HomeMy Public PortalAbout5110 SERENO DR_Building__ �TMENT OF H�.DING AND SAFETY APPLICATION FOR PERMIT
- ��/� COUNTY OF LOS ANGELES 'P■ ® ' /►
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WM. J. FOX. CHIEF ENGINEER U 6
FOR APPLICANT TO FU.L IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN OX. NO PERMIT NO
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APPROVED
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UB[ �� APPROVm
ADDRESS ZONDrf. SY DATE
LEGAL
DESCRIPTION LOT NO BLOCK -� .
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SIZE or LOT SSX,J p/ /y I NOWOON LOTS OxI L- {�
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USE Or �_ I NO.OF NO or— I
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DESCRIPTION OF WORK o lr t n 4 SL
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REPAIR MOVING DEMCLISH - O_
ME NO or DO ROOMS STORIES .
WALL RDOr
COVERING COVERING
UBE Or NEW
BUILDING
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1 HEREBY ACKNOWLEDGE THAT 1 NAV[ READ THIS APPROVALS '
APPLICATION AND STATE THAT THE ABOVE IS CORRECT rOUHDATIONI LOCATION. INSPECTOR DAT[
ANDAOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS gy y r-.. 5 1? - /p --,-
AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION rRAMEI FIR[ STOP96
SIGNATURE or BRACING. BOLTS / `I
OWNER LATH. INT 1 r
AUTHGRIZED A LATH. EXTI - -
!1 f/Q p 0'' � P G.. PLAST[R..INT
FEE PLASTER. EXT
VALUATIONr<E �� FINAL
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DEPARTMENT OF,BUII.DING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING! 1` 1
WM J FOX, CHIEF ENGINEER V N
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
AD R"s DIBTRICf�p PLAN CK NO 90/ '
LOCALITY RECEIVED BY ^ DATE OFFAAPPI- t (=AT/�EIBDUEED
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CR ' ADDRESS �O oy V
OWNER C
MAIL LOCALITY
ADDRtpCSNEAREST
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ARCHITECT TEL ZONE PLANS L�
ENGINEER NO BLDG ✓ L /
SETBACK LINE r_
ADDRESS A APPROVED
.R� BY DATE
CONTRALTO NO - US6 APPROVED `
SID ZONE DATE
ADDRESS HOUSE NUMBERING
LEGAL LOT NO/ BLOCK MAP NUMBIL FIELD CHECK BY
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TRACT
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•TRACT /� r/3 NO ASSIGNED SY ' DAT
r NO OF BLOCS - CORRECTIONS
SIZE OF LOT 7I NOW ON LOT
UBEOF'BLDG NIXI
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DESCRIPTION OF WORE _
NEW ALTERATION I I ADDITION I +
REPAIR DEMOLITION I I O
A-
SO FT NO OF O
SIZ[ Q ROOMS STORIES Z
ERT WALL ♦ ! ROOF r
COVETING COVERING
USE OF
,C1
APPROVALS -
ivarECTOR'SSIGNATURE DATE
1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FOUNDATION LOCATION ��/�S
PLICATION AND STATE THAT THE INFORMATION GIVEN IB FORMS, MATERIALS _
CORRECT
I AGREE TO COMPLY WITH TpE CORRECTIONS LISTED FRAME FIRE6TOPS,
HEREON AND WITH ALL COUNTY URDINANCES, AND STATE BRACING BOLTS G ✓
LAWS REGULATING S ILDI CON TRU O , FURNACE LOCATION.
SIGNATURE OF GAS VENT, DUCTSR
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ADDRESS v .10 7 LATH, INT
LATH, EXT
AUTHORIZED AGT
PLASTER. INT
TMIiM [ISO IOp j P C a '
® PEH PLASTER, EIT
VALUATION S r
FEE J FINAL v H
DIVISION OF BUILND DING ASAFETY
Doparbnent If County EDglDew I3UIL®Ile G—
cDDDe of I o ADg.I"
WM J FO , COUNTY ENGINEER ' APPLICATION
FOR APPLICANT TO FILL IN �oorteae /S+i ` //I��C�/�D R
AUILDINDDRESLOCALITY
LOCALITY
l��B C/r CR GB�ST 1 Olfec /0"
NEAREST / DISTRICT NO , PLwN CK on RKO NO PERMIT NO
C ST r 15 I 3.256
OWNER C.0 A 71f'/AIS 4004V RQC61V BY DATE OP APPL DAT_q 165UJM
MAIL //oN z ��3
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USE ZONE OF TYPE GRODUP. RE ZONE
CITY P�C�✓!1 66..M TO GG�� /1 PLANt, ' - 7
ARCHITECT ofi TEL ' r ZONING //• I DATK
ENGINEER NO ATROVKD BY-/� Z-
BUILDINO
ADDRESS SETBACK LING O S.
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CONTRACTOR OXT..6 A/�' NO fst. OV�1 C/1� Z
H NUMBERING
ADDRESS i —
LEGAL MAP NUMBER O / ' HO A RD,BY
DESCRIPTION LOTrN BLOCK
/.2 �/ DATE I t CORRECTIONS I INBPQC0
TRACT
NO OF BLDGS
SIZE OF LOT NOW ON LOT r
SE OF C C` NO OP
UI M SIA
a B G� J D
DESCRIPTION OF WORK t
0
z
NEW ALTERATION ADDITION f r
REPAIR DEMOLITION
80 FT NO OF
91ZE ROOMS STORIES
HZT WALL ROOF'
COVERING COVERING I
USE OF STRUCTURE
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AZO A)
r Y
�(/ p APPROVALS
INSPECTOR'S SIGNATURE DATE
FOUNDATION LOCATION
FORMS MATERIALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP-
PLICATION AND STATE THAT THe INFORMATION GIVEN IB PRAMS FIRE STOPS
CORRECT BRACING BOLTS O)
1AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION,
AND STATE LAWS REGULATING ILDING CONSTRUCTION GAS VENT DUCTS
SIGNATURE OP�
PQRMUR , LATH INT
E ll
ADDR J LATH ETT
PLASTER INT
AUTHORIZED AGT �v�
s /// L/ P C S PLASTER EZT
/ DO pEQ HOUSE NUMBER COB- /
RECT AND POSTED 1
0
VALUATION FEE FINAL
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