HomeMy Public PortalAbout4947 SERENO DR_Building__ 76A638A CE x8033.69 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING 'Y*"'
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING NEAREST
CROSS ST
FOR APPLICANT TO FILL IN 1115T5LCT0G TYPE CO
(PRINT OR TYPE ONLY)
BUILDING N e STATISTICAL CLASS FICATION SEWER b
ADDRESS4 9
CLASS NO DWELL UNITS BK PG
LOT NO BLOCK USE ZONE MAP - --
NO
TRACT SPECIAL
NO OF BLDGS CONDITIONS
S1ZE OF LOT NOW ON LOT ,
USE OF
EXISTING BLDG BLDG SETBACK FROM '
TEL FRONT PROP LINE OF (STREET)
N R (.KJAQ NO TYPE OF E%(STI SETBACK HIGHWAY ♦ YARD = TOTAL
ADDRESS XI6XWAY WIDTH FROM C L
¢/�
CITY rrF
ARCHITECT OR TEL BLDG SETBACK FROM
(STREET)
ENGINEER NO SIDE PROP LINE OF
TYPE OF UMTNG SETBACK HIGHWAY + - TOTAL
ADDRESS HIGHWAY WIDTH FROM C L
CONTR ORYu -'-1 N?� 0
L ?<S7 + _
ADDRESS90 3 �. A)C 4A'✓-�+S LO IC 0
t5' LO S CORNER CUTOFF YES ❑ NO ❑
CITY 6 V (-i CLASS / SEE REVERSE BIDE FOR SPECIAL APPROVALS LIC Q
5✓a N ✓�
CONSTRUCTIONLENDER rj
NAME AND BRANCH
N
ADDRESS Z
50 FT NO OF NO OF ❑ _
SIZE STORIES FAMILIES NEW
USE OFI S ADD ❑
STRUCTURE ALTER�,�],
`nV ` PAIR
SIGNATURE OF v AIG ❑
APPLICANT
O�
VALUATION $ r APPROVALS DATE IKAP[cron n SIGNATURE
P C PMT FOUNDATION LOCATION
FEE E FEE S / V v MATERIALS
THAT
( HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION FRAME FIRE STOPS,
BRA BOLTS
AND STATE THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CONSTRUC-
FURNACE LOCATION,
TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT, DUCTS
WILL NOT EMPLOY ANYPERSON IN VIOLATION OF THE LABOR CODE LATH, INT 0
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE LATH, EXT
SIGNATURE OFHOUSE NUMBER CORRECT
PERMITTEE AND POSTED
ADDRESSci
0 Z /
(NAL
JOHN F LEWIS PRI CI AL STRUC URAL ENG R
PLAN CHECK VALIDATION c" M o CASH PERMIT VALIDi I Arm 5 8 5 49 1 6 1 ON c
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