HomeMy Public PortalAbout10216 RANDWICK DR_Building__ 1 fl
� 78A89}A 'CE#8031/7APPLICATION FOR BUILDING PERMIT
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'COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER' MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING �j /0
ADDRESS (! /� A +J vy r
COLEMAN W. JENKINS, SUPT OF BUILDING1 LOCALITYer
FOR APPLICANT TO FILL IN NEAREST •
Print or tvDe onl CROSS ST.
BUILDING DISTRICT NO. GROUP TYPE PROCESSED BY
ADDRESS ��Z/6 1616/9W I e /< C� r CONST
LOT NO. 77 BLOCK
STA TISTI AL CLASSIFICATION SEWER MAP
CLASS NO.2-j—DWELL.UNITS BK PG
TRACT O USE ZONE MAP
NO.OF BLDGS. NO. CJ a
SIZE OF LOT NOW'ON LOT n SPECIAL
USE OF O CONDITIONS
EXISTING BLDG. r
OWNER AvL �, /Upv NO. ,Z 3,Ff0 BLDG.SETBACK FROM
ADDRESS/61,2/4 I%r ��RJ/,t�li FRONT PROP.LINE OF (STREET)
TYPE OF EXISTING SETBACK HIGHWAY + YARD = TOTAL
CITYFi� L �`? ff- �7d O HIGHWAY WIDTH FROM C.L.
ARCHITECT ORTEL. + _
ENGINEER SC L ;x- . NO. BLDG.SETBACK FROM
ADDRESS SIDE PROP.LINE OF (STREET)
TEL. TYPE OF EXISTING SETBACK HIGHW + YARD = TOTAL C
CONTRACTOR NO. HIGHWAY WIDTH FROM C.L. CD
ADDRESS pLjp +
O
LIC. v
CITY CLASS CORNER CUTOFF YES ❑ NO ❑ Lu
CONSTRUCTION LENDER
NAME AND BRANCH SEE REVS IDE FOR SPECIAL AfPPRqVkLS
ADDRESS _ ,f
SQ. FT. NO. OF NO. OF b;_ r I f/
SIZE U STORIES FAMILIES NEW ❑ G d .r� .
USE OF ADD
STRUCTURE
ATO OLC ALTER
SIGNATURE OF REPAIR
❑
APPLICANT DEMOL ❑
VALUATIONS 0 i APPROVALS ATE INSPE OR'S PIGNATURE
P.C. PMT. +1 FOUNDATION: LOCATION
FEES Q FEE$ / FORMS, MATERIALS G•f/
FRAME: FIRE STOPS, '
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION BRACING BOLTS
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON- GAS VENT. DUCTS
STRUCTION. I CERTIFY THA N DOING THE WORK AUTHORIZED
HEREBY 1WILL NOT EMP ANY PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE E OF •CALIFO NI N RELATING TO
WORKMEN'S COMINSURANCE. LATH, EXT.
SIGNATURE OF HOUSE NUMBER COR-
PERMITTEE RECT AND POSTED
ADDRESS/-,24/49 FINAL
JOHN F. LEWIS. PRINCIPAL STIR R L ENGINEER
PLAN CHECK VALIDAcK. M.O. CASH _ PERMIT VALIDATION CH CASH
Uo 1 �. N AN it D 1 3.05- 'w
iL1Co - 'r 1 2 s PH 5 1 0 21.75—
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76A638A CE #Q03 4/72_- FOR", f�
APPLICATION FOR CN RMIT
COUNTY OF LOS ANGELES ASSESSOR
DEPARTMENT OF COUNTY ENGINEER MAP BOOK PAGE PARCEL
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS ag z-/ - J.t.cs.l� •
MAKE CHECKS PAYABLE TO:
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS ST.
Print ort a only)
DISTRICT NO. GROUTYPE
P
Ci -P OnCES
SED BY
BUILDING/ CONS„
ADDRESS 4
LOT NO. BLOCK
STATISTICAL CLASSIFICATION SEWER MAP'
CLASS NO. — DWELL.UNITS BK---PG-
TRACT
K---P,f
TRACT USE ZONE MAP
NO.OF BLDGS. NO.
