HomeMy Public PortalAbout5060-5062 1/2 SERENO DR_Building__ _ I 1
APPLICATION FOR BUILDING PERMIT
FOR APPLICANT TO FILL IN (P11N1 B11y6s 6DIY)
BUILDING BUILDING
ADDRESS O Sereno Dr ADDRESS ✓�((� 2 1j,_
CITY Tem Ie Ctt zip 91780
NO OF BLDGS LOCALITY
SIZE OF LOT55EX397R17E NOW ON LOT 3 NEAREST
�Z�{{ �j�j Z CROSS ST
Ao4 Survey LOC1�12-1j LOT NO CUT13 ASSESSOR
MAP BOOK PAGE PARCEL
OWNERDave Hampton TE
DISTRICT GROUP TYPE FIRE P ED BY
NO ICONS
ONST ZO
ADDRESSIT
-355 94:3 o�y -( "
CITY Arcadia 21P 91006 STATISTICAL CLASSIFICATION
//L A��SSI F�ICA TION 5 7r--
EWER r
ARCHITECT d TEL CLASS NO f�DWELL UNITS iflBK PG
ENGINEER NO USE ZONE MAP
NO
ADDRESS - �� SPECIAL
TEL CONDITIONS
CONTRACTOR Goner NO. ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO❑
LIC
ADDRESS NO BLDG SETBACK FROM
CITY LIC FRONTPROP LINEOF (STREET)
CLASS
CONSTRUCTION LENDER _ HIGHWAY + YARD p TOTALSETBACK PROM TYPE OF EXISTING
NAME AND BRANCH
FRONT PROP LINE HIGHWAY WIDTH
ADDRESS CITY +
SQ FT NO OF NO OF CHECK BLDG SETBACK FROM - -
SIZE 200 STORIES FAMILIES ONE SIDE PROP LINE OF (STREET( U
C
DESCRIPTION OF WORN NEW ❑ HIGHWAY + YARD =ITOTAL SETBACK FROM TYPE OF EXISTING .O
ER]
IDE PROP LINE HIGHWAY WIDTH
DD W
+ - d
�and I ear op ALTER ❑ Z
EPAIR❑ CORNER CUTOFF YES ❑ NO ❑
USE OF (7.
EXISTING BLDG 3 Car *raw (/(7 EMOL ❑ IN OPEN SPACE YES ❑ NO ❑
APPLICANT a TEL _ IN COASTAL ZONE YES ❑ NO ❑
IPRIXT) Dap aR tOn NO
I CATEGORICAL EXEMPTION YES❑ NO ❑
BY (SIGNATURE) ljeJ�Ee ENV 1110 NML MTAL
IMPACT EXEMPTION DECLAMATION SIGNED (DATE(
Q
VALUATION
IMPACT REPORT PROCESSED IDATEI
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATEITHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WIT HALL ORDINANCES AND LAWS R96ULATING BUILDING CON-
STRUCTIONI CERTIFY THAT IN DOING THE WORK AUTHORIZED
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE Of
THE STATE 01 CALIFORNIA IN RELATING TO
WORKMEN S COMPE NGATION INSURANCE
SIGNATURE OF FINAL BY
PERMITTEE DATE i2-0—7
ADDRESSPIAT
TEL FEES FEE 17
CITY Arcadia 91006 No
PLAN CHECK VALIDATION cK Mo c.s. PERMIT VALIDATION Mo AS. �' Y
87 8nJUL 25 •1 0 ` 3 4.0 `193 �
70A535B CEI903A 5/73
COUNTY OF LOS ANGELES TEMPLE CITY S 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0111080034
PHONE (626) 285-0488 EXTLEGAL ID No BUILDING ADDRESS
I
ON FILE SO FT STORIES TYPE 5062 SERENO DR
STRUCTURE VN T84P CA 917803037
ASSESSOR INFORMATION NUMBER. CROSS5388-012-002 i HOMASTPAGEE 59966REEGRIDDNCHSITALOCALITY: TEMPLE CITY
TENANT MUST BLDG USE RESID USE zONE. PROCESSED BY EXPIRES ON:
EXIST OCC GRP 11/08/01 JK 05/07/02
LEE GEORGE Y - (626) 309-9487- 5 1,200 1� o L-
3518
, /
3518 MILLS AV l�
CLMT 917112063 FEES PAID DESCRIPTION OF WORK
APPLY 20YR ASPHALT SHINGLE OVER EXISTING ON SOUTH SIDE ONLY
FEE DESCRIPTION: QUANTITY. LION AMOUNT ON HOUSE AND GARAGE
APPLICANT: TEL NU
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75 y
AC STRONG MOTION RESID 1200.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O,EN-HC- � 1200.00 VAL 82.20
XP�yGELESTo�OIJT� tto.4s
CONTRACTOR TEL NO: 05 APPR OVALS DATE
SAME AS OWNER -
LIC NO LOCA i TION AND SETBACKS
} I
SOIL S
ARCHITECT DR ENGIWEEF TEL NO
LIC NO IMF NO SEWER MAP BOOK PAGE FIR UND61FLOOR IM§a1rrW--
illlln
144H265 3 10u 3�BUI WORKS U
No OF FAMILIES DWELLING LIMITS: . \�D STAT CLASS.- I
YES 21 T1ROOF SHEATHING
111:1511,11 11,1111,19 �IIEbR-PANELS
a .a
AIR QUALITY 7000 FEET MATERIALS lJ O I
NO NO NO IREQUIRED TOTAL SETBACK-FIM EXIST77Ri SPRINKLER HANGERS
�� FRAME INSPECTION
FRONT PL- YARD HWY PROP LINE WIDTH
`b/�c Sewlce That hoc
SIDE PL- I
TIM WrOW-OITA7151IN017--
I
RATED WALL ASSEMBLIES
T-BAR CEILINGS
LOT DRAIMT
I 17tTEA'fER-iAT�
I
REPORT ID DPR261 ROUTE TO: BS0508