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HomeMy Public PortalAbout5272 SERENO DR_Building__ T¢BDDACIO8OIE-e* A�PLIJAT IOR BUILDING PER IT COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINSSUP T OI BUILDING CROSS ST DI8 C N VP TYPE S B FOR APPLICANT TO FILL IN �' CONST BUILDINGSTATISTICAL ASWF(CATION SEW R MAP ADDRESS 2. CLASS NO DWELL UNITS BK PO LOT NO BLOCK USE ZONE I 4AP TRACTN (' . Z-� SPECIAL 100 OF ALDO$ 91 ZE OP LOT I.. NOW ON LOT USE OP SIDE D[TSACE FROM t EL ^T FRONT PROP LIME OI (STREET) OWN R NO . ' / TYRE OF EXIDTIMO E[TBACK HIGHWAY RD = TOT ADDRE9! IiVAc M C L YAAL CITY Q -I + — � ARCHITECT OTEL A BLDG D BACK FROM ENGINEER NO A 2b7 2109 PROP LIKE OF STREET TYP[ 01 [XISTIME DETSACK I HIGHWAY + YARD = TOTAL ADDRESSme I.. HIGHWAY WIDTH FROM C L r CONTRACTOR NOL + 0 ADDRESS Np CORNER CUTOFF YE! NO O CL SEE REVERSE SIDE FOR SPECIAL APPROVALS DESCRIPTION OF WORK —/� ," �T Z NEW ADD ALTH REPAIR NOeDMOLISH SO PT O!TOROP OP S SIZE IES FAMILIES 5� U*e OF 5 DTR UCTURH SIGNATUREOF 7- G i / APPLICANT VALUATION$ LOO,OOO APPROVALS DATE IKEP[ DR'S SISMATUR[ FOUNOATI O N, LOCATION P C PMT FORMS MATeRIA LD Fee$ Fee$ OYI F AMB, FIR O S, HEREBY ACKNOWLEDGE THAT I HAVE READ TH119 APPLICATION BRACING BG — 1MD RAT[ THAT THE AEOV[ IE CORRECT AND AOR[[ TO COMPLY FURNACE LOCATION WITHALL COUNTY ORDINANCE! AND RAT[ LAW* REGULATING D C •UILOI NO CONSTRUCTION I CERTIFY THAT IN DOING TH[ WORK AUTHORIZED N[R[DY 1 WILL NOT EMPLOY ANY PRION IN VIOLA LATH INT L3� TION OF THE LAEOR COO[ OF THE *TAT[ OF CALIFORNIA HELP. IND TO WORKMEN *co IPENEATION INSURANCE LATH EXT B IGNIATURE Of HOUBE NUMBER COR- i PERMITTEEif= E ADDRESS — FINAL ,Z�-6 PLAN CHECK VALIDATION cM r o cA*H — JOHN F LEWIS PRINCIPAL ST URAL ENGINEER PERMIT VALIDATION cK 'M D CASH LAL00396—� Mll23 D 133.504 yy pp LHLo5 0 19 n SEP 2 9 1 D 267.00- TeAGSSA•CERSOD 3-15GAPPLICATION FOR BUILDI G PER P COUNTY OF LOS ANGELES BUILDING DEPARTMENT OF COUNTY ENGINEER ADDRESS /LFi/2�7 BUILDING AND SAFETY DIVLSION LOCALITY ` JOHN A LAMBIE COUNTY ENGINEER NEAREST COLEMAN W JENKINSSUP T OF BUILDING CROSS 9T D1S CT NO U TYPE O e FOR APPLICANT TO FILL IN 5 CONST BUILDING ^ STATISTICAL CLASSIFI ATION S ER MAP ADDRESS /C CLASS NO DWELL VNI TS 8K p LOT NO BLOCK USE ZONE AP O NO TRACT lP ECIAL SIZE OF LOT / AC • MOWDPN BL0TS USE OF 10 BLDG SETBACK FROM EL PRIORY PROP LIN[ 01 (STREET) OWNER �1.� NO TYPE OI EXISTING SETBACK HIGHWAY YARD = TOTAL ADDRESS /L� '09M C L CITY L� } ENGINEER R TEL BLOC SETBACK FROM ENGINEER NO SID[ PROP LIMB OF (STREET) TTP[01 EZIETING e[reACR HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L TEL } - CONTRACTOR n oo�� ��__ �- >c NLICO ADDRESS ,22 Saw-Nc J/� INO CORNER CUTOFF YES NO CITY r, �o• LIC SEE REVERSE SIDE FOR SPECIAL APPROVALS o DESCRIPTION OF WORK a N NEW ADD ALTER REPAIR DEMOLISH 2 FT NO OF NO OF SIZE STORIES FAMILIES UTE C 9TRUCT URE �YV SIGNATUIREF APPLICANT VALUATION$ I OiO •00 APPROVAL! DATE IYSPECTOR'E SIGNATURE P CT " FOUNDATION, LOCATION FEE$ PEE$ POD FORMS, MATERIAL! FRAME, FIRE STOPS, I MEREST ACK NOWL[OO[ THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STAT[ THAT THE ABOVE IB CCRRKCT AND AOR[[ TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STAT[ LAWS R[OULATINO OAS VENTDUCTS SU ILDINO CONSTRUCTION I CERTIFY THAT IN GOING THE WORK AUTHOM IZED HERESY I WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION Of THE LABOR CODE OF THE STAT[ OF CA FORMA REI-AT 'NO TO WORKMEN SC P[NSATIO INBUUICe LATH EXT SIGNATURE OF HOUSE NUMBER COR- PERMITTEE POSTED ADDRESSj&tFINAL ' JOHN F LEWIS PRINCIPAL ST URAL ENGINEER PLAN 0= VALIDATION CK MO CASH PEBMIT VALIDATION cX M o CASH 1Q5633Z2M 4 1 D 5,00 ARMENT COUNTY EXQUIZER DMSIOx�OF 8 IM AND SAFElY vr' ,LOS [pWILDING _ J WILLIAM J FOX. COUNTY ENGINEER "<4 ArPLtcAnox l-� CADLATT D GRIMM, BUP T or BuU.wxa