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Home My Public Portal About10060 RANDWICK DR_Building__ 76KBSBA CE#803 8-64 APPLICATION FOR ILDING MRMIT 0(0 COUNTY OF LOS ANGELES ABUILDING DDRESS /006 O k.'* D /G DEPARTMENT OF COUNTY ENGINEER ,..-+ BUILDING AND SAFETY DIVISION LOCALITY ( j JOHN A. LAMBIE•. COUNTY ENGINEER NEAREST COLEMAN W. JENKINS,SUP•T OF BUILDING CROSS ST. DISTRICT NO.. GROUP TYPE P SS BY/ FOR APPLICANT TO FILL IN S -:It CONST �JC�/L/ BUILDING ' STATISTICAL CLASSIFICATION SE ER MAP ADDRESS /60(0,6 CLASS NO. O DWELL UNITS BK PG. LOT NO. BLOCK USE ZONE NOP �D/ ? TRACT a q ` SPECIAL NO. OF SLOGS. CONDITIONS SIZE OF LOT Q NOW ON LOT ' USE OF EXISTING i BLDG. SETBACK FROM �1 TEL. T `O a FRONT PROP. LINE OF •� (STREET) OWNER Dieu, O NO. / TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAC ADDRESS 1 1- v HIGHWAY WIDTH FROM G.L. CITY 9BLDG. SETBACK FROM ARCHITECT OR TEL. SIDE PROP. LINE OF (STREET) ENGINEER D NO. TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL ADDRESS HIGHWAY WIDTH FROM C.L. a TEL. COQ DC� _ 0 CONTRACTORO.SOPZCS NO ADDRESS 7v_ NO 91 CORNER CUTOFF YES ❑ NO O F- CITY �! LIQ ^ I SEE REVERSE SIDE FOR SPECIAL APPROVALS W DESCRIPTION dF WORKh - 1$-6s v '0N 'rk-I S L nr : z NEW ADD ALTER REPAIR DEMOLISH I SQ,FT. �x/'-� NO. OF NO. OR SIZE �`,J }STORIES / ',FAMILIES �� STRUCTURE es I De - C UeL0 �G SIGNATURE OF 40 l ® `I APPLICANT �- VALUATION$�1110111 :,'�v / APPROVALS DATE INSPECTOR'S91ONATURB P C.FEE$ 3.� OV FEE PMT..^p /p 'y D FOUNDATION, MATERIALS 3�� [ p�f FRAME, FIRE STOPS, .5"1-a g. Q_L I.B%.RAS", I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING BOLT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS 'y RUILDI NO CONSTRUCTION. 1 CERTIFY THAT. IN DOING THE WORK /` AUTHORIZED HEREBY*1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. - 31r�r�J r {,yLEJ�A„jQ TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT. _ a INC TO WORKMEN'S M NSATION INSURANCE. ` \ LATH. EXT. aft G � L/,Jti° c od SIGNATURE OF , Q HOUSE NUMBER COR !FF RE AND POSTED I 3L7 �PC1lae1Y�.1' ADDRESS FINAL ��sZ��( (Al aAAAc. t JOHN F. LEWIS. PRINCIPAL ST 90UCyjpAL ENGINEER ?�AN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.D. CASH .Ao8 0 7 7 2 FEB 1 2 32L0 �. D 6 QN CK ' L,!��9 c 7 1L ),)iR �-o r � WORKERS' COMPENSATION DECLARATION APPLICATION FOR BUILDING PERMIT I sherbby affirm that I have a certificate of consent to self insure, or a certificate of Workers' Co ensu))ion Ins once, orOflia �rc. a V COUNTY OF LOS ANGELES BUILDING AND SAFETY ❑ Certified co is hereby fur shed. FOR APPLIC T TO FI L IN BUILDING f PY Y ADDRESS ❑ Certified copy is filed wit 'e coun bu' ng insp c- BUILDING / tion department. ADDRESS CITY a ZIP 7 LOCALITY Date App' NO. OF BLDGS. CERTIFICATE OF EXEMPTION FROM WORKERS' SIZE OF LOT NOW ON LOT NEAREST CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the permit is for one TRACT BLOCK LOT NO. MAP BOOK PAGE PARCEL hundred dollars ($100)or less.) TEL. OWNER / NO. USE ZONE MAP NO. I certify that in the performance of the work for which this SPECIAL >_permit is issued, I shall not employ any person in any manner ADDRESS CONDITIONS a- so as to become subject to the Workers'Compensation Laws. O CITY ZIP U Date Applicant ARCHITECT OR TEL. DISTRICT GROUP I TYPE FIRE PROCESSED BY ce NOTICE TO APPLICANT: If, after making this Certificate of ENGINEER NO. O Exemption, you should become subject to the Workers' rOr' C ZOt3 UU-07 . Compensation provisions of the Labor Code, you must forth- ADDRESS dLU A41 I with comply with such provisions or this permit shall beTELSTATISTICAL CLASSIFICATION . APT. CONDO. N deemed revoked. CONTRACT /, NO. ss}} , Z LICENSED CONTRACTORS DECLARATION LIC. CLASS NO. DWELL. UNITS — I hereby affirm that I am licensed under provisions of Chapter 9 ADDRES r NO. ,,nn U SEWER MAP (commencing with.Section 7000)of Division 3 of the Business CITY /'t" C and Professions • i ense is in full foean ffyl