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HomeMy Public PortalAbout5032 SERENO DR_Building__ ARTMENT OF BUILDING AND SAFETY T APPLICATION FOR PERMIT �g = COUNTY OF LOS ANGELES l BUILDING 1 t. WM. J. FOX, CHIEF ENGINEER U ® I l G FOR APPLICA7Fnjnq, FOR OFFICE USE ONLY DISTRICT NO PLAN CK No PERMIT NO BUIL75 ADOREIBp I} p7 D 9/ 5Y S(� I�//LOCALITY RECEIVED BY DATEDATE OF APPLAPPL D �!T[1 UCD N URCBTC ST. DRESSDpEBB 53 S"ggp) ng MAILLOCALITY BgF+ ADDR[S8 NEAREST TE CROSS ST FIRENO Or TYPE BROUP ARCHIT[CTOR TEL ZD W PLANS `. ENGINEER NO BLDG / ORD NO ADDRESS SETBACK LINE APPROVED I _ CONTRALTO [ L; BY Iz- \ A DATE \ SUB[ I- �APPROVED-L DRESS ZONE BY �J^" 7 _ DAT[ LEGAL CORRECTIONS DESCRIPTION M BLOCK \ V /V •' NO Or BLOBS BITE OF LOTS : J�,. �( ti I NOW ON LOT - I G• ' �I�� 8 USE Or / EXISTING BLOB %l �1'�-L1 rAMLL O I ROOMS P ,\ r �,( "y�r ,•J DESCRIPTION-OF-WORK— NEW ALTERATION ADDITION ' O A REPAIR MOVING DEMOLISH 0 NOZ ROOMS STOR�B r r WALLI Roor COVE COVERING /_�� COVERING COk�JC.d USE or MEW BUILDING AA! p I VI' lov Y" C� 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPROVALS}lt APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT FOUNDATION. LOCATION INSPECTOR DAT[ AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS yp i s, -'to�L18 AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION SIGNATURE A^/// r=cilV Iw Ba D� I - 3 Y? PERMITTFr � ^� �) j1 LAT H.IMT �! �� 3�-�,Y �� AUTHORIZED ABT ( t �'� L. LATH.[XT' D� A� T-,T � PCO �[ 00PLASTER.INT - B FEE V Y PLABT[p.E7(T VALUATION !/ r[e �Q�� FINAL APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I hereby affirm that I lune a certificate of consent to all Irours, or a certificate of Vi rkers Compensation Insurance, or a carolled copy thereof(Sec 3800 Lab C) UTTZ Policy No?Uy— 10R7(o5om S Cpany (..:L�SLr1 i ( 7`d" ) LocAurr T��7PL E — OF L NO OF BMW NOW ON LOT ❑ Certlfed coq is hereby fumlethed NEAREST CROSS ST ❑ Certlfled copy Is filed with Unry bun g i ecti0 TRACT BLOC!( LOT NO USEZOIE LAP NO DW 7 Applicant ` ASSESSOR YAP BOOK PAGE PARCEL / SPECIAL coNDrnoNB CERTIFICATE OF E1(EM2 FR M WORKERS' EA Ta.NO COMPENSATION INSURANCE — Z 6 wrTHiN igta FT OF SCHOOL? vEs No ADDRESS _ (This section need not be completed If the permit is for one hundredg D J DISTRICT GRDUP TYPE;7 FIRE ZONE PROCESSED By dotien($10D)or less) CITY LP I certify that In the pedommnce of the work for which this permit b Issued I shall not employ any person In my manner so es to ARCHITECT OR ENGINEER TEL NO become sut� to the Workers'Compensation Laws STATISTICAL CLAS8IFlCATION AFT CONDO Data Applicant ADDRESS CLASS NO _DWELL UNITS NOTICE TO APPLICANT If after making this Certificate of REOl11R® TOTAL FROM EJ(IST Exemption, you should became subject to the WbrkBro �� SETBACK YARD NwY PROP LIE WIDTH Compensation provrmons of the Labor Code, you must forthwith •J G / 2 FRONT comy wor pth such provisions m or this permit shall be deemed revoked ADDRESS LIC NO PL LICENSED CONTRACTORS DECLARATION p LIC C4ASS $Z SIDE a PIL I hereby affirm that I am licensed under proviearha of Chapter 8 i[I /270 8G FT SIZE NO OF STORES rrD OF FALBLIES (commions Code, Section 7000) s In full force 3 til the BhAarhe®end NEW ❑ BK Pe SEWER MAP Professions Cads,end my Ik>erhae m In full force end effect License Numbs Lu Cissa PfION OF WORK ADD ❑ YAILAIIpI tib W ContractorD-� pate -O n ': O FF S ALTER ❑ _ � _ ❑ I am exempt under Sec R t REPAIR B BPC for this reason Feu' c La.. s1L w1 DEMOL ❑ Dass USE OF EXISTING BLDG U11RM LOYA P/C• Signature