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HomeMy Public PortalAbout5208 SERENO DR_Building__ W TEMPLE CITY i� 1%" .4 T••••�a+N•P•I APPLICATION FOR BUILDING PE IT COUNTY OF LOS "mm BUILDING C/ DEPARTMENT OF COUNTY ENGUq= ADDRE88 6 BUIIADQG AND SAFETY' DrMON LOCALrrY JOHN A LAMBIE. COUNTY ENGINEER NEAREST WI 1 A JENSENorl a CROSS ST FOR APPLICANT TO FILL RJ DISTRICT NCO' CONST GR LAP TYPE P HD BY 1 U r 21] BUILDING �E--- STATISTICAL CLASSIFICATION SEW MAP ADDREHB / CLASS NO A1DWELL UNITS — [i LOT NO BLOCK WATER NOT REQUIRED RECEIVED CERTIFICATE _ MAP ( IGHWAY STA+E MAJOR SECOND CAL NO OF SLOGS NO ICIRCLEI SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG / TEL OWNER NO BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECT OR TEL P L ENGINEER NO SIDE L � ADDRESS TEL / INSPECTION RECORD0_ CONTRACTOR NO Q ADDRES DESCRIPTION OF WORK r NEW DO ALTER REPAIR DEMOLISH I Z SO FT NO OF NO OF IZE STORIES FAMILIES / USE OF STRUCTURE O `SIGNATURE OF APPLICANT VALUATION S APPROVALS DATE ' INSPECTOR l SIGNATSRE PC PMT FOUNDATION LOCATION FEE FE! FORMS MATERIALS FRAME FIRE STOPS 1 HER[CY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANC ME AND STATE LAWS REGULATING GAS VENT DUCfB BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIIED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT I TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT _ ING TO WORKMEN S COMPENSATION I URANCE LATH.EXT e / SIGNATURE O �J� ���///_ HOUSE NUMBER COR- PERMITTEE � �/5 ' ,! REMAND POST D ADDRESS FINAL CLYDE N DIRLAM. P INCIPAL STRUCTURAL PLAN CH= VALIDATION a no CASH PERMIT VALIDATION o«. no LAW" 3 0 8 1- APR 2 2 1 D r✓ DEPA9TMENT OF'BUILDING AND' SAFETY" APPLICATION FOR PERMTf COUNTY OF LOS ANGELES' • - WM J FOX. CHIEF ENGINEER ,..1�'LLQ�Y r BUILDING Y _ + FOR APPLICANT TO FILL M_ , FOH OFFICE USE ONLY 'BUILDING -•..S _ D18TR1(�NO PLAN K/NOO PQR T NOF1 ADDRESS+ • , 1-J + a "J( G LOCALITY 1 1LJ ' )' w4RQ IVSD BY DATE OF APPL DATA IB /6D NEAREST 11r �+� •- CROSS ST .BUILDING +� • f+ ADDRESS V �f Ifi OWNER` —> MAIC '+ ' + ••' + ,., ,V LOCALITY ADDRESS _ iCROSBY T ,s �r c- HL CITY ' .0 - TE PIRQ-, NO OF�j TY GROt7— f ARCHITECTO TEL.I'D .,•" ZONE PLANE ) HNOINESL NO BLDG / -'- -, SETBACK LIN[ C.^ ADDRHBD' <� , APPROVED f., TEL ` ^ BY DATE CONTRACTOR`- NO ' ' �� US[ APPROVED • 1 / < + • •, v J ,, _ ;ZON6 BY DAT[ ADDRESS.. HOUSE NUMBERING LEGAL P'D[BCRIPTION / LOT NO _ _ I BLOCK _ �; MAP,NUMB 18LD CHECK BY NO .ASSIGNED AT _TRACT • �• ' INO OF SLOGS CORRECTIONS — BIZ[OF LOT NOW ON LAT r Uee OF- :f i NO OF EtISTINOB�- q '!A •Perluu -" r14 / `L 1• DESCFXMON OF WORE' ..1 NEW ` ALTERATION ADDITION, O REPAIR I I-L DEMOLITION } �, 1• 1 ? SO FT . ;. !. NO OF i Ar — D Slzr ROOMS STORIES /N ECT-WALL OF' COVERING , ERING I r USE OF BTRU [ _ . .,_ ., .