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HomeMy Public PortalAbout5053 SERENO DR_Building__ 7a038A CERBO!!-BB APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING DEPMftMMT OF COUNTY ENGINEER ADDRESS Q A25 BUILDING AND SAFETY DIVISION LOCALITY\, JOHN A LAMBIE COUNTY ENGINEER Ne AResT _ COLEMAN W JENKINS.SUP T OF BUILDING CROS! !T OIST�CT N E O TYP ! FOR APPLICANT TO FILL IN L CONST H UILDING STATISTICAL CICATION DE MAP ADDRESS CLASS NO DWELL UNITS BK PG LOT NO BLOCK USE ZONE I MAP O - - NO TRACT P46, SPECIAL - — - x0 OF BLD/S ^3CONDITIONS SIZE OF LOT S a xOW ON LOT , USE OF [LDB SETBACK FROM LL�..� TEL FRONT PAOP LIME OF (STREET) OWNER mj"wOT NO TYPE OF EXISTINGSETBACK HIGHWAY YARD = TOTAL ADDRESS E.NO DR HIGHWAY WIDTH FROM C L } _ CITY BLDG ![TRACK FROM _ _ ENGIN/SRCEC R TEL $109 PROP LIME OI STREET NEER NO TYPE OF I EXISTING ■[TRACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIOTH tx FROM C L TEL + N A NO LIC AREBS NO I CORNER CUTOFF YES NO ' LIC ' SEE REVERSE SIDE FOR SPECIAL APPROVALS 8 DESCRIPTION OF WORKO � , � NEW TER RfiFA1 DEMOLISH SO FT O OF NO OF `444v "Aft" FL2 Z 912E ST CRISS FAMILIES USE OF i STRUCTURE V SIGNATURE OF APPLICANT VALUATILN$ 1 I ,QO APPROVALS OATH INSPECTOR'S SIGNATURE P CPMT FOUNDATION, LOCATION FEE$ FEE$ / �0 FORMS, MATERIALS FRAME, FIRE STOPS, ) A I HEREBY ACMNOWLCOO[ THAT I NAV[ READ TWIG APPLICATION BRACING BOLT —LAG Lr AND STAT[ THAT THE ABOVE Il CORRECT AND AORR TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCSI AND STAT[ LAWS MOULAT'NGGAS VENT DUCTS \UILOIM0 CONSTRUCTION AUTHORIZED ERESY I WILL I CEIITIPY THAT IM DOING THE WORM / HL NOT EMPLOY ANY ""ON IN VIOLA LATH INT TION of THE "EOR CODE of THE BTA of CALIFORNIA RELIT IND TO WORKMEN S C M [NSATION IN IC LATH EXT ,y SIG R! OF —HOUSE NUMBER COR- PERMITTEE pD POSTED ADDRESS FINAL Ina" lr-BELLC3 JOHN F LEWIS PRINCIPAL ST RAL ENOINEER PLAN CHECK VALIDATION CK Mo CASH _ PERMIT VALIDATION cK Mo GBH of „� LA�o8 1 9 6� APR 25 1 0 1.50- a DIVISION OF BUILDING AND SAFETY - 1 ® ' .1 Department of Co®ty Engineer NG- c County of LOB Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION-- - - -- FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DI MD. _ PUN OE.OR RED NOl� PERMIT NO All 21 1 DATE Or APPL DATE ISSUED LOCALITY NEAREST ,(� �G -J•_ ADDRESS OWNER _ C. 1 LL LOCALITY MAIL A0DR[aa ✓O S NEAREST T[L CROBB BT CITY pp, FIRE HO 0/ TYPE GROUP� ARCHITECTOR— •� TCL_ ZONE PLANS [NOINEER k Ma BLDG. ORD NO II , SETBACK LIN[ r /" ADDRESS USEAPPROVEC iR TLONG BY Agtci DAT[ CONTRACTOR N0. "� �/ �OUB�( NUMBERINp ADDRESS MAP UMBER NO ASSIGNED BY LEGAL CORRECTIONS DESCRIPTION LOT NO BLOCK R TRACT � NO OF BLDGS. / SIZE OF LOT NOW ON LDT USE DT Na OF EXISTING BLDG FAMILI[� DESCRTION OF WORK °x IP 0 NEW ALTERATION ACOrf10N z r REPAIR DEMOLITION Bp.