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Home My Public Portal About4962 SERENO DR_Building__ APPLICATION FOR COUNTY OF LOS ANGELES -"BUILDING PERMIT %BUILDING ANn AFIETY DIVISIONR F BUILDING FOR A/ •P�PLICANT�TTO FILL IN ET ADDRESS r ADDRESS LY'INccl d 3,mem0 LOCALI CITY NEARES TY J TE LC CI ZIP41 -9/HO CROSS ST rN6 OF ^ SIZE OF LOT Sox I O NOW ON LOTS (.. MAP BOOK PAGE PARCEL /A� DISTRICT GROUP TYPE FIRE wl �l TRA -� QC LOT NO s'Q 9 T• CONT 2SE TEL 6 ^, Cl L� r OWNER NO -LA STATISTICAL CLASSIFICATION {{�� ^ ' ADDRESS rA0 y _1 ��CZZZLpppANNNSS NO'�DWWELL UNITS , CITY -T ZIP ql 7H0 x6 E NOP d-Q ARCHITECT OR TEL / P CIAL _ ENGINEER NO g DITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES NO CONTRACTOR (,(fN TEL SLOG SETBACK FROM LIG FRONT PROP LINE OF (STREET) 'ADDRESS S - NO HIGHWAY + YARD TOTAL SETBACK FROMI TYPE OF 1EXISTING LIC FRONT PROP LINE HIGHWAY WIDTH_ CITY CLASS CONSTRUCTION LENDEq LL + NAME AND BRANCH L�0 d�� 4o' _, BLDG SETBACK FROM ADDRESS CITY Tom'1 Lon SIDEPROP LINEOF IST Tl 8 SO FT NO OF NO OF CHEC HIGHWAY + YARD o TOTAL SETBACK FROM E OF EXISTING W SIZE (� STORIES FAMILIES ONE SIDE PROP LINE IGHWAY WIDTH DESCRIPTION OF WORKgC NEW ❑ + H Trl ^� `O� - DD El CORNER CUTOFF YES NO _ hhFF ^1 ALTER ❑ IN OPEN SPACE ES ❑I NO USE OFQ EPAIR❑ EXISTING BLDG .-e71 F� Ai EMOL ClAP NT MA,AIN COASTAL PERMIT ZONE a YES NO PRINT) , A �Q F' NOL e6ro6 tr¢ BY (SIGNATURE) - I HERESY ACKNOWLEDGE THAT I HAVE READ TN13 APPLICATION _ AND STAT[ THAT THE ABOVE 13 CORRECT AND ACRE[ TO COMPLY WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON- STRUCTION I C[ATI FY THAT IN DOING THE WORK AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STAT[JOF CALIFOAJ04 IM ATINO TO WORKMEN'S COM RA [ SIGNATURE OF FINAL -7 BY PERMITTEE DATE ADDRESS TEL PC Fee$ Permit Fee CITY NO 133uence Fee -VALUATION '�• -� Total Fae PLAN CMCE VALIDATION CK M O CASH PERMIT VALIDATION CN M O CASH s"8'3�IN6 1 0 - 69.0 0ASO 7SA313A CK 0WSIS 11/73 ' , WORKERS COMPENSATION DECLARATION hereby affirm that I have a certificate of tionconsent to nee, APPLICATION FOR BUILDING PERMIT insure, or a certificate of Workers' Compensation Insurance, Or a certified copy thereof (Sec 31300, Lab C) _ 'COUNTY OF LOS ANGELES T . BUILDING AND SAFETY Policy No Company - _ "D `Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS 11_11_111e_� le/ ❑ Certified copy ts filed with the county building inspec- - AWDID /} 2 S- r I tion department r Date Applicant pry:JaZIP 1" - LOCALITY IF ON F& NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT - NOW OLOT - CROSS ST 'COMPENSATION INSURANCEASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO MAP BOOK - PAGE PARCEL hundred dollen ($100) or less ) / NO"� yy a� .