HomeMy Public PortalAbout10106 RANDWICK DR_Building__ 7GA638ACE#8038-64 APPLICA'T-ION FOR BUILDING PERMIT C-D
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS m O AO-A l N.D W I G
BUILDING AND SAFETY DIVISION LOCALITY % C, I
JOHN A. LAMBIE. COUNTY ENGINEER NEAREST
COLEMAN W. JENKINS,SUP'T.OF BUILDING CROSS ST. If-17 4LS
DISTRICT NO. , GR UP TYPE. P - ESSED BY
FOR APPLICANT TO FILL IN 's-1/9-�i coNST.j� �-Gj -
BUILDING STATISTICAL CLASSIFICATION SE ER MAP
ADDRESS I-Ole6 P44-ivD Wll CLASS NO. 0 DWELL UNITS BK PG
LOT NO. r �} BLOCK USE ZONE MAP
TRACT i /i / SPECIAL
N0. OF SLOGS. "JJ )) CONDI IONS
SIZE OF LOT D NOW ON LOT
USE OF
E NO n BLDG. SETBACK FROM
Q_Ve IO NO. r -Q n� FRONT PROP. LINE OF 2 I"/ • � (STREET)
OWNER / Fi
NG SETBACK HIGHWAY '� YARD = TOTAL
ADDRESS ��S ~— S 11'F OM C.L.
CITY l /� G
ARCHITECT O aa TEL. BLDG. SETBACK FROM
ENGINEER L Q NO. SIDE PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL '
ADDRESS HIGHWAY WIDTH FROM C.L. O
CONTRACTOR So @R'PS NOL 6-6 'BO +
ADDRESS ,1/6t o N S NO Ao6 CORNER CUTOFF YES NO C
f
CITY TQ e G LL SEE REVERSE SIDE FOR SPECIAL APPROVALS LL
D SCRIPTIO OF WORK
4-f q^�� '- SEC L? 1 I I y r`�.5 n- tJ ?
NEW ADD ALTER REPAIR DEMOLISH
SO.FT. NO. OF NO OR �IJLrt t .1Cn-,r, � t-i,.ikl.1:)f: e-C`[ I J
SIZE 160.-2 STORIES f FAMILIES ��
USE OF n L)�� p('old_ c'( { lv L i. +:'�'.i='t
STRUCTURE CS 1pGI\, A2 Q'(�O�. Q6 d ► r...-
dti kE24 !15 f A.r ad
SIGNATURE OF �� G CEJ Z P'�-4,AI 1 JAl-fJ-1 a
APPLICANT C
6
U
7 �W
VALUATION$ c) APPROVALS DATE INSPECTOR'S SIGNATURE
P.C.
FOUNDATION
MAT, LOCATION
9 ERIA LS
REE$ /� Ci6 FORMS, _- m/�~t01) 4✓:iC:� Zt.s4'
FEE$ 5-z
FRAME, FIRE STOPS, Sd
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLT �� f!7.� A W,.t.Qt A - -Gtit
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY FURNACE: LOCATION
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT. DUCTS '7 �O �.R't i.P let.: i Col
13UILDING CONSTRUCTION. I CERTIFY THAT. IN DOING THE WORK �.
AUTHORIZED HEREBY'1 WILL NOT EMPLOY ANY PERSON IN VIOLA- LATH. INT. s Zft ,:-�i�� �t �f •� ''.
TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT-
ING TO WORKMEN'S Cn ENS TION INSU A CE. ,/ +1f,
LATH. EXT. .l-A 41 .t its. , 0:"
SIGNATURE OF HOUSE NUMBER COR Year
i
PERMITTEE RE T_AND POSTED �r :.,.�'/Ir'I!�'b''"
ADDRESS It IE�JFINAL I
IWo r
JOHN F. LEWIS. PRINCIPAL ST URAL ENGINEER
I PLAN CHECK VALIDATION M.O. CASH PERMIT VALIDATION cK. = M.O��_CASH
Lko a 0 8 0� K.FEBFCB .1 2 3 2.0 O A [.o'r
L.
92 7 4 G X711; g . 0 6 4 L 0- n.
76A63BA«C:E :p3 3-69 AtRMIT
6� r
,� APPLICATION FOR BUILDING II
COUNTY OF,LOS ANGELES BUILDING
DEPARTMENT O,j�,COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION LOCALITY 11`FPLC CITY
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING NEAREST ^G
CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP TYPE CONST. PROCESSED BY
(PRINT OR TYPE ONLY)
BUILDING �/J n STATISTICAL CLA IFICATION SEWER MAP
ADDRESS
CLASS NO. DWELL.UNITS SK PG
LOT NO. BLOCK USE ZONE MAP
NO. Q
TRACT _/ ISPECAL
NO. OF BLDGS. COND TIONS
SIZE OF LOT N'O/W/ ON LOT
USE OF S yv/�A�
EXISTING BLDG. BLDG. SETBACK FROM
OWNER FSt 1�� { Ot9 1"e r-_- NO. FRONT PROP. LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS S c4 rit HIGHWAY WIDTH FROM C.L.
CITY TC NPLt C'/ TV
ARCHITECT OR TEL. BLDG.SETBACK FROM (STREET)
ENGINEER N0. SIDE PROP. LINE OF
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
ADDRESS HIGHWAY WIDTH FROM G.L.
TE
CONTRACTORS.f L/4 FJ V-4 7-f NOL.'J�y�D r 'I7// +
ADDRESS a�+d2- S !'J(�/� Sj NO 19'16 d/ CORNER CUTOFF YES ❑ NO ❑
r9/vTn LIC.
CITY S
/��� CLASS l'-(o/ SEE REVERSE SIDE FOR SP IAL APP OVALS
NAME ANDTION BRANCHNDER A:14- 70 /' a 11�4' C
ADDRESS f` /(/
SQ. FT. NO. OF NO. OF ❑
SIZE Ovo STORIES FAMILIES NEW
USE OF ADD
STRUCTURE A}(1 0 (Ya J0 pu
ALTER ❑
�- PO 5-1 b ~ Z Z '�- p REPAIR ❑
SIGNATURE OF Jf/�L DEMOL ❑
APPLICANT Wv
VALUATION$ r APPROVALS DATE INSPECTOR'S SIGNATURE
P.C. 7lJ FPMT EE $ 9, v o FOUNDATION: LOCATION
FEE $ pZp FORMS MATERIALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FRAME: FIRE STOPS,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY BRACING BOLTS
WITH ALL OR AND LAWS REGULATING BUILDING CoNSTRUC- FURNACE: LOCATION,
TION. I CERTIFY THAT IN DOING THE WORK AUTHORIZED HEREBY I GAS VENT DUCTS
WILL NOT EMPLOY ANY PERSON IN VIOLATION OF THE LABOR CODE LATH, INT.
OF THE STATE OF CALIFORNIA IN RELATING TO WORKMEN'S COM-
PENSATION INSURANCE
�� yJ/[ LATH, EXT.
SIGNATURE OF �' �/h !' ( HOUSE NUMBER CORRECT
PERMITTEE
AND POSTED
ADDRESS9 -
FINAL •J 6
JOHN F. LEWIS, PRINCIPAL STRUCTURAL ENGINEER
PLAN CHECK VALIDATION CK M.O. CASH - PERMIT VALIDATION K:' M.O. CASH
6 V. SEP 2 3 2 1 0 2.7 0r' co
�(!„1 9 6 2Q� SEP 23 1 D 9.00^' cu