APPLICANT(PRI" TEL NO LDMA Peon 1 ❑ I as Owner of the property or my employees with wages a O their sole compensation,wIB do the work and the structure is ADDRESS not intended or )offered for sale (Section 7044 Buelneee and f91AL < 3307 'r (�y Professions Ciode h ,1 1 \ ( . WILLTIEA{RJGelTORFURAILeU1LODq OCCUMNIIWOLEA"' S—`^,., _WT6WL '�' 1 ?TCI hr ❑ I, es owner of the property. em excueNay contTxtlrig with T�IEAAmO�N nhEneWUArEnwa TIorI TrAr Iaxmaed contractors to construct the project (Section 7044, �e❑ w❑ ' TOTAL O �$ Business and Professions Cade) ` MUT AArEm°Fa roe° a°cor�rn aauoarra`OAon r' .K 7C.IH CONSTRUCTION LENDING AGENCY corer Aw -- R ALTT. oenRher tscAauol M FwamrAe oeannar I hefeby efhrm that'*M' Is e comtruction larding agency forvFa ❑ i 1M� ' •0.I the performance of the work for which this pennfi Is Issued(Sec I Iwo Rego r�ruZAroane YATshAS NfONATK)N"M AND TIa scw 3097.CN C) rEhamm.o ancla.er I uNnaherAro w REouhoon8 UNDER Tia LOS AWEum 1 V I.Y�-0001 10�17!51] cowrrcoDETms2eNAPrmr�aecrhormeahTmnrqualrrmhAseoNCEws.o f Lenders Nemo h1A1.111DOVlIATERMaREPORT11q AlO iOe OSTANIOAPEIaaTROITNESCAorp LendersAaoles. 336 1 AM10:15 o I certiy thatI haw readthis applkxDon and.tete thin the.bow o.�ahAma Information m correct I agree to campy with all county PC FEE PERMIT FEE 3P �v1 f� ordinances and State laws retailing to budding Dongnmtion and / ins 5 ?e�l/i\ 7 the aabbow+nenaoned property forauthorize reprownistim ctka�ectia�"'to enter r I�On ISSUANCE FEE o. 3� / _ a�h INVESTIGATION FEE TOTAL FEE BEE REVERSE FOR EXPLANATORY LANGUAGE �AQLYa7' _ APPLICATION rfOR BUILDING PERMIT COUNTY OF LOS ANGELES - "" BUILDING AND SAFETY • WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS I.twreby athrm that I have a carthcale of conTsent to self maure BUILDING ADDRESS or a oartarate W VATrkarS Corapansatlon Insurance or a cerahed Q copy thereof(Sec 3800 Lab C) OTY /e L e C I 1y I ZIP 117 8a - • Policy No Company SIZE OF LOT NO OF RI S NOW ON LOT ❑ Certlhed copy is hereby furnished I NEAREST CROSS ST ❑ Certified Copy is tied with the County builtlmp Irlepachon TRACT BLOCK LOT NO department I USE ZDN1E MAP Nol/7 Ha— �sS Date Applicant ASSESSOR MPP PAGE PARCEL 7 SPEC4L CONCIITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' °WIdER ^^ y� COMPENSATION INSURANCE o /'T✓ 6 *tt t -27-7-3,0 WRHIN 1000 FT OF SCHOOL? YES NO (This SeCt"need not be Completed It the permit Is for one hundred ADDRESS dollars($100)or leas) Q J ` Q DISTRICT GRDUP TYPE CONST I FRE IDNE PROCESSED BY crtv zw I cartdy that h the t employ nce of the work for mwhichann the permit e issued I shall not employ arty Damson m airy manner m as to bBCOrr6 subject 10 the Wbrkems Compereatlm LBWB ARCHITECT OR ENGNEER TEL NAO STATISRCPL CLp/§�SIF� TION APT CONDO ADDRESS Data Applicant S CLASS NO DWELL UNITS Ni TO APPLKAAFT If after making the Certlfrate ofREQUIRED TOTAL SETBACK FROM EXIST Exemption you Should become subject t0 the Workers CONTRACTOR �( TEL NO SET BACK CpipanSatlOn provisions of the Labor Code you must forthwith (/ YARD "Y PROP UNE MOTH comply with such prOnspns or the permit shall be deemed revoked ADDRESS LTC NO FRONT FR LICENSED CONTRACTORS DECLARATION SIDE CITY UC CLASS P L hereby irlg w that I am 1000)o undsion 3 of the of Chapter 8 SEWER MAP �r (LORIRIBrICIfg with Seclpn 7000)Of Drvlapn 3 W the&191m0B9 and SO 6T ZEI3 NO OF I ORIES NO ;FPNI IES NEW ❑ BK PG / U Prolesspn6 Code and my license a In full force and effect L , License Number LIC Class DESCRPYORK App IR Vp ALUATN Contractor Data ALTER ❑ $ ' �� �`�� °`•I' ni ❑ 1 am exempt under Sec REPAIR ❑ $ z BAPC for the reason DEMOL ❑ COMA P/C Date USE OF EXISTING BLDG URM ❑ _ C Signature APPLJC H (PRINT) - TEL NO LDMA Perm♦ _ \ f as owner of the property or my employees with wages as �!'f" T,� then sale cannpareatlon well do the work and the structure a ADDRESST.i not mtended or offered for sale (Section 7044 Business and FINAL OAR Q C C'. Professions Cade) �7 D �'S0� J�J.!. -- Wil THE ARNGM OR FUTlR1E 9ULL➢R1p fXTEAU HANDLE T A R GFEA R MATENAL I Y ❑ I V Od CO Of the oCo8m aYG �A M SPIEURE C u 014 THA HAZAie0l1 uATER LS EQUAL TO IXi GUIDE? THW THE 1 Property IUBNBIy CIXmlraCimg with plApllm"SPECFEO ant THE HA]/fiaWa MATENMLa N¢O(AIATxkI WpE'I FINUL By Ilcereetl cano-ednxe to careVuct the project (Section 7044 YES 1:1 No A. Bustress and RWess ores Code YAI.L TIE INIEMIEU USE CF TIE allpllX' 9Y T1E AUOD Ca F"T CONSTRUCTION LENDING AGENCY �a'EO�A cERrxr FOR coNsmucTpN oR ME%RMTOH Eaw nE FOR cOnsr Na auumv I/AIUOExENT Onsrwcr IsaAnMor BEE RERumTNp clEcxusr wit I hereby affrm that there e a oonstructon lending agency for YESEI Na❑ (�� .r "1 2 ITEM'? w the performance of the work for which this permd a emled(Sec ,{ / {� b 3087 Civ C) (HAVE PEAp TIE HAI/J00119 MATERVL9IHECYA4TpN GLOE NO TIE 9CN},OPERMTTNa t Ti)TFILTC-J a OC H CIECKJST i UKDERSLVC MV REOJIEWNTS 1110ER THE Las MAI' US Ca1A(TV COLO . r/ O Lenders NacreAddress WM RYLS REPOTlTEn INO wn wOR oao+irWia ATHIOUGH FROU�E WAQI � s CHECK 443.L,J oAER� iHAN+G 1.13 I certify that I hate read the application and State under penally g Of perjury that the above Information is Correct I agree to comply PC FEE /D• O PERFEE FEE wIM all county ordinances and State laws relating to buINO �71 ('1T�rTr1 �1 ion and hereby alll/pnnZe nepBdentalms of this County IPSLANCF FEE W'JV—'-01 "'110- to Won Shove- pned property for lrlePeLipn_ Wruoges IFJI 1 F Q:",) m 3 1_�_ INVESTG.ATION FEE TOTAL FEE aAp•vyn �` SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD _ BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0107120026 PHONE (626) 285-0488 EXT LEGAL III NO OF CONST NEW BUILDING ADDRESS ON FILE SQ FT STORIES TYPE OCCUP GROUP 5032 SERENO OR STRUCTURE 400 1 VN U1 TEMP CA 917803037 ASSESSOR INFORMATION NUMBER 5388-012-035 GARAGE NEAREST CROSS STREET ROSEMEAD OTHER THOMAS PAGE 596 GRID H5 LOCALITY: TEMPLE CITY iENANT EXIST BLDG USE USE ZONE: ISSUED ON: PROCESSED BY EXPIRES ON EXIST OCC GRP 07/12/01 UT 01/08/02 OWNER. BLDGS NOW ON LOT VALUATION TIWAFWE CODE: FAMOUS FOUAD,MARY (626) 287-3582- 11,480 /! L+ /©I - 5032 SERENO DR /t) 7 l TEMP 917603037 ��iv�•-ut wunK NEW 2 CAR DET GARAGE FEE DESCRIPTION QUANTITY LION AMOUNT SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG 140TION RESID 11480 00 VAL 1 15 SPECIAL CONDITIONS- AX BUILDING REVIEW-FEE-=.�1 54 70 D2 PERMIT.W/O EN-HCELE,1148000 VAL 250 20 TOTALLFEES 333 80 CONTRACTOR TEL NO SAME AS OWNER - �05 �TyAPPROVALS DATE tGTOR SMATURE LIC NO LOCATION SE; ARCHITECT OR ENGINEER ItL NU FOUNDATIONITRENCH FUW 1, LIC NOj 1111111 &MDER FLOOR O� MAP NO SEWER MAP BOOK: PAGE: 7I�L )n'� 'nI n�((� 3- ' 01 �U ES)) C WAV OU 1111 �1 IST LEVEL FLOOR SUM— No OF FAMILIES: DWELLING UNITS APT/CONu STAY CLASS NO 21'(1( ZND LEVEL FLOOR SHUTFr--- SCHOOL WITHIN -19mar5our— AIR QUALITY: 1000 FEET MATERIALS \\� � � Q >s4j)IROOF SHEATHING NO NONO REOUIRED TOTAL SETBACFTj0r--0rr9T— BLDG DEPT. FRAME INSPECT 5 O SETT BACFRONT K YARD HWY PROP LINE WIDTH Vb/rC Ser vlce Thd��et /TRMTIDN/WEATHt:R STRIP 77 O SIDE PL- 0 O REPORT ID DPR261 ROUTE TO: BSD5D8