SIZE OF LOT NOW ON LOT �fV SPECIAL
USE OF 7� CONDITIONS
EXISTING BLDG. TEL
/ J
OWNER t L. , kO�V NO. •1,02 3
BLDG,SETBACK FROM
ADDRESS/0,;'./d tull x D2' FRONT PROP.LINE OF (STREET)
TYPE EXISTING SETBACK HIGHWAY { YARD = TOTAL
CITY £� e- - �% JJ //' 7fd� HI (DTH FROM C.L.
ENG NARCHIEERT OG1�v�IQ� /V d6NEL.wr�W7 +
/� BLDG,SETBACK FROM a
ADDRESS ZI 3 14 1 / 1Fg �} �6 SIDE PROP.LINE OF (STREET) C
r r--. TEL. TYPE OF EXISTING SETBACK HIGHWAY + YARD TOTAL C.
CONTRACTOR S L L '�. NO. HIGHWAY WIDTH FROM C.L.
ADDRESS NO. + - W
LIC. tL
CITY CLASS CORNER CUTOFF YES ❑ NO ❑
CONSTRUCTION LENDER �}IJL-
NAME AND BRANCH tN
ERSE SIDE FOR SPECIAL APPROVALS
ADDRESS ' S G ��CI [l� M�, '•!
SQ. FT. 4o NO. OF NO. OF NEW
SIZE STORIES FAMILIES %�USE OF ADD (/STRUCTUREALTER rREPAIRAln
SIGNATURE OF oAPPLICANT EMOL /VALUAT/I�ONy S ROVALS DATE IN ECTOR'S SI NATURE
FEES "C�1 •�.J FEES ovMATERIAALS RE STOPS,1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIOBOLTSANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLFURNACE: LOCATION,
WITH ALL ORDINANCES AND LAWS REGULATING BUILDING CON GAS VENT, DUCTS
STRUCTION. I CERTIFY THAT DOING THE WORK AUTHORIZED
HEREBY 1 WILL NOT EMPLO PERSON IN VIOLATION OF THE LATH, INT.
LABOR CODE OF THE S OF •CALIFO IA IN RELATING TO
WORKMEN'S COMP.ENS N INSURANCE. -
LATH, EXT.
SIGNATURE OF �u� HOUSE NUMBER COR-
PERMITTEE % RECT AND POSTED v
ADDRESS FINAL
PLAN CHECK VALIDATIONcK. o. CASH _ PERMIT VALID T NCK� M.O. CASH
Uj;o,9 3 9 7IV OCT 2 5 2 3 D
I Apn 0 0 6 41.) FEB 7 1 B - 3 5.2 5,
TEMPLE CITY
F.U63U CK#803-2-42' APPLICATION FOR BUILDING PERMIT
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COUNTY OF LOS ANGELES BUILDING ja
DEPARTMENT OF COUNTY ENGIIMER ADDRESS C�
BUILDING AND SAFETY DMSION LOCALITY f
JOHN A. LAMBIE, COUNTY ENGINEER NEAREST
WILLIAM A.JENSEN SUPT OF BUILDING CROSS ST.
FOR APPLICANT TO FILL IN DISTRICT NO. O TYPE CONST
SED Y
J r � -
BUILDING o� STATISTICAL CLASSIFICATION S ER MAP
ADDRESS oG If SK PG
CLASS..NO-O—DWELL.UNIT
LOT NO. BLOCK WATER NOT REQUIRED ❑ RECEIVED
CERTIFICATE:
TRACT MAP HIGHWAY STATE MAJOR SECOND,, CAL
NO.OF BLDGS. NO ICIRCLE)
SIZE OF LOT. I NOW ON LOT +/ USE ZONE SPECIAL
USE OF �� CONDITIONS
EXISTING BLDG. /+ p
OWNER �GSD, NO. 8iP BUILDING' EXIST.
SETBACK' YARD HWY STREET NAME WIDTH'
ADDRESS' 64 FRONT
ARCHITECT OR TEL. P.L.
ENGINEER NO. SIDE
P.L.
