HomeMy Public PortalAbout5066 1/2 SERENO DR_Building__ TEMiPLk,,,CIlry
1 I
TeAcee.of Ceoa 26 PPLICATI ON FOR BUILDING PERMIT -
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY la
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DISZpI COT N GRO TYPE P O
FOR APPLICANT TO FILL IN 70 CONST
BUILDING STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS O l n
CLASS NO DWELL UNITS
LOT NO / BLQGK� CWATER ERTIFICATE
NOT REQUIRED RECEIVED Ll
TRACT _ / MAP HIOHwAv
NO OF BLDGS NO 17 "(CIRCLE, STATE MAJOR SECOND LOCAL
SIZE OF LOT�� NO ON LOT USE ZONE PECIAL
[ARH
F CONDITIONS
ING BLDG 9
TE TJ
R N B ILD"( O EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADORES FRONT
ARCHITECT OR TEL P L
1611 1 VTO'At
EER NO SIDE �.
P L d
ESS
TEL V
RACTOR NO f,� .E // O
ESS / / 'JJ
DESCRIPTION OF WORK a
a z
ADD ALTER REPAIR DEMOLISH NO OF NO F STORIESF I ESTw4./IF ��. 4./TURE
TU FkitLICA T
VALUATION S l e A
APPROVALSrokre,)DATA INSPECT RSB AIATU"
PC PMT FOUNDATION LOCA ON ;/
FEE $ FEE $ FORMS MATERIALS
_� FRAME FIRE STOPS
1HEREBY AC N NOWLEDGE THAT I HAVE READ THI6 APPLICATION BRACING BOLTS / I/
ANO STATE THAT THE ABOVE 18 CORRECT AND AONIK TO COMPLY FURNACE LOCATION
WITH ALL COLNTY OROINANCIS AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION 1 CCRTIFY THAT IN DOING THE WORN L
AUTHORIZEDHEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA yEYA INT R/
TION OF TH! LABOR CODC OF THE STATE OP CALIFORNIA NELAT
ING TO WORKMEN E COMPENSATION INL AN
LATH EXT y
SIGNATURE O HOUSE NUMBER COR
PERM ITTE RECT AND POSTED , ,r
ADDRESS AL �VA1
PLAN CHECK VALIDATION CK Mo cwsH JOHN F LEWIS PRI CIPAL STR ITCTURAL ENC ER
PERMIT VALIDATION CK M D CASH
7 9A✓l'Vr. JUL ,5 2 3 D 2 8 50a L
/._, ` at F �p8,6 7 1Q AM 8 1 D 5 7.00- Q