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Home My Public Portal About4928 SERENO DR_Building__ 16A636A CE#6D,66, APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ABUILDING DDRESS 'J DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENQINEER NEAREST r WILLIAM JENSIEN. BurTO BDILDIN6 CROSS ST DISTRICT NO GROUP- PE p ED BY FOR AFPLICANT TO FILL IN CONST BUILDING STATIBTICALC FICTION - S ER MAP ADDRESS ^yam LOT NO / CLASS NO DWELL UNITE L WATER ICATE NOT REQUIRED RECEIVED CERTIF TRACT - — MAPNIC NwAY NO OF BLOCS NO IDIRCL[I STATE MAJOR SECOND LOCAL SIZE OF LOT NOW ON LOT USE 10ITE I SPECIAL OF CONDITIONS EXI USE USED Na BLDG TEL OWNER N0142`07Z BUILDING YARD HWY RENT NAME H%IBT SETBACK WIDTH ADDRESS FRONT 7 ARCHITECT OR TELr P L ENGINEER NO SIDE O ADDRESS TEL INSPECTION RECORD Sit CONTRACTo _ PERMIT REQUIRED 00 ADDRESS 1$ I LWJ DESCBnOONOW WORK IADING APPROVED „d Z NEW ADD ALTER EPAIR DEMOLISH SO FT NO NO OF IZESTORIES FAMILJES USE OF STRUCTUR SIGN URE OF APPLICANT VALUATION E B rL APPROVALS DATE INSPECTOR S SIGNATURE T— PMT �� FOFORMSION MATERIALSON FE FEFEE FRAME PG, STOPS BOLTS_ I XCRC6Y THAT THE ABOVE THAT I HAVE READ ND OR APPLICATION BRACING, BDLTI AND {THTC TXAT TH! VINA 16 CORRECT S AND A W5 TO COMPLY FURNACE LOCATION WITH ALL COUNTY OIIOINAI CEN AND CTAT[ LAW{ REGULATING WORK QAB VENT DUCTS AUT BUILDING COHEREBY I WILL NOTE Y THAT IN "R”DOING TIN VIOLA AUTHORIZED THE X!R[OY I WILL NOT GTATK F CALIFORNIA N IN VIOLA LATH INT TION OF TN[ LA6011 COO TMC 6TATC 01 CALIFORNIA R[LAT ]NO TO WORKMEN 6 CO •A X INC MCC LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEERECT AND POSTED ADDRESSI' FINAL -7 -7 CLYDE N DIRLAM PRINCIPAL STRy�uRAL ENGINEER PLAN CHECK VALIDATION aL mo cA{x PER= VALIDATION & r o -Asx LAGO 8 2 9 5 DEC 12 1 D 6.00- DEPARTMENT OF BUIMING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LAS ANGELES BUILDING WM. J. FOX. CHIEF ENOINEER I FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO PLAN CK NO PERMIT HO RUILD2-0-Z-0 ADDR[eS i RED V BY DATE OF APPLE DATE ISSUED LOCALI [''—_ NURt � I `7 �S SITO BLULDINCI pwNt - wpa[ee MAIL LOCALITY E I AD[ NURLST TE OROBS BT CITYFIR[ I NO OF ^ TYP m2t— DROOP ARCHITECT OR T[L ZONE r PLANS L ENGINEER NC ORD NO eLDO W F S / DD ETBACK LING APPROVED CTDor/ DAT[ T[L BY CCHTRA USE -I. PROVED DAT[ ' ZONE 0Y �y�p�.1.T �} DD CORRECTIONS LEGAL CORRECTIONS D CRIPTION LOT NO BLOCK TRA Io �_ N OF LOTS 81Z[OF LO NOW ON LOT = USE OF NO OF NO OI C7 1 I'O EXI TI BLD F M L • C 9 O'D DESCRIPTION OF WORK NEW ALTERATION ADDITION p a REPAIR MOVING DEMOLISH 2 BO FT NO OF BIZ[ ROOMS STORI lS l0/3/N F WALL ROO CCVERI CCVERIH JO •�''�'r'� • USE OF USE NO �• -- ,v so 1 HEREBY AOKNOWLEDOE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION- - OPLOTOR DATE/ AND ASR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORNB.MATERIALS AMD STAT[ LAWS R[GULATINO BUILDINO CONSTRUCTION F=11 NOp SO TB J� BIDNATUR[ PLRMITTE LATH. INT. AUTHORIZED ACT LAT". [][T TMd]!A-a TVs Z JV P C PLASTER.INT. • 1. a U FEE PLASTER.EXT. SA — VALUATION T'40 ►[[ K� FINAL k� �� ''c" * W6RKERS'COMPENSATION DECLARATION .I sure, or certificate that I have r certificate of tionconsent to Insurance, — - - APPLICATION FO_W BUILDING PERMIT —� mauve, ora certificate of Workers Compensation Insurance, or a certified copy thereof (Sec 3800, L'ab C ) '• i M COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company - Certified copy Is hereby furnished , _ FOR APPLICANT TO FILL IN ' BUILDING --t L ADDRESS 4 lr t Certified copy a fJed'with the county building inspec BUILDING t I hon department L ' ADDRESS I j Date Applicant k CITY ZIP ` 4 '+ LOCALITY 1 CERTIFICATE OF'EXEMPTION FROM WORKERS - - - NO OF 8LDdS - - - - NEAREST _ i` L " COMPENSATION INSURANCE - SIZE OF LOT NOW ON LOT CROSS ST 0 5 e m (Thle section need not be completed if the permit Is for one - -- - -- - - - LOT - - --- ASSESSOR hundred dollars ($100)or leu ) TRACT BLOCK TEL NO MAP BOOK`^ ` + PAGE PARCEL usE ZONEMAP (;certify that m the performance of the work for which this OWNER,-!Z/ 'NO G!/b`� NO , } perms is issued, 1 shall not employ any person in any manner ADDRESS ,,.,/ SPECIAL - ¢ so as to become subject to the Workers Compensation Laws - ✓ CONDITIONS {J Dote ` Applicant" K " ' - CITY _ _ ZIP _ _ - - -� - t - - — - - - NOTICE'TO APPLICANT If, after'makmg this Certificate of ARCHITECT ORL _ . DISTRICT_ GROUP- TYPE FIRE _ BY 10 ' Exemption, you should become subject to the Workers' ENGINEER NO -�{j CONST G ZONE Compensation provisions of the Labor Code you'must forth ADDRESS _ R"' iv_- 6 with comply with lsuch, provisions or this permit shall be deemed revoked , „1 u CONTRACTOR TEL STATISTICAL CLASSIFICATION APT CONDO _ NO LICENSED CONTRACTORS DECLARATION ' _ - _ _ LIC- - - CLASS NO -- DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS NO (commencing with Section 7000)of Division 3 of the Business and UC _ _ -.t SEWER MAP , Professions Code' and my license a in full farce and effect CITY _ CLASS _ -- - _ VALIDATION - + e , _ SQ FT NO OF _ _ n10 OF_ _ CHECK BK PG License Number ' l U< Cla SIZE STORIES FAMILIES ONE ' DESCRIPTKJN OF WORK- - �y - - VALUATION ,_ 0 Contractor' Date ' ADD s 01431 B 8P C for this I am exempt under Sec - - , - REPAIR-PAI -'R_PAI � s _ - ' _ Date__ USE OF _ EXISTING BLDG DEMOL t f Signature ` _ _ _ _ APPLICANT TEL R PRINT NO I NA( OWNER BUILDER DECLARATION _ _ _ , -1 hereby affirm that I am exempt from the Connoctor's License DATE_- - -_ - n Law for the follow ng'reason (Section 7031 5 Business and A SS FINAL "Prof Iona Code) _ 1. _-.-- BY ,c I as owner of the property, or my employees with _- ADDRESS BUILDING 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 j -- - - -- - -- -- j, as owner of theo CTOR NO pr perry, am exclusively contracting with licensed contractors to construct the project (Sec- - -- ADDRESS tion 7004, Business and Professions Code) RECKARED J CONSTRUCTION LENDING AGENCY '- ' SET BACK YARD HWY - TOTALPROP LIFE WIDTHr - I hereby affirm that there is a construction lending agency for FRONT the performance of the work for wh¢h this permit is issued PL- (Sac L-(Sec 3097, Civ C ) SIDE PL Lender Mame - - �- - - ' •. 1 _2 - -- - Jj \ _ \` PC Fee S _ __-_.-_ _ Pearn Fee- (DMA Ref N • - \ - Lender a Address - ', 1 certify that I have read this application and afore that the _ Issuance Fee IS76 IDMq PJC N S above Information Is c«reci I agree to comply with all County Investigalmn Fee 8 ordinances and Sate jaws relating to budding construction _ _ _ __ _ Tataj Fee_ - LDMA Perm N - '- - - - and hereby outhonze representatives of this County a enter I upon the above-mentioned property 'for Inspection purposes REVERSE FOR 17(VLANATORY LANGUAGE ' -Signature of Applimnt&Agent _ _ __..-__ __ _ _ _-._ _ __ _�J _ __ _ __ _ _ .___ _ __ _ _ ._ _ _ ,ID i