HomeMy Public PortalAbout5137-5139 1/2-5141 SERENO DR_Building__ DFPAROIENT OF BIIII.DING AND SAFETY APPLICATION FOR PERDW
T r , COUNTY OF LOS ANGELES ,
.VfM. J. FOX. CHIEF ENGINEER BUILDING�t
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING - DIBTRI 6 PLAN OK.Na .PERMIT NEL
ADDRESS / SIC�/�/''� J U
C d Z
LOOALITY ....r _/ R[6J.lV BY DA Or AP L DATE ISSUED
N[AR[BT (� G
R ✓ A
ILDINIII
ADDRESS ,Z �/�d �ug-
OWNER/// /y,/LM AA.r A.�
Al / I /rJ /� //.. LOCALITYNEAREST
I �.Lf4hsilA.�/.4/ T[ CROSS Bi L
rIRK NC.Or
ARCHITECT OR L ZONE PLANE �-
[NOIN[[q
SLOG
ADDRESS S[TSACK LIN[ V
APPROVED sa
CONTRACTOI/ No BY (n irl-o^'�•!� DATE
UBE APPROVED
D LEGALj.� ZONE / BY DATE
DESCRIPTION = NgY `f BLOC �Pr1PcELRRE7I0NS
TRACT' ^/ ` ev -
RIZ[Or LOT NOW ON LOT iLC'J
use OF �_ No OFo Or
IOD I LDROOMS
DESCRIPTION OF WORK f Je p, -7- /z y9E
NEW X ALTERATION -ADDITION
O
a
REPAIR MOVING DEMOLISH G
!m rT., NO.or _
BIZQ ROOMS STORIES
wALL ' ROOr
r
COVERING QOV[RINO ..✓LI 0 �
UB
BU[Or NEW
ILDI NS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT rouNDATION LOCATION INSPECT!;& DAT[
ANDAGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS, MATERIALS dowwIAV/�y 4 7
AND STAT[LAWS REGULATING BUILDING CONSTRUCTION rRAN[t FIRE STOPS,
BIGNATUR[Or BRACING.BOLTS
OWNER LATH,INT.t
AUTHORIZED ABT. LATH.[XT
LVA6LUATIOM
P.O e A PLABTER INT
�[�Jj�.lt ! e
PLASTER.[XT.
/ FE[ FINAL
jaPARTMENT OF BUILDING AND SAFETY y APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES B V ® � N G
WM. J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN
FOR OFFICE USE ONLY
- DIBTIiIDr wo. PLAN CK. NIL PCR/ RwNa
BUILDING
AODRE98, /ye1Z-7
LOCALITY [IVm YY OAT[ OF APPS DAT[ 1®l1W
Og00B ST.
BUILDING 7>-
ADDRESS
OWNER
MAIL LOCALITY
ADDRESS
Q NEAREST vf.Ld
CITY N L. T .Q _7 FIRE
GROSS NO OI TYPE GROUP
ARCHITECT CR TEL IDM[ PLANS
ENOINEER NO 9LOO / ORD. Na
SETBACK LIN[
ADDRESS —
APPROVED '
TEL. By DATE
CONTRACTOR
TK
L`
APPROVED
ADDRESS ZONE / BY DATE
DEE RIPPTION I LOT NO P,3P,301� I PLUCK CORRECTIONS
M a � .
TRACT
OF LCOS
SIZE Or LOT µ I' OW ON LER ` -�S--Y ✓AAzi
USE OF NO OF NO or
EXISTING BLDG FAWL11111 ROOMS
DESCRIPTION OF WORK
NEW ALTERATION ADDITION D
A_
p(p/�IR MOVING DIMULIBH `
BG FT.�tlA NO or
BIZ[ 7'� ROONS I STORIES
WALL ROOF
COV[RIN OOV[RING _
UB[ OF NEW
BUILDEng
I
APPROVALS__
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ T1410 INSPECTOR DATE
APPLICATION AND STATIC THAT THE ABOVE 19 CORRECT FOUNDATIONI LOBATION,
AND ACRE[ TO COMPLY WITH ALL COUNTY ROINAHC(0 FORME' MATERIALS t
AND STAT[ LAWS REGULATING BUILDING CONOTRUCTION FRAMEI FIRE OTO146 '
BRACING, BOLTS
BIOHATURE OF �1
OWNER LATH, INT I
AUTHORIZED AOT LATH, EXT 1
m P O 1 PLASTER. INT
FEE PLAPT[W IXT.
•
VALUATIONF[[ 1`O FINAL
. r
y DEPARTMENT OF BUUMING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES BUILDING
WM. J. FOX, CHIEF ENGINEER
FOR APPLIPANT TO FILL IN FOR OFFICE USE ONLY
DISTRICT NO PLANCK NO PERMIT NO.
BUILDING
ADDRESS
LOCALITY RECEIVED BY DATE OF APPL DATE ISSUED
NEAREST
CROSS [
BUILDING
OWNER ADDRESS
NAILJ LOCALITY 1L -4ti-¢sl�
ADDREBB �c-
NEAREST
C TEL. CRD,ST
FIR[ O Or
AROH&XhTCR TEL �,-` 20NE PLANS
TYP GROUP
ENGINEER NO _
•LDSADDR
EBS SETBACK LINE
APPROVED
TEL By DAT[
CONTRACTOR NO
_ USeAPPROVED
D ZONE BY DAT[
LEGAL CORRECTIONS
DESCRIPTION LOT NC. BLOCK '
TRAOT
NO OF SLOGS
`
SIZE OI TOT NOW ON LOT FL
USE Or NO OF NO Or
EXISTING SLOG rAMILIKO P01406
DES ON OF WORK
N!W ALTERATION ADDITION
O
A
REPAIR MOVING DEMOLISH O
Sq rT. NO Or Z
SIZE Q ROOMS STORIES
WALL RCOr
COVERING COVERING
USE or New —
BUILDING
✓' '1'
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION LOCATION INSPECTOR DATE�7
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALSY +h 1
AND BTATL LAWS ULATING BUILDING CONSTRUCTION
FRAME FIREBTOPS,
SIGNATURE 07 BRACING,BOLTS
s LAT1A INT
AUTHORIZED AOT LATH.LXT
VMa WDM W[TB TNT !B P a • PLASTER.INT
ree PLASTER.EXT.
