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Home My Public Portal About5212 SERENO DR_Building__ A RO D 'pEPT'L"PER IS EQUIRED FOR ANY � ,AT''IAL STORAC OR WORK DONE IN THE ROAD RIGHT OF WAY APPLICATION FOR BUILDING PERMIT Z COUNTY OF LOS ANGmm BUILDING DEPARTMENT OF COUNTY MGM= ADDRESS BUELDING AND SAFETY DIVISION LOCALITY : JOHN A LAMBIE. COUNTY ENGINEER NEAREST wl JEUIL0INa CROSS ST FOR APPLICANT TO FILL IN DISTRICTT NO GR P TYPE PR ESSED BY C O CONST BUILDING STATISTICAL CLASSIFICATION EWER ADDRESS K PO CLASS NO ELL UNI O 7 LOT NO BLOCK NUMAP MBER MWlE YES NO TRACT USSEZONH SPECIAL NO OF BLDGS CONDITION SIZE OF LOT NOW ON LOT USE OF EXISTINGBLDG o Se BUILDI ppw�,� NG YARD HWY STREET NAME EXIST OWNER vJLP� THOL SETBACK W TH PRO P L ADDRESS SIDE ARCHITECT OR ?EL ENGINEER NO INSPECTION RECORD ADDRESS TLnn CONTRACTOR Y` NO O DR V DESCRIPTION OF WORK �rErO N ADD ALTER REPAIR DEMOLISH q0- O O SIZE v0 S70RIE8NP NO OFFAMILIES USE OF n STRUCTURE f SIGNATURE OF APPLICANT VALUATION i APPROVALS DATE INSPECWRSSIGNATURE PC PARR� FOUNDATION LOCATION FEE FEE FORMS MATERIALS ILI- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- FRAME FIRE STOPS _ BRACING BOLTS / PLICATION AND STATE THAT THE ABOVE IS CORRECT AND FURNACE LOCATION. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND GAS VENT DUCTS STATE LAWS THAT DOING BUILDING CONSTRUCTION 1 ILL NOT THAT IN DOING TH! WORK AUTHORIZED 1 LATHINT ' WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE WORKMEN S COMPENSATIO WS OF CALIFORNIA. LATH EXT SIGNATURE OF HOUSE NUMBER COR- P6RMI7T RHCT AND POSTED ADDINAL / CLYDE N DIRLAM PRINCIPAL STRUCTURALNE PLAN CHECK VALIDATION « , r o cvx PERM VALIDATION a mo p, 02 s 7 7'� JU.,) ?'7 1 D 3 00 m. �........r.m... APPLICATION FOR, BUILDING PERMIT �. COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS Ir BU J)ING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE.CouNTY ENGINEQt NEAREST , CASSATT D GRIFPIN Hurl OF HIIILOIKG C � DISTRICO GROUP PROCESSED BY OB APPLICANTTOFILLIN CONSTin ADDRESS Q �/\ STATISTICAL CLASSIFICATION - KR MAPpo CLASS NO DWELL UNIT LOT NO BLOCK MAP STAT! YES N _ NUMBER HWY TRACT USEZONE SPECIAL NoOF,BL SIZE OF LOT 56 X J 317 NOW ON LOTH N CONDITIONS USE OF bw�LCe a v acn4 BUILDING YARD HWY STREET NAME E)IIST •4 d p n , Q �L `e , 6ETBACK WIDTH OWNER U Ll lT FRONT MAILt ^ / A/ f C�e e�Q P L X ADDRESS J ,C J SIDE �M4 % g/ L7t'9 P L awt ARCHITECTOR TEL INSPECTION RECORD ENGINEER NO A \� s Ucj/e n �! CONTRACTOR TE DESCRIPTION OF WORK r NEW t/ ADDALTERALTER REPAIR DEMOLISH ` / NO OF NO OF SO ZE 4 1 STORIES FAMIILIE9 I + USE OF STRUCTURE w,e �� i�vG SIGNATURE OF APPROVALS APPLICANT- ADDRESS PPLICANT ADDRESS 7A.T le 'CNCe 0'2 ((/ DA E INSPECTO 6NATURE FOUNDATION