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Home My Public Portal About5066 SERENO DR_Building__ ,5.6,9A CE NBD,l M1, APPLICATION FOR BUILDING PERMI COUNTY OF LOS ANGELES I ` BUILDING n DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST wa� DIST ICT NO GROUP TYPE `P E 15 / ' FOR APPLICANT O FILL. IN coNer BUILDING STATISTICAL CLASSIFICATION SEWER MAP ADDRESS / CLASS NO DWELL UNITS LOT NO / BI.00K�� WATER NOT REQUIRED RECEIVED Lj IVA _RCERTIFICATE TRACT MAPD HIGHWe1 STATE MAJOR SECOND OCA NO FSLOGS NO SIZE OF LOT /� NOW ON LOT USE ZONE PE JAL 3 �T USE OF I CONDITIONS EXISTING BLDG TE � ^O OWNER NO BUILDI G EX 1ST SETBACK YARD HWY STREET NAME WIDTH ADDRESS ( FRONT �� 0 ARCHITE TO ffd� TEL .0 L r ENGINEER V NO SIDE 0 ADDRESSI� Tr� 7✓� �i �y Imo.?/I �K ..Ih.0�y � yyi�pp TEL p( CONTRACTOR /Alc.L� NO Q ADDRESS DESCRIPTION OF WORK / / Z N ADD ALTER REPAIR DEMOLISH f , 4 B X/F Awf�, FT NO OF NO OF 1 SIZE STORIES��) AMIL ES USE STR UOCTU RE , ^"`+ ♦/ &-4'I l� Cfi/a GNATUR F 6� i APPLICANT ' Ad iL% .i VALUATION S APPROVALS ✓ DATE INBPECT IR S B ONATURE FOUNDATION LOCATIO FEE SZ FEE S •�PIAT FORMS MATERIALS h V 1 ✓/✓+ FRAME FIRE STOPS \ v I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING i GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK a ,� AUTHORIZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA CAS, INT TION OF THE LABOR CODC OF THE STATE OF CALIFORNIA RCLAT ING TO WORKMEN S COMPENSATION IN ..NCE LATH EXT / SIGNATURE OF" HOUSE NUMBER COR I A PERMITTE RECT AND POSTED ' ADDRESS INAL A) PLAN CHECK VALIDATION GK M D CASH _ JOHN F LEWIS PERMIT VTVALIDATION TION C=K PAL STRUCTURAL R K M D CASH 7 9 0'__JUL2522 D. 2 8.50- r ro 867OG NM 8 �11DD 5�7..000� a WORKERS'COMPENSATION DECLARATION _T, ` insure, oaffirm that 1 hover certificate of consent to self APPLICATION FOR BUILDING PERMIT LI IS mauve, or a certificate of Worker'Compensation Insurance, + or o certified copy thereof (Sec 3800 Lab C ) ' + COUNTY OF LOS ANGELES BUILDING AND SAFETY F Policy No Company BUILDING 13 Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS -77 Certified copy Is filed with the county budding mspec BUILDING tion department ADDRESS SQ4646 IV, SER E LOCALITY NEAREST Date + Applicant CITY ZIP V CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS NO C BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT SS R NOW ON LOT I MAP BOOK PAGE P L (This iection need not be completed d the permit s,for one - USE ZONE MAP I hundred dollars ($100)or len ) TRACT •Z ✓J BLOCK LOT NO Flo TEL SPECIAL y I certify that in the performance of the work for which this OWNER e O Nor A CONDITIONS d permit is inued, I shall not empl y pe In any nanner DISTRICT GROUP TYPE FIRE SSED BY U iso m to become subject to the ori a C _, ens hon Laws ADDRESS ZIP _ ` 'b f/ CONST 3 O J 0 Date .S Ss 4.3 Apphc ARCHITECT OR STATISTICAL CIASSIFKATION APT CONDO It- CITY NOTICE TO APPLICANT If, cher ma ung itis, Certificate of ENGINEER NO CUSS NO DWELL UNITS_ Exemption you should become subject to the Worker' IL Compensation provisions of the Labor Code, you must forth- ADDRESS SEWER MAP with comply with such Provisions or this permit shall be Z �n �/ VALIDATION deemed revoked CONTRACTOR t 0 BX FG LICENSED CONTRACTORS DECLARATION UC I hereby affirm that I am licensed under provistons of Chapter 9 ADDRESS NO VALUATION (oommenarig with Section 7000)of Division 3 of the Business and VLIC Profenions Code, and my license Is In full force and effect CITY CLASS S �S� ► ' SO FT NO NO OF CKECK- License