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Home My Public Portal About5017 SERENO DR_Building__ 76AG30A CE 3F 803 B.62APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ABUILDING DDRESS Ol eI eno DS. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIjo LOCALITY JOHN A LAMBIE COUNTY ENNEAREST . WILLIAM A JENSEN SUP T OF BCROSS SDIST CT O G O TYPEFOR APPLICANT TO FICONSTBUILDING STATISTICAL CLASSIFICATION S ER MAP ADDRESS �� BKPG CLg53 NO�DWELL UNITSLOT NO ATER NOT REQUIRED RECEIVED CERTIFICATETRACT MAP HIGHWAYSTATE MAJOR SECONDOCALNO OFNO ICIRcIeISIZE OF LOTNOW USE ZONE SPECIAL USE OF CONDITIONS EXISTING SLOG OWNER At 64012 BUILDING HWY TREET NAME EXIST TTSETBACK WIDTH ADDRESS S nO DrFRONTARCHITECT OR P LENGINEER SIDE } P d ADDRESSmiff— TELOUGHV CONTRACTOR p _ y ADDRESS 1 / n DESCRIPTION OF WORK Grp NEW ADD ALTEfM REPAIR DEMOLISH SO FT NO OF NO OF SIZE STORIES FAMILIES USE OF STRUCTURE Patio Dnor SIGNATURE OF APPLICANT VALUATION $ 190.00 APPROVALS DATE INYP¢CTOR 0.IONATu11E PC PMT FOUNDATION LOCATION FEE $ FEE $ 1L.00 FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AMD STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS .0 II-DING CONSTRUCTION I CERTIFY THAT IN DOING THE WORN AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TON OF THE LABOR COOC OF THE STATE OF CALIFORNIA RELAY ING TO WORKMEN{COMPENSATION 1 URANCE LATH EXT SIGNATURE O HOUSE NUMBER COR PERM ITTEE RECT AND POSTED 7,7 ADDRESS FINAL i Ji IPAL /@Jd PLAN CHECK VALIDATION EK MO CASH JOHN F PERMIT C MLO ENGINEER GCASH 6 f 2 2 2 JU`� 17 ] D 4.G 0" 4 I J 1% APPLICATION FOR BUILnING PERMIT COUNTY OF LOS ANGE1 E8 BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO F01IN �LDK'10 I hereby affirm that I have a oertif raft of canard to soft Insure, EOF GRESS or a certificate of Workers Compensation Insurance,or a cot[ d copydersof(sae 39W Lab C) se a4! 7 8r LoawrY 'y No Company • NO OfBLDOa ON LOT ❑ CerClled cop!b hereby funis edbx ❑ Cerdfled copy b Bbd with the county bu90ing Inspection TRACT I BLOCK LOT NOdePartment MZONE MAPNOa?'Data Applicant AP BOOK BPECLLL CONORIONB CERTIFICATE OF EXEMPTION FROM 1MORIMRS' TEL NOIns —� COMPENSATION INSURANCE GAI ADORESa WITHIN 10110 Fr OF SCHOOL? YES NO This seCilorl need not be', H the permit In for ane hundred DISTRICT GROUP CONST FIRE ZONE PROCESSED BY doMn({100)or less) nP I certify that In the pafornsnce of the wort for which Mb permit Is Issued, I shall not employ any person In any manner q as t0 ARcmnF=ORENGWEE1y NO become subject to the Workers Compensation Lan STATISTICAL CLASSIFICATION APT CONGO Date Applicant AGGRESS / CLASS NO DWELL Lairts NOTICE TO APPLICANT it. after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers CONTRACTOR TEL No SETBACK YARD MY PROP LINE WIDTH Compenseton provMors of the Lebo Code you mud forarw" complywish such wsuch provisions or this permit dell be deemed revoked ADDRESS LIC-ND P L PL LICENSED CONTRACTORS DECLARATION 94 AIL LTC CLASS PDE I hereby affirm that I am Ilwrse0 under provisions of Chapter 9SEWER MAP (conwnencing with section 7000)of DtVWM s of rhe Business and eD SIZE HO OF STORES NO OF FAMRJE4 NEW ❑ BK PO Protesslors Code,and my Ilcarme Is in fug force and affect Lkanee Number Lic Class DESCRIPTION OF WOW ADD YAlAM710N 11hrl P.0%06 optW Contractorfate ALTER ❑ _ A2 0 z ❑ 1 am exempt under sec REPAIR ❑ $ — BAPC for this reason DEMOL ❑ LOMA P/C0 