po •
VALUATION FINAL ,Iy,VS
Doe-a aEM NETR IO-u � � • r
DEPARTMENT OF BUILDING AND SA APPLICATION FOR PERbUT
'COUNTY OF LOS ANGELES AW 21"' 6 U9 e D I N G
WM. J. FOX. CHIEF ENGINEER 61
FCM APPLICANT TO FELL IN FOR OFFICE USE ONLY
BUILDING DISTRICT NO PLAN OK.NO PERMIT NIL
ADDR[SH
LOCALITY RCC IVED BY ATE OF"PL./ DATE ISSUED
NEARLBTowia .�'-1IJ
Q OHIS
B LDINO ^� /y
OWNER ADDRESS( /
MAIL O LOCALITY
ADDRESS
NEAR
CL �7� CRO88
FIR[ NO OF TYP GROUP
ARCHITEOTO TEL ZONE PLANE M-
ENGINEER NOLOS
ADDRESS SETBACK LINE
APPROVED
OONTRAQTOR�.w..L No BY DATE
UB[ APPROVED
EBB ZON BY DATE
L[G CORRECTIONS
D[BOR 101 LOIN SLOOK
'{ NO OF SLDOB O
BIZ[Of LOT `� NOW ON LOT "
OOBTIHO BLDG D I NO or � NO OF
FAM I LIEN ROOMR—
DESCRIPTION OF WORK g_�pe ah
NEW ALTERATION ADDITION t LS
p
REPAIR MOVING DEMOLISH O
Bo FT. NO Of _
SIZE ROOMS Z STORIES r
WALL ROOF
COVERING COVLRING
USE or Him
BUILDING
11 7J
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS
APPLICATION AND STAT[ THAT THE ABOVE 18 CORRECT FOUNDATION LOCATION INSPECTOR DAT[
AND AGREE TO QGMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS
AND STATE LAWS REGULATING BUILDING CONSTRUCTION
r
EBTOPBr �1 vg
SIGNATOR[OF BOLTS
OWMER •
AUTHORIZED AOT. •
B P.O.a ®p T
FEE XT
VALUATION /V r "SL1It
/0 '/c �"Y
DEPARTMENT OF BUILMI iG AND SAFETY APPLICATION FOR PERMIT
' COUNTY OF LOS ANGELES S U I � ' /�
WM. J. FOX. DHI[r ENGINEER G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDINGDISTRICT NO PLAN OK NO PERMIT HO
ADDRESS
LOCALITY Ail ! RECEIVED BY DAT[Or APPL DAT!ISSUED
NEAREST
CRO® IST
BUILDING
OWNER ADDRESS
MAIL LOCALITY
ADDR[BS zz
NRT nI A
L �•
NICROSS
ST
moi'
N
FIRE MO Or TYPE G O
AROHITLOT OR T[L ZONE PLANE
ENGINEER NO BLDG
j' p
RESB RD No
S[T ACK LIN[ /^. 1 /4 el
APPROVED Y
TEL BY DAT[
CONTRACTOR NO
UB[ APPROVED �
ADDRESS ZONE BY DAT[
LEGALCORRECTIONS
DESCRIPTION 1'010T NO BLOC
TRACT / '2/
NO Or SLOGS
SIZE Or HDW ON LOT / n
UB[Or NO Or
IBTI O
n
D ON OF WORK
NEW ALTERATION ADDITION
L
REPAIR MOVING DEMOLISH �
Bq R ►
"a air
SIZE Y ROOMS STORIES
WALL i ROOT
COVlRINO COVERING
USE Or NEW
BUILDIN
I HERESY ACKNOWLEDGE TNAT I [HAVREAD THIS APPROVALS
APPLICATION AND STAT[ THAT•THE ABOVE IB CORRECT rOUNDATION LOCATION INSPECTOR DAT[
AND AOR[[ TO COMPLY WITH ALL COUNTY OROINAMCES FORMS,MATERIALS {,(
AND STAT[ LA ULATING BUILDING CONSTRUCTION —
rRAM! rIR[BTOPS, "t
SIONATURE Or BRACING.BOLTS
PERMITT! TH,INT•
AUTHORIZED AOT LATH.
90Ey M)M e[ra T-Ol P O B PLASTER,INT.
K[ PLASTER,EXT. `
VALUATIONV 0 R! S ,0 O FINAL ..�,•„� v l f/
3 y
eDEPARTMENT OF BUILEIING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES
BUILDINGW
M. J. FOX. CHIEr ENGINEER
FOR APPLICANT TO FILL IN 1 FOR OFFICE USE ONLY
DISTRICT NO PLANCK NO PERMIT NO
BUILDING 1�
ADDRESS 1
Z' 1
LOCALITY RE06BY 1, DATC O►APPL DATEISSUED
NEARESTGRO50 OT
G 1
BUILDING ],
OWNER ADDRESS
7dZ
MAIL LOCALITY
ADDRESS
TEL NEAREST _ J
C O CROBBST �.�..✓��
FIR[ NO Or TYPE GROUP`
ARCHITECT T[L ZONE I PLANB I
ENGINEER NO
BLOO
NO
A DREB13 SETBACK LINETEL
APPROVED ll r{ /
CONTRACTOR NO BY I I I { DAT[ -
UBE APPROVED
ADDRESS , ZONE BY I ' DAT[
LEGALI CORRECTIONS 1
DESCRIPTION LOT NO
TRACTNo or
BIZ[Or LOT r7 L L� NOW ON GS
L I {
UBE Or NO OrND Or i 1
I LD u
MI [e Rooms
DE ION OF WORK T ,
NEW ALTERATION ADDITION Y
✓{ ,1 1 O
REPAIR MOVING DEMOLISH L
BG FT NO ors
BIZE ROOMS 13TORIES 1 r I Z
WALL ROOT ) r {
COVERING COVERING "
USE Or NEW Z d .�
BUILDING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS, APPROVALS
APPLICATION AND STATE THAT THE ABOVE IB CORRECT FOUNDATION LOCATION INSPECTOR DAT[
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS.MATERIALS
AND STATE LAWS LATINO BUILDING CONSTRUCTION
�. FRAME FIRE RTOPS.
