HomeMy Public PortalAbout5062 SERENO DR_Relocation__ Ta%eso-c[eye-e aD 1
APPLICATION FOR RELOCATION BUILDING PE MIT
COUNTY OF LOS ANGELES BUILDING
ADDRESS SO 6 2—
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE County Engineer NEAREST
COLEMAN W JENKINS Sue t of Bulldln CROSS ST
-DISTYO GROUP TYv[ o as °
FOR APPLICANT TO FILL IN 5 CONST
P OP StoSTATISTICAL CLASSIFICATION n[w[R Mev
BUILDING Sereno Drtue
ADDRESS
CLASS NO 8 Or 9 (Circle Doe) - 1
I,QCALITY Temple City use TONE MAP
PRESENT
No
ADDRESS 4033 N Walnut Street iZ SPECIAL _
CONDITIONS
LOCALITY BaICknn Park
OWNER Dmip Hnmpfnn BUILDING SET BACK FROM
MAILo (���� //���� FRONT PROP LINE OF (STREET) }
ADDRESS 1011 Oalt View Lane TYPE OF [%InTIN° n[T[AC% HIGHWAY } Ye11O a TOTAL Q
CITY Arcadia 91006 NO Of
HIO AY WIDTH FROM C L U
OVINGp _
CONTR AC ToBel1 y0118Q lYlO U@ra4OL321-0474 BUILDING 5 BACK FROM G
St
41DE PROP LINE OF (STREET)
N
ADDRESS 19130 S Figueroa t TYPE OF [%IITIHO n[T°wt% yaj
BUILDING TEL NIOXMAY WIDTH FROM C L• HIGHWAY } YARD p T°rAL -L
CONTRACTORto be selected NO
ADDRESS
CONSTRUCTION LENDER CORNER CUTOFF VES NO
NAME AND BRANCH APPROVALS DATE INSPECTOR S SIGNATURE
ADDRESS FOUNDATION LOCATION
PRESENT
FORMS MATERIAL,
FRAME IIR[ STEPS
.US
U DR 1 Fam Drolg att 1 car gar BRACING BOLTS
BUILDING FURNACE LOCATION
PROPOSED DID
ff GAS VENTS DUCTS
BUELO'NG 1 Fam DDIg att 2 Car Oar
ATH INT
SO FT NO OF
SIZE HOUSE) RTjOOMS 4 STORIES LATH E%T
LEGAL
D ESC[[R��I��PTI ONPNp Of 13 BLOCK RECT AND POSTED
TRACT[[hy of Surueu P$ 6— FINAL lye
SLOGSNO OF SURETY BOND
SIZE OF LOT55x397a1 NOW ON LOT3 RHLEAB
USE OF NO OP 1 h.6, aaknoWlini, that 1 ha%s mad NIR application and .tato al
E%ISTINO BLDD' 1 I'clr( L: F ILIHS 2 abars In camct aM cents b comply Woh all county odoances and [tato s
I HERESY STATJ T HE INFOR ON GIVEN COMECT Iowa .,ul°ang WWI... ....w cban I comfy that an dune ths Work author
Asd besby i Will an, enpby my pisr[on In wlaHan GI th[ Lab. Cad[ ai
SIGNATURE OF bs Sbro al Collbma r4aM1np b W.k wmpM on In BameNB
APPLICANT
Mn a
ADDREE-
t
ell
0
SIGNATURE OF
VALUATION S P CS PERMITTEE
/I FEE 11 L Oak Tern e
FEE S
= fJ')� ADDRESS
VALIDATION CK M O CASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGINEER
PERMIT VALIDATION cK M o CASH
3 3 1JUL 3 2 5 D 8 0.007LW-aJUL 25 6 0 5 `a3.0 0 •98
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