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Home My Public Portal About5045 SERENO DR_Building__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTTffNT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1202160034 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS IBR 248 PG 14 PC 1 4 SQ FT STORIES TYPE 5045 SERENO DR I ISTRUCTURE 26 V-B TEMP CA 917803038 1ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET 15388-016-024 I THOMAS PAGE 596 GRID HS LOCALITY TEMPLE CITY, CI TENANT IEXIST BLDG USE REBID USE TONE R-2 ISSUED ON PROCESSED BY IEXIST OCC GRP 02/16/12 SR (OWNER TEL NO BLDGS NOW ON LOT VALUATIONF Tf F BY CODE ILIAO STEVEN (626) 451-5825- 6,800 1 �/� 7 15045 SERENO DR 1(/ ITEMP 917803038 1 FEES PAID DDSCRIPTION OF FORK 1 CHANGE UNDERLAYMENT BASE FELLS 30 LBS ON HOUSE S GARAGE PEE DESCRIPTION QUANTITY GUM AMOUNT (ATTACHED 1 APPLICANT TEL NO SUNSHINE ROOFING (909) 598-8988- IAA BLDG PERMIT ISSUANCE 27 80 IAB STATE GREEN BLDG FEE 6800 00 VAL 1 00 ISPECIAL CONDITIONS M STRONG 70 D2 PERMIT W/OIEN-HCSZD 6800 00 VAL 1666800 00 VAL 0 60 TOTAL FEES 196 10 CONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE (SUNSHINE ROOFING INC (626) SBI-7688- 1516 N DIAMOND BAR BLVD #183 LIC NO 1 LOCATION AND SETBACKS 1 1 (DIAMOND BAR CA 91765 755126 C39 SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS LIC NO ISLABIUNDER FLOOR IRAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP I UNDERFLOOR INSULATION 149H265 3 001 � 1 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I1 0 NO 21 I ROOF SHEATHING SCHOOL WITHIN HAZARDOUS 1 SHEAR PANELS (AIR QUALITY 1000 FEST MATERTA*.a _ NO NO NO FRAME INSPECTION FIRE SPRINKLER RANGERS li III9ULATION/WEATHER STRIP INTERIOR LATH/DRYWAL.L I I 16XTER IOR LATH (RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES IRATEO SHAFTS OPENINGS T-BAR CEILINGS � I (LOT DRAINAGE IREPORT ID DPR261 ROUTE TO BS0508 APPLICATION FOR BUILDING PERMIT rA ' - a COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN BUILDING ADORERS WORKER'S COMPENSATION DECLARATION , I hereby aVlrm that 1 he"a certificate d Consent to sell Insure BUILDING ADDRESS «a I:etiflate d Nbrken'Compensation Insurenoc«a certfled e' A O copy thereof(s Sarno I.b c l7 2 P Paley No 1=-, 91 company :5-W e F� L �Y SIZE OF LOT NO OF BLDGS,NOW ON LOT ❑ Certified Copy Is hereby furnished INEAREST CR098 ST Certified copy Is filed with the county building mepectlon TRACT BLOCK LOT No f� 118E ZONE YAP NG oZ cage 1 —,L.1�APaIpd I �c A �°Ok `? Fi " Q� D� SPECIAL GNa CERTIFICATE OF EXEMPTION FROM WORKERS' �" (`IVIP IMM4I/`• _1/� T YEB ADDRESS NO COMPENSATION INSURANCE — (This section need not be oompleW k the permit b for oro hundred O �. GROUPrm. RRE BY dollars($100)or less.) CRY1 certlly VW In the psrlomwnce d the work for which this permit Is bNIBd, I Mall not employ any panni In any manner so as `to OR ENGINEER TEL NO become sub)W to the Nbrken'CcimPentation LBWS 1. - • — BTATISTNYiLCOFlGTION APTcc Date AppBCant VV7 ADDRESS MASS N0 DWELLUNITS--t--� NOTICE TO APPLICANT if, after making this CertkfceM of '? nEwwED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Worken' CONTRACTOR Q e n T71�/. SETBACK YARD HWY PROP LINE WIDTH Compensedon provist"d We Lab«Code you must forthwith comply with such Provisions«this permit Mall be deemed revoked DD I ttY Y. d IL L3 PL 23 LICENSED CONTRACTORS DECLARATION SIDE a PL a CRY �� G.� LAC CLA89 O I hereby alfimm that I am Iiearaed under prwisbna f Chapter 9a F7 911E t10 of NO FAMILIES- SEWER LIAP ]' (comXrw dng with Seckon 7000)d DWWm 9 d tie Buarmeas av JJUJ 7 1.Ia Professions Code and my b In full force and O NEW 8K PGEMS License Coninac Llc gam_UeW 146ml I I DESCRIPTION OF woRx ADDALTER ❑ y ► TLS IL? 772 O� ❑ I am exempt under Sec REPAIR ❑ : 8&PC for this rem«m DEMOL ❑ LDAIA PiC0 T •� Date USE OF EXISTING BLDG URM ❑ ' Slgrahxe APPLICANT(PRINT) TEL r1D LDYA Peron s - - ❑ I ss owrne d tree property « my empbyees with wepss ss — ' �—iri5 3lIpi/7L�-r their sole compensation,will do the work and the structure Is e r 9� L 1 1 U� not nWKW «offered f«safe (section 7044 Business and FnIAL DATE I < m ' - r�L 1l ProtmOlora Code) wALTIl AwLICANTaRrinwEeune.a OcclsrRT H..