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Home My Public Portal About4957 SERENO DR_Building__ v E_<--•APPLICATION FOR BUILDING PERMIT FOF AF?L�ICANTJO FILL IN (P".t Gr ry P• .nIY) TJ/f Clv�l L 17 / [TRACT OILDING COUNTY OF LOS ANGELES oDREss DEPARTMENT OF COUNTY ENGINEERITY E' zip 1917 Q BUILDING AND SAFETYD`MSION LDI IZE OF LOT NO NOW ON LOTS ' ADIDR ESS - j ��// ('Z 1 . \BLOCK LOT NO LOCALITY �11 /TE NEARESTWNER O NO CROSS ST ASSESSOR ADDRESS 9 SE1Ze O MAP BOOK IT 'E �P-AGE PARCEL CITY ZIP 90 DISTRICT GUP CONST )/T/ F PRO7/J/7/ ARCHITECT R TEL -� '/Y `, ENGINEER NO _ STATISTICAL CLASSIFICATION7 ' SEWER MAP ADDRESS CLASS NO�LOWELL UNITS BK /1 P L CONTRACTOR D E TE USE ZONE MAP / ) LIC ADORESS E NO -p'� SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ CONSTRUCTIO LENDER IYI U E N NAME AND BRANCH BLDG SETBACK FROM FRONTPROP LINEOF (STREET) p ADDRESS CITY HIGHWAY } YARD TOTAL SETBACK PROM TYPE OF EXISTING V SO FT .R� NO OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE T67o STORIES I FAMILIES I ONE DESCRIPTION OF WORK 'LQ NEW ❑ 6W. BLDG SETBACK FROM H _ a DD ® SIDEPROP LINEOF (STREET) 2 ALTER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY + YARDS - E PA I R E] SIDE PROP LINE HIGHWAY WIDTH USOF EXIST NG BLDSG, /' EMOL 11 + 1� APPLICANT TEL 87(F.g CORNER CUTOFF YES ❑ NO (PAINT) BY ISIGNATUR IN OPEN SPACE YES ❑ NO Cl IN'COASTAL ZONE YES C] NO cl VALUATIONS a� CATEGORICAL EXEMPTION YES� NO Cj 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AFPLICAT ON ENVIRONMENTAL AND $TATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMA LY IMPACT E%EM PTION OEC LA RATION 910NE0` (DATE) WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON $TRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCE35ED (DATE) HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNI IN 't9NG TO /T�/ Y WOgNMEM 8 COMP[N A N INSUR (( J SIGNATURE OF PERMITTEE ADDRESS TEL INAL BY CITY NO DATE i ihE ( HLl h 11 1"'_L 10 FEE 5 FEE HARVEY T BRAND COUNTY ENGINEER j PLAN CHECK VALIDATION CK M o CASH PERMIT VA/ J �TI N « M o cAG« ,}( 1 76g63$A CE0803 12/72 5 9 -373?3 JUN 8 1 D 4 8.7 5� _ _ 7%AS381A CE 080912/69 4 APPLICATION �OR BUILDING PERMIT COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE. / - PARCEL ~ BUILDING AND SAFETY DIVISION ADIDRESS 4257 AC/ E/LC/tJU JOHN A LAMBI E. COUNTY ENGINEER —7— _ COLEMAN W JENKINS. SUP T Dr BUILDIxo LOCALITY / FORAP LCA T TO TIL N CNRCSS sT Er/ G.;v/�i9 DISTRICT NO 'GROUP TYPE ESSED BY BUILDING S sill 13E CONST ADDRESS `�Y ..J-- STATISTICAL CLASSIFICATION LOT NO BLOCK SEWER NAP CLASS NO �� DWELL UNITS_ BKAJ PC>CR TRACT -NO OFO BL USE ZONE MAP --G NO I - SIZE OF LOT � NOW ON LOT `�_^J SPECIAL USE OF 7� L� CON DI TIpNg EXISTING��BLDG !v -�:7rvl OWNER