FORCep Td IFai iN FOR OFFICE USE ONLY 13 ADUILDING;DRESS �� �� SL�E�Y Q Dl. Dl= CK OR nRRZO N PERMIT NO _ P 7— LOCALITY a AA Na C i r// CD R�E�Cf IVSD BY DA OR t<PPL DATE IBEU .1 ADD 1 S O• OWNIER L f/T G brecM C/y Sr MAILLOCALITY C/ ADDRESS ✓ T cCITY . TE6 d G 76 NEAREST �O CROSS BT AC55,WiA V ARCHITECTOR TRL FIRE NO OP I QRRP ENGINEER p ZONE PLANE D BLDG cotgg=l TQwI L- US6 IAPPROVB M�� ZONE BY ADDRESS T6 M/ HOUSE NUMBERING LEGAL JMAP NUMB ASSIGNED BY DESCRIPTION BLOCK CORRECTIONS TRACT y No oFBLDw ,(6GNL PESc SIZE OF LOT/ A ON LOT EXISTING BLDG (j FUSK OF U N DESCRIPMN OF WORK eAsr F 7N D - 9 NEW ALTIORATION rpWrSFcrlo rs R i w sag Z REPAIR DEMOLITION > r VF33/00 NRo OF OO! STORIES CODING STacc A I =INGG'DMP 3N. USE OF STRUCTURK cAtuecj4 Au 0 lfo,?/aM or O Vwc 0 Ts ai Apsp ALS r» SO W/(/ I SPECTOR•B SIGNATURERE ATE FOUNDATION LOCATION L FORMS MATERIALS i;`i•. //�l' 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AR FRAME NFIRBSTOPS ,^ i`• PLICATION AND STATE THAT THE INFORMATION GIVEN IS BRACING BOLTS 1 CORRECT 1 GREG TO COMPLY WfTH ALL COUNTY OR FURNACE LOCATION AND STATE LAWS REGULATING BUILDING CONSTRUCTION GAD VENT DUCTS SIGNATURK OF LATH, INT O FRIM ' ADDRESS . <`-V&eLorM S, LATH ER, S PLASTER. INT / AUTHORIZED AOT ��/� PLASTER EXT s rag S HOUSE NUMBER COR- RECT AND PORTED vwwwrloN43 Oj a FEE �� FINAL TMFiM 010930 !•S➢ DIVISION OF Department of O®ty TY foo00 J BUIL ® ' N G County of Lon Angeles WM. J. FOX, COUNTY ENGINEER APPLICATION FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO PIAN CE.OR REO No PERMIT N0. 5��� N. SE ,r 5 — o /2/ LOCALITY E C/T [Iv[ RY DAT[DF ADPL AT[ IRSU[D otEMEAO B�✓P. au1LDIHG �-.L ADORsae OWNER CNYQCM `CN /s7 Me BtV" MAIL `LOOALITV ADDR[RB CSA AS ABOv NEAREST ' TEL t` _ _ CROBB BT CITY T, G N4 T6-" FIRE N0.OI TYPE GROUP 3 AMON ITECT OR l /�� _ fON[ PLANK ENGINEER �N '��'Q NKCL/f/. -O O ryOD LI✓C OA T C. - _ SETBACK LIN[ 7..D /BLDIL D NO USE _ I APPRWKD SONE er DAT[ QONTRACTOR J N4 HOUBE NUMBERING ADDRESS SDsoN MAP NUMBER NO ABBIGNED eY L[DALLACK CORRECTIONS • D[RCRIPITON - LOT N6 B _ TACT R SEE rE&ICEUS ^ NO DF eLODL� RIZE OFLOT MDWGNLCT "IDY - '� E -f r TINSBLD �� ' I -%IBFAMLLItl -DESCRIPTION OF WORK a° NEW ALTCAMTION ADDITION REPAIR DEMOLITION R12[ S` ROOMS '� RTORIER DGYcmNG CXT WALL - 3T Cco nRO°FovcalHG7)!KK•BfflC � URL OF STRUQTIIR[ INePECrION FDR ; 0 _ APPROVALS OOCUPANCYAR INSPECTOR`BBIGHATURE DAT[ FOUNOATIDNI LOCATION rO%W% MAT[RIALR /' - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIR AP- PLIQATION AND STAT[ THAT THE IN►ORNATICN-DIV[M IR FRAM[ ►IR[STOPB. CORRECT -RRACINO. BOLTR I AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCES FURNAC[1 LOCATION. AND STAT[ LAWS REGULATING BUILDING nDNeTRUOTION GPA VENT DUCTS 91GNATUR[ orLATH. INT PERMITTEE. ADDRESS SL.'20D N -CNARL�TE� AI'GgB LATH. EXT PLAeT[R. INT i AUTHORIZED AST PLASTLW. mCT. � FEE HOUSE NUMBER OOR- RECT ANO POBTEO VALUATION O Ci FEE • �O FINAL 3/ r vaAaaeA Dena raa e `TEMPLJE..CITY ][AEJE�CE N60T=„ APPLICATION FOR BUILDING PERM T COUNTY OF LOS ANGELES ADDRESS �J DEPARTMENT OF COUNTY ENGINEER �) BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST FOR APPLICANT TO FILL. IN CONST DI6T jyCTOND GROUP/ TYPE P E Y CCYY11 Lp L^ BJ171 , UILDING �� �l STATISTICAL CLASSIFICATION SEWER MAP SS C CLASS NO DWELL ADDREUNITS LOT NO S EL BLOCK WATER ^� CERTIFICATE NOT REQUIRED RECEIVED TRACT - �[ - MAP HICNwAY NO OF BLDGS NO d (CIRCLE) STATE MAJOR 6ECON LOCA SIZE OF LOT NOW ON LOT USE ZONE SPECIAL USE OF --1C ONDITIONS EXI6TING BLDG TEL /1 rAR NO BUILDING EXIST SETBACK YARD HWY STREET NAME WIDTH SS FRONT / I TECT OR TEL P L ' EER - NO SIDE P L d SS O TEL V ACTOR NO ad SS W DESCRIPTION OF WORK a N ADD ALTER REPAIR DEMOLISH NO OFNOOF STORIES FAMILIESURE TURE OF APPLICANT VALUATIONS APPROVALS DATE INSPECTOR a SIGNATURE