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Home My Public Portal About5114 SERENO DR_Building__ R99-a�1a�.aMvara a-�a Pr{RTMENT OF BUMDING - IC_ O COUNTY OF LOS ANGELES ? VVM J FOX, CHIEF ENGINEER 6 U I i ® N FOR APPLICANT TO FILL IN FOR OFFICE USE PIONLY AdILDING _ /� DISTRICT NO AN CK. NO P[ MIT NO ADDRESS SGS I' O / ( Isr��1 -i- �p Is LOCALITY n 6 / RLC IYED BY AT[ Or APPL D T[JISSUED OROBE 8T NEAREST I y /�v// /_ el OWNER t 7, A4 N ADDREIBB ` MAIL / �� ADDRESS i/ LOCALITY /./�� ` r� J1 NEAREST CITY /A'�L r LZ �//�V� NOL /V t, CROSS ST FIRE MO or TVP[ GROUP ARCHI C7 OR TEL ZONE�� PLANS '-I fiNGINEER NO . BLDG OR6 NO ADDRESS SETBACK LINE T[L APPROVED CONTRACTOR NO BY DAT[ USE APPROVED ADDRESS ZONE SY DATE DESCRIPTION I tLOOTy ND /Q I BLOCK CORRECTIONS t� TRACT `l �+ C7 f�tQ &/�/�Y 7' .�j G b j y 4/, No of BLDGB fp V SIZE Or LaT,:r— -X D O NOW ON LOT USE OF I ND or _I No or, IXIBTING BLOB ►'YI LIaa ROOMS _ s/ F A t DESCRIPTION OF WORK NEW ALTERATION ADDITION C - 70 REPAIR MOVING DEMOLISH O 8 SE��"b O Rooms STORIES WALL COVERINGCOVERING _ USE Or NEW BUILDING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIB� APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT. rOUNDATIONI LOCATION. I [ R" DDATE / AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES, FORMS. MATERIALS AND STATE LAWS REGULATING BUILDING OONSTRU ION FRAM[ FIRE STOPS. SIGNATURE Or BRACING. DOLTS t t OWNER LATH, INTI J AUTHORIZED AOT LATH, EXT, 4 �� P O S PLASTER. INT J� rEE PLASTER. [i1T VALUATION � 6 FEE S FINAL ). NAl 1 TGA 83u ti-55', IAG; D••• APPLICATION FOR BI,ILDING PERMIT 1 `DIVISION OF RuiLDiNG AND SAFETY .'i BUILDINGSI No l €e EN d' be ADDRESS D•pmlmGal of Cooay EDg1DB•t f t JOHN A LAMB B,, couof Los An�eNo1HEIDe //A 'LOCALITY � r�t/r C CASBATT D GRIFFIN.SU"OF BUILDING - ' r{- GROSSNEARST EST Q, ✓ 1�I L FOR APPLICANT TO FILL"IN DISTRI NO GROUP TYPE SEWERK MAP -1\ CONST BUILDING MAP / STAT! ADDRESS. NUMBER O C HWY YES NO LOT NO - BLOCK UBE ZONE SPECIAL 1 CONDITIONS TRACT 1-30- ' 6 o d NO OF BLDGB SIZE OF LOT NOW ON LOT BUILDING YARD HWY STREET NAME USE OF SETBACK WIDTH EXISTING BLDG �I FRONT (+ P / 1— IDE / OWNER SIDE - MAIL P L - ADDRE88 O TRACT DWELL 1 UNIT TEL S INDUSTRIAL CITY NO 1 DWELL Q 1 UNIT 6 PUBLIC BLDG ARCHITECT OR TEL 2 DUPLEX 8 Y UNITS 7 ADEN ALT. ETC ENGINEER NO APT lJ—UNITS B MISCEL ADDRESS 4 COMMERCIAL CONTRACTOR TEL 0 INSPECTION RECORD ADDRESS / I i�7f ��. e,e ,c V R• To D L q.o •.I!-• DESQaMON OF WORE T' 'IIS I� <7F• 1-1 �. I Y AA r4iw 1. NEW A D ALTER REPAIR DEMOLISH NO OF NO OF m E STORIES FAMILIES USE OF STRUCTURE 1J A 3 IS 1=aQ RQ t: L slGrurupe of `' �Q" A ..D S- APPLICANT APPROVALS O R •-1 1 ADDRE88 DATE INSPECTOR S SIGNATURE O I ••' AQ FOUNDATION LOCATION TION C FORMS MATEROO FPEFRAME FIRESTOPS 4 BRACING BOLTS I Stiit ALU FURNACE LOCATION 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS GAS VENT DUCTS APPLICATION AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES LATH INT AND STATE LAWS REGULATING BUILDING CONSTRUC- TION LATH EXT SIGNATURE OP >( HOUSE NUMBER COR- PERMITTEE RECT AND POSTED /I i ADDREB FINAL OHN A LAMBIE, bOUNTY ENGINEERa VALIDATIQN CLYDE N