«eAewAAOoumNAleaOL ` I` ` li - ? LHEC�'1 ,- _ ` L.: I, m owner d the em enol m A eamxa caNrAWBO A HAzusous wTeeAL noueAL To m o�ATER TwR keensed conbactars to =WMU1t Va�o)aef (�tldW 70". ro❑ eeo�❑ ON Tn¢IMlMooll6 nwTEaNa eemrervlaN onxueT FINAL BY Busknsse end Protessions Code) wino TIE enTBam Kau:«lei eUaDlelo err Tit¢AP0.1rX!!en RITLse eALDINO CONSTRUCTION LENDING AGENCY ocouPVNrnsUALiTY emaT rnRcorsrRucr AQVD) sKAreoN•ImouTnseo�H I�y [ UU") r�a�anaIX1v'a'TM MAAvao®R omrmcr cecwLrol ere PmeanmNo a¢aasr D t rJ[lif l---.1 I hereby offmm that sore Is a ooruroruebm Rending agency for ro❑ No❑ )�� ►/ Il coA— theancs work for which this permit b Wuead(Bee 3D97 RFAD Tlf IwNmoun 1MTe1Ile eurororATxxr cO aov«ma Nee 3097? Ctv CNCC) e d VmIwo r RTeo Oagesn I U•ID 010 w aF-0UeiE•IEl+re UIDBn Tee 1-06N 11 Lender's Name HwAIi oolos a' RF90Frw wpm FOgaavuaNO AP9tlOT�rn mo•�i Tie LardWs Address o.•,aa.m. 1 tartly that I have read this application and sate that the above information Is Correct I agree to comply With all county PC FEE f PERMIT FEE ordlrnnas and State laws relating to building construction,and S hmW eRlgrbe represented Ms d this County to enter Upon / / o ISSUANCE FEE {Y} the above-mentl«atl property for InspectioS^rposss {O •J " INVESTIOATIONFEE roTufEE SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS COMPENSATION DECLARATION Thereby dFfvm that I have a certificateamp of consent r self APPLICATION- FOR_ BUILDING PERMIT insure, or a certificate of Workers Compensation Insurance, or a certified �,,copy thereof (Sec 38DDs�O,1LLob C ) COUNTY OF LOS ANGELES - BUILDING AND SAFETY Pohcy Noo C1 .5MCompany s].10.fis Z. & 1❑ Certified copy is hereby furnished t _ FOR APPLICANT TO FILL IN ,DDRRESS DE Certified copy Is filed with the county building Inspec- BUILDING }� - _ - , Frlio��n deportment - ADDRESS VN. _f DotelE��lL� Ap 'cam�'�� .� CITU Zlv D LOCALITY NO OF BLDG. CERTIFICATE OF FROM WORKERS SIZE OF LOT I t NOW ON LOT NEAREST _ CROSS ST COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACTQIZO BLOCK LOT NO a MAP BOOK IPAGE'0/6 I PARCELO/ hundred dollars ($100) or less ) G TEL - USE ZONE Fa fig a6S OWNER 1 NO permit that d the performance of the work for which this .x.l Ijb-11LSPECIAL ra permit a issued, I shall not employ any person in any manner ADDRESS CIC - - - /' CONDITIONS so as to become subject to the Workers Compensation Laws //�� O CITY I.YL ZIP Date -Applicant ARCHITECT CHt TELDe NOTICE TO APPLICANT If, after making this Certificate of ENGINEER _ _ NO DISTRI GROUP PE _ F PROLE IO- Exemption, you should become subject to the Workers' I to . Compensation provisions of the Labor Code, you must forth- ADDRESS N campy with such provisions w this perms shall be TEL TATISTICAL CLASSIFICATION APT CONDO de Z deemed revoked COMRACiOR - LICENSED CONTRACTORS DECLARATION LIC CLASS NO DWELL UNRS_ I hereby affirm that I am hcensed under provisions of Chapter 9 ADDRESS NO �q MAP (commencing with Section 7000)of Division 3 of the Business LJ SEWER and Professions Code and my license is in full force and effect _ CITY CLASS BK PG VALIDATION LL /�/�1 LDS SO FT NO OF NO OF CHECK License Number.F"C�G93 I Lice Class s`-' SIZE STORIES FAMILIES ONE + w - VALUATION DESCRIPTION Contractor .lTsd Zwf nnte (Q�a��l DESCRIPnoN of WORK O S 00 ` T— ad ADD Elloop.I am exempt under Sec Lh ALTER ❑ B&P C for this reason REPAIR ❑ Date - USE OF EXISTING BLDG - OEA10L ❑ Signature APPLICANT - TEL FINAL - ER-BUILDER DECLARATION (PRINT) NO DATE I hereby affirm at I am exempt from the Contractors License ADDRESS Law for the following reason (Section 7001 5 Business and FINAL Professions Code) I PRESENT - , _ By _ ❑ I as owner of the Property or my employees with BUILDING wages as their sole compensation,will do the work and - - - - - - the structure is not intended or offered for sale(Section LOCALITY 7004, Business and Professions Code ) - MOVING _ _ TEL ❑ 1, os owner of thero CONTRACTOR NO _ P Perry,am exclusively contracting with licensed contractors to construct the project (Sec- ADDRESS hss on 7044, Busineand Professions Code ) CONSTRUCTION LENDING AGENCY SETU RED BACK YARD I HWY I TAL LON FROM IST WIDTH hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit Is Issued 'P L. - - - - - (Sec 3097, Civ C ) SIDE Lender a Name t i_r PC Fee E Permit Fee I C5 9r. Q LDMA Ref N Lender a Address I cenify that I have read this application and Mate that the _ Invoice Fee LDMA P/C N above information is correct I agree to comply with all County Inveahponon Fee - ordinances and State laws relating to building construction Totot Fee LDMA Perm N < and hereby authorize representatives of this County to enter pY7 upon the above-mentioned Property fo inspection purposes ME REVERSE FOR EXPLANATORY LANGUAGE gnofure of Applicant or Agent Dote _