SIGNATURE O► BRACING.BOLTS
PERMITTI �LATH, INT
AUTHORIZED AO7 LATH, EXT
9Ai61eA 9- PLASTER,INT
r[E PLASTER.EXT
• V
VALUATION r[c , FINAL
pts-a nN Ern aw
��1 -�_-- • �:% _
{DEPARTMENT OF BUILDING AND SAFETYAPPLICATION FOR PERS Tf
�COUNTY OF LOS ANGELES . APR 21947 8 U 1 L � ! N C y
WM. J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BUILDING DIBTRIOT NO PLAN CK. No PERMIT ND
ADDRLSB 71 0 /6-Z ` L� �✓
LOCALITY _ REC[IVN BY DATE Or APPL. DAT[ ISSUED
NEAREST ¢ -/- �b -'/1
ST.
Q OBS ST.
BUILDING _ • (��
OWNER ADDRESS
AK
1
AD'L py J. � � LOQALITY
NEAREST
ITY MOL .� CROSS STFIRE ii_
ARCHITECT OR TEL ZONE I PLANS !�. TYP - V I OROUPi
ENGINEER �/) / No.
BET B ' pL
AD"Daean e[rawcK LIME 44
,�L APPROVED
CONTRACTOR �n/yy�� NO BY I DATE
UBE APPROVED
ADDRESS ZONE 19 BY - DATE
LEGAL CORRECTIONS
DESCRIPTION LOT NO BLOCK
TRACT M P AW S-6
Ha or SLOG& ^
BIZ[ Or LOT NOW ON LOT
US[ or NO OINO OI •/
EXISTING BLOB ► IUA ROOMS _
DESCRIPTION OF WORK
NEW ALT[RATIOM I ADDITION
REPAIR MOVING I DEMOLISH
Sq FT. NO or -
SIR ROOMS / STORIES
WALL ROCr • _
COVERING COV[RINO
UB[ Or NLW
BUILDING
APPROVALS
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS INSPECTOR DAT[
APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT rOUNDATIONI LOCATION.
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS. MATERIALS
AND STAT[ LAWS REGULATING BUILDING CONSTRUCTION FRANC$ FIRE 131
SIGNATURE Or SPACING, BOLTB
OWNERLATH, INT I
AUTHORIZED AMT LATH, Orr I
e P D • PLASTER. INT
/ O O rKK -- PLABT[R. DIT
B
VALUATION rR ' _.�... FINAL ri✓ q,h! 0 —/C -Y
DEPARTMENT OF BUILDING AND SAFETY i APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES ! B g�, /►
WM. J. FOX. CHIEF ENGINEER S U ' ® t N G
FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY
BDISTRIDTHO,. PLANCK NO - PERMITNO
AGDGRRESSE,, r
LOCALITY RECEIVE BYDATE OF APPL DATE IBHU[O/
NEAREST ,
CROSS ST
OWNER
ADDRESS J a
A"DAD'DDRL 'G /J, LOCALITY
ESS
ti
NEAREST
CI NO CRO®ST
FIRE NO OF TYPE GROUP /�
ARCHITECT OR ` TEL. 20N[ �� PLANS JI/_
ENGINEER ` NO �
BLDG t ORD NO
ADDRESS SETBACK LIN[
� //ff / /� APPROVED
CONTRACTOR �EOFG(.r_{t L/Hi �YOL/!k 2�J/ BY DATE
UBE APPROVED
ADDRESS zg� ZON �' BY DAT[
DESCRIPPTION LOTS Y BLOCK � ) CORRECTIONS
TRACT �, . �// 1..0 `/Z0 Or BLOOR
_
SIZE OF LOT ,_ II NOW ON LOTuse or 1
EXISTING BLDG . O Of I I No
�.l�'�T/�.�MFAMILI
DESCRIPTION OF WORK
NLw ALTERATION ADDITION
OA
O
REPAIR L-rMVING DEMOLISH G
Bq FT NO OF ( _ _
SIZE ROOMS STORIES
WALL ROOF f
COVERING COVERING
UBE OI NEW
BUILDING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS! APPROVALS
APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION LOCATION INSPECTOR DATE
AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES- FORMS,MATERIALS
AND STATE LAMS REGULATING BUILDING CONSTRUCTION
FRAME FIREBTOPB,
SIGNATURE OF BRACING BOLTS
PERMITTEE LATH,INT..
ALTTNORIZ[D
LATH.IXT �
DBBU GDM BET! 1-IB ® P G PLASTER.INT.
O J .
Fee S PLASTER.EXT.
VALUATION FTC y1J� FINAL
.WORKERS COMPENSATION DECLARATION
hereby S car that havecertificate of consent to self APPLICATION FOR BUILDING PERMIT
insure, ora certificate of Worr kers' ComjSansohon Insurance,
or a certified copy thereof (Sec 3600, Lob.C) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No K'_WAFCA!//52;mponyYJP/JW Act-ca
BUILDING
❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN ADDRESS v
'❑ . Certified copy is filed with the county building inspec- BUILDING - - _
tion department 11 1 ADDRESS /,
CITY TE r—/ ZIP LOCALm
Dote_ Applicant NO OF BLDGS NEAREST _ --
CERTIFICATE OF EXEMPTION FROM WORKERS SIZE OF LOT NOW ON LOT CROSS ST
COMPENSATION INSURANCE /
(This section need not be completed if the permit is for one TRACT 7 BLOCK LO7 NO 347ASSESSOR
MAP 17001( � U PAGE PARCEL
hundred dol Ian (S100)or lase )
OWNER NO Q USE ZOfE MAP
VZ
TEL
1 certify that in the performance of the work for which this SPECIALNO I
permit is issued, I shall not employ any person in any manner ADDRESS - CONDITIONS a
Was to become subject to the Workers Compe tonLows
O
��80
CITY 219
Doren Applicant ARCHITECT OR TELM
NOTICE TO APPLICANT If after molkiA this Cerlific4in..Af ENGINEER NO �DISTRICT GROUP TYPE FIRE CONST ZONE BY rO
Exemption, you should become subject to the Workers ' /U9�(Ta�RvA�I// v
Compensation provisions of the Labor Code, you must forth- ADDRESS t
with comply with such provisions or this Permit shall be '/ TEL n/�/�fY STATISTICAL ClA55IF1UTION C Z
deemed revoked CONTRACTOR � L7 G�� NO dl..li17 ✓ _ _
y LICENSED CONTRACTORS DECLARATIONADDRESS T tUICC CLASS NO DWELL UNITS_ 1
I hereby offvm that I am licensed under proviaionaof Chapter 9 - SEWER MAP
(commencing with Section 7000)of Division 3 of the Business Q LICL SS
and Professions Code and my license is in full force and effect CITY EjK pO VAUDATIOFI
SQ N 1 NO OF _ NO OF CHECK _
License Number Lic Clau� SIZE d STORIES FAMILIES ONE
G� VALUATION
Contractor Dote ��/ DESCRIPTION OF WORK NEW p❑pII ,DO
ADD J9 s ►
❑I am exempt der Sec 7,I' ❑
�.4 T/ ALTER -
` B 8P C for this reason ,f7pGVAA3T OAA7Ka 7a f
REPAIR ❑
Dare USE OF
EXISTING BLDG !/✓/�(/G C1AW"`CrrC.S DEMOL ❑ f _ �'` \� .