DIRLAM. CHIEF BLDG. INSPECTOR Y ON MO CAIN ' 'JC2877N fmv2916 9.00em L Lo G 1 - rrr�6 1 80 n m �- I �u DEPARTIMON OF U COUNDING raaanOWt AFErT DIVIffiON OF BOF LOS AND SAFETY A • COOPTY OF L08 AA6EL88 BUILDING WILLIAM J. FOX. COUNTY ENGINEER APPLICATION CABSATT D GRIFFIN, SUF-T OF BUIWINQ FOR APPLICANT TO MI IN FOR OFFICE USE ONLY BUILDING DISTRICT NO PUN CK on R[C No —PERMIT NO- ADDR S� 2446 LOCALITY EIVED BY DATE OF APPL DKTJXI ISSUE 1 NEAREST L ,.f/D ,47 IbUILDIN5 OWNER ADDRESS r ADDRESS LOCALITY G/ TEL NEAREST, C TY r CROSS;BT CHTTELT OR TEL FIRE I NO OF GRO • lNGINEER p ZONE PLANS TY ADDRESS BLDG D SETBAC L ! 20 CONTRACTOR /" M� USE . i APPROVED ZON BYE DATE ADDRESS HOUSE NUKERING LEGAL DESCRIPTION O / E MAPNUMB O ASSIGNED BY CORRECTIONS TRACT NO OF- � STL6 OF 1.0T N LOT •�S USE OF NO OF L✓/O _ _ KKXIMNQ SLDGG - DESCMMON OF WORE p s ,.I o O - New S I - z EREPAIR DEMOLITION SOIZEFT NOOOOF .2460 EXT WALL RB covollNG ONG G; �. USE OF STRUCTURE APPROVALS INSPECTOR'S SIGNATURE DATE FOUNDATION LOCATION FORME MATERIALS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRERTOPS PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACINO BOLTS CORRECT I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FURNACE LOCATION AND STATE LAWS REGULATING B UCTION GAS-VpENT• DUCTS IGNATURII OP uTH. INr~ N x`-11 3 d- PERM ADDRESSIV P• LATHTH ®Tr PLASTER. INT UTHORIZED AGT PLASTER EXT OUSE P C E HNUMBER COR- FEE ORPCTUSE AND PORTED ALUATIONN [j m FEE / FINAL L v CE Ta,IUEA Sells S-E� . u TDASSSA CERSO!!-SS APPLICATION FORq3U ILDI NGPPERMIT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAR EST COLEMAN W JENKINSAUP T OF BUILDING CR09S 9T DISTRICT NO GROUP TYPE P C D HY FOR APPLICANT TO FILL IN COMST BUILDING STATISTICAL CLASSIFICATION SEWER MAP DDDR filf CLAS! NO �OW ELL UNITS �� B PG LOTNO USE ZONE -MAAP D TRACT ` SPECIAL ONDI S(ZE OI LOTYf J KOW OMSLOTf TIONS USE OF SLDO GETSA FROM TEL FRONT PROP LIN[ 01 pTAKETI OWNER TYI[ 01 E_A 13 NO NO GETSACE HIGHWAY YARD = TOTAL ADDRESS I M C L CITY • 0 _ + oto - C� ARCHI T! T O EL BLDG SETBACK FROM - ENGINEER O 4 SID[ PROF LIN[ OI STREET TYPE OF I EXISTING 89TDACX I HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL + CONTRACTOR -NO I I I } LIC ADDRESS NO CORNER CUTOFF YES ElNO s CITY J-tt4jl� CLASS LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORK 75, C 777— CIL NEWADD ALTER REPAIR DEMOLISH SO FT NO OF NO OF �C SIZE STORIES FAMILIES Fr hUSEOF STRUCTURE9%la'tALmA4frFo F Y e2mOM1 O SIGNATURE OF APPLICANT VALUATIbHSi � ' CZ ImI .00 APPROVALS DATE ,,P-CTOI).'$SIGNATURE PC PMT OO FOUNDATION LOCATION FEE$ PEES FORMS, MATERIAL! J FFA-Mi. FIRED GFS, / I IER[BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT H AND STAT[ THAT TE ABOVE IG CORRECT AND AGREE TO COMPLv FURNACE LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING OAS VENT DUCTS VU ILO CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEMSY 1 WILL NOT [.PLOY ANY I'— IN VIOLA LATH INT TION OF TH[ LAIN>R CODE OP THE STATE OP CALIFORNIA RELAY ING TO WORKMEN S COMP[NGATION INSURANCE ILATH EXT SIGNATURE OF HOUSE NUMBER COR- PEItMITTE! CT AN p ADDRESS FI NALel ( SOLI JOHN F LEWIS PRINCIPAL