ADDRESS dIg }
TEL. INSPECTION RECORD 0
CONTRACTOyR�-
NO. 'Gr V
ADDRESS �Z� `T �'�s 677-' dRof I . ! y
DESCRIPTION .OF WORK �v�'6� ISI, -)fliv'/ O
I W
a
ADD ALTER. REPAIR DEMOLISH N
SQ.FT: NO.OF NO.OF
Z
IZE STORIES FAMILIES
SE OF
1 STRUCTURE
SIGNATURE OF
APPLICANT
VALUATION$ 3 61 l L/ 6�o
J6
N APPROVALS DATE/ INSPECTOR-S SIGNA UWE
FEE $J f PMT,
II
FOFORMS.MATERIALS ON
FEE $ �—
FRAME:FI RE STOPS, �n fify
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION BRACING,BOLTS,
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE:LOCATION: a
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ,GAS VENT DUCTS '
BUILDING CONSTRUCTION. I CERTIFY THAT IN DOING THE WORK - 2 /
AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN.VIOLA- LATH,INT. _- '�/ /JJ
TION OF THE LABOR CODE OF THE STATE OF LIF NIA RELAT. 11
ING TO WORKMEN'S C SATION INSURA E. U LATH,EXT. 1 r Ti'�"`� '
SIGNATURE OF HOUSE NUMBER COR- •�•>
PERMITTE 1 RECT AND POSTED J A /
ADDRESS t "SINAL
CLYDE N. DIRLAM, PRINCIPAL STV RAL ENGINEER
PLAN CHECK VALIDATION cK. e�.O.; CASH PERM VALIDATION cK. M.O: CASH
LAAO 6 6 1 0 NOV 7 2 3 D 2 6.75A
LFIGO 7 5 4 6% NOV 2 8 ` 1 D 5 7.00-
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS RESIDENTIAL ADD/ALT/REP
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0007240029
PHONE: (626) 285-0488 EXT:
LEGA O. OF CONST NEW BUILDING ADDRESS.
TR: 27309 LT: 7 SQ. FT STORIES TYPE OCCUP GROUP 10216 RANDWICK DR
STRUCTURE: 450 1 VN R3 TEMP CA 917803351
ASSESSOR INFORMATION NUMBER: GARAGE: NEAREST CROSS STREET: GLICKMAN
8585-005-007 OTHER: THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
TENANT: EXIST BDG USE: USE ZONE: ISSUED 0 R C SS ES ON:
EXIST OCC GRP: 08/02/00 UT 01/3 1
OWNER: TEL. NO: BLDGS. NOW ON LOT: VALUATION: FINAL DATE FINAL BY: CODE:
NAVA RAUL L;LILLY G TRS (818) 442-3880- 5,000 v~ ..�
5517 FLORINDA AV &�K
ARCD 910065615 FEES PA—FD DESCRIPTION OF WORK
TO FINALIZE EXISTING BUILDING PERMITS #9397 AND #5311-
APPLICANT: TEL. N
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: FAMILY ROOM(20 X 22 1/2)
0:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 5000.00 VAL 0.50 SPECIAL CONDITIONS:
AX BUILDING RWEW-E 54.70
62 PERMIT W/EFfE �GELE--.e00 EEO VAL 228:86
CONTRACTOR: TEL. NO: �j �/� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO LOCATION AND SETBACKS
i SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. N0: FOUNDATIONPRENCH FORMS
LIC. NO 1111111 SLAB/UNDER FLOOR
RAISED FLOOR R
MAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: C P• n n n �/ UNDERFLOOR INSULATION
3 Ou U D II O�IK( ST LEVEL 00 SHEAT
NO. OF FAMILIES: DWE G UNITS: APT/CO D: STAT CLASS- LLL��� �J lJ��J
NO 21 j 5 ND LEVEL FLUM SHEATH
SCHOOL IT I HAZARDOUS ! E] .11. ROOF SHEATHING
AIR QUALITY: 1000 FEET MATERIALS 0 El 4 , –
f,,
NO NO NO El ® �� FIRE DEPT. FRAME INSPECT
EQUIRED TOTAL SETBACK FROM EXIST— BLDG DEPT. FRAME INSPEC
SET FRONTAPL- YARD : HWY: PROP LINE: WIDTH: 6,%L• S,ery❑�T�a��VO�
SHEAR PANE S
SIDE PL-
INSULATION/WEATHER STRIP
INTERIOR LATH/DRY ALL
EXTERIOR LATH
OT DRAINAGE
SMOKE T CT DE CES
