HomeMy Public PortalAbout5231 SERENO DR_Building__ APPLICATION FOR BUILDING PERMIT �I
FOR APPLICANT TO FILL IN (PfIK(o. (YGB GKIy) 0
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G Serf YIO �r COUNTY OF LOS ANGELs DEPARTMENT OF COUNTY ENGINEER
CX ZIP BUILDING AND SA TY DMSIONr3 NO OF BLOCS BUILDING LOT NOW ON LOT ADDRESS 39-R-1 BLOCCKl LOT NO LOCALITY -
OWNER q C -/�� JOrJC,C No
L�Y3NEAREST
'6 CROSS ST
ASS
ADDRESS -ZO O rrr U C?+e (/I'. M PESSOR BOOK PAGE PARCEL
^� DISTRICT GROUP TYPE FIRE P SSED BY
CITY WB.. pU ZIP / 8 CONST �. ZONE
EARC NG IIEECTOR /}da —£ NOL 4418- �� ✓ -
(] STATISTICAL CLASSIFICATION WER^MMAP
ADDRESS 3.2 ,36 N. rFCk � CLASS NO � DWELL UNITS 41K
CONTRACTOR TEL USE ZONE NOP O/
ADDRESS LIC )
N 6 — SPECIAL
CITY LIC CONDITIONS
CLASS ROAD DEPARTMENT APPROVAL REQUIRED YES❑ NO ❑
CONSTRUCTION LENDER
NAME AND BRANCH BLDG SETS K FROM
FRONT PRO LINEOF (STREET)
ADDRESS CITY _ TOTAL SETBACK FROM TYPE OF EXISTING
SO FT NO OF NO OF CHECK HIGHWAY } YARD - HIGHWAY WIDTH O
SIZE a,�0 IS
FAMILIES O ONE _ (FRONT PROP LINE
❑ }
DESCRIPTION OF WORK NEW
K 1BLDG SETBACK
YL 8/yIOUC l24'r O 1 all
❑ SIDEPROP LINED M ISTREETI ?
LTER ❑ HIGHWAY } YARETBACK FROM TYPE OF EXISTING
na �l-I V e
RE PAIR D❑ SIDE PROP LINE HIGHWAY WIDTH
USE OF +
EXISTING BLDG ].� C EMOL
APPL
PRINT NT eF-t ee Ee NOL y{/3-(] r CORNER CUTOFF YES ❑ NO El
BY (SIGNATURE) IN OPEN SPACE YES ❑ NO ❑
IN COASTAL ZONE YES ❑ NO ❑
VALUATIONS /UV- - - - CATEGORICAL EXEMPTION - YES❑ NO ❑
I MERELY ACKNOWLEDGE THAT I HAVE READ THIS AFFLICAT IOM ENVIRONMENTAL
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY IMPACT EXEMPTION DECLARATION SIGNED (GATE)
WITHALL ORDINANCES AND LAWS REGULATING BUILDING CON
SYR UC
TION I CERTIFY THAT IN 001NG THE WORK AUTHORIIED IMPACT REPORT PROCESSED (DATE)
HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE
LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO
WORKMEN S COMPENSATION IM ORANGE
SIGNATURE OF 1
PERMITTEE
ADDRESS
TEL FINAL
//�� DATE
J
CITY •C� /I VIS 1 P NO �i 7p � t(
MA Kf CfILCKS PAYABLE TO FEE $ PMT FEE L
HARVEYMABRANDT COUNTY ENGINEER
PLAN CHECK VALIDATION CK ND CASH PERMIT VALIDATION cK o cABH
0`� JUN 11 1 u ` -
]BA 63BA CEP803 7173 1
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71AYY Q 11"Y BO APPLICATION FO BUILDING P RMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS�O
B=ING AND SAFETY DMSION LOCAL
JOHN A LAMBIE. COUNTY ENGINEER NEAREST
WIL IAM A JENSEN SUE T of BUILDING CROSS ST
DISTRICT NO GRO P TYPE PR ESS ED BY
FOR APPLICANT TO FILL IN `! coN ITLI
BUILDING 1 3 � nQ pr. STATISTICAL CLASSIFICATION SEWER MAP
ADDRESS J 0 K
CLASS NO- DWELL UNITS
LOT N 3 BLOCK MAPER D STATE
HWV YES NO
NUMB
TRACT jZ i/ USEZONE SPECIAL ,
SIZE OF LOT 7 A X3 I NO OF NOW ON LOTS I- CONDITIONS
USE OF
EXISTING BLDG / BUILDING YARD HWY STREET NAME EXIST
TEL / SETBACK DTH
OWNER I.� NO O'3 FRROL T Crl O
ADDRESS V/IL r r• SIDE
ARCHITECT OR TEL P L nr�
ENGINEER NO 1 INSPECTION RECORD
ADDRESS TEL oA, -) Y O
