HomeMy Public PortalAbout5025 SERENO DR_Building__ 6,11F 'MMAPIS..I7=C14Y
......A CE kaooEso APPLICATIONFOR BUILDING PERMIT '
COUNTY OF LOS ANGELES BUI eIN O kS S2F ^Nd
DEPARTMENT OF COUNTY ENGINEERADD
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMSIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T DF BUILDING CROSS ST C Sa
FOR APPLICANT TO FILL IN DISTRICT GROUP TYPE P ED BY
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BUILDING r �1 c J STATISTICALCLASSIFICAT ION SEWER
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ADDRESS Set s $ERF-A/b 0 lZ .
�j CLASS NO DWELL UNITS
LOT NO 27 piltj"oF BLOCK WATER NOT REQUIRED RECEIVED
CERTIFICATE ❑
TRACT MAPAp
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O OF BLDGS NO O LIC IGRCLE)HWA STATE MAJOR SECOND CAI
SIZE OF LOT , OW ON LOT USF Z E SPECIAL
USE OF1 CONDITIONS
EXISTING BLDG /V G S
OWNER Q9. SO NNo AT BUILDING EXIST l SETBACK YARD HWY STREET NAME IDTH
ADDRESS G2 -n/O DR FRONTARCHITECT ORTEL P L G �ENGINEERNO PDE /ADDRESS ! O
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DESCRIPTION OF WORK � ' Q
NEW ADD ALTER REPAIR DEMOLISH a a�
SO FT NO OF NO OF
SIZE ;/ STORIES/ / FAMILIES
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SIGNATURE OF
APPLICANT
VALUATION $ / D _ O
� APPROVALS DATE INSPECTOR•SION4URG
FEE $ 0 PA / PMT SZJ FOUNDATION LOCATION a l D )1.)1'\
FEE $ LJ FORMS MATERIALS l
FRAME FIRE STOPS _
1 HEREBY ACKNOWL[OG THAT HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT ITHE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GR CE
VE T DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HERESY I IILL NOT EMPLOY ANY PERSON IN VIOLA LUATW INT I
TION OF THE LABO CO OF THE BTATE F CALIFORNIA RELAT
ING TO WORKMEN COMP NEAT I ON IN5
MER E%T J I N
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE _ CT AND POSTED
ADDRESS FINAL
1 JOHN F LEWIS PRI CIPAL STRU TURAL ENGIN R
PLAN CHECK VALIDATION CK M O CASH _ PERMIT VALIDATION CK MO ASH
L. LID 1b LLjQ 3 D 21 �JQ6
LAJ�00439t2 SU20 1 D 46`50-
CDUN TY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMFNT TEMPLE CITY CA 91780 BL 0508 0206070029
PHONE (626) 285-0468 EXT
LEGAL -- - � —NO 0�
ON FILE SO FT STORIES TYPE 5025 SERENO DR
STRUCTURE VN TEMP CA 917803038
ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET ENCINITA
5388-016-010 THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
_ _ _ __ _ _iISSULD ON �4L'eSSED BY __--EXPIR S L _
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EXIST OCC GRP 06/07/02 JK —12/04/02
0'4te _ 4v LLD, NO _OI iLUAI ION tINAi OAIE FANAL BY CODE-
NEE CHANH (626) 287-9208- 2,500 ��
5023 SERENO DR ________ �_._ __ _ _ _
TEMP 917803038 FELS PAID _ DES MON OF WORK
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STUC-0 BUILDING
__ _ CC' DFSCF,PTION QUANTITY .,CM AMOUNT
AP-G- ANi TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC �IHON, MC,ION RESID `00 00 VAL 0 50 SPEC'A[--dVc11'T(SAS---
D2 PCI,MIT W/0-EN:HC - 2500 00 VAL 99 00
FLE S TLI)FEE 12/ 25
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5770 N ROSEMEAD BLVD # 102 LIC NO
TEMPLE CITY CA 91780 NONE KAP NO:
WER MAP BOOK PAGE f -Z' !„ J7 IIG6FRfGSOCICTRSI�
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AIR DUALITY 1000 FEET �� $AQALS
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NO NO NO �/ I L A �.� E INSPECTION
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REPORT ID: DPR261 ROUTE TO BS0508