STRUCTURAL ENR PLAN CHECK VALIDATION CK M O WH PE tMT' VALIDATION CK M o ( CASH LACAV 4 2 O% MR 2 1 D 15.00— a ISABEBA CE#003 5 APPLICATION FOR BUILDING PERMIT ILII COUNTY OF LOS ANGELES BUILDING ADDRESS S y DEPARTMENT OF COUNTY ENGINEER MIMING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE, COUNTY ENOINQR NEAREST J! o CROSS ST 6 R DISTRI�1/j.1., c o T•PE BASED BY FOR APPLICANT TO FILL IN J// OV CONST BUILDING NO HTATIHTICALCLQSSIFICATION IR NAP PO BK PO CLASH NO DWELL UNITS JVf AOOT NO / BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE in 11 TRACT .. MAP 17 HIGHWAY ' STATE MAJOR SECOND CA NOF BLDGB R N ICIRCLEI SIZE OF LOT -sSX NOW ON LOT 3 USF, ZONE SPECIAL USE /OF CONDITIONS USEOFEXISTING BLDG OUS goI TEL OWNER - - NO BUILDING YARD HWY STREET NAME EXIST ADDRESS Q SETBACK WIDTH FRONT wl ARCHITECT OR TEL P L S161 IO! ENGINEER NO L �- 'O ADDRESS CONTRACTOR /— NO ,INSPECTION RECORD n ADDRESS DESCHUMON OF WORK � ^ 'wee> ca vdi NEW e-AID ALTER REPAIR DEMOLISH / 3 /oGAw 7z SEIZE STORIES FAMIILIES USE A4 STRU FRZ; 'U 6 4 f n4 SIGNATURE OF a O APPLICANT VALUATION E D I ) APPROVALS bAT9 INSPECTOR B SIGNATURE PC PMT FOUNDATION LOCATIO ♦ tL FEE FEE �� FORMS MATERIALS FRAME FIRE STOPS - 1 HEA[!Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE LOCATION 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT,DUCTS BUILOINO CONSTRUCTION 1 CERTIPY THAT IN DOING THE WORK AUTHORISED HERESY I WILL NOT EMPLOY ANY NOON IN VIOLA LATH, INT TION Or THE LABOR COD R TNt LIPORNIA RELAY ING TO WORKMEN S C INSUR E LATH Q](T 6 SIGNATUREOF HOUSE NU MBER COR- PERMITTE pLCT AND POSTED ADDRESS FINA1, �'YIA i1 CLYDE N DIRLAM PRINCIPAL STRUCTURAL ENGOU90k PLAN CHECK VALIDATION aL mo cAsx PERMIT VALIDATION cK. r o LP�06987% JAN 11 1 6 9.00 M , Itf 76AGMA Cm Ieoo left a/Zel - APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN AUDDRESS / BUILDING ADDRESS LOCALITY NEAREST CITY T ZIP O CROSS ST 4eA. -- O OF BLDGS ASSESSOR SIZE OF LOT Q 0.91NOW ON LOT MAP BOOK PAGE I PA L TRACT '�� BLOCK` ' LOT NO y'\ DISiRICiQ GROUP CON FIRE E SSED BY TEL J o!/ -4W-3 � _ 7`S,dJN OWNER _ 1 N0 STATISTICAL CLASSIFICATION SEWER MAP ADDRESS < CLASS NO -1 , DWELL UNITS M 0K-7/PG CITY ZIP A Hli OR w TEL VALUATION $ Q� ENGINEER NO ADDRESS BLDG SETBACK FROM TEL FRONT PROP LINE OF ISTREED CONTRACTOR NO I TOTAL SETBACK FROM TYPE OF E%(STING LIC HIGHWAY -+ YARD FRONT PROP LINE HIGHWAY WIDTH ADDRESS NO IC + CITY CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF ISTREETI HIGHWAY + YARD TOTALK FROM TYPE EXISTING PROP 0 ADDRESS CITU - - SIDE PROP LINE HIGHWAY WIDTH O SO FT NO OF NO OF CHECK + V SIZE STORIES FAMILIES ONE 0 DESCRIPTION OF WORK NEW PC F"$ Permit Fee D LW 1 Issuance Fee GC ALTER ^ / REPAIR cl Tolol Fee EXISTOINGBLDG �I DEMOL _ 2 APPLICANT _ TEL F 'PRINT) NO D BY(SIGNATURE) (HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUIEATKTN AND STATE mR,R THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES w AND LAWS REGLUTING ORK BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE ;93 03.7 A WAUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR «CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN S COM Z PENSATION I NSURANCE M R • • '� SIGNATURE OF 2�� 22.00 PERMITTEE ADDRESS = Io 0 22006 CITY iN0 < 03021-79 O USE ZONE NO -)- 01 -7A _ _ 3 SPECIAL (yA/!