Signature APPLICANT TEL J
(PRINT) NO -
g OWNER-BUILDER DECLARATION / DATE
I hereby affirm that j g r exempt from the Contractor a License T'
Law for the following reason (Section 7031 5, Business and ADDRESS FINAL ^
Professions Code) PRESENT _ — By _ 1
❑ I, as owner of the property or my employees with BUILDING
A ,
wages as their sole compensation,will do the work and , - __ _ '/f, , ACCT.r
the structure is not intended or offered for sale(Section LOCALITY - 3307 222.33
7044, Business and Professions Code ) MOVING ._ TEL - -
E] 1, as owner of the property am exclusively contracting CONTRACTOR NO 1 ITEMS _
with licensed contractors to construct the project (Sec-
tion 7014, Business and Professions,Code ) ADDRESS ; ' ,l r TOTAL 222.33
CONSTRUCTION LENDING AGENCY SET UIREDBIA YARD HwY OTAL IXEFROM LIST DTHr L f _ j'I j _
I hereby affirm that there is a construction lending agency for FRONT ,r r 'w.�
the performance of the work for which this permit m issued P L - `,7 ,; ,( I(. ! Octe
(Sec 3097, Civ C) SIDE ,
Lender's Name �rDL.VTJ�//GiCGS�ldf 1�MVA9# , P L
' IDMA ef N�„ r i f 01 2/ 1/90
P C Fee Permit Fee i RT i
Lenders Address4 t
1 certify that I have read this application and stare that the - Issuance Fee , O IDMA P/C N ► 3713 1 PM12% 1
above information is correct I ogres to comply with all County Inveaagotion Fee _
ordinances and State Laws relating to building construction, Total Fee •33 LDMA Perm e
and hereby authorize representatives of this County to enter _
upon r ab
ove-m lamed property for inspection purposes _
�T UK RNFRM FOR EIXKMATORY LANGUAGE_
Signar of Appl=Rt'A Agent Dote
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 SL 0508 0304010015
PHONE (626) 285-0488 ENT
LEGAL ID NO OF CONST BUILDING ADDRESS
ON FILE SO FT STORIES TYPE 5139 1/2 SERENO DR
STRUCTURE: YM TEMP CA 917803040
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET- BLACKLEY
5388-018-008 THOMAS PAGE- 596 GRID H5 LOCALITY: TEMPLE CITY
TENANT EXIST OL i USE: REBID USE ZONE R-Z ISSUED ON PROCESSED BY EXPIRES ON
EXIST OCC GRP 04/01/03 JK 03/26/04
OWNER TEL NO EILDGS NOW ON LOT' VALUATION: TrRxrPATE FIAA� BY CODE
HOHLWILLIAM H (626) 286-8120- 3,000
5137 / U I�
5137 SERENO DR / /
TEMP 917803040 FEES PAID L;LbL f1RTTOm Ut WUKK
FEE DESCRIPTION' QUANTITY' UOM ANOINT T/0 ROOF, INSTALL NEW 30YR SHINGLE OVER EXISTING SHEATING
APPLICANT
SAME AS OIRIER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 3000 00 VAL 0 50 SPECIAL CONDITIONS
D2 PERMIT W/O EN-HC—--— 3000 00 VAL 99 00
TOTAL-FEES 127 25
/ �N(�ELESCONTRACTOR \�
APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - �
LIC No / SOILS ENGINEER APPRNAr-
ARCHITECT OR ENGINEER TEL NU FOUNDATION/TRENCH FORMS
LOCATION AND SETBACKS
SLAEI/UNDER FLOOR
LIC No.,
HAP NO SEWER 99r35ffF—R7ff n1r7mr—Mvumvfr16m-Tw9mTrrw-
144X265 3 V 01 FLOUR- `. J
DWELLING UNITS APT/COMD STAT CLASS
NO OF FAMILIES
NO 21\-SCHOOL WITHIN SHEAR PANELS
- - -- - - -- — --- ROOF SHEATHING
-
/
AIR QUALITY 1000 FEET MATERIALS -
NO NO NO d� - FRAME INSPECTION
J
REQUIRED
SETBACK MR tX151
FIRE SPRINKLER HANUM
SET BACK YARD HWY PROP LINE WIDTH �__
FRONT PL- �V� i - - - ,i,�
SIDE PL- c��il
INTERIOR LATH/DRTWALLEXTERIOR LATH
RATED WALL ASSEMBLIES
T-BAR CEILINGS
LOT DRAINAGE
u�' G
REPORT ID DPR261 ROUTE TO: BS0508
WORKe25•COMPENSATION DECLARATION
L. 2 2g
_�" 'h°" �°"° a "`a" °' `°"°"' b `°" AP,PLICATIOW OR BUILDING PERMIT
i Idhcote of worker campereatan Imurence ��
'w thereof(sec 3912 .�
P "No C�••w—y \. - , :GOIINTY OF LOS,A, GELS"
KHMING AND SAFETY
p Combed copy a hereby furnished FOR APPLICANT TO F N BULONG "
p Certified copy a Bled with the county building inspec-
tion
Aoa✓ffi �J r
than department BlIRI7SK' 3 I-c- 11
JA
Dine Applhomo City zip / FV
OB[IIFKJIIE OF E7�MPTION FROM WORKERSNO CLP RIDGS
COMPENSATION INWRANCE SIZE OF LOT'
NOIR ON ST
(the sedan need not be completed if the permit a for one
dollars($100)m kno,) TRACT OLOO( Lar fa MAv 0001C PAGE PARai
TEL zow
1 certify tat m the performance of the work for wh,.h the MWEQ1104-1NO 18 () _ FID
