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HomeMy Public PortalAbout4963 SERENO DR_Building__ TyA1'�A.V ASOD A/T2 T P�-'�. vEZ� APPLICATION FOR BUILDING PERMIT _ COUNTY OF LOS'ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUUDING AND SAFETY DIVISION BUILDING MA KE CHECKS PAI ABLE TO ADDRESS 1l0 HARVEY T BRANDT, COUNTY ENGINEER LOCALITY 1 FOR APPLICANT TO FILL N NEAREST y. A CROSS ST C/ /{ BUILDING DISTRICT NO GROUP TYPE PRgCEZSED BY ADDRESS L / evek� '�' -/' CONST C�o�,}'10 l7 STATISTICAL CLAS51FIICATION S\\IEWE5' P LOT NO rT IED BLOCK CLASS NO ,Z/1 DWELL UNITS_ K PG� TRACT USE ZONEI MAP K �� (' NO OF BLOCS NO SIZE OF LOT l NOW ON LOT No USE OF CONDITIONS EXISTING BLDG /' ��(( OWNER OS'PI/fA J7CEA No BLDG SETBACK FROM ADDRESS U 4� FRONTPROP LINEOF (STREET) TYPE OF EXIHTING SETBACK HIGHWAY } YARD = TOTAL CITY HIGHWA WIDTH FROM C L ARCHITECT OR 1 - ..\ TEL } ENGINEER 1 - NO BLDG SETBACK FROM ADDRESSI .�� • \� SIDEPROP LINEOF (STREET( o CONTRACTOR , w N Y✓ \ TEL t O•�_O 7.I TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL U NO /'! HIGHWAY WIDTH FROM C L CC ADDRESS Q6 -!� J NO } = Cj LIC CU CITY' ,\ } CLASS CORNER CUTOFF YES ❑ NO ❑ Z CONSTRUCTION LENDER — NAME AND BRANCH 6 Y SEE REVERSE SIDE FOR SPECIAL APPROVALS ADDRESS SO F J • ` ES NO OF / NEWtZ S12 IES FAMILIl USE OF ADD STRUCTUREIt ALTER ❑ A `+\ — y REPAIR SIGNATURE OF - • -- .. �( APPLICANT, DEMOL VALUATION S APPROVALS DATE I yqcrow h.1GHA TUNE P C PMT FOUNDATION LOCATION FEES FEES FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS DTRVCTION I CERTIFY THAT IN DOING THE WORK AUTHORISED HERESY I WILL MOT EMPLOY ANY PERSON IM VIOLATION OF THE LATH INT 7-4 LABOR CODE OF THE STATE OF CALIFOR IIA IN RELATING TO WORKMEN'S COMPE DATION INSURAI LATH EXT Z, ' SIGNATURE OF e,��,v;/J HOUSE NUMBER COR- PERMITTEE ! RECT AND P D E ADDRESS AIN FINALyl Kc-Kr) PLAN CHECK VALIDATION CK .0 ueH _ PERMIT VALIDATION K M O 6D„1 UJW 0 3 e 7;d OV 13 1 D 5 ,5 0� v APPLICATION FOR BUILDING PERMIT F�R'APP,LICANT TO FILL IN (P.Im or (Yoe o 10 �j '3 [ENGINEER LDING rC6 - 49'`. COUNTY OF LOS ANGELES R�ss DEPARTMENT OF COUNTY ENGINEER Z' E%(7 a BUILDING D SAFETY DIVISION WN6 OF OF LOT NOW ONLOTBUIL ADDRESS BUILDING 41 nA `!6 S CT BLOC LOT NIA ( LOCALITY NEAREST E \" NOLEAF -2 /-471l CROSS ST ASSESSOR R s Z .L MAP BOOK PAGE PARCEL I IV Et" �� - ZIP ( � -Jd �`ISTRICT GROUP CONST ZONE ITYPE FIRE S€O BY HITECT O , ` '/ NEOL y- ��� V'O VwK U STATISTICAL CLASSIFICATION SEWER MAP ADDRESS 7 , �K� CLA55 NO��-.DWELL UNITS BK/%l CONTRACTOR No-TEL U ZONE MAP LIG NO ADDRESS /�f NO _� SPECIAL CITY LIC CONDITIONS CLASS ROAD DEPARTMENT APPROVAL UIRED YES❑ NO❑ CONSTRUCTION LENDER NAME AND BRANCH BLDG SETBACK FROM FRONTPROP LINEOF drvaaI2 (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF E%(STING U SO FT NO OF NO OF CHECK HIGHWAY + YARD - HIGHWAY WIDTH FRONT PROP LINE C SIZE STORIES FAMILIES ONE HO DESCRIPTION OF WORK NEW ❑ + O W / DD ❑ BLDG SETBACK FROM y L SIDEPROP LINEOF (STREET) Z LTER ❑O HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EX I9TING imREPAIR SIDE PROP LINE HIGHWAY WIDTH USOF EXISTING BLDG �( EMOL E] + APPLICANT c TEL CORNER CUTOFF YES C] NO ❑ (PRINT( BY (SIGNATURE) A7 IN OPEN SPACE YES ❑ NO ❑ ) Q �( IN COASTAL ZONE YES [3 NO ❑ I VALUATIONS 6Q F O O CATEGORICAL EXEMPTION YES❑ NO ❑ I HEREBY ACK EDOE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 'IMPACT EXEMPTION DECLARATION SIGNED (DATE) WIT HALL ORDINANCES AND LAWS REGULATING BUILDING CON STIR UC TI ON I CERTIFY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) _ HEREBY I WILL NOT EMPLOY ANY PERSON IN VI ATION OF THE LABOR CODE OF T E STATE OF CALIFORNIA N R[LATING TO WOgXMEN S COMP ATION INSURA MC SIGNATURE OF PERMITTEE ' ADDRESS FINAL TE CITY NOL/ �—Q