•�d.es Ta<> d!`r _�VNe CONDIiIONS ,,/• , �/�� 'v yp/ FINA DATE � --7-7-7 BY �u D E /e sip /9'T 77r.Fr OF Gcws tvc r7Dr✓, -c- 4y. APPLICATION' C-FOR BUILDING PERMIT FOR APPLICANT TO FILL IN 'Pant or type only; COUNTY OF LOS ANGELES S ADDRE r DEPARTMENT OF COUNTY ENGINEER CITY ZIP Q BUILDING AND SAFETY DIVISION OF BLDG$ BUILDING SIZEOF LOT 5 OWON BLDG l ADORES$ TRACE S' E/ BLOCK LOT NO 0; _ LOCALITY TEl - NEAREST OWNER NO CROSS$T ASSESSOR ADDRESS,-52/V MAP BOO( PAGE PARCEL DISTRICT TYPE-CITY ZIP O 15, 19 p GROUP_ CONST V Z RE PROC ED BY ARCHITECT OR EL V ENGINEER NO STATISTICAL CLASSIFICATION AA TEL IION SEWER MAP ADDRESS CUSS NO .' ' DWELL UNITS /n SK 7 //PG CONTRACTOR NO USE ZONE �P / ADORE ICNO Q. 1, SPECIAL LIC CONDITIONS CITY CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES ❑ NO ❑ CONSTRUCTIOWLENDER NAME AND BRANCH BLDG SETBACK FROM FRONT PROP LINE OF )STREET) ADDRESS CITY HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING SQ FT ST OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE $TORIES FAMILIES ONE DESCRIPTION OF WORK NEW ❑ + ADD ❑ BLDG SETBACK FROM SIDE PROP LINE OF (STREET) rOr ALTER I OAL BACK FROM TYPEOF EXISTING Y' HIGHWAY + YARD $IDE P LINE HIGHWAY WIDTH USE OF - REPAIR 1:1Z EXISTING BLDG DEMOL ❑ + _ _ _ _ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ 'PRI NTI •NO IN OPEN SPACE YES ❑ NO ❑ BY(SIGNATURE) IN COASTAL PER ONE Y6 ❑ NO ❑ VALUATIONS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AMICATION AND STATE THAT THE ABOVE IS CONECI AND AGREE TO ODMPLY WITH ALL ORDINANCES �L AND LAMS REGULATING BUILDING CONSTRUCTION CERTIFY THAT IN DOING THE JJ WON(AUTHOgIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VXXATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO VAORKMEN S COM PENSATION INSURANCE SIGNATURE OF PERMITTEE ADDRESS CITY TEL NO FINAL / ,2/ -;7 BY MAKE CHECKS PAYABLE TO FEE PC b FET b^ �Q HARVEYT BRANDT COUNTY INEER 1 -7 / 0 -7 cz PLAN CHECK VALIDATION c c o CASH PERMIT VALIDATION CK w o cgeH 9 2 2SAPR 26 2 3 1 1 e�18 �1, 3 3 0i:HAY 17 1 Y / 28.5 () �A mR 7b� ACEY 3375 _� 1 _ I !� APPLICATION FOR BUILDING PERMIT FOP APFEICANT TO FILL IN (PNAe Gr tvD• GRIP) BUILDING COUNTY OF LOS ANGELES A cl DORES DEPARTMENT OF COUNTY ENGINEER "pg/-71yO BUILDING AND SAFETY DIVISION O OF BLDGS BUILDING 512E OF LOT NOW ON LOT ADDRESS / IGC „JC• � T R A C Tjeg, 1'6 8 L OC I LOT NO LOCALITY C EL NEAREST �� os, D OWNER CROSS ST IF ASSESSOR ADDRESS MAP BOOK PAGE PARCEL DISTRICT GROUP TYPEFIRED M55ED Y CITY ZIP o �R CONST ZONE P ARCHITECT TEL yC/ • 2 [ ENGINEER <5L4IApjjAA NO 1 'J STATISTICAL CLASSIFICATION LASSIFICATION SEWER MAP ADDRESS CLASS NO DWELL UNITS BKM p0 l CONTRACTOR INO E ZONE MAP / NO ADDRESS SPECIAL CITY CONDITIONS Ap OEPARTMENT APPROVAL REpUIRED YESNO CONSTRUCTION LENDERNAME AND BRANCHDG SETBACK FROM ,/ONTPROP LINEDF - (STREET)ADpRESS CITY TOTAL SETBACK FROM TYPEOF EXISTING CD NWAY } YARDSI FT NO OF NO Ll FRONT PROP LINE NIGNWAY WIDTH SIZE STORIES FAMILICG + pE DESCRIPTION OF WORK EW ® C] OD