- APPR ,, ,,,u t l INBPE SIGNATURE DAT[' ITA[R[BY ACKNOWLEDGE THAT 1 HAVE READ THIB_AR FOUNDATION LOCATION, G r PLICATION AND STAT[ THAT THE INFORMATION GIVEN IS FORMS, MATERIALS CORRECT ' +. .�i•7... r 1 (` •1 _ 1 AGRQ[ TO COMPLY WITH THE CORRECTIONS LISTCD FORMS,FIR BOLTS RAME u }g JZ X[RGON AND WITH•ALL' COUNTY ORDINANCES AND STATE , LAWS REGULATING BUILDING CO BTRUCTION 8 FURNACE LOCATION._ 1 v, SIGNATURE OF ) GAS V[NT, DUCTS PEIMITT �.d�r LATH. INT ADDRESS�.7� �Y �� LATH. EX AUTHORIZED AOT r PLASTER. INT Q )MNM om TPN f P E B _ ® 3L�V P� B / PLASTER. EXT VALUATION v FEe ` FINAL Q^� -TEMPLE CBTY >••n�a+•e•I�l APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES ABUILDNO DORESIS S - DEPARYMENT OF COUNTY ENGWEER MUDING AND SAFETY DrMON LOCALITY JOHN A LAMBIE. COUNTY ENGINum NEAREST WI AM A JKNSEN. QUIPT of Bu CROSS ST FOR APPLIC TO FILL IN DISTRICT NO G �P PROCESSED BY 0v9T 6 0 Ly yteo BUILDING BTATIbTTICAl CLASSIFICATION SEWER MAP ADDRESS BK♦♦'' PG r� CLA89 NO WeLL UNITE ^ -7Z1 LOT NO G(1 BL K WATER NOT REQUIRED RECEIVEDLi Z —�3 CERTIFICATE TRACT NO OF BLDGS NO o' A IICIIRCYL ZE' STATE MAJOROC SECON SIZEOFLOAY 1J NOW ON LOT USEZONE SPECIAL USE OPCONDITIONS EXISTING BL TE I OWNS NO. l BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH ADDRESS FRONT ARCHITECTOR TEL P L 70 S ARE ASV- Q ENGINEER NO HIDE ADDRESS TEL ON RECORD p CONTRACTOR NO � V n m, ADDRESS i� �'� �T DESCRIPTION OF WORK � 1 � ADD ALTER REPAIR DEMOLISH w� SO FT NO OF NO OF ? IZE STORIES FAMILIES ' USE OF STRUCTURE E 2-71 14 8I0NATUR!O ` APPLICANT VALUATIONS 6o - APPROVALS DATE INSPECTOR 5 SIGNATURE PC pM — A YomFOUNDATION LOCATION FEE F!E K� ,• FORMS MATERIALS FRAME FIRE STOPS I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCEY AND STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT INO TO WORKMEN S COMPKNGAT109 INSURANCE LATH EXT BIGNATUREOE%% ��� HOUSE NUMBER COR- PERMITTEE RISCT AND POSTED ADDRESS FINAL, CLYDE N DIRLAM. PRINCIPAL STRUCTURAL EN PLAN CE= VALIDATION cE. M G cABH PEBM T VALIDATION cm. M G L PCo 5 2 9 6'- ;AAY <7 1 D 4 0 0 e^4.v / 7a.636A CIE 4;803 6.e2APPLICATION FOR BUILDING PE MIT ' COUNTY OF LOS ANGELES ADORES G Q DEPARTMENT-OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LOCALITY _ / If JOHN A LAMBIE COUNTY ENGINEER NEAREST ' WILLIAM A JENBEN SUP T Or BUILDING CROSS ST DIST T O GROUP TYPE ROC SED BY FOR APPLICANT rT(O� FILL IN el CONST FINIINEER SS 5ZV SGR6No P{2_ STATISTICAL CLASSIFICATION SEWER MA T Q CLASS NO DWELL UNITS LO WATER NOT REgUIRED RECEIVED CERTIFICATE / - Z— MAP HICHwAr LOT O f + NNO OF OW ON LOTS NO I"HWAt STATE MAJOR SECOND OCAL USEZONE SPECIAL r prO �S CONDITIONS G BLDG _ 1 L '`Ct TAI {_iON TEL -b16�1 BUILD NG YARD