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Home My Public Portal About4936 SERENO DR_Building__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES D O WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING ]�� DISTRICT NO PLAN CK NO PERMIT NO. ADDRESS �1�✓1/V'�U JRIr— , tip 367 LOCALITY RE [WED BY DAT[OF APPL. DAT[IBBU[D NEAREST 1 //�� y I /�/7 OWNER ADOREW %BUILDING fes ��GtiC� f V �— MAIL ADDRESS � _LOCALITY T[ NEAREST CROSS ST CITY FIR[ NO p5— TYPm GROUP ARCHIT[OTOR TEL ZON PLA17B ENGINEER NO BLDG I ) / / e" + ARD NO _ADDRESS SETBACK LINE W'! (L QQ 1 TEL. APPROVED CONTRACTOR �{y'( — NO BY DATE USE APPROVED DOEB AB ZONE BY DATE DEBCRIIPPTTION LOTNO BLOCK / CORRECTIONS TRACT �3-✓Cls C> '�/ 4 `� 3 fA//�i, f fj • v- ay /fA+h/�' (� _ SIZE OF LO NCW ON LOT USE or I NOIO► � N MLE O MF EXIRTIND BLDG R110111— DESCRIPTION — DESCRIPTION OF WORK r NEW ALTERATION 17AIDITION 1 O f A R[PAIq MOVING DCMOLISH a Ego FT 0 or B= 3 4�� ROOMB , STORIES / ) WALL ROOF r COVERING COVERING IIBE LolOr N[W emG� I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMB, MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION `" ry FRAME FIR[STOPB. SIGNATURE or BRACING BOLTS OWNER LATH.INT• r/ AUTHORIZED AOT _LATH.OCT I/ / R C. PLASTER INT FEE � PLASTER. [XT VALUATION Q IN616 FINAL bEPARTMENT OF BUILDING AND'SAFETY APPLICATION FOR PERMT COUNTY OF LOS ANGELES BUILDING WM. J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DIBTRIOT Nd PLAN CK.NOi ERMIT Nd eUILDIN ADDR[BB L� �� a� S 0 LOCALITY NEAREST ' J1[JO[IV[D eY 7-/ 6 --17_/ -1 7 /T[1-B jU[O/� BUILDING S. SER OWNER ^ ADDRESS NAILI ADOR LODALTTY NEAREST _l I ,per TEL. 1 OROSB ST �J e oW FIR[ NO OF I TYPE GROUP, ARCHITECT OR TEL ZONE LANS [NRIN[u NO A D BLDIL /� L+ / ORD NO. SETBACK LIN[ �C /- APPROVED CONTRACTOR NOL, BY DAT[ USE //.�� APPROVED AD ZONE / / BY DATE ' LEGAL —DESCRIPTION LOT N OP eL0 f.Il A/ 'I Q CORRECTIONS J TRACT - /nL O ' O' /L NO OF BLOBS / SIZE Or LOT NOW ON LOT USE OF NO OF NO OF EXISTING BLOC O - DESCRIPTION OF WOAK NEW ALTERATION ADDITION �� O D REPAIR MOVING DEMOLISH p SC.FT NO OF BIZ[ _ROOMS STORIES WALL ROOK COVERING COVERING USE Df NLW BUILDING �LCrC.-I�s � �-!( y�6�1 t�v{Lt.�A G,.1.. (ra-..•-9�C — v U 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORME. MATERIALS ✓47d AND STATE LAWS REGULATING BUILDING CONSTRUCTION FRAM[- FIR[STOPS. SIGNATURE OF BRACING.SOLTB OWNER LATH,INT.' AUTHORIZED AOT. LATH.EXT o -a a[N a 1-47 $/l/ P d• PLASTER INT F[[ _� PLABTER. IXT VALUATION a� FINAL F[[ � DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMTP COUNTY OF LOS ANGELES BUILDING WM. J. FCX, OHI[F ENGIN[[R FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING /) DISTRICT NO. PLAN OK.Nd PERMIT N4 LOCALITY 1/419911'e[O BY DAT[OP APPL DATE ISSUED NGR[ST OC�ti+o - dl;? —S -V/ 1 ADD OWNER ADDRESS MAILBADDRESS LOCALITY TEL. NEAREST DRUBS ST rIR[ Nd OF . TYPE 1 / GROUP ARCHITECTOR TEL ZONE PLANS - !