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Home My Public Portal About5271 SERENO DR_Building__ ®s �eA��uL'-• 4 ll o civ 6/78) 1 APPLICATION FOR BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SA FOR APPLICANT TO FILa BUILDING ADDRESS BUILDING - ADDRESS �JZ i/ LOCALITY NEAREST CITY GL ZCROSS$i NO OF ASSE550 SIZE OF LOT LGi Its NOW OMAPBOOK PAGE PARCEL DISTRICTGROUP, TYPE FIRE SSED BY TRACT BLOCK' CONST ZONE OWNER lj STATISTICAL CLASSIIFIICCATION SEWER MAP ADDRESS 6 7 CLASS NO DWELL UNIT$ SKg'9PG CITY ZARCH ITECTVALUATIONENGINEER [i ADDRESS C4 It& Fr 5 L ETBACK FROM TEL FRONT PROP UNEOF ISTREETI CONTRACTOR NO HIGHWAY + YARD TOTAL SETBACK FROM TYPE OF EXISTING Q LICA FRONT PROP LINE HIGHWAY WIDTH ADDRESS 1 r-- No Z el CeO +� LIC CITY CLASS CONSTRUCTION LENDER BLDG SETBACK FROM NAME AND BRANCH SIDE PROP LINE OF ISTREETI HIGHWAY + YARD TOTAL SETBACK FROM TYPEOF EXISTING ADDRESS CITY SIDE PROP LINE N WAY WIDTH O SO FT NO OF NO OF CHECK + �, V SIZE STORIES.,.I. FAMILIES ONE // �/J� 0 DESCRIPTION OF WORK NEW PC Fee E (G o V Perm It Fee r IL p(y ADD R ❑❑ Iss.ome Fee 7 REPAIR Cl Totol Fee / / 7• USE OF DEMOL EXISTING BLDG s , APPLICANT TEL ♦y)Qu� IPRINTI NO3 as BY ISIGNATUREI Z �.3b d BCW 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE �L'-� / / V p THAT THE ABOVE 6 CORRECT AND AGREE TO CP Y WITH ALL ORDINANCES f L S I G AND LAWS REGULATING BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE P, WORK AUTHORIZED HEREBY WILL NOT EMROY ANY PERSON IN VIOLATION OF { THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN 5 CPM PENSATION INSURANCE •Il,u A 1 G L— ►"+/'cP t,Al.� "GOI..I�-!C' GO ✓ G c�i SIGNATUREOF PERMITTEE ADDRESSfl 170 1A.)WARiAm � L �y� TEL CITY PLEi G1TY - NO t O USE ZONE MAP •• NO > / C Z SPECIAL CONDITIONS ' FINAL / .7 BY DATE y APPLICATION FOR BUILDING PERMIT FOR APPLICANT TO FILL IN (PImI o. IVOR 0DIV) I " BUILDING _ COUNTY OF LOS ANGELES ADDR T7 7 DEPARTMENT OF COUNTY ENGINEER CITY ZIP BUILDING AND SA DIVISION ` OF LOGS BUILDING cc SIZE OF LOT L/� N ONSLOT Q e ADDRESSv�q TRACT BLOCK LOT NO LOCALIT /' TEL a NEAREST OWNER 6/ / �/ CROSS ST ASSESSOR ADDRESS,j MAP BOOK PAGE PARCEL �^ DISTRICT GROUP TYPE FIRE ESSED BY CITY ( ZIP ' a CONST ZONE ARCH ITECTO TEL - 60 15, ENGINEER IN STATISTICAL CLASSIFICATION SEWER MAP ADDRESS t Qlim ,CLASS NO_Z�DWELL UNITS BK PG CONTRACTOR TELNO, USE ZONE MAP LIC NO ADDRESS NO SPECIAL CITY LIC l• CONDITIONS CONSTRUCTION LENDER GLASS ROAD DEPARTMENT,APPROVAL REQUIRED YES NO� NAME AND BRANCH BLDG SETBACK FROM FRONTPROP LINEOF (STREET) ADDRESS CITY NIGNWAY + YARD TO T A L SETBACK FROM TYPEOF EXISTING SQ FT NO OF NO OF CHECK FRONT PROP LINE NIGNWAY WIDTH SIZE STORIES I FAMILIES / ONE } - d DESCRIPTION OF WORK NEW CD DD ❑ BLDG SETBACK FROM V 1 ! SIDE PROP LINEOF (STREET) o ALTER ElNIGNWAY } YARD = TOTAL SETBACK FROM TYPE OF EXISTING REPAIR SIDE PROP LINE HIGHWAY WIDTH Ly USOF / _ d EXESTING BLDG /Q EMOL } Z APPLICANTTEL CORNER CUTOFF YES 1:1NO (PRINT) •A '{ NO BY (SIGNATOR IN OPEN SPACE YES ❑ NO ❑ IN COASTAL PERMIT ZONE YES NO ❑ VALUATIONS QHa 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �fr- /�(�� O" 77) AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY I I� WITH ALL ORDINANCES AND LAWS REOULATI NO BU I LOINO CON- Y STRUCTION I CERTIFY THAT IM GOING THE WORK AUTHORISED HEREBY I WILL No EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE OF THE STATE OF CALIFORNIA IN RELATING TO �(� NOT WORKMEN'S COMPENS TIOM INBURAM l SIGNATURE I1;?,-- 5,-D(/A��/tjJ Orl% �T C✓/';I �_�'{' PERMITTEE ADDRESS G4 !