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Home My Public Portal About5048 SERENO DR_Building__ BUILDING ; AD wpm S APPLICATION NEARSLOCALTY GR[BT DIVISION OF BUILDING AND SAFETY 10410,IT Department of County Engineer DISTRICT MO RECEIPT NO PERMIT NO County of 1.oe Angeles G WM J. FOX, COUNTY ENGINEER pq DATE RECEIVED DATEISSUED CABSATT D GRIFFIN. SUPT or BUIMINO FOR APPLICANT TO FILL IN TYPE CONST. RECEIVED BY [D B OWN[ MAP STATE MAIL NUMBER NWY YES N ADDRESS CITY / I t �r,7 77 . USE ZONE BPEDIAL TEL Ir CONDITIONS ARCHITECT OR TEL rlap ENGINEER NO BUILDING YARD HWY STREET NAM[ "'ST SETBACK WIDTH ADDRESS D �J FRONT CONTRACTOR O ,�n NO BIDE OC IO P L A DATE CORRECTIONS INSPECTOR BUILDING ADDRESS LSV II'•II - / � �� S LOT NO W 7D IO'"t y(V lti/ /-CLOCK TRACT e--c' NO OF BLOBS _ RIZE OF LOT i( J NOW ON LOT use or FXIRTING OLD131 DESCRIPTION OF WORK a • 0 NEW ADD ALTER REPAIR DEMOLISH = 1 Bq FT N° OF NO OF B12[ STORIES FAMILIES _ r USE Or STRUCTURE No or l;MPLOYEES 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- PLICATION AND STATE THAT THE INFORMATION GIVEN IB APPROVALS INSPECT 'S SIGNATURE DAT[ CORRECT IAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION FORMS.MATERIALS T �J .LI .,/.I FRAME FIRESTOPIL 2 Y BIDNATURQ OR/M fes. /•r W I %/� VJ �w/ BRACING.BOLTS f O PERMITTEE ''//,, .CLf/I FURNACE LOCATION. DAB VENT. DUCTS r7 I ADDR LATH, INT ko AUTHORIZED AOT LATH EXT N Y M S FEE B HOUSE NUMBER OCR- /f70 er� RECT AND POSTED VALUATION p Fee � FINAL - 11 ? S 6 76A638A DBS 3 Ob 5.54 WORKERS COMPENSATION DECLARATION I hereby affirm ihae o ceHifica,e of consent to self APPLICATI BUIL ERMIT insure or a certfica orkers Compenstion Insurance or a certified copy there (Sec 3800 Lab C ) COUNTY OF L ANGELES BUILDING AND SETY Policy No Company 147 � Certified copy is hereby furnished FOR APPLICANT TO FILL IN BDILDINsg p Certified copy is filed with the county building inspec ADDRE BUILDING tion deportment ADDRESS LOGALI /' NEAREST Date -Applicant CITY a� ZIP CROSS ST / CERTIFICATE OF EXEMPTION FROM WORKERS NO OF&DGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK " PAGE PARCEL (This section need not be completed if the permit is for one U ZONE MAP11 TRACT BLOCK LOT NO / NO hundred dollars ($100)or less ) �/ } OWNER AC-s 7 TEL SPECIAL O !r NO CONDITIONS 1 certify that m CL the performance of the ark for which this 'DISTRICT GROUP TYPE BY- W permit is issued I shall not employ any r ny manner so as to became subject to the Worker am tion Laws ADDRESS -Yr1 .�p CO Date —/D Applcor CITY ZIP STATISTICAL CION API CONDO NOTICE TO APPLICANT If aft making this Certificate of ARCHITECT OR TEl G�S9/_ t sy Exemption 'you should become subject to the Workers ENGINEER tJ0 CLASS NO DWELL UNITS_ N Compensation provisions of the Labor Code you must forth ADDRESS SEWER MAP Z with comply with such provisions or this permit shall be ,! deemed rerked CONTRACTOR Nd T 'j 0 j BK PG 710 VALIDATION LICENSED CONTRACTORS DECLARATION I LIC �� N I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS ' O VALUATION (commencing with Section 7000)of Division 3 of the Business andLIC nl Professions Code and my license is in full force and effect CITY 4016K6 CLASS S (��-� SO FT NO OF NO OF CHECK 70 License Number 7 C/ L,c Class_ SIZE STORIES FAMILIES ONE ' Contractor Dote DESCRIPTION OF WORK NEW S ❑❑ j am exempt from the licensing requirements as I am a Q ADD .