Il'-JI SLOG SETBACK FROM d SIDEPROP LINEOF (STREET) y 2 ALTER ❑ HIGHWAY � 4 YARD TOTAL SETBACK FROM TYPE OF EXISTING REPAIR❑ SIDE PROP LINE HIGHWAY WIDTH USE OF } - EXISTING BLOC EMOL ❑ APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PAINT) _ NO BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑ IN COASTAL ZONE YES ❑ NO ❑ VALUATION OOO(dr CATEGORICAL EXEMPTION YESD NO ❑ I HEREBY ACKNOW DOE THAT I HAVE READ THIS APPLICATION ENVIRONMENTAL AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (DATE) WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON STRUCTI ON 1 CERTIIY THAT IN DOING THE WORK AUTHORIZED IMPACT REPORT PROCESSED (DATE) N ERESY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STAT[ 01 CALIF MIA IM RELATING TO ( 1 ` WORKMEN S COMPENSATION INSURANCE 1 SIGNATURE OF PERMITTEE z9filvVII.&I Olt, ADDRESS S T FINAL-, ;i T TEL DATE �f CITY NO / t (I IAf ( //I-( ISI O NTY N T[ sG�P 0 \/�(1'/l FEE S� / HARVEY T BRANDY COUNTY ENGINEER I JN PLAN CHECK VALIDATION CK Mo CASH PERMIT VALIDATION CN o / CASH _ 199473, JUL 2 1 D 2 1 .75- Q 76A638A CE N803 12/72 0 I APPLICATION FOR BUILDING PERMIT N FOR APPLICANT TO FILL IN (PrIDI GI type oD iv1 BUjNER COUNTY OF LOS ANGELES • ADDEPARTMENT OF COUNTY ENGINEER clZIP o BUILDING AND SAFETY DIVISION NO OF BLOCS BUILDING SIZNOW ON LOT - ADDRESS S0.�Lq, ce TRBLOCK LOT N LOCALITY NEAREST Ow CROSS ST ADASSESSOR [i MAP BOOK PAGE PARCEL DISTRICT GROUP TYPE FIRE PROC SED BY CIZIP f 6)� y CONSTAR - TEL JENNO STATISTICAL CLASSIFICATION E�R7 M�P ADDRESS CLASS NO DWELL UNITS BK/ PG CONTRACTOR TEL USE ZONE MAP LIG NO ADDRESS _ _ NO —a„ SPECIAL CITY - LIC CONDITIONS CONSTRUCTION LENDER CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑ NAME AND BRANCH ti SLOG SETBACK FROM FRONTPROP LINEOF (STREET) ADDRESS CITY TOTAL SETBACK FROM TYPE OF EXISTING HIGHWAY } YARD SQ FT ST OF NO OF CHECK FRONT PROP LINE HIGHWAY WIDTH SIZE STORIES FAMILIES ONE DESCRIPTION OF WORK NEW O ❑ BLDG SETBACK FROM O OD SIDEPROP LINEOF (STREET) ITER ❑ _ TOTAL SETBACK FROM TYPE OF EXISTING O HIGHWAY } YARD rSIDE PROP LINE HIGHWAY WIDTH W REPAIR d USE OF } — Z EXISTING BLDG rj ENOL Cl APPLICANT TEL CORNER CUTOFF YES ❑ NO ❑ (PRINT) BY (SIGNATURE) IN OPEN SPACE, YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES ❑ NO ❑ VALUATION .. _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AMO STAT[ THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BUILDING COM- � ,�Z-73 1TRUC TIOX C[RTI IY THAT IN DOING THE WORK AUTHORISED HEREBY I WILL NOT EMPLOY ANY PERSON IM VIOLATION OI THE LABOR CODE GF THE STATE OF CALIFORNIA 1N RELATING TO —/�/-7l0 WORKMEN'S COMPENSATION INSURANCE SIGNATURE OF (� G/I / G TN /�'�P�ovE7t PERMITTEE ADDRESS -71,7173 - I ,7 73 TE LII FINAL O '�� BY CITY NO DATE 51A 1KE CHEC �1AHLE IO PC Y PMT i FBE FEE / HARVEY T BRAND . COUNTY ENGINEER D -PLAN CHECK VALIDATION CK M 0 GASH PERMIT VALIDATION CK M 0 ' CASH 0 5 7�cFB 7 1 U 1 0.8 8 ,&so 76AG30A OR*SOS Spa ]Sq BSS' aE 0803 1/7I ' l APPLICATION FOR BUILDING PERMIT :1 COUNTY OF LOS ANGELES ASSESSOR MAP BOOK PAGE PARCEL 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS COLEMAN W. JENKINS, SUP T OF BUILDING