PC� PMT / FOUNDATION LOCATION / 1 FE FEE S 1 FORMS MATERIALS 1 FRAME FIRE STOPS / 1 H[REBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION BRACING BOLTS AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION / WITH ALL COUNTY OROINANCCS ANO STATE LAWS REGULATING GAS VENT DUCTS BUILDING CONSTRUCTION 1 CERTIFY THAT IN DOING THE WORK ' AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA LATH INT TION OF THE LABOR CODC OF THE .TATE OF CALIFORNIA RELAT ING TO WORKMEN S COMPENSATION INSURANCE 1 LATH EXT SIGNATURE OF ✓✓1 HOUSE NUMBER COR PERMITTEE /—� � RECT AND POSTED /�- ADDRESS 'T lDJ K L�(�-F OKL.It ` e• FINAL d G7 PLAN CHECK VALIDATION GK Mo cAeN JOHN F LEWIS PRINCI AL ST RAL'ENGI EER �1 _ PERMIT VALIDATION CK .0 ' CASH 0--AL, tJ L, J L, 1 y:, id 14 1 � 1 0.0 0- ir 73A308A CEu3033-35 APPLICATION FOR BUILDI G PERMI COUNTY OF LOS ANGELES BUILDING L� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION LOCALITY JOHN A LAMBIE COUNTY EN GINGER NE AR E9T COLEMAN W JENKINS SUP T of BUILDING CROSS ST DISTRJP TO GR TYPE P BY FOR APPLICANT TO FILL IN CONST BUILT NO STATISTICAL SSIFICATIOM SE ER MAP ADORES �, Z (� {✓� - BK PG CLA33 NO DWELL UNITS LOT NO Z ..r—/I OLOCK USE ZONE MAP O NO TRACT S —/j SPECIAL N 0 Or SLOGS IS I I SIZE OF LOT NOW OM AOT USE OF LN no BLDO SETBACK FROM TE _ FRONT PROP LINE OF (STREET) 1 OWNER NO O TYPE OF EXISTING SETBACK HI GNWAY YARD = TOTAL ADDRESS Z HIGHWAY WIDTH I OM C L CITY ARCHIT ECT OR TEL BLDG SETBACK FROM ENGINEER NO 31DE PROP LINE OF (STREET) TYPE OF EXISTING SETBACK HIGHWAY } YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C L CONTRACTO NO —/7D J"G + _ ADDRESS Ss' NO -L'c2-79 /Z CORNER CUTOFF YES NO OV Tr C CLASS LIC '2 SEE REVERSE SIDE FOR SPECIAL APPROVALS Q DESCRIPTION OF WORK t� d NEW ADD ALTER REPAIR EN1,01-11 SO FT NO OF N SIZE STORIES FAMILIFS USE OF STRUCTURE qaA SIGNATURE OF APPLICANT ,R /� VALUATION$ �// APPROVALS DATE INSPECTOR DDIGMATURE P C PMT V FOUNDATION LOCATION S FEE S FEE A FORMS MATERIALS FRAME FIRE STOPS 1 HEREGY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT ANO STATE THAT THE ABOVE 13 CORRER AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTYORDINAN S ANO STATE LAWS REGULATING GAS VENT DUCTS OUILOING CONSTRUCTION 1 ERTIFY THAT IN DOING THE WORK AUTHORIZED HERE GY WIL NOT EMr LOV ANY P RYON IN VIOLA LATH INT TION OF TN[ LABOR COO OF TXE TA F IF ORNIA RELAY ING TO WORKMEN 6C N3AT10 R LATH EXT SIGNATUREOF HOUSE NUMBER COR- PERMITTEE R AN POST ADDRESS IFINAL 46a 1414 4� JOHN F LEWIS RIN IPAL ST RAL ENGINEER PLAN CHECK VALIDATION c. M o cA3H _ PERM VALIDATIONcK M D CASH LAUO4 9 71%10 SEP 27 1 D ( 4,00- p A \ B U 1 ® ® I N G AD ME88 5�Il Al. SEQEr/o OR/✓f APPLICATION LOCALITY LOCALITY 11 DIVISION OF BUILDING AND SAFETY CRCREBT aIPD{v '{ Ieof6'+f4d BLvD DSIIBE�DIEOIt of OOUBty $IsIOBB! DIBTRI T NO. RECEIPT NO PERMIT NO. Oomty Bt Los MQeles .� \ 7'4-S� WM. J. FOX. COUNTY ENGINEER ppOUP DATE RECEIVED DATE ISSUED CABSATT D BRIFFINP BIIF'T OF BUILa IHa FOR APPLICANT TO FILL IN _TYPE OONBT. RECEIVE\Y U D BV / OWN[RTfHPLE G/TY e#tJIZQH . C RIS'T MAP 2� WYE 'Y ' NO AIL.—ADDRESS 5a�� N, SER�No PR)Ar NUMBER USEZONE SPECIAL CITY TELAr6-to 676 � CONOITIONB ARCHITECT OR TEL ENGINEER NO BUILDING YARD HWY STREET HAM[ [%EBT ADDRESS SETBACK FRONTTEL I CONTRACTOR NO aI[ 6 -6r �(r �C P L AGGRESS DATE CORRECTIONS INSPECTOR BUILDING ADDRESS AS A6,04C S c I,I LOT HO I BLOCK TRACT NO Dr BLDGB. RIZE OF LOTtNOW ON LOT � i► USE Or t=gYQCq -i <'LASS tQ 0046 FKIYTIBLOB DESCRIPTION OF WORE Yom, I .n Cr,uUKu�c . c NEWDD LTER REPAIR DEMOLIBH BD FT Or NO Or Z •J'I R t in IADO 1 BIZ[ STORIES FAMILIES USE OF STRUCTURE r.l 3 n rGT'.