`-�.� 7S 7`4 J TEL �� ,Y FINAL BY CITY DATE NO PMT$1A RE CHECKS PAS ANPC t ?/LL 70 FEE $ FEE E HARVEY T BRANDT. COUNTY ENGINEER /D -7 S� P CHECK VALIDATION c M CAB. /,/.3/ FEE VALIDATIO CN .0 CASH 6"'OCT z7 23 0 3 1.1_ AyS ///�� 7394 M1 12 1� 71 8.50 ,&:.d TSASGSA CC*503 SITA rrpolWORKERS' COMPENSATION DECLARATION aNNm fiate have a certificate of consent to ce - APPLICATION-FOR BUILDING PERMIT ' r o certificate of Workeri Compensation Insuranceified mpy rherebf (Sec 3800, Lab Co Company S r ,�COUNTY OF LOS ANGELES BUILDING AND SAFETY ertified co is here furnishedFILL-IN" BUILDING �/I ❑ copy � FOR APPLICANT TO ADORj SS OC Cert}ed copy is filed with the county building inspec BUILDING - �- 71 tion department /. ADDRESS 7 Date , 7�fY8� Applicant �r&1' /1 L/i�j,.9�L C.a.� CITy ZIP CJO LOCALITY CERTIFICATE OF EXEMPTION FROM WORKERS 0 `- " ,• NO OFBLDCS NEAREST COMPENSATION INSURANCE SIZE OF LOT NOW ON L ST (This section need not be completed if the permit is for one ASSESSOR ' hundred dollars ({100)or len ) TRACT BLOCK LOTNO MAP BOOK TEL PAGE PARCEL USE ZONE I certify that in the performance of the work for which this OWNERW, NO permit is Issued I shall not employ any person in any manner ni/ ? pi ��/' SPECIAL w ADDRESSJr'Z as to become subject to the Workers Compensation Laws N q " ry // CONDITIONS ' Date Applicant CITY / ZIP NOTICE TO APPLICANT If after, making this Certificate of ARCHITECT OR • i DISTRICT GROUP TYPE FIRE D BY O Exemption, you should became subject to the Workers' ENCANEER Compensation provisions of the Labor Code, you must forth ADDRESS gra YA1 Z' 6 �' CONS V14 LVyI with comply with wch provisions or this permit shall be s O- r I deemed revoked CONTRACTOR TEL _ S STATISTICAL FICATION APi DO Tit Z LICENSED CONTRACTORS DECLARATION - LIC CLASS NO DWELL UNITS_ I hereby affirm that(am licensed under prowslom of Chapter 9 ADDRESS O .04U4 12:14 2 (commencing with Section 700)of Division 3 of the Business and - LIC SEWER MAP Profesalons Code, and my license is in full force and effect CITY S //�f, 50 FT sl0 Of, NO OF \• CHECK BK PO VALmATION License Number V�LIC Clws_6� SIZE V STORIES "' '� I -� ONE :19 2 a 3 A 7,171Z ' / ', � vuwnoN # 2 3 Contractor- oc !✓ _ZL_ZLX1L PT ON OF „ I\ , Date .I ADo ' I )46 4g , ,I * 68277 ❑I am exempt under Sec ' B 8P C for this reason ALTER , ^ /1 /, • • 6827 7_ v USE OF REPAIR p2 �.(/�(/d Date EXI NIM AL.