LOCALITY _ FOR APPLICANT TO FILL IN- NEAREST Int CROSS ST — BUILDING DISC N GROUP TYPH PR ADDRESS CONST V 1 n STATISTICAL A IFICATION SEWER MAP LOT NO V S CLA55 NO DWELL UNITS_ BK G TRACT — USE ZONE MAP NO OF BLDGS NO SIZE OF LOT NOW ON LOT zl ZZ SPECIAL USE OF CONDITIONS EXISTING BLDG TEL OWNER NO BLDG SETBACK FROM ADDRESS FRONTPROP LINEOF (STREET) TEF IST SETBACK HIGHWAY + YARD = TOTAL CITY HIGHWA WIpTH FROMCL ARCHITECT OR 9 TEL + ^ ENGINEER NO BLDG SETBACK FRO ADDRESS IV SIDE PROP LINEOF (STREET) yy.. TEL - - TYPE OF JEXISTINGJ SETBACK- HIGHW + YARD = TOTAL CONTRACTOR NO HIGHWAY WIDTH FROM C L U LIC ADDRESS NO + O LIC ~ CITY CLASS CORNER CUTOFF YES ❑ NO ❑ wl CONSTRUCTION LENDER ti NAME AND BRANCH SEE REVERSE SIDE FOR SPEC APPR VALS Z ADDRESS k T, NO OF NO OFNEW STORIES FAMILIESOF ADD CTURTERTURE OF PAIRICANTEMOL ❑ VALUATIONS APPROVALS DATE INSPc row•S 31*NATURE P C PMT FOUNDATION LOCATION FEES FEE 5 +� FORMS MATERIALS FRAME FIRE STOPS 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION *IT HALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT DUCTS STRUC TION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LATH INT LABOR COD! Of TN! STAT[ 0I CALIFORNIA IN RELATING TO WORKMEN'S COMPENSATION INSURANCE LATH EXT SIGNATUREF USE NUMBER GOR- PERMITTEE � RECT AND POST ADDRESS ��ii.L/ i�LQ_�[ P�NAL PLAN CHECK VALIDATION cm M GASH JOHN F LEWIS PRINCIPAL STRUCTURAL ENGI EER _ PERVALIDATION CK MO CASH LAlo ` 1 a 8;S IIAR24 1 D 3525- _ pEPIIRTMENT OF BUILD �1' ING AND SAF , APPLICATION FOR PERMIT COUNTY OF LOS ANGELES 1 �. D 1 N G WM. J. FOX, CHIEF ENGINEER 1 FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING '1 DISTRICT NO PLAN CK NO PERMIT HO ADOR[BB S I LOCALITY RErfIVED BY DAT[OF APPL. DATE ISSUED EARKST CROBS ST + — _ OWNER G ADDREIBB MAIL ADDRESS LOCALITY TEL ,t, NEAREST CITY CROW ST j"p ✓✓1/l�a�/ OT OR FIRE NO OF TYPE BROUP AgCN1T [ TEL ZONE PLANS [NBIH[[ NO �� I} BQLDG /� // ORD NO ADDRESS rr SETBACK LINE �/J fP TEL. APPROVED CONTRACTOR NO BY DAT[ USE APPROVED DD ZONE BY DATE LEGAL DESCRIPTION LOT NO r BLOCK CORRECTIONS TRACT 5. Us7 /ra ✓ NO or SLOGS I /�! BIZE Or LOT ��l DD NOW ON LOTUSE or NoNO Or IX 0T NS BLDG I rAmIDI[[/ I ROOM"l^] C DESCRIPTION OF WORK /«r NEW ALTERATION ADDITION ljt�-- O y REPAIR MOVING DEMOLISH p OR rrNO OF Z 812[ ROOMS STORIES f WALL ROOF COVERINO-10 COVERING USE Or NEW BUILDING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION FRAME FI RESTOPS?SIGNATURE OF BRACING,BOLTS OWNER I LATH,INT AUTHORIZED AOT - ' LATH,EXT r77 PLASTER INT 41 PLASTER, [XT VALUATION Q O FINAL 'UGYAll Lf4 mTUt—DULL"j YV P -lOe L.L A I l --- - I COUNTY OF LOS ANGELES , , B 1 L ® I WM. J FOX. OHI[r ENOINL[R NG r FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRI6T NDLIPLAN OR. NO. A�' PERMIT NO ADDRESS / ✓ LOCIAL ^L-,P I�� / � R[[[ppprr4ED �YDA OF APPL DAT[ IOSUED ' NEAREST TY _ Y cavaee er O sC� �1•�G (�l1 ��' BUILDING �"/ / e OWNER h 4 ADDRESS A"AILDCR[SS �//'ciH • /�[-.L�� LOCALITY `� NEAREST �V/11� CITY 4 SG�G(7n NOL' tVONCSG�r()�L NTo tV0OfC Ross ST FIRE -NO or TYPE I GROUP AROHITECT OR TEL SON[ PLAN ENGINEER NO �- BLDG ORD NG. ADDRESS SETBACK LINE TEL APPROVED