HomeMy Public PortalAbout10054 RANDWICK DR_Building__ 76A638ACE08038-64 APPLICATION FOR BUILDING PERMIT
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS L�JQ A/VD Lfi/G
BUILDING AND SAFETY DIVISION LOCALITY e G
JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST I�
COLEMAN W. JENKINSSUP'T OF BUILDING CROSS ST. D Q S
DISTRICT NO GROUP TYPE. ESSED B
FOR APPLICANT TO FILL IN � �,� CONST
BUILDING r^ STATISTICAL`'CLASSIFICATION WER MAP
ADDRESS to S' A-�I/ Ij•� CLASS NO. '✓ DWELL UNITS 'BK PG
LOT NO. BLOCK USE ZONE MANo.P
gA
TRACT o! ,S'6 9 //Q/ SPECIAL
N0. OF SLOGS. V V CONDITIONS
SIZE OF LOT Q NOW ON LOT
USE OF
EXISTING BLDG. BLDG. SETBACK FROM
dl.. t7 I"' ,���0 FRONT PROP. LINE OF - (STREET)
OWNER
Q �+ TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRES-S�''�IfDI J /J / (f S HIGHWAY WIDTH FROM L.L.
• '
/ ��T +
CITY /
N
ARCHITECT OR 1 TEL. BLDG. SETBACK FROM
ENGINEER f' Q NO. SIDE PROP. LINE OF - (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD - TOTAL
ADDRESS HIGHWAY WIDTH FROM C.L. d
TEL. / , + = 0
CONTRACTOR�Q erIeSNO e V U
ADDRESS ��� /��S rW/P+ NO �ZQ� CORNER CUTOFF ' YES NO O
CITY a L/ T C as SEE REVERSE SIDE FOR SPECIAL APPROVALS W
DESCRIPTION OF WORK 4, E,_ 5.` pew ISEiT-. 1,c.or,or z
NEW ' ADD ALTER • REPAIR DEMOLISH p
SQ.FT. NO. OF NO. OF h CA. A AA 6�. 1 I rI4 60rl I,ta'Ar`C(A'Lwff
SIZE STORIES FAMILIES
SUSE OF
TRUCTURE IN ISL O
SIGNATURE OF
APPLICANT
VALUATION$ 3a-e) I APPROVALS DATE INSPECTOR'SSIGNATURE
P.C. Q'Q PMTFOUNDATION, LOCATION �� �„ "_ n
FEE$3 �--. FEE$ (p �� FORMS, MATERIALS _ VLYJVL4.FJ
FRAME
, FIRE STOPS, e _
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT `, 41 J ..m 11 LA_A .PI.I.,le.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS' REGULATING GAS VENT.. DUCTS yLU04rltfa
9UILDI NG CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK
AUTHORIZED HEREBY 1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. 'Z�
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S M •NSATIONI SU RANCE,
LATH. EXT. 9��`�.(.+�tFi�f �. �l$� ��R.tUb'`..A��a.e•
COR-
PERMITTEE OF HOUSE
NANDEPOSTED !f �n P� �iP7dPJ�LtfYLl1
ADDRESS �'� J F I N A L 10M.U.AA
JOHN F. LEWIS. PRIN6PALi3TRptiVAAL ENGINEER
PLAN CHECK VALIDATION eK. M.O. CASH _ PERMIT VALIDATION eK. s
LAC807610 FEB 12 32.00A
( .._._.
L;u�9270U ,fPIR8 1 D 054.00-