HomeMy Public PortalAbout5008 SERENO DR_Building__ IeAe3$A CLR803 8-64APPLICATION FOR BUILDIN PERMIT
COUNTY OF LOS ANGELES .BUILDING 0
DEPARTMENT OF COUNTY ENGINEER Ao o R ESs
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST I
COLEMAN W JENKINSAUP T OF BUILDING CROSS 3T
FOR APPLICANT TO FILL IN DIST 61 °R 1° CONST P o D r
BUILDING STATISTICAL
��CLASSIFICATION SEWER MAP
A DDRE35 SD CLASS NO �LGDWELL UNI T9 BN'M P
LOT fl (A LOCK USE ZONE NAP zO/
TRACT ,V SPECIAL
CONDITIONS
SIZE OF LOT 0 ] N 01 eLDOD 2—
h�1� NOW ON LOT
USE TI 2,.—S K O "LW SLOG SETBACK IK
TEL WONT PROP LIN[ 01 (lTAR[T)
OWNER NO TYPE OF
S EXISTING HIGHWAY TOTAL
F C
ADDRESS 11 ID M
YARD
CITY �— �. T + —
ARCHITECT OR TE BLDG SETBACK FROM
ENGINEER -- N :109 PROP LIN[ OF STRICT
TYPE OF [L IST,NO ! ACR HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH ROM C L a
TEL + = O
CONTRACTOR NO 8J V
AGGRESS S NO 11.Ia' RNER CUTOFF TES NO 0
CITY T C LLC SEE REVERSE SIDE FOR SPECIAL APPROVALSi
DESCRIPTION OF WORK
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SIZE 4, �J w STORIES [ FAMILIES1 I
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SIGNATURE OF
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WITH ALL COUNTYCONSTRUCTION
ORDINANCES AND STATE LAWN REGULATING INT QA$ VENT DUCTS r
•U WING H"IZ CONRRSY I W NOTCERT EM THAT IN PORNO THE ROLA /
TION
THE
NLR[DY WILL NOT [SPATE ANY PERSON IN VIOLA LATH INT
TION OF TME LADOR COD T [ STATE OF LIFORN R[LAT
IN6 TO WORKMAN [CD NN I LATH EXT
SIGNATURE OF _ - — OUSE NUMBER COR-
PERMITTEE R A POSTED
ADDRESS [FINAL
JOHN F LEWIS PRI CIPAL S711& AL ENGINEER
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MO CASH
LI1Co 2 5 0 3 Me)10 1 � 4.00
TaAeaeA C1136 APPLICATION FO;RZIB� U I LD G-PERM IT
COtfNTY OF LOS ANGELES DU1LDIN0
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUWING AND SAFETY DIVISION LOCALITY
JOHN A LAM131E COUNTY ENGINEER NEAREST
COLEMAN W JENKINB.BUP T OF BUILDING CROSS a
DISTRICT NO OROU TYPE PRO !
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OR APPLICANT TO FILL IN CONST
O STATISTICAL C ASSIFICATION' SEWER MAP
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TYPE OF IXI STING SETBACK HIGHWAY } YARD = TOTAL
ADDRESS HIOKWAY WIOTN FROMCL S
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S FOUNDATION, LOCATION
FEE FEE$ Ga FORMS MATERIALS 47
I AME, PIRE STOPS,
OWL[DOE T I HAVE READ THIS APPLICATION BRACING BOL
A
THAT THE wMOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY OROIN4NC[113 AND STAT[ LAWS REGULATING GAS VENT DUCT
%UILOING CONSTRUCTION I CERTIFY THAT IN OOINO TME WORN
AUTHORIZLD HERERY 1 WILL NOT EMPLOY AY PERSON IN VIOLA LATH INT , r
TION OF THE LAND. COOC OF THE STATE ON CALIFORNIA RELAY
INO TO WORKMEN S C NRATION INSU
LATH EXT 7
SIGNATURE O HOUSE NUMBER COR-
PERMITTEE RECT AND P
ADDRESS sIt FINAL
PLAN CHECK VALIDATION crc No ICJOHN SH F LEWIS PRIN IPA[ 53CTu'tAL ENGINEER
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APPLICATION FOR BUILDING PERNtfr
COUNTY OF LOS ANGELES BUILDING -�OD
DEPARTMENT OF COUNTY ENGINEER ADDRESS- -
BUILDING AND SAFETY DIVISION LOCALITv �
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING NEAREST - - - - - -
CROSS 5T
FOR APPLICANT TO FILL IN DlSrgyT NO RTYPE CO R Y
(PRINT OR TYPE ONLY) �� !lY OUP
BUILDINGp� STATISTICAL C IFICA ION . SEW MAP
ADDRESS S-00 Q°Yflvo CLASS NO DWELL UNITS -BK J# PG
LOT NO �+ / BLOCK VSE ZONE MAP / _
J /I r NO
TRACT � — �ll�+ "✓` SPECIAL +
NO OF SLOGS _ CONDITIONS _ -+-
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG ` L BLDG SETBACK FROM
OWNER (AY,I[A/ M Ml/,[ NOFRONT PROP-LINE OF -- =- - - (STREET)
TYPE OF EWIDTXXISTI SETBACK HIGHWAY + YARD = TOTAL
ADDRESS OO S S[Yew O HIGHWAY FROM C L
CITY Temp)[ ciT a0
ARCHITECT OR TEL BLDG ETBACK FROM
ENGINEER NO SIDE PROP LINE OF (STREET)
TYPE OF EXLSTNG SETBACK HIGHWAY___; YARD = TOTAL I
ADDRESS HIGHWAY WIDTH FROM C L
CONTRACTOR OWM[Y NOL - -
ADDRESS pp __ CORNER CUTOFF. _ --YES NO ❑ _ c
C
LIC I , U
CITY CLASS SEE REVFERSE SAE FOR SPWAL APWOVALS y
CONSTRUCTION LENDER C
NAME AND BRANCH C a-S U C
LL
ADDRESS ZZ 9
OF
SIZEFT NO F No OO 'TOROIES FAMILIES NEW ?