+ t+u .wl ,It 41 PRRr/noN ANG eF" elD quDl'f/QIVI/� ItF4fC CA-ASS Roo S AMO ND Or �'�^n Lta-wt �-Aa � r' n^ � �.I•v-tr•` 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP- b 1. PLICATION AND STATE THAT THE INFORMATION GIVEN IS APPROVALS INSPECTOR'S SIGNATURE DAT[ CORRECT 1 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FOUNDATION LOCATION AND STAT[ LAWS REDULAT O BUILDING CONSTRUCTION FORMS,MATERIALS FRAME FIRE STOPS. BIGMATURE OF BRACING.BOLTS PICRM,TT,r FURNACE LOCATION. GAB VENT.DUCTS ADDRE 1-Lv V P C,ILL, 6 LATH, INT AUTHORIZED AOT ,^ .. urH. EXT P C B HOUBE NUMBER COR- FEE R[CT ANO POSTED 2 I S VALUATIO V D O B CJ r rec FINAL t >� 76A639A DBS 3 Ob 5.51 .-..T OF 3UILDII*G AND SAFE Y _)PLICA? PERMIT r COUNTY OF LOS ANGELES, � ' � ' G WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN i FOR OFFICE USE ONLY -- DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING ADDRESS LOCALITY RECEIVED BY DATE OF APPL. DATE ISSUED NEAREST CROSS ST. BUILDING OWNER ADDRESS MAIL LOCALITY L - ADDRESS —� NEAREST TEL. CROSS ST. CITY NO. FIRE ARCHITECTOR TEL. ZONE pLglDjs TYPE GROUP ENGINEER NO. ORD. BLDG. NO. ADDRESS SETBACK LINE APPROVED TEL. By GATE CONTRACTOR NO. ! USE APPROVED ) ADDRESS : �) /�" %:•i I - ZONE By D�}'(.(Ir j TES )l S. ex v DESCRIPTION LOTNO. '� BLOCK LEGAL CORRECTIONS TRACT SIZE OF LOT NOW ON LOT USEOF NO.OF NO.O► ) EXISTING BLDG. FAMILIES— ROOM9 DESCREMON OF WORK jir NEW ALTERATION ADDITION � 1 ���I 0 A_ REPAIR MOVING DEMOLISH Sq.FT. NO.OF D SIZE ROOMS STORIES F WALLROOF COVERING COVERING USE OF NEW BUILDING A F/Cr — N r 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ,INSPECTOR DATE FORMS, IONI AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ( LOCATION FORMS.MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. FRAME: FIRE STOPS, SIGNATURE OF7�! J ) BRACING.BOLTS Bid PERMITTEE �' fV�Iri N` , (.'Ik4�H _ LATH. INT. AUTHORIZED AST LATH. EXT. 76A63BA-3 v-as $ P.C.y PLASTER.INT. / FEE PLASTER.EXT. VALUATION / EE ,bQ FINAL F ''.RTMENT OF BUILDING AND SAFETY a I APPLICATION FOR PERMIT ZOUNTY OF LOS ANGELES (ICJ 3 C '~ g U i L D 1 N G ',FM. J. FOX, CHIEF ENGINEER FOR OFFICE USE ONLY FOR APPLICANT TO FILL IN DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING T RECEIVED BY DATE DF APPL. DATE ISSUED LOCALITY 1 NEAREST / CRO59 6T. BUILDING OWNER ADDRESS MAILLOCALITY ADDRESS �v M 7 A' NEAREST TEL.2 /1 ,! CROSS ST. CITY ND"" �1�—1y�•' FIRE NO.OF TYPE GROUP T ARCHITEOT OR TEL. ZONE PLANE ENGINEER ND. BLDG. / DRO.NO. SETBACK LINE ADDRESS APPROVED TEL BY DATE CONTRACTOR ND. v' USE _ APPROVED ADDRESS � BV � DATE LEGAL pp``�1 CORRECTIONS DESCRIPTION LOT NO. qqA 4 BLOCK TRACT i�,I) II'��.. J n� SIZE OFLOT/� h- //'K-Ic.4- I NOW ON LOTS USE OF NO.OF EXIfiTING BLDG. I FwMume ROOMS DESCRIPTION OF WORK NEW ALTERATION ADDITION O A REPAIR /� MOVING DEMOLISH 0 SIZE ^ 7 U U ROOMS No or TORIES I D PP1 r WALL /t; (J COVERING AJ'1rh COVERING ' )rlN-•� r USE OF NEW BUILDING V O '" n " 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT FOUNDATION: LOCATION INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS AND STATE LAWS REGULATING BUILDING CONSTRUCTION. ' -�/�/ / FRAME: FIRE STOPS, �' �42�Y _/ ( V",CtV"•Ir BRACING.BOLTS I` - TI / SIGNATURE OF //����////�� PERMITTEE— irh , LATH,INTO A THORIZED AGT / LATH.EXT.: `s 1-41 $ / P.C.G PLASTER.INT. FEE PLASTER,EXT. VALUATION FINAL FEE WORKERS COMPENSATION DECLARATION 01 SI LI IL hereby affirm that I have ncertificate of nt to "ifAPPLICATION -FOR-'BUILDING PERMIT insure, or a certdicote of Compensation tion Iw nranca, or o"certified copy thereof (Sec 3800, Lab C ) Policy NoW0104841LQA;7y Western Employers Ins. _ COUNTY OF LOS ANGELES ( BUILDING AND SAFETY ® Certified copy is hereby furnished FOR APPLICANT TO FILL IN AD = � Certified copy is filed with the county budding inspec BUILDItiG tion department -' ADDRESS 5272 Sereno Dr . LOCALITY Date "4 /2S/84 Applicant Lytle Roofing CRY Temple City zIP 91780 c"ossSST CERTIFICATE OF EXEMPTION FROM