
NOTICE TO APPLICANT If after making this Certificate of 11 REQUIREDTOTAL SETBACK FROM E%IST
Exemption you should become subject to the Workers CONTRACTOR TEL NO SET BACK YARD IfiNV PROP UNE WIDTH
Compensation pno Rom of the Labor Cade you must forthwith FRONT
comply with such prowsK or this permit shall be deemed revoked ADDRESS LIC NO PL
LICENSED CONTRACTORS DECLARATION SIDE:LIG CLPSS P L
I hereby affirm that I am licensed underprovlstocs of Chapter 9 SEWER MAP
(commencing with Section 7000)of Division 3 of the Business and SO fJ�SE NO STORIES NO OF FAAUUES
ProlessiorTe Code and my license is In lull farce and effect jj[JCJ 4,r
NEW ❑ BK PG T.
License Number Lc Class - DESCRIPTION OF WORK - ADD ❑ VALUATION 04 33303 O
Contractor DateALTER ❑ �D _ 1 IT`
❑ I am exempt under Sec _ REPAIR ❑ /' —J _ AL .�'. iE] 10 O
BdPC for this neasan DEMOL ❑ LDMA P/C. TOTC�ESOL W
Date 4 USE FEMSTNG BLDG URM ❑ �v�.((i��l�l1
'nature ((�� co
APPLICANT(PRINT) TEL NO LDNIF Pam♦ -i-'"� '`^I?
/1 . owner of the properly or my employees wah w.. as _
O (y
their sole compensation will do the work and the struoure Is
ADDRESS FlNAL DATE F OIhJO-+J�J1 °/2019c
not Intended or offered for sale (Section 7044 Business and Q p
Pmfessfans Code I WI-L THE APRICANT OR FITTUPE BUILDING OCCUP HANDUE A HAZARDOUS LATERAL 9 '�] 1367 i AY 0.1'i
❑ 1 as Owner Of the properly am exclusively contmeang with GRA TS SPE EO 014 TR A MAZAi9pl15 JMEE L EOWL TO OR U EATER THAN THE a rtl I J• C
OR A 14S OE =v ON THE HAZMWUS NATERI41a nFOPIAATION OUOE] FINAL
licensed Contractors t0 GDOSt UC1 the project (Sedan 7044 YEs❑ NO❑ '
Business and Professions Cade I
WU- THE INTENGED USE OF TIE EUDUNG a1' THE APPLICANT OR FUTURE GLI DING
OCCUPANT REQUIRE A RERMT FOR CCNmRUCTKA OR MOpFICATION FRCIA THE SOUTH
CONSTRUCTION LENDING AGENCY Cw T AP olwTrY M GEA T OsTRCT IurDIADI SEE PERLCTTNG CHE KUST FOR
GUCEL g
1 hereby affirm that there Is a construction lending agency for YEs❑ No❑
u 3f1)97 C)
Cry C 1 rfornnof the work for whish this permit is issued(Sec lI REA THEHAZAALOUSWTCRW$NFQ EA GU MDTHEe0A0MD%E TTTNG
N Sb97 CHECKLST I LNDERSTANO Arc REOurEIAEI T LNOER THE LOS ANGELES GouNTY cooE
A IAIder s Name W RYLS REPORTING Me FOR 906T 140 A PEROT 1940M THEaLApAq HAlATTOIXIa
Landers Address
o or.,g I rerllly that I have read this application and state under panaAy PC FEE PERMIT FEE
of perjury that the above InforRlation Is correct I agree to comply G
R with all county ordinances and to laws relatug to building
COLehuCtlon and hereby autho presentatrves of this County ISSUANCE FEE
m toto the above tI0 party for }�W s
pr/ INVESTK3AnON FEE TOTAL FEE
SEE REVERSE FOR EXPLANATORY LANGUAGE