BY ' DAT[ NO CONTRACTOR NO USEW APPROVED ADDRE® ZONE BY DATE LEGALOLSCRIPTION I LDTI Np�� I BLOCK ^I BLOQR —� CORRECTIONS NO OF BLDOS SIZE or LOT NOW aN LOT USE Or I Na or I NO OF EXISTING BLDG rA.."m ROOM DESCRIPTION OF WORK NEW ALTERATION ADDKION O p REPAIR MOVING DEMDLISH BO FT Oar 8IZ[ aOMB STORIES WALL ROOF COVERING COVERING _ USE LDIDI NEW BUING APPROVALS I HEREBY_ACKNOWLEDGE THAT 1 HAVE READ THIS 'APPLICATION AND STATE THAT THE ABOVE IS CORREaT FOUNDATION FOUNDATION LOCATION.��R DATIC AND AGREE TO COMPLY WITH ALL'QOUNTY ORDINANCES FORMS,FORMS, MATERIALS - AND STATE LAWS REOULATINO BUILDING CONSTRUCTION FRAME rIR[ STOPS. SIGNATURE Or BRACING. BOLTS OWNER LATH, INT AUTHORIZED AST ® \ P C O PLASTER. INT FEE PLASTER, OCT 6 VALUATION FINAL • ,R IlWORKERS COMPENSATION DECLARATION7—, C/ hereby affirm tcate4.of Workers certificate of cement to self j APPLICATION FOR BUILDING PERMIT insure or a certificate of Workers Compenstion Insurance or a cerbhed a thereof fiat La C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY- - POI�CompanV Certified cop s bf� l6ed FOR APPLICANT TO FILL IN ADDRESS 3//y tF lid Certified copy is it with p bcoun but Idmg mspec BUILDING ICJ tion depart Mont'` ADDRESS S I Is-3 SSC Q.E'�5D LOCALITYYL�'Iti PCS CI-r NEAREST Date ��'�'y I I Apphcont CITYTeM - (2ZIP CROSS ST CERT)FICATE OF EXEMPTION FROM WORKE NO OF BLDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT MAP BOOK PAGE PARCEL (This section need not be completed if the permit is for one �p1� USE ZONE MAP 'hundred dollars ($100)or less ) TRACT QC�.cY BLOCK LOT NO b NO Q/ y //�� SPECIAL / G. I certify that in the performance of the work for which this - OWNER 3VLuLf p NO a'��J CONDITICRJS O permit is issued I shall not em to an person in an manner DISTRICT GROUP TYPE FIRE SSED BY V P P Y Y P Y F� ' S1..1L] ` CONST ZONE so as to become subject to the Workers Compensation Lows ADDRESS SIL u I P clrcz v`"S�G�1-(�� CL�-� zIP s O� " J t/ '3 0 Date Applicant - STATISTICAL CLASSIF TION APT CONDO , V NOTICE TO APPLICANT If after making this Certificate of - ARCHITECT OR TEL 36_13, k Iu (Exemption you should become subject to the Workers ENGINEER P tJ0 U7`-'� C1A55 NO DWELL UNITS_ N Compensation provisions of the Labor Code you must forth ADDRESS (266erisa -3t SEWER MAP ) Z with comply with such provisions or this permit shall be p _ �/ - deemed revoked CONTRACTOR LL._ OJ POLAS TE IsLtrS BK M PG VALIDATION ,LICENSED CONTRACTORS DECLARATION LIC - I hereby affirm that I am licensed under provisions of Chapter 9 ADDRESS 5` n NO 1�223 VALUATION _ (commencing with Section 7OD0)of Division 3 of the Business and LIC is Ld(� 'Professions Code and myAcense is in full force and effect CITY ..-/� CLASS GS3 E SO FT��L NO OF NO OF CHECK License Number Z-�'37 Lm Class ` J3 SIZEp s�-. STORIES FAMILIES ONE y COniroC101 -��o•3 LS Data �(ak DESCRIPTION OF WORK �j NEW 1 am exempt from the licensing requirements as I am o •J '7C PCs"E' RPh ADD ❑ licensed architect or a registered professional engineer - ALTER ❑ FINAL acting in my professional capacity (Section 7051 a o1 ❑ DATE Business and Professions Code) USE OF REPAIR EXISTING BLDG J DEMCK ❑ FINAL Cr Lic or Reg No Date APPLICAN TEL OWNER-BUILDER DECLARATION PRINT - NO 33��`3I 1 hereby affirm that I am exempt from the Contractor s License �� :0 Sq, r Law for the following reason (Section 7031 5 Business and ADDRESS (ISL.