BK. PG VALIDATION ' SQ. FT. NO.OF NO.OF CHECK License I� ber Lic. Class SIZE STORIES FAMILIES ONE VALUATION �^ �/ pt Contr t pa}e DESCRIPTION OF WORK f;l'� • � NEW ❑ $ ' ADD ❑ ❑I am exempt under Sec. M• ALTER ❑ BAP.C. for this reason 134 �5 REPAIR ❑ $ Date: USE OF EXISTING BLDG. DEMOL ❑ Signature APPLICANT / TEL• FINAL OWNER-BUILDER DECLARATION (PRINT) . / NO. I hereby affirm that I am exempt from the Contractor's License DATE c Law for the following reason (Section 7031.5, Business and ADDRESS FINAL Professions Code): PRESENT By ACCTov ElBUILDING I, as owner of the property, or my employees with ADDRESS 3307 ION,,.613 wages as their sole compensation,will do the work and the structure is not intended or offered for sale(Section LOCALITY 1 !TEM1_i 7044, Business and Professions Code.) MOVING TEL. ❑ I, as owner of the property,am exclusively contracting CONTRACTOR NO. TOTAL .8113 d 60 with licensed contractors to construct the project (Sec- ADDRESS 1% Ot r tion 7044, Business and Professions Code.) CHECK 18 I,%:i REQUIRED TOTAL SETBACK FROM EXIST. ,l_I i CONSTRUCTION LENDING AGENCY SET BACK YARD HWY PROP. LINE WIDTH CHANGE I hereby affirm that there is a construction lending agency for FRONT the performance of the work for which this permit is issued P•L• (Sec. 3097, Civ. C.). SIDE Lender's Name, O/ 21 B L. P.C. Fee$ Permit Fee LDMA Ref. # Il 1 AMif�18 Lender's Address C-6 rPilo P. I certify at I have read this application and state that the Issuance Fee ca+� LDMA P/C# 3 above ormation is ect. I a o comply with all County Investigation Fee ` (f Q ordin 7-es an Stat I ws relating t .building construction, Total Fee /GAJ LDMA Perm. # and reby a thor' epresent i es f this round,to r up n I v c ro fo inspe t' ur SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Applicant or Agent Date ri COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0909170015 PHONE: (626) 285-0488 EXT: LEGAL ID: NO. OF CONST BUILDING ADDRESS: ITR: 29569 LT: 6 SQ. FT STORIES TYPE 10060 RANDWICK DR I ISTRUCTURE: V-B TEMP CA 917803348 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 18585-001-037 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl (TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 JISSUED ON: PROCESSED BY: EXIST OCC GRP: 109/17/09 SR OWNER: TEL. NO: IBLUGS. NOW ON LOT: VALUATION: IFINAL DATE FINAL BY: CODE: 1YEH, RYAN (626) 272-4836- 1 12,000 1 10060 RANDWICK DR 1 TEMP 917803348 FEES PAID [DESCRIPTION OF WORK KITCHEN, BATHROOM REMODEL, REPLACE 8 WINDOWNS AND 1 PATIO I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:IDOOP. I (APPLICANT: TEL. NO: I I [SAME AS OWNER - IAA BLDG PERMIT ISSUANCE 27.75 I-. IAB STATE GREEN BLDG FEE 12000.00 VAL 1.00 ISPECIAL CONDITIONS: IAC STRONG MOTION REBID 12000.00 VAL 1.20 I I I JB2 PERMIT W/ENERGY 12000.00 VAL 275.22 [ I IFR INV WORK W/O PERMIT 257.00 DOL 257.00 [ I (CONTRACTOR: TEL. NO: [ TOTAL FEES 562.17 (APPROVALS DATE INSPECTOR SIGNATURE I [SAME AS OWNER - I I I [ LIC. NO [ ILOCATION AND SETBACKS [ [ I I [SOILS ENGINEER APPROVAL I I [ (ARCHITECT OR ENGINEER: TEL. NO: [ [FOUNDATION/TRENCH FORMS [ [ I [ LIC. NO: [ [SLAB/UNDER FLOOR I [ I (RAISED FLOOR FRAMING I [ IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:I (UNDERFLOOR INSULATION I I 1147H273 3 001 I -1-1 [ I I IFLOOR SHEATHING I I [ INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: [ I I I I I NO 21 I IROOF SHEATHING [ I [ SCHOOL WITHIN HAZARDOUS I (SHEAR PANELS I [ I (AIR QIIALITY: 1000 FEET MATERIALS i EXPIRED-c�-o/ I NO NO NO FRAME INSPECTION IREQUIRED TOTAL SETBACK FROM EXIST IFIRE SPRINKLER HANGERS I I I ISET BACK YARD: HWY: PROP LINE: WIDTH: [ I I [ I FRONT PL- I (INSULATION/WEATHER STRIP( I I SIDE PL- I I I I I [INTERIOR LATH/DRYWALL I I I [ [ [EXTERIOR LATH I I IRATED FLOOR/CEIL ASSEM. [ [ [ IRATED WALL ASSEMBLIES [ I I (RATED SHAFTS/OPENINGS I [ I IT-BAR CEILINGS I I [ I [ I I (LOT DRAINAGE I I [ I I I I [REPORT ID: DPR261 ROUTE TO: BS0508 I I I I I [