� OVy�R - USE ZONE MAP d I certify that in the performance of the work for which this _ } permit is issued, I shall not employ any person in any manner ADDRESS "- -/ CONDRIONIS a_ so as to become subject to the Workers Compensation Lows 0 CITU - ZIP Dote Applicant ' ARCHITECT TEL i DISTRICT GROUP I TYPE FIRE (291USSED By Q NOTICE TO APPLICANT If after making this Certificate of ENGINEER- NO __ -_ CONST Z�E rU Exemption you should became subject to the Waken -j � ✓J �i Compensation provisions of the Labor Code, you must forth- ADDRESS ,D with comply with such provisions or this permit shall be TEL STATISTICAL CLASSIFICATIONAPT CONDO to deemed revoked CONTRACTOR NO - z LICENSED CONTRACTORS DECLARATION UC CLASS NO DWELL UNITS— IIIIIII NO hereby affirm that I am licensed under provisions of Chaptert? ADDRESS SEWER MAP (commencing with Section 7000)of Division 3 of the Business UC and Professions Code,and my license is in full force and effect CITU CSS BK PG ' VALIDATION SO FT NO OF NO OF LACHECK License Number Uc Class SIZE STORIES IFAMLIES ONE FE r - VALUATION Contruc,w Date - DESCRIPTION OF W — NEW ❑❑ $ 7,3 • /fin i ADD ❑1 am exempt under Se c s• ALTER ❑ r B&P C for this reason If REPAIR ❑ $ Date USE OF ENISTING BLDG DFIAOI 0 Signature _ APP1 NTT TEL _-FINAL OWNER-BUILDER DECLARATION 1 DATE I hereby affirm that I am exempt from the Controctor's License - FINAL Low for the following reason (Section 7031 5, Business and ADDRESS Professions Code) - ' NT _ _ _ BY Pr ® I, as owner of the property or my employees with BADDRIIN - i wages as their sole compensation,will do the work and LOCALITY - - - - - tit { •T the structure is not intended or offered for sole(Section _ 704/, Business and Professions Code) MOVING TEL r _ _ _ -LIQ ❑ I, as owner of the property, am exclusively contracting CONTRACTOR NO ! k 17JIG with licensed contractors to construct the prolan (Sec tion 7044, Business and Professions Code ) ADDRESSf J I_ITftL 96 63 EDTOCONSTRUCTION LENDING AGENCY UI YARD HWV TALPROP SETBAOCEFROM WIDTH I hereby affirm that there is a construction lending agency for FRONT _ y�••-- the performance of the work for which ,his permit is issued P L NAhIGE (Sec 3D97, Civ C) SIDE •�I-' PL Lenders Name i PC Fee S Perms Fee p G LDMA Rei Y IJ{_UL1-IJI?I]1 11/ y 1 2 Lenders Address sw �Y - - plop 1 Fir, ?•_ g I certify that I have read this application and state that the Ionce Fee S LDMA P/C N � above Information is correct I agree to comply with all County Invmtegation Fee ordinances and Stat laws relating to building construction, Total Fee -� LDMA Perm N Q and u hereby thoa epresentaiives of this County to enter RY) upo e- tiadFopertlil inspection I` � � SEE ILEH[RN FOY EXPLANATORY UNOUAGE I Dote raNre of Applicant or Agent - - - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORM 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0909140021 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST NEW BUILDING ADDRESS ON FILE SQ FT STORIES TYPE OCCUP GROUP 4962 SERENO DR ISTRUCTURE 0 1 V-B R3 TEMP CA 917803036 ASSESSOR INFORMATION NUMBER GARAGE NEAREST CROSS STREET 15388-012-016I OTHER 229 1 V-B Q THOMAS PAGE 596 GRID HS IACALITY TEMPLE CITY C (TENANT E XIST BLDG USE USE ZONE ISSUED ON PROCES56D BY OCC GRP 