HomeMy Public PortalAbout5061 SERENO DR_Building__ 7UINA.h .9 .0 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS J
BUILDING AND SAFETY DMSION LOCALITY
JOHN A LAMBIE. COUNTY ENGINEER NEAREST
WILLIAM A JENSEN UPT ORB LOINO CROSS ST
IN
FOR APPLICANT TO FILL
DISTRICT NO GROUP TYPE P SED BY
r Q' 7! zr CONST
BUILDING / G STATISTICAL CLASSIFICATION SE R MAP
ADDRESS C6 K
�1 CLASS
NO DWELL UNITS
LOT NO �� 1 1 —' UId A/SNI LOCKS NUMA MBER HWYE YES O
TRACT AN h IR 1 .� USE ZONE SPECIAL 'T
NO OF BLDGS CONDITIONS
SIZE OF LOT NOW ON LOT
USE OF
EXISTING BLDG li BUILDING YARD HWY .STREET NAME EXIST
TEL )) SETBACK WIDTH
OWNER _ U NO 7 FRONT a
G P L
ADDRESS �• C. SIDE
ARCHITECT R 1 TEL P L
ENGINEER OWE NO INSPECTION RECORD
ADDRESS
TEL 49 — .11 U1 / / O
CONTRACTO — -PLI NO S V
ADDRESS 71 b _Cjf —L �OI! /l '/GL �•a
DESCRON OF WORE -G 1 vi �r , i o
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NEW JADD ALTER REPAIR DEMOLISH — -
SONO NO OF NO OF A ".C!
SIZE O STORIES FAMILIES
STRUCTURE /. rT
M MO
SIGNATU REO a
APPLICANT
VALUATION S CsD
APPROVALS DATE INSPECTOR $SIGNATURE
PCA PMT FOUNDATION LOCATION
FEE $ FEE $ FORMS MATERIALS
�O FRAME FIRE STOPS
I HTATE THAT
THE
THAT HAVE READ THIS APPLICATION BRACING LOCATION
AND BALL OUT THE /.ROVE 14 CORRECT AND AGR
O RCC E COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAB VENT DUCTS CJ G %( ✓L.....C_t.4_GT�- �•^
BUILD t
THE
CONSTRUCTION WHIG I CERTIFY THAT IN THE PERFORMANCE // II
EM LO WORK FOR IN N THIS PCRMIT IS ISSUED ED SHALL NOT LATHINT I i• \/n\
EMPLOY ANY PERSON IN ANY MA COMPENSATION
%W AS TO BECOME 6V GU CCT _
TO THE WORRME COMPENSATION L OF CALIFORNIA
LATH EXT
SIGNATURE OP ,� HOUSE NUMBER COR-
PERMITT j �� RECT AND POSTED
ADDRESS L% r FINAL
CLYDE N DIRLAM PRINCIPAL$TRU RAL ENGINEER
PLAN CHECK VALIDATION ICI MO C . MUM VALIDATION M o cARH
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msm"#..a SO APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARMENT OF COUNTY ENGINEER ADDRESS
r
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST l
WILLIAM JENSEN. Cur T OF BUILDING CROSS ST
DISTRN GROUP TYPE O ED BY
FOR APPLICANT TO FILL IN 1177�� CONST
BUILDING STATISTICAL CLASSIFICATION S ER MAP
ADDRESS /
CLASS N DWELL UNITE
LOT NO SjEyA SftBLOCK MAP STATE YES O
NUMBER HWY
TRAF, lk OvAtvfi II USEZONE SPECIAL
NO OF BLDGS [f CONDITIONS
SIZE OF LO r NOW ON LOT /JY
USE OF
EXISTING BLDG L BUILDINGE%IST
TEL SETBACK WIDTH
YARD HWY STREET NAME
OWNER W NO FRONT
P L
ADDRESSMdp C SIDE
ARCHITECT OR I TEL P L
ENGINEER NO INSPECTION RECORD
ADDRESS d
CONTRACTO V ANO U Lel O
ADDRESS O —{ - .
O
DESCRIPTION OF WORK
a
NEW ADD ALTER REPAIR DEMOLISH
Z
SO FT NO OF NO OF
SIZE STORIEH FAMILIES
USE OF
STRUCTURE
SIGNATURE OF
APPLICANT
VALUATIONS �' a
APPROVALS DATE INSPECTOR S SIGNATURE
$ �_ FEE FOUNDA
FEE NIT
TION LOCATION
��• FORMS MATERIALS 1 Xj
FRAME FIRE STOPS )-711
1 HEREBY ACKNOWLEDGE THAT I HAVC READ THIS APPLICATION BRACING BOLTS 1 'C.�/1..n1_
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION ' 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
SUILOI NO CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IS ISSUED I SHALL NOT LATH INT
EMPLOY ANY r N IN ANY M
IN
SO S TO BECOME SUBUILCT
TO THE WOR CO ENSA OF CA FORN A
LATH exr
SIGNATOR �, HO USE NUMBER COR-
PERMPE !CT AND POSTED
r
ADDRESS � FINAL
CLYDE N DIRLAM PRINCIPAL STRUSEVRAL ENGINEER
PLAN CHECK VALIDATION cK. M G cABH PERMIT VALIDATION AID
cABK
11 5 5 9 r ;i R 1 CikD