permrt a ewred 1 sholl not ernploy arty m any AODIBS S, X 11(_. SPECIALh
w as b become subject b the W CL)NODIO/tS
Dow W- Appl CT' TEL
73P 8/
NOTICE TO APPLICANTt, offs making this M
of Z OR IYiE FE BY O
Esemptan, You mould become wrblecr b the Worker' NO DtSt�,7 GROUP DISTRICT
GR� CONST J � U
with
Compereagn prorerae of the Labs Code, you rnwo forth- A001� V 1 V t'
comply with such prerns a mothis permit sfhrdhe
l
deemed revoked CONTRACTOR, �" SS'7G a z ATISIICAI CLASSIFICATION APT COF�O U)
ll®VS®CONTRACTORSprmrovDECLARATION IlC. CLASS NO_'ILf—DMHL UMTS_
I hereby off... that 1 can boomed under aare d Cheger v ADDItss ftD S'O�<g
(mmnmhanhp with Ssaron 7000)of Dnehorh 3 of the Bhnrrhess and UC SEM9t MAP
Prof.Code,and my Immo e m full farts and effect Ory r CLAW Z ML PG YAIIDJITEOM
NO OF CW"
L.come Number SOS/9 7 Lc vee C Z 9 N STOA F ONE
VA. TION
Coneactor Date 7-f Pf OESCROM NOF VAM _ t`Ew f
0 AMI am exempt under Sec L ,
ALTS
h U dP C for the reason $
�B
USEOF
E)<6TRX'a BIDS OFMOI
`e__-_- _ O.. APPLICANT FD fiMAL
OWPER-BUILDER RN fel
t
1 hereby affirm out I am exempt from the ConbacWfs Lsoome CIJJ
Lar for the following remora (Section 7031 S Eluaimess and ADDRESS
Professrorn Cade) 4 - ,
1, os owner of the M6DROG
wages m thea sole com an,will do M k and ADDRESS ( i, \ + ;s 0 O 7,2 A
70" &wnea and Profeaans Code for sale(Section TEL , h I , r • •,• • •ti
p ' NO y i . • 7aOO
1 m owner of the property,am.xduwhely protect
(Sw-
wath bcseed wie ao and
b carhmuC the dialect(sec- ADDRESS 7 a 0 0=
rhos 70N, Buwhas and Professions Code) • •,. �
CONSTRUCTION LENDING AGENCY URN YAWfILYL' PROP LSE wIDTH=
I hereby offmm that there e a construction landing agency for FROM 0705-r88
the perfornmae of the work for which thus permit a raised P L
(Sec 3097,Cir C) SIDE
PL
Lender's Name
3 IDSAA Rel •
Lender's Ad6ass P C Fou S - Pr inn F. ,
1 ready rhea 1 hate read Ole application and wars that Iwhu fw lMM Pic IF `. 1
4 o6ore hnhEuniarhorh a correct I agree bInvadwidion Fee
wNh dl C
R combuction
orad Iorrs rekomq �� b iabl Foe TDMA P.
S f i ` +� \ �-
upon uepeaan purposes.
-, !QV@Q FM O PLANATORY LANGUAGE
Shprhs•ed er Door
APPLICATION FOR BUILDING PERMIT
• COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER'S COMAENSATION DECLARATION FOR APPLICANT TO Flu DI euILDING AOWiE58
I hereby affirm that I here a corblicaOa of consent to set Insure, ' - BIIII.DIrKi AOORISS
Or•certlllcate of Workers Compensation Insurance or a ceNfied '
COPY thereof(Sac 3800 Lab C) ..per Cfi1' ZIP O LOCALITY
Pdky�V W CenMM;V 4����s�O SIZE F LOT dZiE
NO OF BLDGS.NOW ON LAT
❑ Certified copy is hereby furnished G NEMEST eAoss sT ---
- ❑ copy Is filed With the county building Inspection TRAcr -BLOCK -- LAT MD- -- USE ZONE 11�1`10 ` a
department j
7
Def ApplicantPAGE ""r—EL y_� SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORICERS' � 1a. YES
COMPENSATION INSURANCE LLI� .yvliG o' WfTHM 10D0 FT OF aDNODL7 /C
ADDRESS
(This eecbm need not be completed B the pemnt Is for one hundred DISTRICT GROUP I TYPE CONST FIRE ZOIE PROCESSED BY
dollars(1100)or fn) CITY ZIP
1 ON"that in me parformanoe of the Work for which this permit p p teA
Is leaned 1 shall not empty any parson m
dry merrier aG as to OR ENGINEER TEL NO
f the Vbrkers CA ensafl0 fit STATISTICAL CLASSIFICATION APT CONDO
Def
Applkxnt ADDRESS CLASS NOOWE11-UNITS
NOTICE To APPLICANT If, making this Cert a of REWIRED TOTAL SETBACK FROM EMST
Exemption you should become subject to the Workers / SEf BACK YARD HWY PROP LINE WIDTH
COMPereation Provisions of The Labor Code, you must forthwith FRONT
comply with such Provision or this Permit shell be deemed revoked C 7L>iP L
// >
DE
LICENSED CONTRACTORS DECLARATION pDESMI3PT1ONGFWQRK .
LE LIC �/ P 1. $
I hereby affirm dud I am teemed larder provolone of Chapter B
SEWER MAP
(Corn mehcig with Section 7000)of Division 3 of the Business andZE NO OF STORES NO OF FAIAILIES N •6�. I PG 1
Prokeearo Cade and my license a In fug force arld effect 4 r , ACCLAY
T.t r
License Number y9&�Lic Class ADD ❑ VALUATION IC 3307 105.'