WORKERS . NO OF BIDGS ASSESSOR COMPENSATION INSURANCE SIZE OF LOT NOW ON LOT Several MAP BOOK PAGE PAROL (This section need not be completed if the permit is for one USE ZONE hundred dollars ($100)or less ) TRACT BLOCK LOT"° - ' SPECIAL OWNER Temple City Chur� 286-302 CONDITIONS > 1L I certify that in the performance of the work for which this DISTRICT GROUP ttR FIRE BY O permit is issued, I shall not employ any person in any manner y so os to become subject to the Workers Compensation Laws ADDRE� 2 2 Sereno Dr . coNST ZONE CITY ZIP 1780 X01 3 19 Date Applicant ARCHITECT OR TEL STATISTICAL CLASSIFICATION A CONDO V NOTICE TO APPLICANT If, after making this Certificate of NGINEER NO CLASS NO UNITS— Exemption, UNITSsN Exemption, you should become subject to the Workersd Compensation provisions of the Labor Code you must forth ADDRESS - - -- SEWER MAP ul with comply with such provisions or this permit shall be Z deemed revoked CONTRACTOR Ly tie Roofing ;:192-51T1 BK A PG i VALIDATION LICENSED CONTRACTORS DECLARATIONLIC I hereby off min that I am licensed under provisions of Chapter 9 ADmss t S t 010 1 8 6 0 3 VALUATION (connntencirq with Section 7000)of Division 3 of the Business and LIC Professions Code, and my license is in full face and effect CITY Pasadena 91107 CLASS 39 f 13 . 000 - 00 oil. _ OF CHECK License Number.156103 Lic Class 39 SS STORIIEE.S 2 FFAFAMILIESnsS ONE ` S Contractor f.ytlee Roofing lxte 4 /25/84 DESCRIFTION OF WORK - i' 1 & NEW" 0 _ ❑ I am exempt under Sec rock R3285 - ADO CO] iiiiiiiiiiiiim ALTER FINAL B 8P C for this reason - - ® DATE (p E OF REPAIR EXIISTIINGuDG Church NAUX ❑' FINAL - Slpmture APPLTNTT 2-5171 O Eam RATION ' /// [/.1 I hereby affirm that j am empt from the Contractor's License 7 V Law for the following reason (Section 7031 5, Business and t St . Pasadena Professions Code) MmirBUILDING I, as owner of the property, or my employees with ADDRESS 5�72 Sereno Dr . _ ,r _ - ;. 0 9 6 2 A wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY is e e • e 1 7014, Business and Professions Code) MOVING TEL 2 • 10550 i 1, as owner of the property, am exclusively contracting CTOR NO with licensed contractor to construct the project (Sec- ADDRESS • 105506 tion 7001, Business and Professions Code) REQUIRED TOTAL SETBACK FROM EXIST CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP U 0503 -84 WIDTH Pilo hereby affirm that there s a construction lending ogencyfor FRONT _ the performance of the work for which this permit is issued PL ,Sec 3097, Civ C ) SIDE 6 PL Lenders Name Lender's Address P C Fee S r Permit Fee 00 �y I certify that I have read this application and state that the Issuance Feel 0 9_ < above information is correct I ogress to comply with all County Investigation Fee 8H ordinances and State laws relating to building construction, Total Fee and hereby authorize representatives of this County to enter on the above-mentioned property for i egy/ory purposes = -- --- - - - - - R / — SEE REVMR FOR EXPLANATORY LANGUAGE Signature of Applaont ar Agent Date WORKERS COMPENSATION DEIXARATION hereby affirm Char 1 have r certificate of convent to self -- • APPLICATION FOR .BUILDING PERMIT or, or o<erhficoGe of Worker Compensation Insurance' ' or a certified copy tthhere I (Sec 3800 Lab C ) - _ - "` - 1 -- P❑ollcy No�� Company COUNTY OF LOS ANGELES - _ _BUILDING A_ND SAFETY - , .