/ [NDIN[q HO. BLDO / /1� ORD.Na ADDRESS BETBAOK LINE APPROVED CONTRACTOR- . NO`. BY DAT[ USEAPPROVED ADORE ZONE BY DATE LEGALCORRECTIONS D[BCRI ION LOT ND BLOCK TRA 812[OF LQT No r NOW ON LOT UB[OF NO or NO Or E ING BLD NI d RCOMB DESCRIPTION OF WORK NEW ALTERATION ADDITION - D A REPAIR MOVING DEMOLISH p BD FT. NO OF = SIZE ROOMS STORIES WALL ROOF COVERING COVERING URE Or NEW BUILpINS /f 0.p. I HEREBY ACXHOWL[DG[ THAT I HAVE READ THIS APPROVALS APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT INSPECTOR DAT[ FOUNDATION LOCATION AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STATE LAWS REGULATING BUILDING CONBTRUDTION FRAM[ FIRE STOPS. SIGNATURE CF BRACING.BOLTS OWNER I LATH,INT. AUTHORIZED AOT. LATH,EXT. Dee-D 2S 6[T[1-19 !8 P.0 Sll� PLASTER INT RE PLASTER.EXT. VALUATION J O TEE �I�v FINAL . APPLICATION FOR COUNTY OF LOS ANGELES BUILDING PERMIT D svu.D�T ND AOF FEUTTYY DGRIENER BUILDING .FOR APPLICANT TO FILL IN ADDRESS BUILDING C_ _�J ADDRESS -A�IY r. STC LOCALITY wyNEAREST CITY Tom• - ZIP -/ I /O J CROSS ST NO OF BLOGS ASSESSOR SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE SSED BY TRA .4_ WVL BLOCK LOT NO I CO CONST ZO�{R \ OWNERN/-V �b�`S I\1r 41�QI=/n TEL 33STATISTICAL CLASSIFICATION / WER P PENGINEER /31 ltyB LYE I CLASS NO DWELL UNITS BK G '71-2' �! ` U Z�NE MAP �.C� �Z 21p -I 1�O O NO0/ 7 TEL // SPECIAL NO / CONDITIONS � ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NOOR(/NHLA/ TEL SIR BLDG ETBACKFROM LIC FRO PROP LINEOF (STREET) ADDRESS Q.wt.( NO NIGH Y + YARD TOTAL SETBACK FROM TYPE OF BX(STING CITY LIC FRONT PROP LINE HIGHWAY WIDTH CLASS CONSTRUCTION LENDER + - NAME AND BRANCH BLDG SET ADDRESS CITY SIDEPROP LINEOF (STREET) ] SO FT NO OF NO OF CHECK HIGHWAY + YAW AD = TOTAL SETBACK FROM OF EXISTING 041 SIZE STORIES / FAMILIES ONE SIDE PROP LINE MIG WIDTH DESCRIPTION OF WORK NEW 9 + N Q w Pd A 'ARW 2O If ZC OD ❑ CORNER CUTOFF YES ❑ NO ❑ LTER ❑ 94 l{.-C t EPAIR❑ IN OPEN SPACE YES ❑ NO ❑ USE OF , IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG EMOL ID AP PIN NT)PL�CA14,q_ X NDL;Zr-133 -BY (SIGNATURE) I XERESY •CFM WLE THAT 1 HAVE LICA AND !TATE THAT THE A VE IS CORRECT AND AGREE TO COMPLY WIT NALL ORDINANCE! AND LAW! REGULATING BUILDING CON- _ 3TRVC TION 1 CE RTIIY THAT IN DOING THE WORK AUTHORIZED ' HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THAT E 01 CALIFORNIA IN RELATING TO WORKMEN'! CGMPENB TION INBURA SIGNATURE OF � FINAL � -1577 BY PERMITTEE GATE /// ADDRESS 144 /) CITY It HEEL �3'�l33 PC Fee$ Permit Fee VALUATION$ oIssuance Fee TOTeI Fee , PLAN CHECK VALIDATION CK M 0 D.BH PERM VALIDATION cCN M 0 DASH 46�hOV 24 1 0 28.50Az* TBABGew es•Bola IE/>! WORKERS COMPENSATION DECLARATION t i • r T insure, affirm that I have r certificate Compensation nsatio nIns to Insurance, - X.pI.PLICATION FOR BUILDING PERMIT insure, or a certificate of Workers'Compenation Iruurance, or a certified copy thereof (Sec 3800 Lab C ) 1 Policy No Company COUNTY OF LOS ANGELES BUILDING AND SAFETY n Certified copy is hereby furnished / FOR APPLICANT TO FILL IN BUILDING 3( Cenlfled copy is filed with the county building inspec- tion BUILDING c ADDRESS I /V, SC'FLlew