- hcensed architect ar a registered professional engineer /J �-',/ ALTER FINAL ,acting in my professional capacity (Section i70ST y�L' �/ REPAIR DA Business and Professions Code) USE OF FI AL EXISTING BLDG DEMOL T 01i:1 L¢ or Rep No Date APPLICANT ry/�d TEL OWNER-BUILDER DECLARATION - PRINTI ��-VG �NOO ,y,�� hereby affirm that g r exempt from the Contractor sLicense and ADDRESS �1/�/ �.dG��9 40t IAOA_) Law for the following reason (Section 7031 S Business and � Old d S Professions Code) ❑ , ADDRESS BUILDING I as owner of the property or my employees with wages as their sole compensation wdl do the work and the structure is not intended or offered for sale(Section LOCALITY 7044 Business and Professions Cade) MOVING TEL 1 as owner of the property, am exclusively contracting CONTRACTOR NO Q with hcensed'controclors t0 construct the project (Sec ADDRESS 2 O'7 b A hon 7044 Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY - SET BACK YARD HWY PROP LINE WIDTH e e e e I hereby affirm that there is o construction lending agency for FRONT the performance of the work for which this permit is issued PL 2 3100 (Sec 3097 CGv C ) - I SIDE PL - -'- 31005 Lender s Name r 0911, 0r80 Lender s Address P C Fees Permit Fee `�— V certify toot have read this application and state that the Issuance Fee above mfor I n is correct I agree to comply with all County Invesig000n Fee ordinances d ws relating to budding conslruchon Total Fee tl and 0,ce hon xe a resentahves of this County to enter Pon the me io propert for mspecnon purposes p �[J(f SEE REVERSE FOR EX PIANAT01[Y LANGUAGE ign ure of Applicant or Agent Dote ms APPLICATION FOR 13,0LDING PERMIT ] �d • �• COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN eulLar+D.AeD^D�ss I hereby affirm that I have a certllicate of consent to sett insure 311IgNG E59 �C V 0 vae or a certificate of Workers Compensatm Insurance or a certified D Copy thereof(Sec 3800 Lab C) Cm 2 ZIP 1 l {yY, Policy NO Canpamy LOCAUTY SIZE OF LOT NO OF BLDGS NOW ON LOT ❑ Certified Copy a hereby furnished I NEAREST CROSS ST ❑ Cerfif ed Copy s filed with the county building Inspection TRACT BLOCK LOT NO department I USE ZONE _ MAP NO Date Applicant ASSESSOR MAP BOOK RAGE PARCEL SPECIAL WNgRON9 CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE ER Lowe- � 5, ev T L NO Aj 1n-/ WITHIN 1000 FT OF SCHOQI YES NO (This section need not be completed If the permit Is for Dna hundred ADDRESS Y dollars ($100)or less) " 0 l L DISTRICT GRWP TY FIRE ZONE PROCESSED BY I certify that In the performance of the work for which the permit ZIPmCITY come'd 6he11 not employ Work as OR ENGINEER TEL NO E T q 178-0 any parson In 8ny manner a0 10 bacons subject to the Workers Compensation Laws STATISnCAI C/LA�SS�IFICATq APT CONDO r Date Applicant ADDRESS CLASS NO DWELL UNITS NOTICE 70 APPLICANT If alter making this Cerhfcate Of REWIRED TOTAL SETBACK