NTEO BLDG TBACK FROM ADDRESS FRONT P LINEOF ISTREETI TW!OF 18TI BACK HIGHWAY + YARD = TOTAL CITU HIGHWA WIDTH FR ARCHITECT OW TEL \ + _ ENGINEER NO BLDG ROP LI EOF \ AD RE SIDE PROP LINE OF � ISTREE71 ��$L TVP!OF ISTING BETBACK HIGHWAY + YARD = TAL CONTRACTOR A HIGHWAY WIDTH FROM C C' LIC �� + _ ADORES$ NO / LIC ry G�.T CITY 10 CLASS�— CORNER CUTOFF YES ❑ NO LJ CONSTRUCTI N LENDERS C NAME AND BRANCH SEE REVERSE IDE FOR SP CIA L PROVALS w ADDRESS IT y SO FT NO OF NO OF NEW ❑ O 2 SIZE STORIES FAMILIES USE OF ADD STRUCTURE ALTER SIGNATURE O REPAIR❑ APPLICANT J ,ruOL ❑ VALUATION S APPROVALS DATE Ixe roR'a al x un PC PMT FOUNDATION LOCATION FEE2 S FEES 7 7S FORMS MATERIALS 7 D FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE TRAT I HAVE READ THIS APPLICATION BRACING BOLTS AMD STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUCTION IC THAT IM DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT "sop CODE Of TX[ STAT[ OF CALIFORNIA IN RELATING TO WORKMEN'S COMPENSffION INSURANCE LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRESS FINAL V PLAN CHECK VALIDATION cK Mo CASH JOHN F LEWISPRINCIPAL UL`URENGINEER PERMIT ALIDATIO ( cK No CASH LAr.,7212F- ocr16 1aD � 27.75- i k TEMPS CITY 1 ,..o,.sao.✓» APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGII.F.4 BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BU=ING AND SAFETY DIMON LOCALITY J JOHN A LAMBIR. COUNTY ENGINEER NEAREST JENSOF BUILDINO CRO88 ST FOR APPLICANT TO FILL IN DISTRICT O GROUP TYPE CONST P ESSED BY BUILDING n_ ' - UATISTIGLCLASSIFICATION SEWER MAP ADDR -+/LNLiO > CLASS NO WELL UNITE LOT NO SO MAP _ STATE YE O NUMBER Hwy TRACT S IoZ USEZONE SPECIAL //�� O OFBLDGS CONDITIONS SIZE OR LOT V NOW ON LOT I USE OF / EXISTING BLDG C / TEL BUILDING YARD HWY STREET NAME EXIST OWNER O FRONT ADDRESS J O BID! ARCHITECTOR v TEL L ENGINEER N INSPECTION RECORD ADDRESS TEL CONTBCTOR NO O ADDRESS V ESCR]PTION OF WORK ' 0 foil NEW ADD ALTER REPAIR DEMOLISH SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF - STRUCTURE n SIGNATURE APPLICANT VALUATION S APPROVALS DATE INSPECT 93IGNATURE PC FOUNDATION LOCATION PEE FEES FORME MATERIALS /3 RAM I HEREBY ACKNOWLEDGE THAT 1 HAVE RBD THIS AP- E FIRESTOPS. BRACING BOLTS PLICATION AND STATE THAT THE ABF OVE IS CORRECT AND pURNAC! LOCATION AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS y T DUCTS STATE LAWS REGULATING BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK AUTHORIZED 1 u IrmJcr Z 6� WILL NOT EMPLOY ANY PERSON IN VIOLATION OF TH. WORKMEN 8 COM AWS OF r.ALIFORNIA. uTM ET PERNITT SIGNATURE HR UP AND POSTEDR ADDR I FIN VW 6 CLYDE N DIRLAM. PRI CIPAL ST RAL ENGINEER PLAN CHECK VALIDATION cm mo eAim PEBNIIT VATATION No eAaH Uco 6 S 6 6 «ov 3 1 D 9 % ID m.