tion department ADDRESS - SI o Dr; LOCALITY v 1 NEAREST Date Appllcont CITY LOT /e Cit ZIP /' O CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' % NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF _I NOW ON LOT 7 U/0 MAP BOOR PAGE PARCEL (This section need not be completed If the permit is for oneUSE ZONE MAP hundred dollars ($100)or leu) TRACT BLOCK ' t07 NO NO _ TEL J SPECIAL y I certify that in the performance of the work for which this SER ,f�r`s �2 — 3 / CONDITIONS py permit Is issued, I shall not employ an DISTRICT GROUP TYPE FIRE PROCESSED BY 0 Pe P Y Y Peron in any manner , so as to become subject to the Workers'CompenatADDRESS lon Laws V645eNDr CONST ZO V App _ p/1 p� 9/7�O ' o Date—L_LJ�J— ant ""`�" CITY ZIP STATISTICAL CATION APf ONDO NOTICE TO APPLICANT If, after maks g this Certficote ENGINEER TEL V Exemption, you should become subject to the Workers' CLASS NO DWELL UNITS_ W Compensation provisions of the Labor Code, you must forth- ADDRESS - SEWER MAP H with comply with such provisions or this permit shall be Z deemed revoked CONTRACTOR F TEL BK VALIDATION LICENSED CONTRACTORS DECLARATION UC I hereby affirm that I am licensed under pravnions of Chapter 9 ADDRESS NO ALUATTON (commencing with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license Is in full force and effect CITY CLASS z 2 0�� J= , SO FT NO OF NO OF CHECK License Number Llc CI SIZE STORIES FAMILIES ONE Contractor Dote DESCRIPTION OF WORK NEW ❑ I am exempt under Sec dt o —1 a N C 3 � ❑ r�� ALTER ❑ FINAL B 8P C for this reason —uv$ R $e REPAIR ❑ DA Dote USE OF EXISTING BLDG /w GT P DEMOL ❑ BY ` Signature APPL�IC.IWT %2516-13 OWNER-BUILLTER DECLARATION /, 1 hereby affirri that I am exempt from the Contractor s License qy� yT ,// 1502 1 A i Law for the following reason (Section 7031 5 Business and Nr N {Jr T.C. /+i' Professions Code) # • • • • . ) I, an owner of the property, or my employees with BUILDING, ADDRESS 2'- 23738 wages as their sole compensation will do the work and the structure Is not Intended or offered for sale(Section LOCALITY 1• ° 2 3 7 3 8 F2 ' 7041, Business and Professions Code) . MOVING TEL I, as owner of the property, am exclusively contracting CONTRACTOR NO 0907-83 with licensed contractor to construct the project (Sec- ADDRESS tion 704 Business and Professions Code) CONSTRUCTION LENDING AGENCY REQUIRED YARD HWY TOTAL SETBACK FROM EXIST t hereby ofirm ttiai there iso construction lending agency for FRONT P UN WIDTH f , the performance of the work for which this permit Is issued P L ZSec 3097 Civ C ) SIDE PL Lender s Name _8 P C Fee$ Perms Fee lender a Address I certify that I have read this application and state that the In..ce Fee (!�, above infoi n notion is comect 1 agree to comply with all County Investigation Fireordinances and State laws relating to building construction, Total Fee 23 t 3 and hereby authorize representatives of this County to enter upon the obove-mentioned property for Inspection purposes M■11VL�FOR EXPLANATOfY IANOUAW S roof Applxnnt or Ape Date