FIRE DEPARTMENT APPROVAL
REPORT ID: DPR261 ROUTE TO: BS0508
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 1111100022
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
ITR: 27309 IT: 7 SQ. FT STORIES TYPE 10216 RANDWICK DR 1
I ISTRUCTURE: V-B 1 TEMP CA 917803351
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
18585-005-007 1 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
TENANT: EXIST BLDG USE: RESID USE ZONE: R-1 ]ISSUED ON: PROCESSED BY: 1
1EXIST OCC GRP: 111/10/11 SR
OWNER: TEL. NO: IBLDGS. NOW ON IAT: VALUATION: IFINAL DATE FIN#+ BY: CODE:
NAVA RAUL L;LILLY G TRS (818) 442-3880- 1 1 7,500 1tL
15517 FLORINDA AV I I --f
�
]ARCD 910065615 I FEES PAID IDESCRIPTION OF WORK ]
IDRYWALL REPAIR FOR BATHROOM REMODEL [
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ I
[APPLICANT: TEL. NO: I I I
IL & W KITCHENS AND BATHS - IAA BLDG PERMIT ISSUANCE 27.80 [_ [
18812 LAS TUNAS IAB STATE GREEN BLDG FEE 7500.00 VAL 1.00 ISPECIAL CONDITIONS: I
SAN GABRIEL CA 91776 ]AC STRONG MOTION RESID 7500.00 VAL 0.80 1
ID2 PERMIT W/O EN-HC 7500.00 VAL 183.40 I I
[ [ TOTAL FEES 213.00 [ I
ICONTRACTOR: TEL. NO: [ [APPROVALS DATE INSPECTOR SIGNATURE 1
IL & W KITCHENS AND BATHS (626) 287-1131- I 1 I
18812 LAS TUNAS LIC. NO I ILOCATION AND SETBACKS I 1 1
ISAN GABRIEL CA 91176 205334 I 1 I [
I 1 ISOILS ENGINEER APPROVAL [ [ I
ARCHITECT OR ENGINEER: TEL. NO: - 1 IFOUNDATION/TRENCH FORMS I I I
LIC. NO: 1 ISLA3/UNDER FLOOR 1 [ I
I [ IRAISED FLOOR FRAMING I I [
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:[ (UNDERFLOOR INSULATION I I I
1147H273 3 001 I 1-1
I 1 I
I I ]FLOOR SHEATHING
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I [ I I
I 0 NO 22 1 IROOF SHEATHING
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS 1 1 1
[AIR QUALITY: 1000 FEET MATERIALS 1 I I ]
1 NO NO NO I FRAME INSPECTION I I
FIRE SPRINKLER HANGERS
I [INSULATION/WEATHER STRIP[ I I
] ] ]INTERIOR LATH/DRYWALL I I I
I I I
I I ]EXTERIOR LATH I I I
1 1 IRATED FLOOR/CEIL ASSEM. I I I
I ] IRATED WALL ASSEMBLIES I [ I
IRATED SHAFTS/OPENINGS I I I
] ] I
] I IT-BAR CEILINGS I I I
I I I
I I ILOT DRAINAGE I I I
IREPORT ID: DPR261 ROUTE TO: BS0508 I ] [ I
I I I I I I
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COUNTY OF LOS ANGELES TEMPLE CITY A # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0809290016
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST 1 BUILDING ADDRESS: I
ITR: 27309 LT: 7 I SQ. FT STORIES TYPE 1 10216 RANDWICK DR
I ISTRUCTURE: V-B I TEMP CA 917803351
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GLICKMAN 1
18585-005-007 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: (EXIST BLDG USE: RESID USE ZONE: R-1 TISSUED ON: PROCESSED BY: EXPIRES ON: 1
1EXIST OCC GRP: 109/29/08 SR 03/28/09 1
(OWNER: TEL. NO: 1BLDGS. NOW ON LOT: VALUATION: IFINAL FI CODE: 1
IBONDI, JOE (626) 444-6054- 1 500 I I
110216 RANDWICK DR. I E
I
ITEMPLE CITY CA 91780 1 FEES PAID 1 CRIPTION OF WORK 1
IKITCHEN REMODEL DRY WALL AS NEEDED 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( 1
(APPLICANT: TEL. NO: I I [