�n Professions Code) , ❑ - I as owner of the properly, or my employees with h ADDRESS 1310 Q 7 5 A wages as than sole compensation well do the work and � the structure is not intended or offered for sole(Section LOCALITY # • •,• • 2 7044 Business and Professions Code) MOVING TEL 1 as owner of the property am exclusively contracting CONTRACTOR NO 1 2 6 552 with licensed contractors to construct the project (Sac ADDRESS i bon 7044 Business and Professions Code) - • • • 6 5,5 2 REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP LINE WIDTH -1 hereby affirm that there is a construction lending agency for FRONT t - 0'b 2.4-8 the performance of the work for which this permit is issued PL 1 ' (Sec 3097 Civ C�) PIL ;F O O 7 6 A Lenders Name Lender s Address PC F.$ # Permit Fee 2 . 12400 I certify (hot I have rand this application and vote that the Issuance Fee above Information is correct I agree to comply with all County Mvesogotian Fee i • • 6 S ordinances and St s relating to bwlcling construction s 2 U' and hereb o nze re rasentarives of this County to enter Total Fee G 94/ `upon the ie endo ed properly for inspection purposes 2 a ' i SEE REVERSE FOR EXPLANATORY LANGUAGE ^ Signature of Appl cant orS4orl Date ms ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0201090033 PHONE, (626) 285-0488 EXT: LEGAL ID No OF CONST BUILDING ADDRESS. ON FILE SO FT STORIES TYPE 5114 SERENO DR STRUCTURE* VN TENP CA 917803039 ASSESSOR INFORMATION NUMBER- NEAREST CROSS STREET ROSEMEAD/ENCINITA 5388-011-036 - THOMAS PAGE 596 GRID. H5 LOCALITY TEMPLE CITY TENANT: EXIST BLDG USE RESID USE ZMMT�T-2— ISSUED ON: PROCESSED BT EXPIRES ON. EXIST OCC GRP' 01/09/02 JK 07/08/02 OWNER TEL. NO: sLoGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE S114 SOEXDJEREMO RRRY R,MELANI P (626) 3D9-1287- 11,500 TEMP 917803039 FEES PAID od"AiAi WORK T/0, REROOF W/DURA E SPLIT SHAKE (MAHOGANY #3949) FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT TEL. NO- KIRK LY (626) 512-6797- AA BLDG PERMIT ISSUANCE 27 75 208 W SAXON AC STRONG MOTION RESID_ 11500 00 VAL 1 15 . SAN GABRIEL 91776 D2 PERMIT W/O.EN-HC —X11500 00 VAL 250 20 PNt3ELESTOT L FEES 279 10 CONTRACTOR TEL. NO APPROVALS DATE INSPECTOR SIGNATUR B AND K DEVELOPMENT (626) 512-6797-208 W LOCATION,./`��\\\ SAN GABRIEL, CA 91776 753595LIC 8 J ARCHITECT OR ENGINEER TEL. NO % SOILS ENGINEMr'XFPlMVA7 / { / { � FOUNDATIUN/TRENCH FORKS LIC 'No ('JJ/ �� SLAB�ll ' / UNDER FLOUR 144H265 3 Ot v S L CC'^ VV 11 K 8 FLOOR SHEATHING NO OF FAMILIES D9nTTffff-WTTT--lPT/COND STAT CLASS. NO 21DOUS YROOF SHEATHING SHEAR PANELS AIR Ol11lITY 1000 FEET MATERIALSNO NO NO In, nour Traw REQUIRED TOTAL SETBA5r7RMFffTRrcmrlmlurffr- SET BACK YARD HWY PROP LINE WIDTH 1 / =� _y V�ot� FRONT PL- �-'rvfcc SIDE PL- ' INTERIOR LATH/DRYUA= EXTERIOR LATH RATED WALL ASSEMBLIES RATED SHAFTS/UPENINGS T-BAR CEILINGS LOT DRAINAut� ' REPORT, ID DPR261 ROUTE TO. BS0508