[ G FT k O NOROCMS SILO► STORIES EXT WALL I RCOF COVERING COVERING UBE OF TRUCTU INSPECTION FOR APPROVALS OCCUPANCY AS INSPECT 'SSIONATURE DATE FOUNDATION LCOATI ON FORMS, MATERIALS I HEREBY ACKNOWLEDO[ THAT 1 HAVE READ THIB AP. FRAME FIRE HTOPB. PLICATION AND STATE T14AT THE INFORMATION IlIVEN IS t CORRECT BRACING, BOLTS LES 2S J AND STATE LAWS REGULEL TO COMPLY ATIND BUILITH ALL CDOUNTY INB DNBTRUOTION� FURNACE LOCATION, GAB VENT,DUCTS BIONATURE OF LATH, INT PERMITT[ LATH, EXT s f ADORE T— PLASTER, INT AUTHORIZED AOT � PLASTER. EXT. S P O 7 �,© 00 FEE HOUSENUMaERCOR- �� SEDT AND PORTED VALUATION O FINAL �+ r[e P 7"—OA DOD 3 1-62 DIxISIOIF OF nt of County ING AND SAFETY 1 �q , ® ' ®p Ay q� Department of LsAvles eT - BUILDING G 1 County of Los ADgelee WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDINGDlpfil{OT F NI NO. P. oR Rm NO N0. ADDRESS S 7 LOCALITY R [IV[D SY DAT[Or A" DATE 1lGU[D NEAREST C913BB BUILOINO /VQ 'pe &—Vo Ae - ADDRESS OWNER MAIL LOCALITY ADDRESS _ NEAREST TIM. QROSO D No. N0.OF D ARO IT[O OR TEL ZONE PLANS [NnIN[ER No. SETBACK LIN[ YD ADD US[ _ APPROVED OONTRAQTORTD' ILIN[� BY DATE NO /)HOUSE NUMBERING ADD MAP NUMBER- `� / 7 NO ASSIGNED pY L[OAL IA4e�.. 70 CORRECTIONS DESCRIPTION LOT N BLOCK ` "r ,/o TRAQT Z— 3 `11� V a or RIZ[ OF LOT �, MOW NI o UB[OF L4 No OF L� EXISTING BLOM IANIUOI I DESCRIPTION OF WORK :° 0 NEW ALTQIATION ADDITION Z REPAIR DEMOLITION r BO.rT NO Or BIZ[ RODMR ST EXT WALL RODE D COVERING G OOv[R1NG USE OF STROCTURC INSPECTION TOR APPROVALS OCOUPANOYAB INSPECTOR'S BIGNATUR E DATE F FORMA.1ctN MAT[RIALS ON 1 HEREBY D STATE THAT THAT 1 HAVE READTION THIS AP• PLICATION AND STAT[ THAT TH[ INFORMATION GIVEN IB FRAME: FIR[BT CORRECT SRAOIN BOLTS w V " 1 ABR[[ TO COMPLY"WI A NTY ORDINANQLa FURNACE LOCATION �J AND STATE LAWS RC (ILA IN OONBTilUQT10N pqp VENT DUCTS f'JJ i SIGNATURE OF/ #LATH. INT V P[RMITTC • LATH. [XT ADDRFnv �'J AUTHORIZED PLASTER. INT AOT PLABTER. OCT. HOUSE NUMBER COR- _ . RECTANDPOBTED VALUATION Q VL i O F[[ 'Y7 FINAL l D-/� >awmew 000 2 1 32 70AS38A CERROR 9-07 APPLICATION FOR BUILDING PERMIT LJ CqkTNTY O LOS ANGELES DEPARTMENT- OF COUNTY ENGINEER AADDREss O BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBI E. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS, OUR T DF BUILDINO CROSS ST &r FOR AP L ANT TO FILL INICT NO I GROUP I TYPE7 PROCESSED BY (P".t 0, typ. .I V CONST BUILDING �O p STATISTICAL CLASSIFICATION SEWER MAP ADDRESS J CLASS NO DWELL UNITS-1BIC/101 PG LOT NO Q BLOCK USE ZONE MAOP Q TRACT �p SPECIAL NO OF BLDGS /V CONDITIONS SIZE OF LOT NOW ON LOT USE EXISTING 'LOG H BLDG SETBACK FROM OWNER TEL FRONTPROP LINEOF ISTREETI TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS.5^OA A/ �"� NIGHWA WIDTH FROM C L CITvle / + ARCHITECT O TEL BLDG SETBACK FROM ENGINEER NO SIDE PROP LINEOF (STREET) TYPE OF EXISTING SETBACK HIGHWAY + YAM = TOTAL ADDRESS HIGHWAY WIOTH FROM C L CONTRACTOR DGV a NOL + _ ADDRESS NO CORNER CUTOFF YES ❑ NO ❑ LICU LC CITY CLASS SEE REVERSE SIDE,FOR SPECIAL APPROVALS, DESCRIPTION OF WORK Z NEWALTER REPAIR DEMOLISH ADD �\ � SQ FT NO OF NO OF SIZE STORIES FAMI IES USE OF ST R CT E L SIGNATURE OF jgu APPLICANT jj�jtfj VALUATION S ��� y ^A,APPROVALS DATE INSPLCTOR•A SIGNATURE P C PMTFOUNDATION LOCATION FEES FEE S FORMS MATERIALS FRAME FIRE STOPS I HEA[[Y AC R NOWL[OOE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING GAS VENT DUCTS WILDING CONSTRUCTION C[Rf IFY THAT IN DOING THE WORK Z AUTIORa[D HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA 6� FINAL ATH INT TION OF THE LISON CODC OF TN[ CTAT[ OF CALIFORNIA [NO TO WORKMEN S CATION INSURAN ATH EXT SIGNATURE OF OUSE NUMBER COR- PERMITTEE RECT AND POSTED CIA o�h7ffADDRESS / PLAN CHECK VALIDATION CK Mo CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGIN ER PERMIT VALIDATION CK No ASH r i LhL,00 i s 0—w ,wG27 1 0 9.00- Q / , I WORKERNLARA S'COMPENSATIODECTION _ ^" hereby affirm that I have , certificate of consent to "If APPLICATION�FOR BUILDING PERMIT - ar e c or certified thereof e Workers Compensation Insurance are certified copy thereof (Sec 3800, Lab C ) - i -- '- P®cyNaIVA3-22'd S, ny Fremont 'Indemnit COUNTY OF LOS ANGELES _ BUILDING AND SAFETY _ Certified copy ,s hereby furnished n FOR APPLICANT TO FILL IN AUjIDLDRESS 6-0U 3 -4, Fy' Certified copy ,s filed with the county budding inspec BUILDING 1 tion department'` -• ' ` ADDRESS 5053 Sereno Driv _ I 5%15/84 " Vii in Roof Co. Tem le Cit Dote Apphconr g CITY p y ZIP ----- - -- LOCALITY t CERTIFICATE OF EXEMPTION FROM WORKERS' -' ` _-- NO OF BLDGS -- - -- NEAREST.— .1 COMPENSATION INSURANCE" 11 SIZE OF LOT NOW ON LOT CROSS ST , (This section need not be completed if the permit is for one - ----- -- - - - ASSESSOR r hundred dollar ($100)or leu ) TRACT BLOCTC LOT NO MAP BOOK PAGE, I PARCEL ) �" - OWNER Mr. Santo- Plescia-til Lo - - USE ZONE I certify That in the performancesof the work for which this Z SPECIAL ao17 d permit is issued I shall not employ any person in any manner - ADDRE5516 20 La Golondina --- - --- 1 CONDITIONS I O so os to become subject to the Warkeri Compensation Laws V Dote I t Applicant , - __ CITY—Alhambra _ _ ___ ZIP._-__ _ _ i 11KNOTICE TO APPLICANT Pf, offer making this Certificate