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
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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
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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
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CT BLOC LOT NIA
( LOCALITY
NEAREST
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-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
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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
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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