J7 DATE tI1fKL C HL( 65 P 11 1HLL 10 FEE $ FEE $ HARVEY T BRANDT COUNTY ENGINEER /c,2 0 }'O Q PLAN CHECK VALIDATION CK M D CAB. P VALIDATION CK M Q C.BH 111, 3 4 2 3 'CT 3 1 0 1 2.0 01 Q 76A638A CE 480312/]2 ` TShSDB\ IS0, 41,70 0 Ir APPLICATION FOR BUILDIG PERM COUNTY OF LOS ANGELES ASSESSOR DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL BUILDING AND SAFETY DMSION BUILDING JOHN A LAMBIE• COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY R APPLICANT TO FILLNEAREST CROSS ST BUILDING D�(COT NQS GR CONST TYPE PR D B ADDRESS CIy LOT NO BLOCK STATISTICAL A IFICATION SEWER MAP �P CLASS NO DWELL UNITS_ BK PO TRACT USE ZONE MAP NO OF BLOTS ( NO SIZE OF LOTS'6! � NOW ON LOT SPECIAL USE OF fezCONDITIONS EXISTING BLDG qq OWNER NOL v�O ��^ BLDG SETBACK FROM �/ ADDRESS ( FRONTPROP LINEOF (STREET) TYPE OF (STING SETBACK HIGHWAY + YARD = TOTAL CITY NIGHWA WIDTH FROM C L ARCHITE OR TE + O _ D ENGINEER BL 'SETBACK FROM ADDRESS SIDEPROP LINEOF (STREET) TEL TYPE OFIEXISTING SETBACK HIGHWAY + YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM C L LIC ADDRESS NO + = V CITY CLASS •� \ '\CORNER CUTOFF , YES ❑_ NO Q O NAMECONSBIRANCTDER SEE REVERSE SIDE FOR SPECIAL APPROVALS d ADDRESS H SO FT NO OF NO OF ZZ SIZE STORIES FAMILIES NEW ❑ USE OFI I ADD 7 STRUCTURE A LTE ❑ 7� REPAIR[0:11 SIGNATURE OF / APPLICANT EMOL ❑ VALUA TI S �S(/L/A APPROVALS DA E INRP on'a emHATV RE FEE f FEES �/J V FOUNDATION MATERIAALS FRAME FIRE STOPS / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ASOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL ORDINA"CES AMD LAWS REGULATING BUILDI MG COX- GAS VENT DUCTS STRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED �5 H[R[BY 1 WILL MOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT /a LABOR CODE OI THE STATE OF CALIFORNIA RELATING TO WORKME N'8 CONIP[N ATION INSURAN LATH EXT SIGNATURE OF �J HOUSE NUMBER COR- PERMITTEE RECT AND POSTED ADDRHss FINAL / 7i JOHN F LEWIS PRINCIPAL S.�TRUCT�'y�gAl L ENG( PLAN CHECK VALIDATION CK MO GAGA ±I PERMT VALIDATIO- 0 CASH __ r_ g o b 4�- FEB 9 1 D 4 350IX - C' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 4 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS n ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9612190045 PHONE: (818) 285-0488 EXT LEGAL ID. NO OF CONS1 BUILDING ADDRESS ON FILE S0. FT STORIES TYPE 4963 SEREND DR STRUCTURE 0 V TEMP CA 917803035 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET. ROSEMEAD BLVD 5388-015-014 ` THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY TENANT EXIST BLDG USE RESiD USE ZONE R-d ISSUED ON PROCESSED BY nffiTffEr_6w_ EXIST OCC GRP: 12/19/96 jy.-�� TC ..�'-�-,,, /�12/19/9977OWNER TEL NO: BLDGS NOW ON LOT VALUATION FW DATE FINAL BY CODE '� / CHEUMG YAU Y,YONG KIT CHIRG (818) 292-1829- 1 3,000 6E�C� 0 4A Lt xj W '/a 4963 SERENO DR TEMP 917803035 fttS PAID n , REMOVE/RECOVER WITH 20UR COMP SHINGLE FEE DESCRIPTION ,U`OWNTITIYJUDN: / AMOI)NT APPLICANT TEL NO-SAME AS OWNER - AA BLDG PERMIT ISSUANCE) `l ,-I�s 27.75 AC STRONG MOTION RESID, 3000i00VA L .0`50 SPECIAL CONDITIONS D2 PERMIT W/O EN-HC- 3000-00 VAL 99:15 TOTAL FEES 127.40^ CONTRACTOR TEL NO Y APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - (( l 1 LIC NOSOILS ENGINEER OPWAr- S)IHOM oriondi RMS LIC. N0: SLABIUNDER FLOOR tl 111 PAP NO SEWER MAP BOOK PAGE FIRE ZONE CKP UNDERFLOOR INSULATION 140265 3 01 ��/ C 1 g FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I NO 21 �/�O SCHWL WITHIN HAZARDOUS SHEAR PANELS ROOF SHEATHING AIR OE INSPECTI RD 1000 FEET MANO S IALS - / [1F� �_ REQUIRED TOTAL SETBA5rT10F__Mff9r_ SET BACK YARD HWY: PROP LINE WIDTH J FRONT PLINSULATIONIWEATHER STRIP - SIDE PL- INTERIOR LATH/DRYWALLU I RATED SHAFTS/OPENINGS REPORT ID DPR261 ROUTE TO SS0508