LOCATION S / FORMS MATERIALS P C S G" FRAME FIR!STOP& FEE BRACING BOLTS VALUATION 7" S FURNACE LOCATION FEE GAS VENT DUCT- 'j'4/ HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP- LATH INT - PLICATION AND STATE THAT THE ABOVE I8 CORRECT AND AGREE TO COMPLY WITH ALL COUN OR ANC A STATE LAWS R&�S& TI BUI LATH EXT SIGNATURE OF HOUSE NUMBER COR- RECT AND POSTED ADD FINAL CLYDE DIRLAM PRINCIPAL STIU RAL ENGINlER PLAN Ca=VAUDATION (.791/ mo GaN PSIS VALIDAITON K ' M O CACX M7079S� DEC 12 3A 12.001 ' I 'Co7556- DEC 15 1 A 24.00 ®• WORKERS.COMPENSATION DECLARATION e y-affcb, that haver certificate of torten, to .elf APPLICATION FOR BUILDING PERMIT sire Xirrli thate of Worker Compensation con Insurance or a'certified copy thereof (Sec 3800 Lob C ) Policy No Company COUNTY OF LOS ANGELES BUILDING AND SAFETY a�L�, El Certified copy is hereby furnished FOR APPLICANT TO FILL I BADODISN �2 1B/r�7 /.iIG 0 Certified copy is filed with the county budding mspec- BUILDING p non department \ ADDRESS Dote Applicant \ CITY ZIP -F,7 o LOCALITY a� CERTIFICATE OF EXEMPTION FROM WORKERS NO OF BLDGS NEARESTQL��f�1 COMPENSATION INSURANCE S,ZE OF LOT NO'w ON l0T ST C!/G`7/ y1 (This section need not be complet he permit a for one -- - - _ ASSESSOR hundred dollop (f10D)or less ) TRACT B LOT NO -- MAP BOOK PAGE PARCEL TEL I certify that in the performa ce of the w a whlc a OWNS NO 07�w ONE NO permit a issued I shall not a loy any ny nIt Rm !"- SPECIAL „ - so as/tobecome sub act to th War C nson n La 9/7jry CONDmONS IIc nr CITY ZIP NOTICE TO APPLICANT If, a making this Certrf ARCHITECT OR TEL DISTRICT GROUP TYPE FIRE D BY O Exemption, 'you should beco • subject to the Wor Is'' ENGINEER NO / OONST ZONE U Compensation provisions of the Labor Code, You must onh- SN 3 r 3 W with comply with such provisions Or this permit sholl be ADDRESS deemed revoked CONTRACTOR NO STATISTICAL ICATION CONDO Z LICENSED CONTRACTORS DECLARATION LIC C1A55 NO �OWEIl UNITS- 1 hereby affirm that I am licensed under provisions of Chopter D ADDRESS LNO IC (commenting wish Section 7000)of Division 3 of the Business and LIC SEWER MAP Pr.faaloru Cods and my license Is in full force and effect CITY` CLASS r VALIDATION k SO FT NO aF NO OF CHECK EIK PG License Number Lic Classr SIZE STORIES FAMIUES ONE WORK NEW VALUATION Contractor Doty' DESCRIPTION� K rL./ ADO s 6060 t r ElI am exempt under Sac ADD , ;18 5 Q 2 A B 8P C for this reason REPAIR :- Dot* USE OF # • • ••1 EXISTING eLDc DEMOL Signature ARY�IC NO LO HNAI 1 •`• A Q 5 0 OWNER-BUILDER DECLARATION DAT! • . . (L Q 5 0 I hereby off rm that I am exempt from the Contractor's License Low for the following reason (Section 70.31 5 Business and ADDRESS 12 0.3 8,� Professions Code) ' QBUILDING