FROM EXIST ExempWri you should became subject to the Workers CONTRACTOR TEL NOSET BACK Compensation PrOJisions Of the Labs Code you must forthwith U FROM YARD MY PROP UNE WIDTH w with such prlslons a thedeemedpmlt shall be deemed revoked ADDRESS , � LIC NO p L 59 qQ o UCENSED CONTRACTORS DECLARATION 1 c..v� SIDE hereby affirm that I am licensed underprOwlSUCITY cuss P Lle of Chapter 0 c.v SEWER MA, (commerx;mg with Section 7000)of Dlvagn 3 Of the Business and SO FT SIZE 140 OF STORIES I NO OF FAMILIES Professxms Code and my license Is in lull force and effect 1 NEW BK 0`2PG License Number Luc Class DESCRIPTION OF MRK ADD ❑ VALUATION O Contracts Date ALTER ❑ $ SGD / (c, ❑ I am exempt under Sec REPAIR ❑ $ F- B BSPC for this reasonDEMOL ❑ U III ' Date USE OF EXISTING BLDG URM ❑ LDMA P/C♦ ^ fir./, a Signature APPUCANT( TI �J L ''l T Q LDMA Rxm.' / ACCT.`. _ Z I as owner of the property or my employees with wages as �Oln� TI 5� Y.n a-t O r+ 7 � their sole compensation will do the work and the structure rs . 1 not Intended or offered for sale (Section 7044 11usiness and C.tr-7,)0 L* CITt FINAL DATE Q Profession Code) 0 wit THE A➢PLIDVR OR FUNRE Bl1LCN0 O MATERIAL QUA •RALARDOU9 THAN THE ❑ 1 as ommer of the property am exclusively Contract) Vath AM A MIN sTL.>E CONiwN1q A HAZAW WS NATERLLL EOWL TO OR GTEAIER THAN Tlf Q ACCT.aw licensed ConitraCtm r to Construct the A1aR119 9PEDIFIED ON THE HAZARDa1S MATERM INFORMATION GUUE'+ protect (section 7044 YEs El ND❑ FINAL -ZZ INAL siCode) ' 3307 10.2..3[1 Business end professions w1LL THE NIEICEp PE OF THE H.IpJq BY THE MODIFICA OR RIMAE elSfUTH ` I�yC CONSTRUCTION LENDING AGENCY COAFTOCCUP`R`MIAREUAUTY A R M FOR ca+sTFn SCr Q DB ME PERM ON FROM TIE SOUTH ITEM COAST ARi OUALnY AW:AGEMENT dSTROT ISCAOMDI SEE FERMTTIND CHECxUSi FOR OUIDEUNE9 hereby affirmnc that Ilse e o construction hichthp lending agency for vEs❑ No❑ TOTAL 152 - 80 N the Performance of the work is which the penult s 1991)L'd Sc I 3097 Cry C) HECXEAD TIEIVSMpnIAY REWSEWNRMATIOER THE ANDANGEES MDNTYCW YTTGA.fy I52.E0 CHEL2 UNCERSUNDMYNS 22 E1.ENISOWER THE Los ONERNCOLWTY CODE (I�� y' NG Lenders Nagle ANTERLAlS REPORTNG AND FOR SOSTAN W0 100 TD KRIRMRFROM IE MAQM0 I a V(Try�A]G .011 Lenders Address p Mw'EA IXV tlEMI n I certify that I have read this applcaton and state antler penalty n ` OGOG-0001 5/12/93 rpl g of pery that the above information Is Correct I agree to cc" PG FEE D�O FERNJ7 FEE R with all county ordinances and State laws relating to building C xA and hereby e�U 'a representatives of the County ISSUANCE FEE iy� / 9� 1 Ah 11:17 t er 'JZZ= rty for maps` pun s of (O m S LZ 3 INVESTIGATICN FEE TOTAL FEE SEE REVERSE FOR EXPLANATORY LANGUAGE , T.C, WORKFJRS'COMPENSATION DKLARATION 'FOR hereby bffirM thdt'I hove a cemficate,of consentyypp self insure, oracer11(icate of;aiken' Compensohon law"}ance, ' APPLICATIO�iV '�dR -BUS DWG*RMIT or a�cjear—itfiJ�d copy thereof(Sec 3800 La PoItCyNo 0-02.3;c— am n COUNTY OF LOS ANGELES - . ,BUILDING AND SAFETY ❑ of r �iled copy is hereby furnished FOR APPLICANT TO FILL IN - euILDING ADORE55 Certdted copy is filed with the county budding Inspire