CONTRACTOR W MBr NO
ADDRESS IA XI �i(./ Y O
DESCRIPTION OF WORK
+ a
ADD ALTER REPAIR DEMOLISH Z
O FT NO OF NO OF
SIZE / STORIES t FAMILIES
USE OF
STRUCTURE S
SIGNATURE OF E
APPLICANT
VALUATION$ J <
APPROVALS DATE � INSPECTOR S9IGXATURE
FPC PMT
EE $ FEE $ FOUNDATION
MATERIALS LOCATION �hO/ /v
FRAME FIRE STOPS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS
BUILDING CONSTRUCTION I CERTIFY THAT IN THE PERFORMANCE
OF THE WORK FOR WHICH THIS PERMIT IB ISSUED I SHALL NOT LATH INT
EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBUECT
TO THE WORKMEN B COMPENSATION LAWS OF CALIFORNIA .�-
LATH EXT
SIGNATURE OF HOUSE NUMBER COR-
PERM ITTE RECTANDPOSTED
ADDRESS �'j FINAL
CLYDE N DIRL.4M P INCIPwL--RUETURAL EN
PLAN CHECK VALIDATION m B o cAeR PERMIT VALIDATION cK mo cAox
M0155 � JUL18 12.00
COUNTY OF LOS ANGELES TEMPLE CITY Y 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS NEN RESIDENTIAL
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0507150095
PHONE (676) 285-0488 EXT
LEGAL ID NO OF CONST NEW BUILDING ADDRESS
BK 63 PG 74 PC 2 SQ M STORIES TYPE OCCUP GROUP 5731 SERHH0 DR
STRUCTURE 1898 2 VN R3 TEMP CA 917803044
ASSESSOR INFORMATION NUMBER GARAGE 431 1 VN U1 NEAREST CROSS STREET
5388-019-037 OTHER THOMAS PAGE 596 GRID B4 LOCALITY TEMPLE CITY, C
TENANT _ USE ZONE R-7 ISSUED ON PROCESSED BY -- EEPIRES ON
07/19/05 JK 07/14/06
OWNER TEL NO SLOGS NOW ON LOT VALUATION FINAL ATE FINAL BY CODE
LIU CHRISTINE (676) 786-0081- 170 000 )6 �)
70503 SIMON COURT /G
WALNUT CA 91789 PEES PAID DESCRIPTION OF WORK '
2-STORY CONDO W/3BRMS 2-3/4BATHS, 1DEN,LVG RM 1DINING RM
FRE DESCRIPTION QUANTITY DOM AMOUNT 1 XTCHtN PORCH i ATTACHED 2-CAR GAR M/LAUNDRY AREA
APPLICANT TEL NO
PEI (676) 789-0704- AA BLDG PERMIT ISSUANCE 77 75
735 N EMERSON AVE AC STRONG MOTION RESID 170000 00 VAL 17 00 SPECIAL CONDITIONS
MONTEREY PARK 91754 B7 PERMIT W/ENERGY 170000 00 VAL 1 975 88
D4 STANDARD PC W/ EN 170000 00 VAL 1 145 90
TOTAL PEES 3 116 53
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
TRITECH DEVELOPMENT INC (676) 789-0204-
735 W EMERSON LIC NO LOCATION AND SETBACKS
MONTEREY PARK CA 91754 455778B
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER TEL NO POUNDATION TRENCH FORMS
LEE, PETER (676) 780-9000-
8748 VALLEY BL LIC NO SLAB I1NDlili FLOOR �—
ROSEMEAD CA 91770 455278B
RAISED FLOOR FRAMING
MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDERFLOOR INSULATION
144-765 M 72 3 01
IST LEVEL FLOOR SHEATH
NO OF FAMILIES DWELLING UNITS APT COND STAT CLASS
NO 00 2ND LEVEL FLOOR SHEATH
SCHOOL WITHIN HAZARDOUS ROOF SHEATHING d/t
AIR QUALITY 1000 FEET MATORIALS (J
NO NO NO FIRS DEPT PRAMS INSPECT
REQUIRED TOTAL SETBACK FROM HEIST BLDG DEPT FRAME INSPECT
SET BACK YARD SNY PROP LINE WIDTH I
FRONT PL- BEHAR PANELS / m
SIDE PL-
INSULATION HEATHER STRIP (n �-
INTERIOR LATH DRYWALL K�" ,� -
I nix
EXTERIOR LATE
LOT DRAINAGE
SMOKE DETECTION DEVICES -
PINE DEPARTMENT APPROVAL
• ADDITIONAL DATA ON PILE
REPORT ID DPR261 ROUTE TO ES0500