HWV STREET NAME EXIST SETBACK WIDTH SS �t• FRONAR, T ♦ ER'TET OR rA FER'Rt L,. NO SIDE P L d SS T 1 O CTOpRR Cpp RL1 F. POOL"', ADDRESS 88 V L-PVC�JVNPSS.G O DESCRIPTION OF WORE NEW AD i ALTER REPAIR DEMOLISH Sq FTp NO OF NO OF S SIZE C301•AA STO/rR�IES FAMILIES E � CTURE U3ft v I STOPL— 0 SIGNATURE OF APPLICANT VALUATION E 4�QQ OG APPROVALS DATE INSPECTOR Y SIGNATURE PC PMT FOUNDATION LOCATIO ) / FEE FEE S FORMS MATERIALS 1.2 V16 •, FRAME FIRE STOPS 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS t AND 6T T[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL CO UNtY ORDINANCES AND STAT[ LAWS REGULATING GAS VENT DUCTS BUILDING CON6TRU ION 1 CERTIFY THAT IN DOING TH[ WORK AUTHORIZED E. WILL NOT ENP Y ANYZAL VIOLA LATH INT TION OF THE LASO ODE OF THE Bt O R£LAT IND TO WORKMEN S JP[NSATION IN U N LATH EXT ` SIGNATURE OF HOUSE NUMBER CORPERMITTEE 0./MA/J RECT AND POSTED ADDRESS FINAL / JOHN F LEWIS I, NCIPAL ST RAL ENGINEER I PLAN CHECK VALIDATION CK M O GASH _ PERMIT VA ATION' CK NO CASH r LtILo 1 8 1 6.d r hR 8 z 3 D 5.5 0 4 lr�,Lo1 8 1/73 rdlR 8 1 D 2 2 G0- ' APPLICATION FOR Il BUILDING` PERMIT FOR APPLICANT TO FILL IN noon BUILDING ADDRESS O r r LOCALI NEAREST CITY ZIP CROSSST NO OF BLDGS _ ASSESSOR SIZEOFLOT O NOW ON LOT p3 MAP BOOK PAGE PARCEL TRACT BLOCK LOT NO )"�y DISTRICT GROUP TYPE FIRE P ED r CONST ZONE OWNER Li TEL J NO :1143 IkAl STATISTICAL CLASSIFICATION SEWER MAP ADDRESS rt OASS NO DWELL UNITS /N`BK71-fl. GTV .Q ZIP ONE MAP ARCHITECTOR TEL F NO ENGINEER NO SPECIAL _ CCRJDITIONS ADDRESS ROAD DEPARTMENT APPROVAL REQUIRED - VES ❑ NO❑ fl CONTRACTOR DIV-J'/,Q NO BLDG SETBACKOM LIC FRONT PROP LINE OF -ISTREET) ADDRESS - NO LIC HIGHWAY _+ YARD FRONT PROP LINE HIGHWAY WIDTH CITY - -- - CLASS ---• - CONSTRUCTION LENDER + a NAME AND BRANCH - - BLDG SETBACK FROM + S ADDRESS CITY SIDE PROP LINE OF ISTREETI 50 FT-/ p NO OF NO OF CHECK HIGHWAY + YARD T051DE PRBACK OP INEOM HIGHWAPE Y EWSDTHG G SIZE / STORIES FAMILIES ONE a + Z DESCRIPTION OF WORK NEW ❑ - ADD CORNER CUTOFF YES ❑ NO ❑ ALTER IN OPEN SPACE YES ❑ NO ❑ REPAIR LISE OF 'y�(• _ _ IN COASTAL PERMIT ZONE YES ❑ NO ❑ EXISTING BLDG /1 lJ DEMOL APPIPRRIINTIS4µ7" HI LI No.19 T TEL , BY ISIGNATUR _ I P I HEREBY ACKNOWLEDGE THAT VE READ THIS APPIIUTION AND SPATE` ` THAT THE ABOVE a CORRECT AND AGREE TO COMPLY WITH ALL ORDINANCES AND LAWS REGULATING BLAMING CONSTRUCTK)N I CERTIFY THAT IN DOING THE WOW AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF ULIFORNIA IN RELATING TO WORKMEN S COM PENSATION INSURANCE SIGNATURE 4DATE 2 BY PERMITTEE ADDRESS C N .PAID Di CITY �.Q TNSee S Permit Fee ~. �- Issuance Fee VALUATION$ LO d CJ ` Z ' Total Fee PLAN CHECK VALIDATION cIc 'mo cAsH PERNUT VALIDATION w o c"H -3525W: 387: 0Ci 11 ' 1 D