IL & W KITCHENS & BATHS (626) 287-1131- IAA BLDG PERMIT ISSUANCE 27.75 I [
18812 LAS TUNAS DR. IAC STRONG MOTION RESID 500.00 VAL 0.50 ISPECIAL CONDITIONS: I
ISAN GABRIEL CA 91776 1B2 PERMIT W/ENERGY 500.00 VAL 48.02 I [
1 TOTAL FEES 76.27 1 [
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IL & W KITCHENS & BATHS (626) 287-1131- I 1
18812 LAS TUNAS DRIVE LIC. NO 1 ILOCATION AND SETBACKS I I I
ISAN GABRIEL CA 91776 205344 B I 1 1-1 1
I I ISOILS ENGINEER APPROVAL [ 1 I
(ARCHITECT OR ENGINEER: TEL. NO: 1 IFOUNDATION/TRENCH FORMS I I I
1 LIC. NO: 1 1SLAB/UNDER FLOOR 1 [ I
IRAISED FLOOR FRAMING I [
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:1 1UNDERFLOOR INSULATION I I I
1147H273 3 011 1_ 1-1 I
I I IFLOOR SHEATHING I I I
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I I I I I
1 NO 21 IROOF SHEATHING I I I
SCHOOL WITHIN HAZARDOUS 1 ISHEAR PANELS I I I
(AIR QUALITY: 1000 FEET MATERIALS 1 I I I
1 NO NO NO 1 IFRAME INSPECTION 1
IREQUIRED TOTAL SETBACK FROM EXIST 1 �o�nJ— ? IFIRE SPRINKLER HANGERS
6_
ISET BACK YARD: HWY: PROP LINE: WIDTH: I I [ I I
IFRONT PL- 1 11NSULATION/WEATHER STRIPI I I
I SIDE PL- I 1 1-1 I
I I (INTERIOR LATH/DRYWALL I I
I 1 (EXTERIOR LATH I I [
[ [ IRATED FLOOR/CEIL ASSEM. 1 1 [
1 I IRATED WALL ASSEMBLIES I 1 1
IRATED SHAFTS/OPENINGS
IT-BAR CEILINGS [ 1
ILOT DRAINAGE 1 1 1
I I I
I [REPORT ID: DPR261 ROUTE TO: BS0508 1 1 I I
I I I I I I
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 0405270023
PHONE: (626) 285-0488 EXT:
LEGAL ID: NO. OF CONST BUILDING ADDRESS:
TR: 27309 LT: 7 SQ. FT STORIES TYPE 10216 RANDWICK DR
STRUCTURE: 2000 VN TEMP CA 917803351
ASSESSOR ODM TIOINUMBER: NEAREST CROSS STREET: GLICKMAN
8585-005-007 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY, C
TENANT: EXIST BLDG SE: RESID USE ZONE: R- ISSUqD -OV-.- PROCESSED BY: EXPIRES ON:
EXIST OCC GRP: 05/27!04 VG 05/22/05
OWNER: TEL. NO: SLDGS. NOW ON LOT: VALUATION: FINAL DATE r FINALY: CODE:
NAVA RAUL L;LILLY G TRS 4626) 442-3880- 4,000 p
5517 FLORINDA All
ARCD 910065615 FEES PAID D SCRIVTION OF WORK
T/O EXIST ROOF, RESHEAT AND INSTALL COMPOSITION SHINGLES
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:
APPLICANT: TEL. NO:
SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27.75
AC STRONG MOTION RESID 4000.00 VAL 0.50 SPECIAL CONDITIONS:
D2 PERMIT W/O EN-HC 4000.00 VAL 115.80
TOTAL FEES 144.05
CONTRACTOR: --� iEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO LOCATION AND SETBACKS
SOILS ENGINEER APPROVAL
ARCHITECT OR ENGINEER: TEL. NO: FO NIATIO./TP.ENCH FORMS
LIC. NO: SLAB/UNDER FLOOR
RAISLP LOO. - MING
MAP NO: SEWER MAP BOOK:PAGE: FIRE ZONE: CMP: UNDERFLOOR INSULATION
XX 3 01 -
0. OF ILIES: DWELLING UNITS: APT/COAD: STAT CLASS: FLOOR S ING
NO 21 ROOF SHEATHING
SCHOOL WITHIN HAZARDOUS SHEAR PANELS
AIR QUALITY: 1000 FEET MATERIALS
NO NO NO FRA1E INSPECTION
REQUIRED TOTAL SETBACK. FROM EXIST FIRE SPRINKLER HANGERS
SET BACK YARD: HWY: PROP LINE: WIDTH:
FRONT PL- INSULATION/WEATHER STRIP
SIDE PL- - INTERIOR LATH/DRYWALL
EXTERIOR LATH
RATED FLOOR/CEIL ASSEM.