•: , Ce4 copy is hereby furnished FOR APPLICANT TO FILL IN BUILDING ADDRESS I� Certified copy is filed with the c unry` building mspec BUILDING / q— /UY, hon department • ' ADDRESS / 1 r t Dole :' 0- Applicant 114# CITY/r ZIP LOCALITY It CERTIFICATE OF EXEMPTION FROM WO RS't `" ___ _ _ ___ _ _ OF BLDGS -_ ____ NEAREST COMPENSATION INSURANCE " • SIZE OF LOT NOW ON LOT ST G (This section need not be completed if the permit is,for one - - - -- - -- -- - ASSESSOR _ hundred dollars($100)or leu ) 1 TRACT BLOCK LOT NO MAP BOOK` PAGE PARCEL ZMAP I certify that in the performance of the work for which this ^- OWNER ONE NO permit n issued, 1 shall not employ any person in any manner _ ADDRESS- -. - - - CONDITIONS _ - - 7 d so as to become subject to the Workers Compensation Laws r ' Date Applicant CITY _ _ _-___- _ _ ZIP _ _ __ _ __ _ _ _ j Y J 09 NOTICE TO APPLICANT If, after making this Certificate of ARCHITEENGIWCT OR t TEL DISTRICT GROUP ttff _ _ FIRE BY j 0 Exemption you should become subject to the Workers' - lJ Compensation provisions of the Labor Code, you must forth ADDRESS S ilk/ Z, ?/ _ ZONE , Vo RJ V O W IL with comply,with•auch provisions or this perms shall be - - TEL STATISTICAL CLASSIFi TION APr ' deemed revoked CONTRACTOR NO LICENSED CONTRACTORS DECLARATION - LIC - - - CLASS NO_DWELL UNI t I hereby off um that I am licensed under provisions of Chapter 9 _ ADDRESS NO SEWER MAP t (commencing with Section 7000)of Division 3 of the Business and _ _ _ - _ - .LIC _ _ Professiom Code and my license is in full force and effect CITY CLASS t L VALIDATION" \/1 Gf �� __ SO FT NO OF NO OF _ r HECK License Nu Num r �+ �ic Class SIZE "- - STORES --- FAMILIES '_ ONE /� NEW VALUATION i Can'----r Dote,Z- DESCRIPTION OF WORK ADD s �o I am exempt u r Sec ^ D - - ALTER B SP C for this reason _ 1 REPAIR _ D -" USE OF Dote J EXISTING BID-' oEMOL _ Signature _ • ' _ - APPLICr�i Lo R I 3 5 0 2 3 A i OWNER-BUILDER DECLARATION -'DA - ­r17 . . . 023 I hereby offima that 1 am exempt from the Controctor's License - l - - _ t _ t i Law for the followingreason Section 71 5, Business and ADDRESS Profeuiom Code) _( 03-' - ' - - _ 1 • ! 3 7 5 O.- O - I as owner of the property, or my employees with WILDING ADDRESS I •! - 37.505 � wages as their sole compensation,will do the work and I l the structure is not intended or offered for sale(Section LOCALITY I ' .i i t 07. 14-86 7044,-Business and Profeuions Code) - - MOVING - -"-"" - TEL - - "-i I, as owner of the property am exclusively contracting - CTOR - NO i with licensed contractors to construct the project (Sec- ADDRESS - - - - '-- -�5 O 2 4 A tion 70" Business and Professions Code) CONSTRUCTION LENDING AGENCY ' - -- - SET IRE YARD- HWY TOTALS LINE WIDTH - " - # Ihereby affirm that there is a construction landing agency for FRONT • - - ` - the performance of the work for which this permit is issued - PL- (Sac L- 9, 8 8 (Sec 3097, Civ C ) SIDE T - I - - PL - - - -- - - 49, 886-, Lender's Name _ 2// 2 LDMA Ref IF ' larder's Addreu - - - - PC Fee f' • - Permit Fee - til-/' 3 ,--07-1 4-86 s -1 Codify that I have read this kation and state that the - - - - Issaonm Fee-- --l 15 0 TDMA P/C 0 above mf is cortect I agr to comply with all County In~igotion Fee t _ ordirwnces nd tate laws is ng to budding construction, _-_ _ _ __ _ _ _ u and here out orize re pr n ives of this County to enter Total F« i LDMA.Perm $ upon the bov mentio for inspection purposes - - _ _ rD L ' $9 REVBfE FOR EXPLANATORY 1AT10UAd SI of li ,, or Agent - DoH COUNTY OF LOS ANGELES TEMPLE CITY q 0508 j BUILDING PERMIT DEPARTMENT OF PUBLIC WORM 9701 LAS TUNAS BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1210240047 PHONE (626) 285-0488 EXT (LEGAL IO ON FILE , NO OF CONST NEW BUILDING ADDRESS SO FT STORIES TYPE OCCUP GROUP 5272 SERENO DR I(STRUCTURE 0 1 V-B U TEMP CA 91780 ASSESSOR INFOR/MTION NUMBER I GARAGE NEAREST CROSS STREET ROSEM6AD IS388-010-062 OTHER _ THOMAS PAGE GRID LOCALITY TEMPLE CITY, Cl ITENANT EXIST BLDG USE COMME ISSUED ON PROCESSED BY T-MOBILE WEST CORP EXIST OCC GRP U 102/21/13 SR TOWNER TEL NO SLOGS NOW ON LOT VALUATION IFINAL PATE FINAL 13Y CODE TEMPLE CITY CHURCH OF CHRIST (626) 286-6676- 10 000 I� �� Y/ 15272 SERENO DR ///"��� 1 (TEMP 917803042 FEES