Contractor E//PD'l�rG@F�f� G—J7—yD gw ALTER ❑ $ 1ITEMS Z
❑ IaexemptunderSw RREPAIR ❑
m $ TOTAL 105 .-25
B CPC for this reason USE OF msnNG DEMOL C1LDWP/c. CASH 1015.25
Daft URM 11 i i CHANGE DO
Signature APPLICANT 8
INn T . Farm ae. 1h '
❑ I as owner of the property, or my empbyeee with wages as 0 i
their sole comPenmton will do the work and the structure is AWss FDIAL < 6000-0001 4/27/917
not Interlded or offered for sets (Secharh 7014 Bnmreas and
Profeeelarn Cade) 3037 1 Ari 3:27
rn.LTheAURravrroHnmme Sul oCcuWNrnwaxusA:::i_w»_uAreaw. 1 I
❑ 1 fie owner of tiedA A MII(T11R caNrA.srn A hwARoala NATerW.EWK 10 dh onFaTm THAN
PIWetY, em exclusively contracting with TheAronArte sFraF®oN nErwAaoam uahasus uaaawThoN croon f > 1
bcensed contractors to construct the prolea (Section T044, mo
Business and Proleaslons Code) WILL Tie IM@gill IRE OF Tia BllOIlq aY Tia¢lPPUT.Irr ca nrRAE eR1hNe
occuPvv+r hhra...A Pmher Fan carmTrarcrhoN oR hlod rh.<rhoN Rhow Tia scum
CONSTRUCTION LENDING AGENCY Carer Am awun uNrAmvrt ONTRICr feaolml em PEIUarnhq C1Ecq.haT `
I hereby afftrm NN the9 Is a construction lending agency for Tm❑ NO +
the Performanoe of the work for whish tiro Permit Is Issued(Sec h hrNe Hew e
hurDe
The w
huLNflam Tmws ls'OWIRIOrI llmm TIe BCAOYD S '
3087,CN C) \ FEwmv+o CTHI! r h 11R o w aEalaarnm me THE Los ANDET.FB
Lenders Name /."'d �dLe!/� COIMrYCUaGTRIEi OhIs42l l0eThr+aUGH]m1�COMf.0011N0 1\
IMlARM mFRNLa aN HOBTNMNa AAFIser RINI TIE BGpYD
Lantlere Adtlreea � ���ILer I �j
I certify that I have read this applkbbon and state tet the above ERM
PC FEE PIT FEE a
Information
is correct I agree to comply with all camty 5
ordbunces and State laws relatbg to buLldirg Conetructbn and
(hereby autlhV&17-
of this County f enter upon I ISSUANCE FEE _
the r Irapectlon purpo I
t° 9�d INVESTIGATION FEE TOTAL FEE
i DEE REVERSE FOR EXPLANATORY LANGUAGE
• APPLICATION- FOR BUILDING PERMIT
\ COUNTY OF LOS ANGELES BUILDING AND SAFETY
WORKER S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDING ADDRESS
I hereby affirm that I have a certificate of consent to self Insure BUILDING ADDRESS _ E
or e certificate Of Workers Compensation Insurance or a certified CRY :fc 0 AIA In 10. ZIP ' - -
copy thereof ISee 3800 Lab C) 7 `A LOCALITY r
Policy NO Company 91ZE OF O , NO OF BLDGS NOW ON LOT 7 ,
❑ Certified copy m hereby furnished I NEAREST CROSS ST
❑ Certified copy is filed wali the county Oullding Inspection TRACT BLOCK LOT NO
, USE ZONE fAAP NO
Daly Applicant SPECIAL ASSESSOR MAP BOOK PAGE PARCEL '
SPECIAL CONDITIONS
CERTIFICATE OF EXEMPTION FROM WORKERSOWNER TEL No
COMPENSATION INSURANCE D WITHIN 1000 FT OF SCHOOL' YES NO
(This section deed net be completed if the permit is for one hundred ADDRESS ` DISTRICT GROUP TYPE CONST FIRE ZONE ESSED BY
dollars($100)or less) 37 CITY
C • nP
I certify that In the performance Of the vrork for which this permit el r S� p p �'
s ssuetl shall not empty any person In any manner so as to PAd11TEC OR ENGwEER TEL NO C ri /7
becOme'sublect 10 the Workers Compensalpn Laws STATISTICAL CLASSIFICATION APT CONDO
Date Applicant ADDRESS - CLASS NO DWELL UNITS
M0710E TO APPLICANT If after making this Certificate of , REWIREESp TOTAL SETBACK FROM EXIST
Exemption you -should become subject t0 the Workers CONTRACTOR - TEL NO SET BACK YARD HWY PROP UNE WIDTH
Compersaton provisions of the Labor Code you must forthwith
comply,with such prowBerTS or this permit shell be deemed rBJOkedADDRESS LIC NO P L
LICENSED CONTRACTORS DECLARATION Sr - ---
t - CITY LIC CLASS P L
I hereby affirm that I am licensed underprovo,ors of Chapter 9SEWER MAP - - _ �__
(commenting with Section 7000)of DNsion 3 of the Business and SO FT SIZE NO OF STORIES NO OF FAMIUES NEW i BK - PG � 135 4
Profess Code and my license is in full force and effect +
License Number Lc Class DESC TION OF WORK ADD El VALUATION VALUATION , j' '0
Contractor Date ALTER ❑ -14000 MTOTAL 135.,11
❑ 1 am exempt unser Sec /O REPAIR 11 $ - C/�W(�A(�X�_— -_ — - 135.4V
B dPG for ilia reason s DEMOL ElLOW PIC r - vrF ANZ
Date USE OF EXISTING BLDG URM ❑ -
S lure APPLICANT(PfvJT) TEL NO LOMA Perm• \
,. 0000-0001 3/ 2193
I as awns of the property wmy eripbyees wllh wages-as i Q( py
their sole conPerSatuxl will do the work and the structure a ADDRESS \ F _ "^� _ 1 fII 3:42
net Intended or offered for sale (Section 7044 Business and FINAL DATE e\ I G J'
Professions Code) I I_ 7
M -THE AP0.ILANT OR FUNRE BUILCP!OCCUPANT HANDUE A HAZARDOUS MATERIAL
❑ I as owner of the property am exclusively contractng with µA MY-r3 SPECIFIED T�AH�s WTERt a EQUAL
NFOUTO OR GRE TER T THE FINAL BY
Licensed contractors to corstruct the project (Seclen 7044 vEs El EC 13 -
Business and Professions Code)
WU- THE MEr D USE OF THE WDI BY THE AP RJf.WT OR FUTURE BUILpWa
OCCL REOIRE A FERMIr FOR CONSTTRCTION OR MOOIFCAT"FROM THE SOUTH
CONSTRUCTION LENDING AGENCY COAST AIR QUALTY MANAGEMENT OSTRCi ISCAUMOI ME PERMITTING CHECKLIST FOR
GUDEIJ Ea
I hereby affirm that there Is a construction endmg agency for YES❑ I,io❑ H
,N the performance of the work for which this permit Is issued(See IHMVErEAO TIE HAzumousiurerwsiwaaATKx4ouceAHOTHE suaoREmIATTPq
m 3097 CN C) G IELKLA4i I UNCERSIAND MY REWREMENIS UNDER THE tR5 ANGELES C Y COCE
TITLE 2 CHAPTER 220SECTxYi9 2 20 100 THROUGH 2 N 140 CONCEPN14G HAWIpCUS
Lenders Name MATER PfNRTNO AND FOR OBTNN44G A PERMIT FROM THE SCAOMO
ax Lenders Address
o w.cn w w@u.