USE OF ADD ❑
STRUCTURE S N AMM NL7 10DOL _
ALTER El
REPAIR ❑
SIGNATURE OF OEMOL ❑
APPLICANT
VALUATION 0 APPROVALS DATE INKP tun's SI •rune
P C PMT rS�� FOUFNDRATIONA LOCATIIOON
FEES J FEES (9 Z J
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME FIRE STOPS,
R I BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING HEREBUC-
DUCTS
TION I CERTIFY THAT IN DOING THE WORK AUTXORIZEI HEREBY I /
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR COD! LATH, INT
OF TME STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM- /�
PENSAT ION
INSURANCE /� LATH, EXTpOOL - 70
SIGNATURE OF, �J� _� y B HOUSE NUMBER CORRECT
PERMITTEE Lru �G'cY^ AND POSTED A
AOORESS!'i /,2 N',1 j T W III TT ASC Y
FINAL 17 1 O 197
JOHN F LEWIS PRINCIPAL ST TURAL ENGINEER
PLAN CHECK VALIDATION M o cAnH — PERMIT VALIDATION cA M a cAeH
4,9,2 IR AffIf 2 3 0 16.6 5
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IAr,49229 fw 1 0 27.75: a
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APPLICATION FOR I COUNTY OF-LOS ANGELES
EER
BUILDING PERMIT DBILDDING Atip OFSO�YY IIMION
BUILDING OD
FOR APPLICANT TO FILL IN ADDRESS
BUILDING -
ADDRESS LOCALITY
CITY C f Zip NEAREST
CRESS ST
NO OF BLDGS ASSESSOR - -
SIZE OF LOT O.AOIN ON LOT MAP BOOK PAGE / ARCEL
DISTRICT GR�OU+P TYPE _FIRE D BY
TRACT ��BgqLOCK LOT NO / CO
OWNER /rMa. IfTOL
STATISTICAL CLASSIFICATION
//LyyAS��SI FICA TION SEWER p
ADDRESS -CLASS NO ScL DWELL UNITS B PG
US ZONE MAP
CITY ZIP NO / I
ARCHITECT OR TEL SPECIAL 1
ENGINEER NO CONDITIONS
ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO
CONTRACTORMr, TE BLDG SETBACK FROM
+ ./ FRONT PROP LI NE OF (STREET)
ADDRESS�1y�.( Q �_ u LO 12.71irlsile NIG Y + _ TOTAL 5E T B A CK PROM TYPE OF EXISTING
CITY �� LIC G0 FRONT pROP LINE GHWAY WIDTH
Z OH6 UCTION LENDER zn
+
NAME AND BRANCH - BLDG SETBACK FRGM-
ADDRESS CITY SIDE PROP LINE OF (STREET) 8
SQ FT ll NO OF /� NO OF CHECK HIGHWAY # YARD o TOTAL SETBACK FROM TYPE OF EXISTING EC
SIZE GK STORI FAMILIES ONE SIDE PROP LINE HIGHWAY WIDTH o
DESCRIPTION OF WORK NEW ❑ + I H
7 ' 1 ADD CORNER CUTOFF YES ❑ NO Z
,TER ❑
IN OPEN SPACE • YES ❑ NO
EPAIR❑
USE OF IN COASTAL PERMIT ZONE YES ❑ NO
EXISTING BLDG- DEMOL ❑
APPLICANT TE u')
(PRINT) 2 NO YI
DY G TUSit
I C e ACKNOWL! NAT I HAV! R THIS APPLICATION ! _
NO S T THAT TN SOV! le CORRECT NO AGREE TO COMPLY
WIT
ORD)NA ED AMD LAWS REGULATING BUILD'NO CON f _
!TR ION I CERTIFY THAT IN DOING THE WORK AUTHOR I IED
HERERY I WILL NOT EMPLOY ANY PERSON IN VIOLATION 01 TNI
WORKMEN,GOR CODE M THE ION IN 01 CALIFORNIA IM RELATI MO TO
LX§0e COMPENSATION THAT IDN TE OF MC! -
SIGNATURE OF FINAL BY
PERMITTEE DATE
ADDRESS
TEL PC Fee$ lO A Permit Fee
CITY NO
b 1�zz InaflFe Fee
VALUATION - -
Total Fee
PLAN CHECK VALIDATION CK M o c:GH PERMIT VALIDATION CK M o CA"
I089rT dU23 0 6 9.7 5 88a `
TGAGMA CK*NIB 12/75 - - .