HomeMy Public PortalAbout5175 SERENO DR_Building__ TSASSSA CENSOS 8.63APPLICATION FOR BUILDING PER IT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS42 ffh.
BUILDING AND SAFETY DIVISION LOCALITY
JOHN A LAMBIE COUNTY ENGINEER NEAREST
WILLIAM A JENSEN SUP T OF BUILDING CROSS ST
DT N :EP TYPE P S B
FOR APPLIC TO FILL. IN IST D coNsr _
BUILDING r STATISTICAL CIA IFICATION SEWER MAP
ADDRESS CLA55 NO rfjZ
DWELL UNITS K
LOT NO 0,C BLOCK WATER
CERTIFICATE NOT REQUIRED RECEIVED
TRACT I Z-``- MAP HIGHWAY
y�� tl NNO O OFSLOGS
LOTS 0X_
NO (CIRCLE) STATE MAJOR SECOND CAL
SIZE OF LOT USE ZONE SPECIAL
USE OF NCONDITIONS
EXISTING BLDG r
TEL
OWNER NO WILDING EXIST
SETBACK YARD HWY STREET NAME WIDTH
ADDRESS
FRONT Q
ARCHITECT OR TEL P L
ENGINEER NO SIDE
P L
ADDRESS
TEL G
CONTRACTOR C w llrT-f? NO V
ADDRESS O
DESCRIPTION OF WORK
W
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NEW ADD ALTER REPAIR DEMOLISH N
SO FT NO OF NO OF Z
SIZE �� STORIES FAMILIES
USE OF
STRUCTUR
SIGNATURE OF
APPLICANT
VALUATION S
APPROVALS DATE INSPECTOR 5 SIGNATURE
PC PMT FOUNDATION LOCATION i
FEES FEE S FORMS MATERIALS
FRAME FIRE STOPS
1 HESKSY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS O
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
SU ILDINO CONSTRUCTION I CERTIFY THAT IN DOING THE WORK /
AUTHORIZED HERESY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT 1
ING TO WORKMEN 3 COMPENSATION INSURANCE LATH EXT
SIGNATURE OF HOUSE NUMBER COR
PERMITTEE RECT AND POSTED
y
ADDRESS FINAL (/
JOHN
AC EN
PLAN CHECK VALIDATION CK MO CASH PE LEWISLMT VALIDATION CIPAL TR CK TUR No CASH R
LiL0 4 9 1 8:o OCT 15 1 D 6.0 0"
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1, 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 1112190057
PHONE (626) 285-0488 EXT
ILEGAL ID NO OF CONST I BUILDING ADDRESS
ON FILE SQ FT STORIES TYPE 5175 SERENO DR
(STRUCTURE 21 V-S TEMP CA 917803040 I
(ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD I
15388-018-012 I THOMAS PAGE 596 GRID H4__LOCALITY _TEMPLE CITY, CI
I
TENANT IXIST BLDG USE RESID U58 ZONE R-2 (ISSUED ON PROCESSED BY
EXIST OCC GRP 112/19/11 SR
I
(OWNER TEL NO IBLOGS NOW ON LOT VALUATION IFINAL DATE FINAL BY CODE
CFiANG NANCY (626) 864-4386- i 8 500 113 >��'
5175 SERENO DRIVE �/
ITEMPLE CITY CA 91780 I FEES PAID IDBSCRIIP' ONON OF YORK
(TEAR OFF REROOF WITH 30 YEAR COMPOSITION
IFEE DESCRIPTION QUANTITY UOM AMOUNT
(APPLICANT TEL NO I 1
IMALLOY CONSTRUCTION STEVEN C (714) 742-9464- IAA BLDG PERMIT ISSUANCE 27 80 1
1945 MATHEWSON IAB STATE GREEN BLDG FEE 8500 00 VAL 1 00 ISPECIAL CONDITIONS
PLACENTIA CA 92876 IAC STRONG MOTION RESID 8500 00 VAL 0 90