Number Llc Ckin SIZE STORIES FAMIUES ONE S Contractor DO1e DESCRIPTION C WORK E- Q F NEW ❑ ADD ❑ El I am exempt under Sec ALTER ❑ FINAL DATE B dP C for this reason REPAIR Date USE OF EXISTING BLDG DEMOL C1By •�/ _ Signature APPLICANT TEL s��•" , OWNER-BUILDER DECLARATION' PRINT NO I hereby affvm that I am exempt from the Contractor*License , Law for the following reason (Section 7031 5, Business and ADDRESS Professions,Code) mtZiLM 1, as owner of thepr operry, or my employees withBUILDING i wages m their sale compensation,will do the work andd ADDRESS �9 0 Z a iBA the structure Is not Intended or offered for sale(Section _ LOCALITY - , 7044, Business and Professions Code) MOVING TEL #.. • • • • ) . I, as owner of the property, am exclusively contracting CONTRACTOR NO 2 • - 4988 with licensed contractors to construct the project (Sec- tion 7044, Business and Professions Code) ADDRESS t ED TOTAL SETBACK FROM EXIST 1• • • 4 9 8 8 CONSTRUCTION LENDING AGENCY MIN YARD HWY pRpp LINE WIDTH � I hereby affirm that there is a construction lending agency for FRONT - 0 a 0 8-8 3, the performance of the work for which this permit is Issued Pl. , Sec 3047, Civ C ) SIDE _ 6 PL Lender s Name Lender's AddrePC Fee f Permit Fee - ss , - I certify that I hove read this application and state that the lauonce Fee �i S U _ • + above information is correct I agree to comply with all Count' InveYpatwn Fee r-/ rj ordinances and State Iowa relating to budding construction, Total Fee Y Q and hereby authorme representatives of this County to enter u on the above- entlone roperty for inspection purposes A - 3-Qio-P3 S9 IMVM9 FOR EXPLANATORY LANGUA09 SignaNre of Applicant or Agent Date COUNTY OF LOS ANGELES TEMPLE CITY 0 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0104270033 PHONE: (626) 2135-0488 EXT DUPLICATE LEGAL ID No. OF CONST BUILDING ADDRESS: ON FILE SO. FT STORIES TYPE 5066 SERENO DR STRUCTURE 0 VN TEMP CA 917803037 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET: ROSEIEAD/SULTANA 5368-012-025 THOMAS PAGE- 596 GRID H5 LOCALITY: TEMPLE CITY TENANT. EXIST BLDG USE. RESID USE ZONE: R-Z ISSUED ON: PROCESSED BY: EXPIRES ON ENIST OCC GRP 04/27/01 JK 10/24/01 OWNER: TEL. MO- SLOGS HOW ON LOT VALUATION' FTRS31 F OWE: PETERSON RAYMOND B;SHIRLEY A - 1 9,300 ��oi 5066 SERENO DR TBR 917803037 FEES PAID REPLACE ROOF YIT YR WF TI ERLINE COMP SHINGLE, REPLACE FEE DESCRIPTION: QUANTITY: IAM: AMOUNT 9 WINDOWS AND PATIO DOOR APPLICANT TEL NO NICK TIMKO - AA BLDG PERMIT ISSUANCE 27.75 9941 HOWLAND AC STRONG MOTION RESID 9300 00 VAL 0.93 SPECIAL CONDITIONS TEMPLE CITY, CA D2 PERMIT W/O EN-HC:_�9300 00 VAL 216 60 EST CONTRACTOR TEL NOS Oco FEES 245 ZB PNGEL APPROVALS DATE INSPECTOR SIGNATURr NICK'S REMODELING (626) 442-7985- �0 ✓✓�Ty 9941 HONLAND DRIVE LIC NO LOCATION AND SETBACKS TEMPLE CITY, CA 91780 409663 B WrLS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO: FOUNDATION/TRENCH FORMS LIC MOs/II RAISED FLOOR FRAMING MAP NO SEWER MAP SOOK- PAGE F In n �7 n�/p q p I 1 1�1�1/1 I UNDERFLOOR IN900MMW_ 144H265 3 IOu �" B" I!(I \1d11 05 KC FLOOR NO OF FAMILIES DWELLING UNITS APT/EMMT-9TlTTDM9—. NO 21 �d LLL��JJJ LLLL�� IIJJ\�� CY `V UUU llllll U �1 444ddd/// ROOF SHEATHING --mon—grrm—HAZARDOUS4�11 AIR OUALITY 1000 FEET MATERIALS ` Q � 1 SHEAR PANELS i�P� � NO NO No A 0 7 F, FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXISTtq- FIRE SPRINKLER HANGERS SET BACK YARD HWY PROP LIME WIDTH `6/� �O FSINSULATION/WEATHER 5 SIDT PL-E PL- c ServNce That REPORT ID DPR261 ROUTE TO BS0508