09/14/09 SR TOWNER TEL BLOCS NOW ON LOT VALUATION 1 FINALINY CODE CHER, HUNG (626) 3]4-4-8592- 6 000 /_,1�r' 4962 SERENO �'�l\/ DR TEMPLE CITY CA 91]80 FEES PAID 1�CRIPT N OF WORK (ADD 141X161 6 6'X12' PATIO COVERS (OPEN) ONLY FEE DESCRIPTION QUANTITY DOM AMOUNT (APPLICANT TEL NO IDB CONTRACTING (888) 2]]-6446- ID1 PLANCHECK W/O EN-HC 6000 00 VAL 126 99 301 E ARROW HWY AA BLDG PERMIT ISSUANCE 27 75 ISPECLAL CONDITIONS SAN DIMAS, CA 91]]3 AB STATE GREEN BLDG FEE 6000 00 VAL 1 00 IAC STRONG MOTION RESID 6000 00 VAL 0 60 `/ A']. ID2 PERMIT W/O EN-HC6�� 6000 00 VAL 149 40 1 No -16 teA l hV`M # A\r St" �cls CONTRACTOR TEL NO TOTAL FEES 305 74APP DATE INSPECTOR SIGNATURE DB CONTRACTING (909) 636-7505- 301 W ARROW HWY #110 LIC NO IL.00ATION AND SETBACKS SAN DIMAS, CA 91]]3 832929 (SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORM9 LIC NO r (SLAB/UNDER FLOOR RAISED FLOOR FRAMING IMAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION 3 00 11ST LEVEL FLOOR SHEATH INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I NO 21 12ND LEVEL FLOOR SHEATH SCHOOL WITHIN HAZARDOUS IROOF SHEATHING AIR QUALITY 1000 FEET MATERIALS NO NO NO FIRE DEPT FRAME INSPECT REQUIRED TOTAL SETBACK FROM EXIST BLDG DEPT FRAME INSPECT SET BACK YARD HWY PROP LINE WIDTH - FRONT PL- 1 SHEAR PANELS SIDE PL- INSULATION/WEATHER STRIP( I INTERIOR LATH/DRYWALL I EXTERIOR (ATH (LOT DRAINAGE SMOKE DETECTION DEVICES IFIRE DEPARTMENT APPROVAL( • ADDITIONAL DATA ON FILE I I r (REPORT ID DPR261 ROUTE TO BS0508 • COUNTY OF LOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTREATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPT TEMPLE CITY CA 91780 BL OSOS 0506070054 PHONE (626( 285-0488 SET LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE �� 4962 SERENO DR STRUCTURE VN TEMP CA 917803036 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET 5388-013-016 THOMAS PAGE 596 GRID HS LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 06/07/05 JK 06/02/06 OWNER TEL NO BLDGS NOW ON LOT VALUATION FIN D PI BY CO➢E RUA, KENNY (676( 287-8223- 1 000 - C� 4962 SEEENO OR TEMPLE CITY CA 91780 PEES PAID DESCRIPTION OF WORK ENCLOSE FRONT PORCH WITH WINDOW L SCREEN DOOR FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION "SID 1000 00 VAL 0 50 SPECIAL CONDITIONS D2 PERMIT W/0 M-RC 1000 00 VAL 65 40 TOTAL PEES 93 65 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO + LOCATION AND SETBACKS _ SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO POUNDATION TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION XX 3 01 FLOOR SHEATHING NO OF FAMILIES ➢WELLING UNITS APT COED STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS _ AIR QUALITY 1000 PEST MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER RANGERS SET BACK YARD HWY PROP LINE WIDTH M FRONT PL- INSULATION WEATHER STRIP SIDE PL- INTERIOR LATH DRYNALL EXTERIOR LATH - - RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAPTS OPEWINGS - - - T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508