I certify that I have read the application and state under penalty
O of perjury that the above information is correct I agree to comply PC FEE PERMIT FEE
$ vath all county ordinances and State laws relating to building r S 6 46
construction and hereby authorize representatives of this County ISSUANCE FEE
to arH�upon rton�pe air ITspedan purposes oZ .4• 6
INVESTIGATION FEE TOTAL FEE
m � V6 70
SEE REVERSE FOR EXPLANATORY LANGUAGE
I
' I
COUNTY OF LOS ANGELES TEMPLE CITY '� 0508 BUILDING PERMIT
DEPARTMEK'i OF PUBLIC WORKS 1 9071 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9708050008
PHONE: (818) 285-0488 EKT:
LEGAL ID NO. Of CONST BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5141 SERENO DR
STRUCTURE 0 VN TEMP G 917803040
ASSESSOR INFORMATION NUMBER C
5388-018-OD8 THOMASTPAGGEE S596REEGRID HS LOCALITY TEMPLE CITY
EXIST BLDG USE RESID USE ZONE R-2 ISSUED ON PROCtbbtu uT. EXPIRES ON-
EXIST OCC GRP DB/05/97 TC - 08/05/98
OWNER TEL. NO. SLOGS NOW ON LOT- VALUMN— FINAL DATE Tmr AV CODE
HOHL WILLIAM H (626) 286-8120- _ 4 2,000 Ci `o A
5137 SERENO DR ti '1 •\
TEMP 917803040 FEES PAID _ urgEumum OF WORK
REMOVE EXISTING AND APPLY NEW GAF C6P SHINGLE 25 YR
FEE DESCRIPTION QUANTITY: LON: AMOUNT
APPLICANT: TF1--W
HENRY GUTIERREZ CONST (626) 285-7341- AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 2000 00 VAL 0 50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC. 2000 DO VAL 82 20
v FEES
O� 710 45
CONTRACTOR: APPROVALS DAM INSPECTOR SIGUATUR
HENRY GUTIERREZ CONSTRUCTION (626) 285-7341- 1►
9109 BLACKLST LIC NO LOCATION AND SETBACKS
TRIPLE CITY,, G 91780 475946 B 'opSOILS ENGINEER APPROVAL
- '
ARCHITECT OR
LIC- NO �� SLAB/UNDER FLOOR
KAP NO SEWER MAPFIRE ZONE CNP UNDERfLOOR INSULATION
i JRAISED FLOOR FRAMING
14411266 - 3 01` I U B U C WORKS KS ITHING
NO. OF FAMILIES: DWELLING UNITS APT/CN1D—TrNrTG%T--
,
NO 21 �j r ' ROOF SHEATHING
�Z
SCHOOL WITHIN c d�
AIR QUALITY. 1000 FEET - MATERIALS \ 0 1
NO NO NOiREQUIRED TOTAL SETBACK FROM 0FRAME INSPECTION
/ A`
v`�
f IRE SPRINKLER MOM99—
SET BACK YARD: XW PROP LINE WIDTH C, '
FRONT PLTu
-
SIDE PL- �f✓�^Q " i IOR LATH/DRYWALL
li GINTER
EXTERIOR LATH
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508
1
COUNTY OF LOS ANGELES TEMPLE CITY 9 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9709040034
PHONE (818) 285-0488 EXT
LEGAL ID NO. OF CONST NEW BUILDING ADDRESS:
ON FILE SQ FT STORIES TYPE OCCUP GROUP 15137 SERENO DR
STRUCTURE: 0 1 VN R3 TEMP CA 917803040
ASSESSOR INFORMATION NUMBER. GARAGE. NEAREST CROSS STREET
5388-018-008 OTHER 140 1 THOMAS PAGE 596 GRID' H5 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE USE ZONE ISSUED ON PROCESSED B
EXIST OCC GRP 09/04/97 UT 9/04/98
OWNER' TEL NO BLDGs. NOW ON LOT- VALaCFYUW— FINAL DATE FIRA CODE
HOHL WILLIAM H (818) 286-8120- 1 4DO ^_ Q
5137 SERENO DR I {�
TEMP 917803040 FEES PAID
NEW STORAGE SHED (10 X 14 ME AL)
FEE DESCRIPTION: QUANTITY UOM AMOUNT
APPLICANT -7n7-lff—
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG NOTION RESID 400 00 VAL 0 50 SPECIAL CONDITIONS.