— LIEMOL, Slgrtaturs , RNAL ' OWNER-BUILDER DECLARATION PRINT n � NO ZBL� I hereby affirm that I ism exempt from the Contr000r's License DA Law for the following reason (Section 731 3, Business and 55 966 ZAA17A vilvvz J .5, Professions Code) ;R O,l 1,7 A F1BU LDINO I, as owner of the property, or my employees with ADDRESS R f'tt I # • • • • 2 3 Z9.7 as thalr sole compensation,will do the work and 1` L _� t the structure Is not Intended or offered for sole(Section LOCALITY /-} - - it �' ,l 1�1 - 45S 1 7 7044, Business and Professions Code) MOVING TEL \ L r-. _ ^• • 455 1 7 ❑ 1 as owner of the property am exclusively contracting CONTRACTOR NO .c �s r �', r� with licensed contractors to construct the project (Seo- it " '-'- W �t ~ - 0708,-88 hon 70", Businen and Professions Code) ADDRESS \� ,�-'° ' z1 .2 Oil 1.8 A CONSTRUCTION LENDING AGENCY YARD HWY PROP UNE WIDTH L SETBACK '- `y - # • •)• • • l I hereby affirm that there iso construction lending agency for FRONT the performance of the work for which this permit is issued PL ,11.3 4 9.25 (Sec Som, Civ C ) SIDE • 1349256 PL �yQ Lerder's Name PC Fes: LDMA Ref Y Lender's Address 3 '- .� Pwmii Fee I /l n ` # • • • • 17 I comfy that I have rood this application and estate that the T Iseuanice Fee U tJ IDMA P/C Y above information a correct I agree to comply with all County Investigation Fe• Q 1 1 930000 ordinances and State jaws relating to budding construction Total Fee LDMA Pswm Y/ I R and hereby authorize representatives this County to enter • • 3 O 0 O O�i upon above-men coned p inspection purposes %&/? ! Ea 111111VBY FOR EXPLANATORY LANOLIAO/ 5-gno5n,of Applicant or Agent Date I COUNTY OF LAS ANGELES TEMPLE CITY p 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760 BL 0508 1311120001 PHONE (626) 285-0488 EXT (LEGAL ID NO OF CONST BUILDING ADDRESS ON FILE SQ FT STORIES TYPE 5271 SERENO DR (STRUCTURE 34 V-B SOAB CA 917762209 (ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ROSEMEAD 15388-019-002 THOMAS PAGE 596 ORI➢ HS LOCALITY TEMPLE CITY CAI TENANT EXIST BLDG USE COMNE USE ZONE C-1 ISSUED ON PROCESSED BY IEKIST OCC ORP 111/12/13 SA (OWNER TEL NO 1BLDGS NOW ON LOT VALUATION -` - - r RAVLIK JOE - i 6,800 �� FINAL BY CODE - 800 SALBOA DR I ARCADIA CA 91007 FEES PAID I)EISCRIPTIOR OF WORK, IREROOF MAIN BLDG TEAR OFF FLAT NEW B A R (APPLICANT TEL NO FEE DESCRIPTION QUANTITY DOM AMOUNT (WARREN CROSS (626) 786-2477- IAA BLDG PERMIT ISSUANCE 27 80 1_ I 11522 MEADOW GLEN AS STATE GREEN BLDG FEE 6800 00 VAL 1 00 (SPECIAL CONDITIONS 1 HACIENDA HTGS 91745 AE STRONG MOTION OTHER 6600 00 VAL 1 40 D2 PERMIT W/O EN-HC 6800 00 VAL 166 20 TTAL FEES 196 40 _ CONTRACLOA TEL NO APPTOVALS DATE INSPECTOR SIGNATURE WARREN CROSS ROOFING (626) 786-2477- 11522 MEADOW GLEN WAY LIC NOLO CI TION AND SETBACKS HACIENDA HEIGHTS CA 91745 836560 (SOI ,S ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO POU`'DATION/TRENCH FORMS LIC NO _ � (SLAB'UNDER FLOOR RAISED FLOOR FRAMING -1-1 MAP NO SEWER FAP BOOK PAGE FIRE ZONE CMP UND[RFLOOR INSULATION 3 OOI FLOUR SHEATHING NO OF FAMILIES DWELLING UNITS APT/CON➢ STAT CLASS NO 221 ROOF SHEATHING SCHOOL WITHIN HAZARDOUS (SHEAR PANELS I IAIR QUALITY 1000 FEET MATERIALS NO NO NO IFRAVE INSPECTION (FIRE SPRINIQ.ER HANGERS I _ 11NSULATION/WEATHER STRIP( 1 (INTERIOR LATH/DRYWALL I - (EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES (RATED SHAFTS/OPENINGS I I IT-BAR CEILINGS IAT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 I I ( I