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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP,, pRAM6 FIRE STOPS.
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DEPARTMENT OF BUILDING AND SAFETY 1 APPLICATION FOR PERMIT
1 COUNTY OF LOS ANGELES ( BUILDING
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WM. J. FOX, DHIEr ENGINEER �
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1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1 APPROVALS
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7M .A"1I W APPLICATION FOR BUILDING PERMIT Z
COUNTY OF LOS ANGELES BUILDING
DEPABTMENT OF COUNTY ENGINEER ADDRE59 O Y/ C/2G�iVo
BUILDING AND SAFETY DIMON LOCALITY
JOHN A LAMBIE, COUNTY ENGINxI[R NEAREST -
CASGATT O GRIFFIN,SUPT OF Bu1LDING CROSS 8i +�w<:l AI• 7,041 -
OISTRICT�+O GRf2{{6 TYPE P�^�'^ BY
FOR APPLICANT TO FELL IN S 1 CONST-� /4-1.-e
BUILDING p STATISTICAL IFICATION SEWER MAP
ADDRESS -5"D-L/ Al S� D • I F „� B
CLASS NO^- .. nWELL UNI
LOT NO OC
BLK NUMBER W HWSTAYE YES N -
TRACT / USX ZONE SPECIAL
NO OF SLOGS CONDITIONS
WOF LOT Z J O NOW ON LOT
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E%IBTING BLDG N/ nL V� YARD HWY STREET NAME
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DESCRIPTION OF WORK
NEW I AD ALTER REPAIR DEMOLISH
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SIZE STORIES FAMILIES
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SIGNATURE OF
APPLICANT - �� V 4\
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ADDRESS -� �� T� FOUNDATION LOCATION
FORMS MATERIALS
VALUATION E C FRAME FIRESTOPS.
B BRACING,BOLTH _f -C U r�T
FPC PMTEE s FEE /Zoo FGAR VENT DURNACE UCTS
LOCATION. - -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- LATH INT
PLICATION AND STATE THAT THE ABOVE 19 CORRECT AND _
AGREE TO COMPLY WITH ALLC 7Y O INANCES AND
STATE LAWS EGU TIN U LDI G ONSTRUCTION LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
RECAND POSTEDPERMITTE /
ADDRE6 I / INAL I /
CLYDE N DIRLAM, PFpNCIPAL ST941ETTRAL ENGINEER
PLAN CH= VALIDATION CK M O CA.H PEBNIIT VALIPATION cK N o CAMR
dl^og 6 1 5 � JUJ ?� 1 A 1800 �.
COUNTY OF LOS ANGELES TEMPLE CITY d 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0110260049
PHONE' (626) 285-0488 EXT
LEGAL ID NO. OF CONST NEW BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE OCCUP GROUP 5021 SERENO DR
STRUCTURE' 878 1 VN R3 TEMP CA 917803038
ASSESSOR INFORMATION NUMBER- GARAGE 400 NEAREST CROSS STREET ENCINITA
5388-016-010 OTHER THOMAS PAGE 596 GRID: H5 LOCALITY: TEMPLE CITY
TENANT EXIST BLDG USE. USE ZDNE- ISSUED ON PROCESSED BY EXPIKES ON.
EXIST DCC GRP 02/15/02 JK 08/14/02
OWNER TEL NO: BLDGS 19OW ON LOT VALUATION: FITL DATE FINAL BY: CDDF:
NEE CHANH (626) 287-9208- 3 69,540
5021 SERENO DR
TEP 917803038 FEES PAID MqMffMON Of WORK
ADD BDRM,FAMILY RM,KITCHEN & NOOK, REMODEL EXISTING
FEE DESCRIPTION QUANTITY: LION AMOUNT TOTAL 48D/2.5 BA WHEN COMPLETED, ADD ATTACHED 2CAR GARAGE
APPLICANT. TEL NO:
SAME AS OWNER - 81 PLANCHECK W/ENERGY 69540 00 VAL 933.92
AA BLDG PERMIT ISSUANCE, 27 75 SPECIAL CONDITIONS:
AC STRONG MOTION:RESID—�769540 00 VAL 6 95
B2 PERMIT.WEMER -E L E S 695540.00 VAL 1,098 74
SCONTRACTOR -rn--oAME AS OWNER CJ -'TOTAL'GF��y\ 2,067 36APPROVALS DATE INSPECTOR SIGNATURE
LIC NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVA7
ARCHITECT OR ENGrREMr— TEL N(FFouNDArMT7TWMMT7MW
LEO WU AND ASSOCIATES (626) 287-9208
5770 M AD BLVD R 102 LIC MOIL c� ,N�lTEMPLECITY C13
TEMPLE CITY CA 91780 NOME
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MAP NO SEWER MAP ON. PAGE 3 , . ) UNDERFLOOR INSULATINr—
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IST LEVEL FLOOR SHEATW—
NO. OF FAMILIES: DWELLING UNITS. APT/COND-3TAT-MJM9--.
NO 21 SCHOOL WIT14IN HAZARDOUSROOF SHEATHING` ZND LEVEL FLOOR SHEATH
\ { FIRE DEPT FRAME INSRU —
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AIR QUALITY 1000 FEET MATERIALS oL
NO NO NO
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SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPOW
REPORT ID' OPR261 ROUTE TO BS0508