PAID D SPTI N OF WORK REP:ACEMENT OF ANTENNAS AND SUPPORT EQUIPMENT FEE DESCRIPTION QUANTITY UOM AMOUNT (APPLICANT TEL NO _ CHATWIN, PHILLIP I (714) 617-9921- D1 PLANCHECK W/O EN-HC 10000 00 VAL 184 10 13020 W HARVARD ST IAA BLDG PERMIT ISSUANCE 27 90 SPECIAL CONDITIONS (BANTA ANA CA 92704 AS STATE GREEN BLDG FEE 10000 00 VAL 1 00 'V 1 ID2 PERMIT W/O EN-HC 10000 00 VAL 216 60 CTOTAL FEES 429 50 ONTRAC1Oft TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE PROCESS CELLULAR INC (714) 617-9921- , 13020 W HARVARD STREET LIC NO LOCATION AND SETBACKS (SANTA ANA CA 92704 951819 • ,t 1 SOILS ENGINEER APPROVAL (ARCHITECT OR ENGINEER TEL NO FO[RDATION/TRENCH FORMS TOWER ENGINEERING PROFESSIONALS (919) 661-6351- I I ,] 13703 JUNCTION BOULEVARD LIC NO (SLAB/UNDER FLOOR RALEIGH NO 27603-5263 951819 • IRAISEU FLOOR FRAMING (MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP IUNDIRFLOOR INSOLATION 1147H265 M 72 3 001 1 11 1 INO OF FAMILIES DWELLING UNITS APT/COND STAT CLASS ' (FLOOR SHEATHING 0 0 NO 20 IROOF SHEATHING 1 1 I I SCHOOL WITHIN HAZARDOUS 1SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO FRAME INSPECTION 1 FIRE SPRINKLER HANGERS 1 INSULATION/WEATHER STRIP( INTERIOR LATH/DRYNWI,L EXTERIOR LATH I RATED FLOOR/CEIL ASSEM 1 I I (RATED WALL ASSEN[BLIES (RATED SHAFTS OPENINGS ) IT-BAR CEILINGS I 1• ADDITIONAL DATA ON FILE - ) I 1 LoTl DRAINAGE (REPORT ID DPR261 ROUTE TO BS0508 i i COUNTY OF UOS ANGELES TEMPLE CITY N 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC FORKS 9701 LAS TUNAS COMMERCIAL ADD/ALT/REP BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0506 1004060056 PHONE (626) 285-0488 EXT LEGAL ID ` NO OF CONST NEW BUILDING ADDRESS ON FILE SQ FT STORIES TYPE OCCUP GROUPI 5272 SERENO DR STRUCTURE 0 1 V-B B I TEHP CA 91780 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET ROSEMEAD I53B8-010-062 I THOMAS PAGE GRID LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE COMME USE ZONE R-2 ISSUED ON PROCESSED BY CLEARWIRE EXIST OCC GRP B _ _ 05/18/10 SR I I I TOWNER TEL NO IBLDGS NOW ON LOT VALUATION (FINAL DATE FINAL Y CODE TEMPLE CITY CHURCH OF CHRIST (626) 286-6676- 30,000 5272 SERENO DR TEMP 917803042 FEES PAID S IPTION OF NOR. STALL (1) NEW CABINET WITHIN EXISTING T-MOBILE LEASE AREA IFEE DESCRIPTION QUANTITY DOM AMOUNT INSTALL (1) NEW (3) SECTOR ANTENNA MOUNTS WITH A TOTAL OF + APPLICANT TEL NO BEMIS DEVELOPMENT JEFF PARRISH (714) 730-0606- IDI PLANCHECK W/O EN-HC 30000 00 VAL 456 18 250 EL CAMINO REAL IAA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS TUSTIN, CA 92780 IAB STATE GREEN BLDG FEE 30000 00 VAL 2 00 D2 PERMIT W/O EN-HC 30000 00 VAL 536 70 TOTAL FEES 1,022 63 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE NETWORK COMMUNICATIONS INSTALLATION (714) 278-1019- 2478 E FENDER AVENUE SUITE H LIC NO LOCATION AND SETBACKS FULLERTON, CA 92831 B C10 SODS ENGINEER APPROVAL ARCHITECT OR eNpINEER TEL NO FOUNDATION/TRENCH FORMS I DEBRA DESIGN INC (714) 730-0606- ' 250 EL CANINO REAL, SUITE 216 LIC NO (SLAB/UNDER FLOOR TUSTIN, CA 92780 NONE IRAISED FLOOR FRAMING (MAP NO SEWER FAP BOOK PAGE FIRE TONE CMP UNDERFLOOR INSULATION I147H265 3 00 FLOOR SHEATHING IND OF FAMILIES DWELLING UNITS APT/COND STAT CLASS I I NO 22 IROOF SHEATHING I I SCHOOL WITHIN HAZARDOUS (SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO IFRAME INSPECTION (FIRE SPRINKLER HANGERS I INSULATION/WEATHER 3TRIPI I INTERIOR LATH/DRYWAr... I (EXTERIOR LATH —I- I RATED FLOOR/CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS/OPENINGS IT-BAR CEILINGS + ADDITIONAL DATA ON FILE LOT DRAINAGE (REPORT ID DPR261 ROUTE TO BS0508 - I COUNTY OF IAS ANGELES TEMPLE CITY # 0508 I BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 IAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0808040001 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS i / ON FILE SQ FT STORIES TYPE 5272 SERENODR I (STRUCTURE 6o V-B TEMP CA 917a0 (ASSESSOR INFORMATION NUMBER 15388-010-062 I ST STREET ROSEMEAD THOMAS I THOMAS PAGEAGE GRID LOCALITY TEMPLE CITY, C (TENANT _ (EXIST BLDG USE CHURC USE ZONE R-2 TISSUED ON PROCESSED BY EXPIRES ON I EXIST OCC GRP 08/04/08 SR 01/31/09 IOWNBR TEL NO BLDGS NOW ON IAT VALUATION P�i[AL DAg FINAL�Y CODE (TEMPLE CITY CHURCH OF CHRIST - - 12 900 (_II1'�)`� vQ ±\11 15272 15272 SERENO DR ITEMP 917803042 I FEES PAID IDESCRIPTION OF WORK (APPLY 1 LAYER 15 LB FELT OVER EXISTING 1• INSULATION APPLY IFEE DESCRIPTION QUANTITY DOM AMOUNT 140 YEAR FIBERGLASS GAF SHINGLES IAPPLICANT TEL NO IROSA ROOFING INC (562) 691-5950- AA BLDG PERMIT ISSUANCE 27 75 I I 5615 WESHAM PLACE AE STRONG MOTION OTHER 12900 00 VAL 2 71 SPECIAL CONDITIONS BREA, CA 92821 ID2 PERMIT W/O EN-HC 12900 00 VAL 267 00 TOTAL FEES 297 46 CONTRACTOR TEL NO (APPROVALS DATE INSPECTOR SIGNATURE IROSA ROOFING INC (562) 691-5950- I I _ 5615 WESHAM PLACE LIC NO (LOCATION AND SETBACKS IBREA CA 92621 551075 C39 (SOILS ENGINEER APPROVAL I , ARCHITECT OR ENGINEER TEL NO i 1FOUNDATION/TRENCH FORMS I I I LIC NO I SLAB/UNDER PLAR IRAISED FLOOR ING II II (MAP NO SEWER MAP BOOR PAGE FIRE TONE CMP I , 1 I I 147H265 3 09 IUN�ERFLAOR INSULATION I I FLOOR SHEATHING I NO OF FAMILI85 DWELLING UNITS APT/GOND STAT CLASS NO 22 IROOF SHEATHING I SCHOOL WITHIN HAZARDOUS iISHEAR PANELS (AIR QUALITY 1000 FEET MATERIALS NO NO NO IFRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST (FIRE SPRINKLER HANGERS ISET BACK YARD HWY PROP LINE WIDTH (FRONT PL- I INSULATION/WEATHER STRIPI I SIDE PL- INTERIOR LATH/DRYWALL �I EXTERIOR LATH 1 (RATED FLOOR/CE IL ASSII4 I I jlRATED WALL ASSEMBLIES ' RATED SRAFIS/OPENINGS I I T-BAR CEILINGS I _ IAT DRAINAGE I I I 1 { - — (REPORT ID DPR261 ROUTE TO BS0508 I I I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY 1 0508 � � BUILDING PERMIT DEPARTMENT OF PUBLIC WORRB 9701 LAS TUNAS COMMERCIAL ADDITION BUILDING AHD SAFETY / LAND DEVELOPMENT TELE CITY CA 91180 BL 0508 0601190004 PHONE (626) 285-0488 EXT LEGAL ID - NO OF CONST NEW BUILDING ADDRESS ON PILE SQ PT STORIES TYPE OCCUP GROUP 5272 SERENO DR STRUCTURE 239 1 VN B TEMP CA 91780 ASSESSOR INFORMATION HUMBER NEAREST CROSS STREET ROSE 5388-010-062 THOMAS PAGE GRID LOCALITY TEMPLE CITY, C TENANT EXIST BLDG USE COMME USE ZONE R-2 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP B 02/14/06 JX - 02/09/07 OWNER TSL NO SLUGS NOW ON LOT VALUATION PIN DAT$ FINAL BY CODE TEMPLE CITY CHURCH OF CHRIST (626) 286-6676- 50,000ENJ 5272 SERO DR / TEMP 917803042 FEES PAID mpcRIPTmN OF MORA. CONSTRUCTION OF WIRELESS cCRI-1. SITE FOR T-MOBILE PER DESCRIPTION QUANTITY DOM AMOUNT APPLICANT TEL NO SHANE M TAKAHASHI (714) 767-3540- D1 PLANCHRCR W/O IIB-EC 50000 00 VAL 678 03 5912 SOLSA AVE STE AA BLDG PERMIT ISSUANCE 27 75 SPECIAL CONDITIONS HUNTINGTON REACH D2 PERMIT W/O RK-HC 50000 00 VAL 797 70 TOTAL PEES 1,503 48 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE INLAND VALLEY CONSTRUCTION (909) 875-2112- 18382 SLAVER AVE LIC NO LOCATION AND SETBACKS BLOOMINGTON G C041170 A SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS ACO ARCHITECTS INC (949) 716-9940- 26170 ENTERPRISE 1600 LIC NO SLAB UNDER FLOOR LAAE FOREST G 92630 HONE RAISED FLOOR FRAMING MAP EO SEWER MAP BOOK PAGE FIRE ZONE CMP tOIDERFLOOR. INSULATION 147H265 3 01 FL00R SHEATHING SO OF FAMILIES DWELLING UNITS APT COND STAT CLASS NO 22 HOOP SHEATHING SCHOOL WITHIN HAZARDOUS SHEAR PANELS AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION FIRE SPRIVXLER BANGERS INSULATION WEATHER STRIP INTERIOR LATH DRYWALL EXTERIOR LATE RATED FLOOR CEIL ASSEM RATED WALL ASSEMBLIES RATED SHAFTS OPENINGS - T-BAR CEILINGS • ADDITIONAL. DATA ON FILE LOT DRAINAGE REPORT ID DPU61 ROUTE TO BS0508 7 i