HomeMy Public PortalAbout4927 SERENO DR_Building__ ,.,.,..=.x.m o.. APPLICATION FOR BUILDING PERMIT 1
COUNTY OF LOS ANGELES [Bio RE ie oz
DEPARTMENT OF COUNTY ENGINEER
BUEDING AND SAFETY DrMON LOCAL[
JOHN A LAMBIE.COUNTY ENGINEi t NEAREST
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LATH INT
PLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
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76A638A CE Y8033.69 APPLICATION FOR BUILDING PERMIT
` COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER _ ADDRESS
BUILDING AND SAFETY DIVISION -
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY 1
COLEMAN W JENKINS SUPT OF BUILDING CROSS SST /f
FOR APPLICANT TO FILL IN DISTRICT NGROUP - TYPE C MST PROCESSED BY
(PRINT OR TYPE ONLY) . QO -
BUILDING STATISTICAL C S ICATION SEWER MAP
ADDRESS Ohl
"- -
CLASS NO DWELL UNITS B PG
LOT NO BLOCK USE ZONE OP Q/
TRACT M SPECIAL _
NO OF BLOCS CONDITIONS
SIZE OF LOT NOW ON LOT USE OF
EXISTING BLDG BLDG SETBACK FROM
EL p. FRONT PROP LINE OF' _ (STREET)
OWNER 0 AOS~ ypE OF E%(STI IETBACK HIGHWAY + YARD = TOTAL
ADDRESS S D HIGHWAY WIDTH FROM C L _Y
CITY PAR OR TEL BLDG SETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF I EXISTING I SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY I WIDTH IFROM C L
TEL + = r
CONTRACTOR NO —LIC
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ADDRESS fg NO CORNER CUTOFF - 1 VES -❑- NO ❑ Lj
CITY CLASS SEE REVERSE SIDE FOR SPECIAL APPROVALS °C
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CONSTRUCTION LENDER `` (—
NAME AND BRANCH T W
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ADDRESS
SO FT NO OF NO OF
SIZE STORIES FAMILIES NEW ❑ / 70
USE OF A00 ❑
STRUCTURE ALTER -
D TZ> A REPAIR ❑
SIGNATURE OF FIEMOL ❑
APPLICANT
VALUATION S Cb' APPROVALS DATE INSPECTOR a eIo«wruKc
P C PMT FOU
NOFATION LOCATION
FEE S FEE SLS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS
RACING, T
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC- FURNACE LOCATION,
DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT,
WILL NOT EMPLOY ANYPERSON IN VIOLATION OF THE LABOR CODE LATH INT
OF THE STATE OF CA L I FORM IA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE le
SIGNATURE OF LATH, EXT
PERMITTEE HOUSE NUMBER CORRECT
AND POSTED
ADDRES FINAL '
JOHN F LEWIS PRINCIPAL STRUCTURAL EN R
PLAN CHECK VALIDATION cK M o CASH _ PERMIT VALIDATION CA M o cwa«
i p� 3 1 5 7DEC 26 1 D 6.00-
• COUNTY OF UOS 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 0807100015
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SQ PT STORIES TYPE 4927 SERENO DR I
STRUCTURE V-B TEMP CA 917803035
5388-014_
388 04 -010 RMATION NUMBER NEAREST CROSS STREET LOWER AZUSA
THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, C
TENANT (EXIST BLDG USE RESID USE ZONE R-2 TISSUED ON PROCESSED BY EXPIRES ON 1
IEXIST DCC GRP 07/10/08 SR 01/06/09
LOANER TEL NO iBLDpS NOW ON IAT - VALUATION �DA'fP F BY CODE
(BANE/SHORELINE PROP TERRANCE (562) 929-8889- 1,000 (/Tu� 'RYA
113823 SAN ANTONIO DA
NORWALK CA 90650 FEES PAID ID CRIPTION OF WORK 1
IFEE DESCRIPTION QUANTITY UOM AMOK, (REPLACE 4 WINDOWS
1APPLICANT TEL NO I
SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 1000 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC 1000 00 VAL 65 40
I
FR INV WORK W/O PERMIT 257 00 DOL 257 00 1��.
TOTAL FEES 350 65 (NS
(CONTRACTOR TEL NO ` - IAPPRO , GATE INSPECTOR SIGNATURE
ISAME AS OWNER -
I LIC NO (LOCATION AND SETBACKS
I
ISOILS ENGINEER APPROVAL I
ARCHITECT OR ENGINEER TEL NO 1 1FOUNDATION/TRENCH FORMS I I
LIC NO (SLAB UNDER FLOOR
(RAISED FLOOR FRAMING
(MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I UNDERFLOOR INSULATION
I144H265 3 C11 I I
I I I FLOOR SHEATHING
IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS 1
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS I SHEAR PANELS
IAIR QUALITY 1000 FEET MATERIALS
NO NO NO IFRAME INSPECTION I
REQUIRED TOTAL SETBACK PAOM EXIST (FIRE SPRINKLER HANGERS
SET BACK YARD HWY PROP LINE WIDTH
FRONT PL- I INSULATION/WEATHER STRIP
SIDE PL-
INTERIOR LATH/DRYWALL
EXTERIOR LATH
I I
RATED FLOOR/CEIL ASSEM
I RATED WALL ASSEMBLIES
(RATED SHAFTS OPENINGS I
I I
1T-BAA CEILINGS 1
(LOT DRAINAGE I I
I
REPORT ID DPR261 ROU1R 10 850508 I I I I
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