BUILDING non department ADDRESS �d- S N0- atI G LOCALITY NEAREST Date Applicant CITY G ZIP CRSS S7 CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT Q %/V W 9 ASSESSOR I COMPENSATION INSURANCE NOW ON LOT MAP BOOK PAGE PARCH (This section need not be completed if the permit is far one TRACT OCK LOT USE ZONE NO hundred dollars(f11.Tp)or less ) 7 TELCIAL I certify that in the performance of the work for which this I OWNER G G NO 'Z CONDITIONS , Il permit is Issued 1 shall not employ any person in any manner DISTRICT P 7y PE FIRE PROOF 0V O so as to become subject to the Workers Compensation Laws ADDRESS % CONST ZONE V �J O Date Applicant CITU /"•' ZIP STATISTI CLASSIFICATION A' APT CONDO O NOTICE TO APPLICANT If after making this Certificate of ARCHITECT OR J� TEL J K7 3 Exemption you should become subject to the Worker ENGINEER ((� NO CIASS NO DWELL UNITS_ W Compensation provisions of the Labor Code you must forth- ADDRESS a/V�� I� SEWER MAP ADDRESS N surto comply with such provisions or this perms shall be // � z T deemed revoked CONTRACTOR&6W �L p` BK VALIDAMN LICENSED CONTRACTORS DECLARATION K Ci:3:' i 'Zr,, T nCf!113�E5 I hereby off am that I am licensed under provisions of Chapter 9 ADDRESS (commence with Section 7OD0)of Division 3 of the Business and LIC V LUATION i ';' C�rt 0 i�;�� Professions Code, a m licerise�its in full force and effect CITY �nT _ CLASS , ti '_ At�Rl7lri.l)I Contractor cense Number V Lic CI f SZEN i/ STORIES AMILIIZ NO ES % • .NEW sZOD `� 4 0jr/ AAmv Dote DESCRIPTION OF WORK s ,M l {' e • 23 ❑ I am exempt under Sec / z n- - TER ❑ FINAI Z�� i 1 .T�,Fi B 8P C for this reason RE R ❑ DATE J USE FIN Date AL/ 6 EXISTING BLDG - ❑ 8 Signature APPLICANT TEL w Y// n C 2 1 -86 y OWNER-BUILDER I am exempt from th ConION PRIM � � / N �. 2 �✓ I hereby affvm that I g r exempt from the Conhacrofa ss n il Law for the following reason (Semon 7031 5, Business and ► _ -' � ° ° • • • 1 Professions Cade) F`RMNI212 -4925 ❑ I, as owner of the property, or my employees with - BUILDING - wages as their sole compensation will do the work and - 125925d the structure is not intended or offered for sale(Section LOCALITY �. 07, 1 9 —8 4 7044, Business and Professions Code) MOVING TEL ❑ I,as owner of the property, am exclusively contracting CCflTRACTOR NO with licensed contractors to construct the project (Sec- lion 7044 Business and Professions Code) ' ADDRESS TOTAL CONSTRUCTION LENDING AGENCY SET BApc YARD HWY TOT PROP Ur FSM WIDTH - I hereby affirm that there Is a construction lending agency for FRONTO ► she performance of the work for which this permit is issued P L qi2Q Q (Sec 3097, Civ C ) ♦ I' SIDE � P L Lenders Name ON Lender's Address / PC lFee S � y- Permit Fea (J I certify that 1 have read tM1e application and pate that the / S �i p Inwrice Fee above information is correct I agree to comply with all County Invepie Foe -ordinance qnd State lows relating to building construction, - A .2Total F"IA .5 . J r and thorize rep motives of this County t enlei upo thinspection-mention operty for rpoae - - - - c SB WMM FOR RPLANATORY LANGUA09 ^ ms S uie of Apphovit or Agan pore ' r I