RATED WALL ASSEMBLIES
RAT95 SHAFTS/OPENIN S
T-BAR CEILINGS
LOT DRAINAGE
REPORT ID: DPR261 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ALTERATION/REPAIR
BL 0508 1110190072
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I NO. OF CONST BUILDING ADDRESS: I
ITR: 27309 IT: 7 I SQ. FT STORIES TYPE 10216 RANDWICK DR I
I (STRUCTURE: V-B TEMP CA 917803351
(ASSESSOR INFORMATION NUMBER: I
NEAREST CROSS STREET: GLICKMAN
18585-005-007 I I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
(TENANT: [EXIST BLDG USE: RESID USE ZONE: R-1 (ISSUED ON: PROCESSED BY:
(EXIST OCC GRP: 10/19/11 SR
OWNIBONDEY, JOE TEL. NO: [BLDGS. NOW ON LOT: VALUATION: IFIIPT, DA E FINAL BY: CODE:
(626) 444-6054-
10,000 I I
110216 RANDWICK AVE. I 1, v
ITEMPLE CITY CA 91780 I I
FEES PAID ID 1 I N OF RK [
IBATHROOM REMODEL
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:(
(APPLICANT: TEL. NO:
18812 IASTCCHEENNSAND BATHS (626) 287-1131- IAA BLDG PERMIT ISSUANCE 27.80 I I
IAB STATE GREEN BLDG FEE 10000.00 VAL 1.00 ISPECIAL CONDITIONS:
ISAN GABRIEL 91776 IAC STRONG MOTION REBID 10000.00 VAL 1.00
I
I B2 PERMIT W/ENERGY 10000.00 VAL 238.90 I
IFR INV WORK W/O PERMIT 257.00 DOL 257.00 I
I
IroNTRACTDR: TEL. N0: I TOTAL FEES 525.70 (APPROVALS DATE INSPECTOR SIGNATURfi I
IL AND W KITCHENS AND BATHS (626) 287-1131- [ I
8812 LAS TUNAS DRIVE LIC. NO I ILOCATION AND SETBACKS I I I
ISAN GABRIEL, CA 91776 205344 B I
I
SOILS ENGINEER APPROVAL I I I
(ARCHITECT OR ENGINEER: TEL. NO: - I (FOUNDATION/TRENCH FORMS
LIC. NO: I
I I [SLAB/UNDER FLOOR [ I I
I (RAISED FLOOR FRAMING I I I
IMAP NO: SEWER MAP BOOK: PAGE: FIRE ZONE: CMP:( UNDERFLOOR INSIILATION I I I
I147H273 3 001
I IFLOOR SHEATHING I I [
INO. OF FAMILIES: DWELLING UNITS: APT/COND: STAT CLASS: I
0 NO 21 I IROOF SHEATHING I I I
[ SCHOOL WITHIN HAZARDOUS i ISHEAR PANELS [ I
(AIR QUALITY: 1000 FEET MATERIALS I I I
NO NO NO IFRAME INSPECTION I I [
I I I
IFIRE SPRINKLER HANGERS I I I
(INSULATION/WEATHER STRIPI I I
I
I I (INTERIOR LAT /DRYWALL I I I
(EXTERIOR LATH I I I
I
I i (RATED FIAOR/CEIL ASSEM. [ I I
I
(RATED WALL AS38MELIE3 I I
(RATED SHAFTS/OPENINGS
I I
IT-BAR CEILINGS I I I
ILOT DRAINAGE I [ I
IREPORT ID: DPR261 ROUTE TO: BS0508
I I I
I I I I I