of ARCHITECT OR TEL DISTRICT GROUP ITYPE FIRE SSED BY )O Exemption 'you 'should become subleci to the Worker -- ENGINEER NO ICONST ZONE U Compensation provisions of the Labor Cade you must forth ADDRESSADDRESS �oF� � � . d with comply with such provisions or this permit shelf be - i W deemed revoked , ` TEL STATISTICAL CLASSIFICATION CONDO, - coNTRACTORVir in Roof CO. N6287-0507 , LICENSED CONTRACTORS DECLARATION -- -- - - - - LIC - CLASS NO DWELL UNITS_ I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS P.O. Bo J NO 16 06 50 (commencing with Section 7000)of Divmon 3 of the Busmess and _ _ _ _ LIC - __ SEWER MAP SK Professions Code and my license n m full force and effect CITY San Gabriel CLASSIC 9 �- VALIDATION - 1` , t 50 FT NO OF NO OF CHECK ,• , LKense Number 160650 Lid CIoss C39 -- SIZE ' - STORIES - FAMILIES "- ONE ' .- _ VALUATION Coniractor Vkrgin Roof Ca,," 5/15/84 �- DESCRIPTION OF WORK "E" :494.00 1 ' I am exempt under Se< areas on- house with- 30# , "0O loll - L ALTER B&P C for this reason _ 1S# and rock. REPAIR_ -f - 7 - - - - Date "'- usE of oEMa 1 5 7 5 A EXISTING BLW - , 1 Signature - All Virgin Roof Co. TEL FINAL c _ ,# e{' e e e 1 " OWNER BUILDER DECLARATION _ _ -ATE -- I hereby affirm that I am exempt from the Contractor s License - _ pJ ,2 -,e e 3,3.0 0 Law for the following reason (Section 7031 5 Business and ADDRESS FINAL' t { Profetsani Code) BT - • • • 33. 006-1 , BUDDING -0529-84 as owner of the property or my employees with ADDRESS wages as their sole compensation will do the work and , the structure is not intended or offered for safe(Section LOCALITY / Y./ - - 7044 Business and Professions Code) - ' - MOVING -'- TEL - 1 as owner of the property am exclusively contracting - CONTRACTOR NO , -with licensed contractors to construct the project (Sec- t , torn 7044 Business and Professions Code) ADDRESSREQUED SETBACK ROM EX CONSTRUCTION LENDING AGENCY SET BACK YARD HWY TOTAL PROP LINE WIDTH , t I hereby affirm that there,s a construction lending agency for FRONT -the performance of the work for which this permit Is Issued - P L- (Sec 3097 Civ C ) ck PI _ 8 Lenders Name - _ _ I IDMA Ref Lenders Address P C Fee f Permit Fee ' , �LO.SO LDMA P/C/ g _ I certify that I have read this application and state that the - - - Issuance Fee - --- - above information Is correct I agree to comply with all County Invepigaeon Fee - - _ordinances and State jaws relating to building construction Total Fee _$33.00 _,DMA Perm Y u and hereby authorize representatives of this County to enter $ upon th above-menti tied property fecnon purposes ^R SH REVERSE FOR EXPLANATOtY LANGUAGE I I 1 Signature of Appvont or Agent - Dold