D2 PERMIT W/O EN-HC 8500 00 VAL 200 30 TEL 9A.CONTRACTOR TOTAL FEES 230 00 I V
NO IAPPROVALS DATE INSPECTOR SIGNATURE
IMALLOY CONSTRUCTION (714) 742-9464- 1 1
1945 MATHEWSON LIC NO I VOCATION AND SETBACKS I
IPLACENTIA CA 92870 819825 1 1
I I ISOILS ENGINEER APPROVAL I
I I I
(ARCHITECT OR ENGINEER TEL NO IFOUNDA TION/TRE NCH FORMS
ILIC NO I ISLAB/UNDER FLOOR
I
(RAISED FLOOR FRAMING
I
IMP NO SEWER MAP BOOR PAGE FIRE ZONE CMP 1 1UNDERFLOOR INSULATION I I I
1144H265 3 001 I
(FLOOR SHEATHING
ING OF FAMILIES DWELLING UNITS APT/COND STAT CLASS
0 NO 21 I IROOF SHEATHING
I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS
LAIR QUALITY 1000 FEET MATERIALS I I
NO NO NO FRAME INSPECTION
(FIRE SPRINKLER HANGERS I
I INSULATION/WEATHER STRIPI I
I I
I INTERIOR LATH/DRYWALL
i
I I �IXTSRIOR LATH I I I
1 I (RATED FLOOR/CEIL ASSEM I I I
I
�RATED WALL ASSEMBLIES I
I I iRATED SHAFTS/O PENINOS
�T-BAR CEILINGS
I
(LOT DRAINAGE
I (REPORT ID DPR26' ROU-E TO BqOSOB 1 I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLC Lily ,` OSCB GUILDING PERMIT
DEPARTMENT OF PUBLIC VORKS 9'01 tPc TU4AS ALTERATION/REPA I.
BUILDING AND SAFETY / LAND DFVELOPMENT TZ .211 (iTY CA 91780 BL 0508 04101i0t'-_
P „JC (626) 285-0488 EXT
LEGAL ID
ADDRESS
ON FILE SO FT STORIES TYPE 51 I.RL�O OR
STRUCTURE VN TEmp rA 017803040
NUMBER NEAREST LROSS STREET ROSEMFPD
5388-018.012 - THO S PACE 596 GRID H4 LiCALITY TEMPLE CITY, C
TENANT EXIST BLDG USE DZONE---4-I— TSSOE DR PROCESSED BY Effwe m
EXIST OCC GPD 10/11/04 JK 10/06/05
OWNER TEL NO BLDGS NOW ON ui V UATIO� TE- I C,)DE
CHANG, 81N-I (626) 451-988/- 2,000 1
5175 SERENO DRIVE ✓ i7 _- ' _
TEMPLE CITY CA 91780 lu uN OF WORK
TO NCLOSED PATIO 60% WALL SPACE WIKCJ) NOT FOR
FEE DESCRIPTIO` QUANTITY LOP AMOUNT HABITABLE SPACE
wpn-ruum— TEL NO
SAME AS OWNER - AA BLDG PCG. ; .'ANCE 27 75
AC STRONG MUIRJN KESID 2000 DO SAL 0 50SKEW � I NS
D2 PERMIT = _"'-QC 2000 00 _ 82 20
FR INV WDR. �-iT 128 5C 128 50
CONTRACTOR ILL J TOTAL FEES 238 95APPR T.' .. ..'�F' SIGNATURE—I
SAME AS OWNER
LIC NO EUUTrTNNiND SET8A
SOILS ENGINEER ROV L
ARCHITECT-OR T..TfIEE FOUNDA A C FMGMT- -- -
10 DCR-T LOUR
;7 S-ED FT
IAP�t MAt'�PA��IN 2-�-0� ViP U L INSLLATl UN I----
XX 3 01
NU-OF-FAR1l7L -§TAT-UCA39-
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PAIIELS
AIR QUALITY 1000 FEET MATERIALS
NO
NO NO NO FRAME-fA'SPELTIbN
nzurFEff- TOTAL SETBACK FROM EXISTR NKL R H -GER3r-
SET BACK YARD HWY PROP LINE WIDTH _
FRONT PL- I�7199QTION EA -H k7§"
SIDE PL- _
INTERIOR LATH/DR(WA[r
€XTER I OR LATH
- 1LATE6-ECOOTt7CFll -
RATED
L S
CEILINGS
LOT DRAINAGE
REPORT ID DPR261 ROUTE TO BS0508