D2 PERMIT WHC 400 00 VAL 43.50
�rTv L EESO� 71 75
CONTRACTOR -7n7-9ff--
SAME AS OWNER - C
LIC NO O� v�lx AND SETBACKS
SOILS ENGINEEW-AWRMAr-
ARCHITECT OR ENGINEER TEL NO- 14. 1 WFT0fflW-
LIC NO SLABAINDER FLOOR
i u �
RAISED FL50W-FffXRTRU—
MAP NO SEWER MAP BOOK PAGE FIRE
3 01 PUBLIC WORKS IST I LEVEL FLOOR SHEATW_
NO OF FAMILIES DWELLING UNITS APT/emu._TTxr_cDfff___ r (�n1i
NO 21 'I l_ 9
SCHOOL WITHIN HAZARULJUS 0 0 L
_N vJ
AIR QUALITY 1000 FEET MATERIALS // 0 ROOF SHEATHING
Q�
NO NO NO //////
REQUIRED TOTAL SET0A57FffW__MST
�nBLDG DEPT FRAME INUM
SET BACK YARD HWY PROP LINE: WIDTH
FRONT PL- SHEAR PANELS
p
SIDE PL- ,9rvic
l.i
GINSULATION/WEATHER 9TWM
INTERIOR LATH/DRYWA1[___i
EXTERIOR LATH
LOT DRAINAGE
i
REPORT ID- DPR261 ROUTE TO: 650508
• COUNTY OF LOS ANGELES TEMPLE CITY 0 0508. .BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0008150045
PHONE (626) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE OCCUP GROUP 5137 SERENO DR
STRUCTURE 0 1 VN R3 TEMP CA 917803040
ASSESSOR INFORMATION NUMBER GARAGE 264 1 NEAREST CROSS STREET ENCINITA
5388-018-008 OTHER THOMAS PAGE 596 GRID H5 LOCALITY TEMPLE CITY
TENANT EXIST BLDG USE- USE ZONE — T999m—aw PROCESSED BY EXPIRES ON
EXIST OCC GRP 08/16/00 UT 02/13/01
OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE CODE
5137 SERENO DR (626) 286-8120- 4 9,000 10-16 -01
TEMP 917803040 FEES PAID DESCRIPTION OF WORK
NEW SINGLE CAR GARAGE
FEE DESCRIPTION QUANTITY LON AMOUNT
APPLICANT TEL NO
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75
AC STRONG MOTION RESID 9000 00 VAL 0 90 SPECIAL CONDITIONS
AX BUILDING REV IEW:FEEi� 54 70
D2 PERMIT W/D EN=HL c 9000'00 VAL 199 80
P(vvELE.TOT FEES 28315
CONTRACTOR TEL NO
SAME AS OWNER - �QS APPROVALS DATE INSPECTOR SIGNATURE
T�
LIC NO
ARCHITECT OR ENGINEER TEL NU IT REALM t�
LIC N0 11111u CC
RAISED FLOOR FRAMING
RAP NO SEWER MAP BOOK PAGE: FIRE
3° PUBLIC WORKS
NO OF FAMILIES DWELLING UNITS APT/MY-TUrTEX99--m
NO 22ND LEVEL FLOOR SHEATH
1
i 41i_
ROOF SHEATHING
AIR QUALITY 1000AIR QUALITY 1000 F�MATERIALS `` .3 9
NO NO NO A � DSFIRE DEPT FRAME INgffff
BLDG DEPT FRAME INSPECT
S ET FRONTACK YARD HWY PROP LINE WIDTH Gb/YC Service That�ot 89
SHEAR PMhLb
dve
SIDE PL- TURIUMM79WHER STRIP'
INTERIOR LATH/DRYWALE—
EXTERIOR LATH
Kl
SMOKE DETECTION DEVICES
FIRE DEPARTMENT APPROVAL
REPORT ID DPR261 ROUTE TO SS0508
COUNTY OF LOS ANGELES - TEnPLE CITY 4 3508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMLNT TEMPLE CITY CA 91780 BL 0508 0407300065 '
PHONE (626) 285-0488 EXT
LEGAL ID NO. uf MRST BUILDING ADDRESS.
ON FILE SO FT STORIES TYPE 5139 1/2 SERENO DR
STRUCTURE VN TEMP CA 917803040
ASSESSOR INFORMATIOu NUMBER: NEAREST CROSS STREET BLACKLEY
5388-018-008 _ _ _ - ThOMAS PAGE -596 - GRID H5- LOCALITY TEMPLE CITYItNANI _
DIST BLDG U — PROCESSED B c
EXIST OCC GRP _ 07/30/04 -JK 07/25/05
OWNER TEL NO -- BLDGS kO6 (,L LOT VALUATION: L
, FfRgtL BY. LODE
HOHL WILLIAM h (626) 286-8120- 3,000 I /
5137 SERENO DR L/
TEMP 917803040FEES PAID
STUCCO EXISTING WOCIO,SIDDING HOUSE
APPLICANT --Tn--Wu— FEE DESCRIPTION QUANTITY LOM AMOUNT
GUT I ERRE2 (626) 976-2506- AA BLDG PERMIT ISSUANCE 27 75
9109 BLAKCLEY AC STRONG MOTION RESID 3000 DO JAI 0 50 SPECIAL CONDIIIONS
TEMPLE CITY, 01780 02 PERMIT W/O EN-HC 3000 00 V4L 99 00
TOTAL FEES 127 25
CONTRACTOR 1n--wu APPROvAl NS L I
HENRY GUTIERREZ (626) 916-2506-
9109 BLACKLEY STREET LIC NO rag TTOA AND SETBACKS
TEMPLE CITY, CA 91780 4759468
SOILS N
AACNTTECT� GT^ TECH— ---
FOUtIDATION/iRci
u. NO o,�.
'DCR FLOORr
FTA j1EF LIAS B i. �A —ARE 70N7��."�F UNDE9FLUCR—IkSJLAY15W-
144H265 3 01
NO.OFFAMILI.S DWELLING UNITSSTA�CCASS— L
NO 21 ROOF SHEATHING ,
SCHOOL WITHINUSHEAR PPNELS
AIR QUALITY 1000 FEET ,1ATERIALS
NO NO NO FRAME INSPECTION
REQUIRED TOTAL SETBACK FROM EXIST
FTR�531FI17RC€it 1bAGEItS—
SET BACK YARD HWY PROP LINE WIDTH.
FRONT PL- TRSUC1iTIbN/�EA1 iE�STIFIF
SIDE PL-
MnTWrbR IA I--
RATED WALL AStFMBLIM—
RATED SHAFTS/OPENINGS
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508