I g owner of the property, or my employees with ADDRESS theses ct their sole co ended or off will f o the fork and LOCALITY the structure a not intended or offered for sale Section 7041, Business and Professions Code) - MOVING - - TEL 1, m owner of the property, am exclusively contracting CONTRACTOR NO / with licensed contractors to construct the project (Sac- ADDRESS hon 7041, Business and Professions Code) CONSTRUCTION LENDING AGENCY BACK YARD HWY pROp LINE Wront FR 1 hereby affirm that there is a construction lending agency for OM the performance of the work for which this permit is issued P L ' (Sec 3097 Civ C ) SIDE PL tenders Name g a LDMA Ref ! ` Lender s Address PC F.$ ` Permit Fee 3o QUkthe ��ti e read this application and state that the Issuance F•• Q Sd LDMA P/C 1 is correct I agree to comply with all County InvNhpviim Fee tate laws relating to building construction Toia1 Fee S 1DMA Parrri ! n nze r on pas of this County to enter enti ad pr rty for inspection purposeess/�- 3'VfH RS/9fE WE UDUWATORY LANLWAWApp1 Dai• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 _ BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS .T ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA BL 0508 9809150049 PHONE (818) 285-0488 EXT LEGAL 10 --xu—wr CONST BUILDING ADDRESS TR 1330 LT 5 SQ FT STORIES TYPE 5212 SERENO DR STRUCTURE 0 VN TEMP CA 91780 ASSESSOR INFORMATION NL14BER NEAREST CROSS STREET ROSEMEAD BLVD 5388-010-017 THOMAS PAGE GRID: LOCALITY TEMPLE-CITY, C TENANT: EXIST BLDG USE RESID USE ZONE. R-2 ISSUED ON PROCESSED BY EXPIRES ON - EXIST DCC GRP 09/15/98 = VG 0 /15/99OWNER -7n--RY— BLDGs. NOW ON LOT VALUATION FINAL DATE IkAL 8 CODE i i CONRAD, BOB (818) 593-3306- 30,000 ' 5512 SERENO DR 10-2 TEMPLE CITY 91780 FEES PAID u , FIRE REPAIR (ROOF, WINDOWS, DRYWA FEE DESCRIPTION QUANTITY UOM AMOUNT APPLICANT I LANCER CONSTRUCTION (818) 593-3306- AA BLDG PERMIT ISSUANCE 27 75 1 AC STRONG MOTION RESID-30000 00 VAL 3 00 SPECIAL CONDITIONS D2 PERMIT W/O EN-HC 30000-00 VAL 535 95 P(JGELETOTAL.`FEES 566 7O CONTRACTOR TEL 0 APPROVALS DATE I NSPFffM-flU9TWF— LANCER CONSTRUCTION (818) 593-3306- VG 6917 OWENSMOUTH AVE LIC NO LOCATION AND SETBACKS CANOGA PARK, CA 01303 B-1 I SOILS ENGINEER APPROVAr ARCHITECT OR ENGINEER- TEL NO FOUNDATION/TRENEFTOMg LIC NO' 111711SLAB/UWDER FLOOR 1MAP NO: SEWER KAFT5W--RGE FIRE CMP-. 47-265 3- DNO. OF FAMILIES WnTTRU-NITS. APT/CONU STAT CLASS PUBLIC WORKS] FLOOR SHEATHING NO 21 q _ SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO A � PyFRAME INSP;CTI SET BACK YARD HWY PROP LINE WIDTH `b60 TNService ThaINSULATION/WEATHER STRIP ��o� SIDE PL- RATED SHAFTS/OPENINGS • ADDITIONAL DATA ON FILE LOT DRAINAGE REPORT ID. DPR261 ROUTE TO BS0508 0