Geta USE OF E%t9TIN0 BLDG URM ❑ ,.e,�Slgnah" APPLICANT(PRINT) TEL NO Loh"Penn e 1 I10 1 es owner of the property err my employees with wages as ACCT.t Meir sob comperawdon will do the work and the allucWm Is ADDRESS not Intarleed or offered for sale (Section 7044, Business and FeIALDATE aQ iv�7 32.00 Probations Code) wunsAwlxANroR RnussueuwooaaunwrlwolaAlwamolmraeaAL 7 ❑ L es owner of the property am es with OR A H01tnx¢oorrTAewn A RArAmons hl i EarAL To OR DRDeER Tow a 1 FT S tkenssd oamracmrs tocamtnxx the ojeat (Section7044, o�aNnaNAr�uoolsNAlarwsaaaRrrAlloaoumlT FOMLn > TOTAL 92.00 Business and Professlors Code) waL TIrE iKlvax�uaE o rens euLnuro err THw Arrusvn ca nrrw eunaea ECK 32.CQ o00ur AHI 0U^U1°A uT AHI m�rrOO�wcrT O AO PRH M IVI IT'1 G��T Kf / CONSTRUCTION LENDING AGENCY FOR Wm OJ�, �HAS .00 I hereby affirm that Men Is a conthuction lending agency for vss❑ Nod Me performance of the work for which this permit Is Issued(Sec I r rrFAo THE rwAACOns rAavrrAas PgbRWlTga Guae AND THE eaom p 3097.Civ C) rFnnranaro O IMUlff i useso m W rvanm®aorre UNDIM THE Los ArgElEe brill—QDU 1 1/ 9/91 2 Lenders Name cornrrrcmamuxawraneneervarnlanwaeHrmwmreaYarq MiaeeAle AleleaTri10YT1aleeAorD 4916 1 AM 8:41 Lenders Address I Gently that I have read Mb application and arab that the above PCFEE PERAar FEE information Is correct I agree to comply with all county onlin novo and SMB len relating to building eormWetlon end S meby authalin representatives of this COYmy to order upon ISSUANCE FEE 2 _ #xj de eb entlored p e erll er Inspection purposea� 9/ �J R INVESTKLATION FEE TOTAL FEE 414P WE REVERSE FOR EI PLANATORt Y COUNTY OF LOS CBOS TEMPLE CITY 0501 BUILDING PERMIT DEPARTMENT OF PUBLILIWORKS ORK@ 9701 LAS TURKS ALTERATION/REPAIR /REPAIR BUILIHG AHD SAFETY LARD DEVBOPMEHi TEMPLE CITY CA 91780 BL 0508 060873004 5 PHONE 16]6) 285-O488 IIIT LEGAL ID NO OF COMET BUILDING ADDRESS ON PILE 80 PT STORIES TIDE 5017 SERENO DR BTRUC[VRE VH TEMP G 917803038 ASSESSOR INFORMATION NEER NEAREST CROSS STREET 5308-016-004 THOMAS PAGE 596 GRID HS LOCALITY TALE CITY, C TENANT EXIST BLDG USE REBID USE ZONE R-] ISSUED ON PROCESSED BY EXPIRES am EXIST OCC GRP 08/31/06 JE 08/26/07 IP YVWN LING (62f6f51-5941- `,W so BLDaB HON OH LOT VATI 3,000 FINAL DA�XPIR HY CODE 5017 SHREWD DR ' TEMP 917803038 FEES PAID DBSCRIPT INSTALL NEW WINDOW DOOR, AND NEW DRYWALL ON GARAGE FEE DESCRIPTION GWRTITY DOW AMOUNT APPLICANT TEL NO SAIF AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION REBID 3000 00 VAL 0 50 SPECIAL CONDITIONS B] PERMIT M/ENERGY 3000 00 VAL 300 90 PR INV WORN W/O PERMIT 136 50 DOL 128 50 TOTAL FEES 265 65 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAM AS OWNER - LIC NO LOCATION AND SETBACKS MILE ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION/TRENCH FORMS LIC NO SLAB/1-mm FLOOR RAISED FLOOR FRAMING MAP NO SEWS MAP HOOK PAGE FIRE ZONE CMP IIDDERFLOOR INSULATION 14fB265 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING WITS APT CORD STAT CLASS NO 21 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 PBBT MATERIALS NO NO 310 FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS SET BAG YARD ENT PROP LINE WIDTH FRONT PL- INSULATION NEITHER BYRIP BIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATE RATED FLOOR GIL RESEW RATED MALL ASSEMBLIES RATED SHARE OPERINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTS TO BBOSOS